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psnet.ahrq.gov/node/38715/psn-pdf
February 17, 2011 - Medicare nonpayment, hospital falls, and unintended
consequences.
February 17, 2011
Inouye SK, Brown CJ, Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. N
Engl J Med. 2009;360(23):2390-3. doi:10.1056/NEJMp0900963.
https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-uni…
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psnet.ahrq.gov/node/838011/psn-pdf
January 01, 2023 - Fall prevention with the Smart Socks System reduces
hospital fall rates.
September 7, 2022
Moore T, Kline D, Palettas M, et al. Fall prevention with the Smart Socks System reduces hospital fall
rates. J Nurs Care Qual. 2023;38(1):55-60. doi:10.1097/ncq.0000000000000653.
https://psnet.ahrq.gov/issue/fall-prevention…
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psnet.ahrq.gov/node/45823/psn-pdf
May 09, 2017 - The effect of prescriber education on medication-related
patient harm in the hospital: a systematic review.
May 9, 2017
Bos JM, van den Bemt PMLA, de Smet PAGM, et al. The effect of prescriber education on medication-
related patient harm in the hospital: a systematic review. Br J Clin Pharmacol. 2017;83(5):953-961…
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psnet.ahrq.gov/node/50385/psn-pdf
January 01, 2020 - How hospitals select their patient safety priorities: an
exploratory study of four Veterans Health Administration
hospitals.
September 25, 2019
George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care
Manag Rev. 2020;45(4):E56-E67. doi:10.1097/hmr.0000000000000260.…
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psnet.ahrq.gov/node/865335/psn-pdf
March 27, 2024 - The impact of digital hospitals on patient and clinician
experience: systematic review and qualitative evidence
synthesis.
March 27, 2024
Canfell OJ, Woods L, Meshkat Y, et al. The impact of digital hospitals on patient and clinician experience:
systematic review and qualitative evidence synthesis. J Med Internet …
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psnet.ahrq.gov/node/46647/psn-pdf
January 01, 2020 - How differences between manager and clinician
perceptions of safety culture impact hospital processes
of care.
February 14, 2018
Richter J, Mazurenko O, Kazley AS, et al. How Differences Between Manager and Clinician Perceptions of
Safety Culture Impact Hospital Processes of Care. J Patient Saf. 2020;16(4):289-293…
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psnet.ahrq.gov/node/42885/psn-pdf
January 22, 2014 - Medication error reporting in rural critical access
hospitals in the North Dakota Telepharmacy Project.
January 22, 2014
Scott DM, Friesner DL, Rathke AM, et al. Medication error reporting in rural critical access hospitals in the
North Dakota Telepharmacy Project. Am J Health Syst Pharm. 2014;71(1):58-67. doi:10.2…
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psnet.ahrq.gov/node/45426/psn-pdf
August 24, 2016 - Handoffs, safety culture, and practices: evidence from the
hospital survey on patient safety culture.
August 24, 2016
Lee S-H, Phan PH, Dorman T, et al. Handoffs, safety culture, and practices: evidence from the hospital
survey on patient safety culture. BMC Health Serv Res. 2016;16:254. doi:10.1186/s12913-016-1502…
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psnet.ahrq.gov/node/44186/psn-pdf
November 10, 2015 - A comprehensive method to develop a checklist to
increase safety of intra-hospital transport of critically ill
patients.
November 10, 2015
Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to
increase safety of intra-hospital transport of critically ill patients. Crit…
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psnet.ahrq.gov/node/36045/psn-pdf
November 10, 2011 - IHI announces that hospitals participating in 100,000
Lives Campaign have saved an estimated 122,300 lives.
November 10, 2011
https://psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved-
estimated-122300-lives
In December 2004, the Institute for Healthcare Improvement (IHI) …
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psnet.ahrq.gov/node/34806/psn-pdf
December 23, 2008 - Identification of in-hospital complications from claims
data. Is it valid?
December 23, 2008
Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is
it valid? Med Care. 2000;38(8):785-95.
https://psnet.ahrq.gov/issue/identification-hospital-complications-claims-d…
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psnet.ahrq.gov/node/43200/psn-pdf
May 21, 2014 - How Does Hospital Quality Management Drive Quality?
Results From the "Deepening Our Understanding of
Quality Improvement (DUQuE)" Project.
May 21, 2014
Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115.
https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…
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psnet.ahrq.gov/node/46994/psn-pdf
October 31, 2018 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2017.
October 31, 2018
Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Dispensing and administration-2017. Am J Health Syst Pharm. 2018;75(16):1203-1226.
doi:10.…
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psnet.ahrq.gov/node/72554/psn-pdf
December 09, 2020 - Fall prevention implementation strategies in use at 60
United States hospitals: a descriptive study.
December 9, 2020
Turner K, Staggs V, Potter C, et al. Fall prevention implementation strategies in use at 60 United States
hospitals: a descriptive study. BMJ Qual Saf. 2020;29(12):1000-1007. doi:10.1136/bmjqs-2019-…
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psnet.ahrq.gov/node/72578/psn-pdf
December 16, 2020 - Miscarriage treatment-related morbidities and adverse
events in hospitals, ambulatory surgery centers, and
office-based settings.
December 16, 2020
Roberts SCM, Beam N, Liu G, et al. Miscarriage treatment-related morbidities and adverse events in
hospitals, ambulatory surgery centers, and office-based settings. J …
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psnet.ahrq.gov/node/44374/psn-pdf
August 12, 2015 - ASHP national survey of pharmacy practice in hospital
settings: dispensing and administration—2014.
August 12, 2015
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: Dispensing and administration--2014. Am J Health Syst Pharm. 2015;72(13):1119-37.
doi:10.21…
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psnet.ahrq.gov/node/39143/psn-pdf
February 14, 2011 - Impact of a pharmacist-facilitated hospital discharge
program: a quasi-experimental study.
February 14, 2011
Walker PC, Bernstein SJ, Jones JNT, et al. Impact of a pharmacist-facilitated hospital discharge program: a
quasi-experimental study. Arch Intern Med. 2009;169(21):2003-10. doi:10.1001/archinternmed.2009.398…
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psnet.ahrq.gov/node/46932/psn-pdf
April 22, 2018 - Hospital Survey on Patient Safety Culture: 2018 User
Database Report.
April 22, 2018
Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March
2018. AHRQ Publication No. 18-0025-EF.
https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-re…
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psnet.ahrq.gov/node/45207/psn-pdf
August 17, 2016 - Unit-based incident reporting and root cause analysis:
variation at three hospital unit types.
August 17, 2016
Wagner C, Merten H, Zwaan L, et al. Unit-based incident reporting and root cause analysis: variation at
three hospital unit types. BMJ Open. 2016;6(6):e011277. doi:10.1136/bmjopen-2016-011277.
https://psn…
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psnet.ahrq.gov/node/46612/psn-pdf
February 22, 2018 - Influencing organisational culture to improve hospital
performance in care of patients with acute myocardial
infarction: a mixed-methods intervention study.
February 22, 2018
Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital
performance in care of patients with acute …