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psnet.ahrq.gov/innovation/implementation-medication-reconciliation-risk-stratification-tool-integrated-within
April 12, 2023 - EMERGING INNOVATIONS
Implementation of a medication reconciliation risk stratification tool integrated within an electronic health record: a case series of three academic medical centers.
Citation Text:
Chu ES, El-Kareh R, Biondo A, et al. Implementation of a medication reconciliation risk stratif…
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psnet.ahrq.gov/issue/results-and-lessons-hospital-wide-initiative-incentivised-delivery-system-reform-improve
March 02, 2022 - Study
Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care.
Citation Text:
Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised by delivery system…
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psnet.ahrq.gov/issue/medicine-communication-hospital-residential-aged-care-facilities-cross-sectional-survey-aged
December 06, 2023 - Study
Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff.
Citation Text:
Browning S, Raleigh RA, Hattingh HL. Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of …
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psnet.ahrq.gov/issue/arrival-ambulance-explains-variation-mortality-time-admission-retrospective-study-admissions
January 29, 2018 - Study
Classic
Arrival by ambulance explains variation in mortality by time of admission: retrospective study of admissions to hospital following emergency department attendance in England.
Citation Text:
Anselmi L, Meacock R, Kristensen SR, et al. Arrival by amb…
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psnet.ahrq.gov/issue/evaluation-association-between-hospital-survey-patient-safety-culture-hsops-measures-and
December 21, 2017 - Study
Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated infections: results of two national collaboratives.
Citation Text:
Meddings J, Reichert H, Greene T, et al. Evaluation of the association between Hospital Survey…
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psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized
September 13, 2023 - Study
Classic
Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial.
Citation Text:
Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist I…
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psnet.ahrq.gov/node/47575/psn-pdf
December 19, 2018 - Effects of a communication-and-resolution program on
hospitals' malpractice claims and costs.
December 19, 2018
Kachalia A, Sands K, Van Niel M, et al. Effects Of A Communication-And-Resolution Program On
Hospitals' Malpractice Claims And Costs. Health Aff (Millwood). 2018;37(11):1836-1844.
doi:10.1377/hlthaff.201…
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psnet.ahrq.gov/node/44744/psn-pdf
June 21, 2016 - Can patient safety incident reports be used to compare
hospital safety? Results from a quantitative analysis of
the English National Reporting and Learning System data.
June 21, 2016
Howell A-M, Burns EM, Bouras G, et al. Can Patient Safety Incident Reports Be Used to Compare Hospital
Safety? Results from a Quanti…
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psnet.ahrq.gov/node/33916/psn-pdf
December 22, 2014 - Training of Hospital Staff To Respond to a Mass Casualty
Incident. Summary, Evidence Report/Technology
Assessment.
December 22, 2014
Hsu EB, Jenckes MW, Catlett CL, et al. In: AHRQ Evidence Report Summaries. Rockville, MD: Agency for
Healthcare Research and Quality; 1998-2005. 95. AHRQ Publication No. 04-E015-1
h…
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psnet.ahrq.gov/node/41071/psn-pdf
February 01, 2013 - Prescription and transcription errors in multidose-
dispensed medications on discharge from hospital: an
observational and interventional study.
February 1, 2013
Alassaad A, Gillespie U, Bertilsson M, et al. Prescription and transcription errors in multidose-dispensed
medications on discharge from hospital: an obs…
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psnet.ahrq.gov/node/44240/psn-pdf
June 23, 2015 - Risks are high at low-volume hospitals.
June 23, 2015
Sternberg S; Dougherty G.
https://psnet.ahrq.gov/issue/risks-are-high-low-volume-hospitals
This news article reports an independent analysis of patient risk at hospitals that provide surgeries they
infrequently perform, highlighting how high procedure volume an…
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psnet.ahrq.gov/node/38500/psn-pdf
April 01, 2010 - Relationship of hospital organizational culture to patient
safety climate in the Veterans Health Administration.
April 1, 2010
Hartmann CW, Meterko M, Rosen AK, et al. Relationship of hospital organizational culture to patient safety
climate in the Veterans Health Administration. Med Care Res Rev. 2009;66(3):320-38…
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psnet.ahrq.gov/node/43427/psn-pdf
August 06, 2014 - Surgical checklists unused in 10% of hospitals, CMS data
shows.
August 6, 2014
Clark C. HealthLeaders Media. July 24, 2014.
https://psnet.ahrq.gov/issue/surgical-checklists-unused-10-hospitals-cms-data-shows
The Hospital Compare Web site has begun to publicly report which hospitals are using checklists, and the
r…
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psnet.ahrq.gov/node/40797/psn-pdf
September 21, 2011 - Financial incentives to promote health care quality: the
hospital acquired conditions nonpayment policy.
September 21, 2011
Kavanagh KT. Financial incentives to promote health care quality: the hospital acquired conditions
nonpayment policy. Soc Work Public Health. 2011;26(5):524-41. doi:10.1080/19371918.2011.53355…
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psnet.ahrq.gov/node/38613/psn-pdf
May 20, 2009 - Improved operating room teamwork via SAFETY prep: a
rural community hospital's experience.
May 20, 2009
Paige JT, Aaron DL, Yang T, et al. Improved operating room teamwork via SAFETY prep: a rural
community hospital's experience. World J Surg. 2009;33(6):1181-7. doi:10.1007/s00268-009-9952-2.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/36935/psn-pdf
September 01, 2011 - When should a multicampus hospital be considered a
single entity for public reporting on patient safety issues?
September 1, 2011
Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single
entity for public reporting on patient safety issues? Qual Manag Health Care. 2007…
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psnet.ahrq.gov/node/42190/psn-pdf
July 01, 2013 - Staff perceptions of quality of care: an observational
study of the NHS Staff Survey in hospitals in England.
July 1, 2013
Pinder RJ, Greaves FE, Aylin PP, et al. Staff perceptions of quality of care: an observational study of the
NHS Staff Survey in hospitals in England. BMJ Qual Saf. 2013;22(7):563-70. doi:10.113…
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psnet.ahrq.gov/node/47983/psn-pdf
May 01, 2019 - Health systems and hospitals in pursuit of high reliability.
May 1, 2019
Cheney C. HealthLeaders Media. April 17, 2019.
https://psnet.ahrq.gov/issue/health-systems-and-hospitals-pursuit-high-reliability
This news article describes how a 19-hospital health system successfully applied high reliability principles
to …
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psnet.ahrq.gov/node/36682/psn-pdf
March 28, 2011 - Insufficient communication about medication use at the
interface between hospital and primary care.
March 28, 2011
Glintborg B, Andersen SE, Dalhoff K. Insufficient communication about medication use at the interface
between hospital and primary care. Qual Saf Health Care. 2007;16(1):34-9.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/39100/psn-pdf
January 28, 2010 - Hospital governance and the quality of care.
January 28, 2010
Jha AK, Epstein AM. Hospital governance and the quality of care. Health Aff (Millwood). 2010;29(1):182-7.
doi:10.1377/hlthaff.2009.0297.
https://psnet.ahrq.gov/issue/hospital-governance-and-quality-care
This study surveyed more than 700 board chairs and…