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psnet.ahrq.gov/node/46483/psn-pdf
October 04, 2017 - Fall Prevention in Hospitals Training Program.
October 4, 2017
Rockville, MD: Agency for Healthcare Research and Quality; 2017.
https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
Falls are a primary focus of quality and patient safety improvement efforts in hospitals. This training
program pro…
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psnet.ahrq.gov/node/42541/psn-pdf
January 15, 2014 - Prescribing errors on admission to hospital and their
potential impact: a mixed-methods study.
January 15, 2014
Basey AJ, Krska J, Kennedy TD, et al. Prescribing errors on admission to hospital and their potential
impact: a mixed-methods study. BMJ Qual Saf. 2014;23(1):17-25. doi:10.1136/bmjqs-2013-001978.
https:/…
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psnet.ahrq.gov/node/34871/psn-pdf
February 09, 2011 - Educational levels of hospital nurses and surgical patient
mortality.
February 9, 2011
Aiken LH, Clarke S, Cheung RB, et al. Educational levels of hospital nurses and surgical patient mortality.
JAMA. 2003;290(12):1617-1623.
https://psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-morta…
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psnet.ahrq.gov/node/36887/psn-pdf
May 16, 2007 - Hospitals tie CEO bonuses to safety.
May 16, 2007
Rowland C.
https://psnet.ahrq.gov/issue/hospitals-tie-ceo-bonuses-safety
This article reports on Massachusetts hospitals that are basing hospital executive bonuses on the extent to
which their hospitals implement and comply with safety measures.
https://psnet.ahrq…
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psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
September 30, 2015 - Newspaper/Magazine Article
'Alarm fatigue’ a factor in 2nd death.
Citation Text:
'Alarm fatigue’ a factor in 2nd death. Kowalczyk L. Boston Globe. September 21, 2011.
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psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds-guide
May 06, 2015 - Book/Report
The Patient Safety Leadership WalkRounds Guide.
Citation Text:
The Patient Safety Leadership WalkRounds Guide. Frankel AS, Grillo S, Pittman MA. Chicago, IL: Health Research and Educational Trust; 2006.
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psnet.ahrq.gov/issue/top-10-medical-technology-hazards-2020-announced
May 01, 2019 - Newspaper/Magazine Article
Top 10 medical technology hazards of 2020 announced.
Citation Text:
Top 10 medical technology hazards of 2020 announced. Cheney C. HealthLeaders Media. October 8, 2019.
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psnet.ahrq.gov/issue/sops-health-information-technology-patient-safety-supplemental-item-set-hospital-survey
October 23, 2019 - Measurement Tool/Indicator
SOPS Health Information Technology Patient Safety Supplemental Item Set for the Hospital Survey.
Citation Text:
SOPS Health Information Technology Patient Safety Supplemental Item Set for the Hospital Survey. Rockville, MD: Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/issue/harm-free-care
April 15, 2020 - Multi-use Website
Harm Free Care.
Citation Text:
Harm Free Care. National Health Service.
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May 9, 2012 …
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psnet.ahrq.gov/issue/washington-hospital-center-safety-program-seeks-catch-near-misses
November 29, 2016 - Newspaper/Magazine Article
Washington Hospital Center safety program seeks to catch 'near-misses.'
Citation Text:
Washington Hospital Center safety program seeks to catch 'near-misses.' Sun LH.
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psnet.ahrq.gov/issue/ounce-prevention-reduce-errors-hospitals-prescribe-innovative-designs
December 13, 2006 - Newspaper/Magazine Article
Ounce of prevention: to reduce errors, hospitals prescribe innovative designs.
Citation Text:
Ounce of prevention: to reduce errors, hospitals prescribe innovative designs. Naik G. Wall Street Journal. May 8, 2006; A1.
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psnet.ahrq.gov/issue/medical-mistakes-no-longer-billable-bold-steps-taken-state-reduce-hospital-errors
August 06, 2008 - Newspaper/Magazine Article
Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors.
Citation Text:
Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors. Smith S.
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psnet.ahrq.gov/node/42919/psn-pdf
February 05, 2014 - Implementing hospital-based communication-and-
resolution programs: lessons learned in New York City.
February 5, 2014
Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution
programs: lessons learned in New York City. Health Aff (Millwood). 2014;33(1):30-8.
doi:10.1377/h…
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psnet.ahrq.gov/node/60842/psn-pdf
August 26, 2020 - Longitudinal medication reconciliation at hospital
admission, discharge and post-discharge.
August 26, 2020
Daliri S, Bouhnouf M, van de Meerendonk HWPC, et al. Longitudinal medication reconciliation at hospital
admission, discharge and post-discharge. Res Social Adm Pharm. 2020;17(4):677-684.
doi:10.1016/j.saphar…
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psnet.ahrq.gov/node/72849/psn-pdf
March 17, 2021 - There's no place like home--integrating a pharmacist into
the hospital-in-home model.
March 17, 2021
Emonds EE, Pietruszka BL, Hawley CE, et al. There’s no place like home—integrating a pharmacist into
the hospital-in-home model. J Am Pharm Assoc (2003). 2021;61(3):e143-e151.
doi:10.1016/j.japh.2021.01.003.
https…
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psnet.ahrq.gov/node/41434/psn-pdf
June 06, 2012 - ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing—2010.
June 6, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing--2010. Am J Health Syst Pharm. 2011;68(8):669-88.
doi:10.2146/ajhp…
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psnet.ahrq.gov/node/43465/psn-pdf
February 18, 2015 - Hospital Readmissions Reduction Program: implications
for pharmacy.
February 18, 2015
Boesen KAG, Leal S, Sheehan VC, et al. Hospital Readmissions Reduction Program: implications for
pharmacy. Am J Health Syst Pharm. 2015;72(3):237-44. doi:10.2146/ajhp140177.
https://psnet.ahrq.gov/issue/hospital-readmissions-redu…
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psnet.ahrq.gov/node/42608/psn-pdf
January 09, 2014 - Antiretroviral medication prescribing errors are common
with hospitalization of HIV-infected patients.
January 9, 2014
Commers T, Swindells S, Sayles H, et al. Antiretroviral medication prescribing errors are common with
hospitalization of HIV-infected patients. J Antimicrob Chemother. 2014;69(1):262-7. doi:10.1093…
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psnet.ahrq.gov/node/44285/psn-pdf
November 06, 2015 - Hospital board oversight of quality and safety: a
stakeholder analysis exploring the role of trust and
intelligence.
November 6, 2015
Millar R, Freeman T, Mannion R. Hospital board oversight of quality and safety: a stakeholder analysis
exploring the role of trust and intelligence. BMC Health Serv Res. 2015;15:196…
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psnet.ahrq.gov/node/40255/psn-pdf
March 02, 2011 - Medication details documented on hospital discharge:
cross-sectional observational study of factors associated
with medication non-reconciliation.
March 2, 2011
Grimes TC, Duggan CA, Delaney TP, et al. Medication details documented on hospital discharge: cross-
sectional observational study of factors associated w…