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psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
December 16, 2014 - Study
The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.
Citation Text:
Greenwald JL, Denham CR, Jack BW. The Hospital Discharge. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12.
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psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-safety-and-qi-organization
March 20, 2024 - Commentary
Munson Medical Center: embedding a culture of safety and QI into the organization.
Citation Text:
Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm J Qual Patient Saf. 2008;34(11):665-70.
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psnet.ahrq.gov/issue/why-your-doctors-white-coat-can-be-threat-your-health
November 18, 2016 - Newspaper/Magazine Article
Why your doctor's white coat can be a threat to your health.
Citation Text:
Haun N, Hooper-Lane C, Safdar N. Healthcare Personnel Attire and Devices as Fomites: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(11):1367-1373.
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psnet.ahrq.gov/issue/hospital-admission-medication-reconciliation-medically-complex-children-observational-study
April 24, 2018 - Study
Hospital admission medication reconciliation in medically complex children: an observational study.
Citation Text:
Stone BL, Boehme S, Mundorff MB, et al. Hospital admission medication reconciliation in medically complex children: an observational study. Arch Dis Child. 2009. doi…
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psnet.ahrq.gov/issue/statewide-voluntary-patient-safety-initiative-georgia-experience
October 04, 2011 - Commentary
A statewide voluntary patient safety initiative: the Georgia experience.
Citation Text:
Rask KJ, Schuessler LD, Naylor DV. A statewide voluntary patient safety initiative: the Georgia experiene. Jt Comm J Qual Patient Saf. 2006;32(10):564-72.
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psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-healthcare
April 25, 2016 - Commentary
The underappreciated role of habit in highly reliable healthcare.
Citation Text:
Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf. 2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512.
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psnet.ahrq.gov/issue/economics-health-care-quality-and-medical-errors
August 19, 2020 - Commentary
The economics of health care quality and medical errors.
Citation Text:
Andel C, Davidow SL, Hollander M, et al. The economics of health care quality and medical errors. J Health Care Finance. 2012;39(1):39-50.
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psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-leadership-needed-hhs-prioritize-prevention
October 15, 2008 - Book/Report
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections.
Citation Text:
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices a…
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psnet.ahrq.gov/issue/lives-lost-lives-saved-updated-comparative-analysis-avoidable-deaths-hospitals-graded
July 09, 2019 - Book/Report
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group.
Citation Text:
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals Graded by The Leapfrog Group. Austin M, Derk J. Bal…
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psnet.ahrq.gov/issue/insights-climate-safety-towards-prevention-falls-among-hospital-staff
February 14, 2017 - Study
Insights into the climate of safety towards the prevention of falls among hospital staff.
Citation Text:
Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.111…
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psnet.ahrq.gov/issue/mask-shortage-straps-pharmacists-who-need-them-keep-medicines-pure
August 02, 2023 - Newspaper/Magazine Article
Mask shortage straps pharmacists who need them to keep medicines pure.
Citation Text:
Mask shortage straps pharmacists who need them to keep medicines pure. Jewett C, Lupkin S. Health Shots. National Public Radio. March 20, 2020.
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psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-improvement-healthcare-systematic-review
September 23, 2020 - Review
Impact of hospital accreditation on quality improvement in healthcare: a systematic review.
Citation Text:
Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.137…
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psnet.ahrq.gov/node/33921/psn-pdf
October 10, 2018 - ASHP guidelines on preventing medication errors in
hospitals.
October 10, 2018
ASHP guidelines on preventing medication errors in hospitals. American journal of hospital pharmacy.
1993;50(2):305-14.
https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals
Strategies to prevent inpatient…
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psnet.ahrq.gov/node/37356/psn-pdf
December 13, 2017 - Transforming Hospitals: Designing for Safety and Quality.
December 13, 2017
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/transforming-hospitals-designing-safety-and-quality
This video uses the experiences of three US hospitals to demonstrate how the quality …
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psnet.ahrq.gov/issue/development-evidence-based-framework-factors-contributing-patient-safety-incidents-hospital
June 25, 2014 - Review
Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review.
Citation Text:
Lawton R, McEachan RRC, Giles SJ, et al. Development of an evidence-based framework of factors contributing to patient safety …
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psnet.ahrq.gov/issue/multi-method-exploratory-evaluation-service-designed-improve-medication-safety-patients
July 22, 2020 - Study
A multi-method exploratory evaluation of a service designed to improve medication safety for patients with monitored dosage systems following hospital discharge.
Citation Text:
Alqenae FA, Steinke DT, Belither H, et al. A multi-method exploratory evaluation of a service designed to…
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psnet.ahrq.gov/issue/hospital-staff-should-use-more-one-method-detect-adverse-events-and-potential-adverse-events
November 12, 2014 - Study
Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place.
Citation Text:
Olsen S, Neale G, Schwab K, et al. Hospital staff should use mo…
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psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
December 21, 2016 - Study
Classic
Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention.
Citation Text:
Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve…
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psnet.ahrq.gov/node/60888/psn-pdf
January 01, 2021 - Chronic hospital nurse understaffing meets COVID-19: an
observational study.
September 9, 2020
Lasater KB, Aiken LH, Sloane DM, et al. Chronic hospital nurse understaffing meets COVID-19: an
observational study. BMJ Qual Saf. 2021;8(8):639-647. doi:10.1136/bmjqs-2020-011512.
https://psnet.ahrq.gov/issue/chronic-ho…
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psnet.ahrq.gov/node/45339/psn-pdf
August 10, 2016 - Hospital at night: an organizational design that provides
safer care at night.
August 10, 2016
Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care
at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17.
https://psnet.ahrq.gov/issue/hospi…