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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74835/psn-pdf
    February 16, 2022 - Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality. February 16, 2022 Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department admission diagnosis and hospital…
  2. psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
    October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission Save Save to your library Print Download PDF Share Facebook Twitter Linkedin C…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35773/psn-pdf
    March 15, 2006 - The association between hospital characteristics and rates of preventable complications and adverse events. March 15, 2006 Thornlow DK; Stukenborg GJ. https://psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable- complications-and-adverse Using the Agency for Healthcare Research…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35382/psn-pdf
    October 05, 2005 - Rx for a better prescription. Hospital bans doctors from using confusing medical abbreviations. October 5, 2005 Hall J. Fredericksburg Times. September 25, 2005 https://psnet.ahrq.gov/issue/rx-better-prescription-hospital-bans-doctors-using-confusing-medical- abbreviations This article presents one hospital’s pro…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37137/psn-pdf
    October 04, 2011 - Rural hospital patient safety systems implementation in two states. October 4, 2011 Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States. The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x. https://psnet.ahrq.gov/issue/rural-hospital-patien…
  6. psnet.ahrq.gov/primer/leadership-role-improving-safety
    September 15, 2024 - Leadership Role in Improving Safety Citation Text: Leadership Role in Improving Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
  7. psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Implementation of Patient Safety Projects Curated Library Foundations Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Kotter, a professor at Harvard Business School, outlines the eight stages …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40924/psn-pdf
    February 23, 2015 - Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement. February 23, 2015 O'Leary KJ, Sehgal NL, Terrell G, et al. Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement. J Hosp Med. 2012;7(1):48-54. doi:10.1002/jhm.970. https://psne…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35279/psn-pdf
    June 30, 2009 - Results of a survey on medical error reporting systems in Korean hospitals. June 30, 2009 KIM J, Bates DW. Results of a survey on medical error reporting systems in Korean hospitals. Int J Med Inform. 2005;75(2). doi:10.1016/j.ijmedinf.2005.06.005. https://psnet.ahrq.gov/issue/results-survey-medical-error-reportin…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49730/psn-pdf
    April 01, 2015 - Transition to Nowhere April 1, 2015 Farrell TW. Transition to Nowhere. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/transition-nowhere The Case A 75-year-old man with a history of prostate cancer, poorly controlled myotonic dystrophy, hypertension, and chronic kidney disease was admitted to the hospital …
  11. psnet.ahrq.gov/issue/medicare-part-d-beneficiaries-serious-risk-opioid-misuse-or-overdose-closer-look
    August 09, 2017 - Book/Report Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. Citation Text: Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. HHS OIG Data Brief. Washington DC; Office of the Inspector General: May 4, 2020…
  12. psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
    February 24, 2016 - Newspaper/Magazine Article Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. Citation Text: Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. ISMP Medicatio…
  13. psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-pulse-survey-march-23-27
    December 23, 2020 - Book/Report Classic Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. Citation Text: Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. Was…
  14. psnet.ahrq.gov/issue/adverse-events-toolkit-clinical-guidance-identifying-harm
    July 26, 2023 - Tools/Toolkit Adverse Events Toolkit: Clinical Guidance for Identifying Harm Citation Text: Adverse Events Toolkit: Clinical Guidance for Identifying Harm Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report n…
  15. psnet.ahrq.gov/issue/how-reliable-your-hospital-qualitative-framework-analysing-reliability-levels
    October 19, 2022 - Commentary How reliable is your hospital? A qualitative framework for analysing reliability levels. Citation Text: Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790. Copy Citation Format…
  16. psnet.ahrq.gov/issue/overlooked-condition
    October 03, 2018 - Newspaper/Magazine Article An overlooked condition. Citation Text: Nicholas L. An overlooked condition. For diabetics, the hospital can be a dangerous place. Modern healthcare. 2005;35(46):24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…
  17. psnet.ahrq.gov/issue/fda-guidance-document-hospital-bed-system-dimensional-and-assessment-guidance-reduce
    July 01, 2009 - Organizational Policy/Guidelines FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. Citation Text: FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. Rockville MD: Center for Devices a…
  18. psnet.ahrq.gov/issue/diagnostic-safety-toolkit
    December 05, 2024 - Toolkit Diagnostic Safety Toolkit. Citation Text: Child Health Patient Safety Organization. Diagnostic Safety Toolkit. Washington DC: Children's Hospital Association. May 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
  19. psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january
    November 18, 2020 - Newspaper/Magazine Article Nowhere is safe: record number of patients contracted Covid in the hospital in January. Citation Text: Nowhere is safe: record number of patients contracted Covid in the hospital in January. Levy R, Vestal AJ. Politico. February 19, 2022. Copy Citation …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43814/psn-pdf
    June 21, 2015 - Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. June 21, 2015 Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. Jt Comm J Qual Patient Saf. 2015;41(1):4-12. https…

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