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psnet.ahrq.gov/node/40231/psn-pdf
February 23, 2011 - Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase.
February 23, 2011
Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase. BMJ. 2011;342:d199. doi:10.1136/bmj.d199…
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psnet.ahrq.gov/node/41496/psn-pdf
December 21, 2014 - Hospital-based medication reconciliation practices: a
systematic review.
December 21, 2014
Mueller SK, Sponsler KC, Kripalani S, et al. Hospital-based medication reconciliation practices: a
systematic review. Arch Intern Med. 2012;172(14):1057-69. doi:10.1001/archinternmed.2012.2246.
https://psnet.ahrq.gov/issue/h…
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psnet.ahrq.gov/node/74160/psn-pdf
December 08, 2021 - Antecedent treat-and-release diagnoses prior to sepsis
hospitalization among adult emergency department
patients: a look-back analysis employing insurance
claims data using Symptom-Disease Pair Analysis of
Diagnostic Error (SPADE) methodology.
December 8, 2021
Nassery N, Horberg MA, Rubenstein KB, et al. Antecede…
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psnet.ahrq.gov/issue/economic-burden-patient-safety-targets-acute-care-systematic-review
April 05, 2013 - Review
The economic burden of patient safety targets in acute care: a systematic review.
Citation Text:
Mittmann N, Matlow A. The economic burden of patient safety targets in acute care: a systematic review. Drug Healthc Patient Saf. 2012. doi:10.2147/dhps.s33288.
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psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems
April 06, 2022 - Study
Rating the raters: an evaluation of publicly reported hospital quality rating systems.
Citation Text:
Rating the raters: an evaluation of publicly reported hospital quality rating systems. Bilimoria KY, Birkmeyer JD, Burstin H, et al. NEJM Catalyst. August 14, 2019.
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psnet.ahrq.gov/issue/network-collaboration-implementing-technology-improve-medication-dispensing-and
December 15, 2010 - Study
A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.
Citation Text:
Wakefield DS, Ward MM, Loes JL, et al. A network collaboration implementing technology to improve medication dispensing and administrati…
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psnet.ahrq.gov/issue/case-study-getting-boards-board-allen-memorial-hospital-iowa-health-system
August 04, 2021 - Commentary
Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System.
Citation Text:
Slessor SR, Crandall JB, Nielsen GA. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. Jt Comm J Qual Patient Saf. 2008;34(4):221-227.
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psnet.ahrq.gov/issue/medication-safety-pharmacy-technician-large-tertiary-care-community-hospital
July 08, 2020 - Commentary
Medication safety pharmacy technician in a large, tertiary care, community hospital.
Citation Text:
Brown KN, Bergsbaken J, Reichard JS. Medication safety pharmacy technician in a large, tertiary care, community hospital. Am J Health Syst Pharm. 2016;73(4):188-191. doi:10.2146…
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psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event
May 28, 2015 - Review
Inpatient suicide: preventing a common sentinel event.
Citation Text:
Tishler CL, Reiss NS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry. 2009;31(2):103-9. doi:10.1016/j.genhosppsych.2008.09.007.
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psnet.ahrq.gov/issue/analgesic-prescribing-errors-and-associated-medication-characteristics
November 01, 2003 - Study
Analgesic prescribing errors and associated medication characteristics.
Citation Text:
Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The journal of pain : official journal of the American Pain Society. 2011;12(1):29-40. doi:10.1016/j.…
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psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke
August 04, 2021 - Study
The cost of pneumonia after acute stroke.
Citation Text:
Katzan IL, Dawson NV, Thomas CL, et al. The cost of pneumonia after acute stroke. Neurology. 2007;68(22). doi:10.1212/01.wnl.0000263187.08969.45.
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DOI Google Scholar BibTeX EndNote X3 XML …
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psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary
January 21, 2015 - Study
A novel tool for organisational learning and its impact on safety culture in a hospital dispensary.
Citation Text:
Sujan MA. A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. Reliab Eng Syst Saf. 2012;101:21-34. doi:10.1016/j.ress…
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psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary
October 23, 2019 - Book/Report
AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016.
Citation Text:
AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2016. Rockville, MD: Agency for Healthc…
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psnet.ahrq.gov/issue/patient-safety-climate-hospitals-act-locally-variation-across-units
August 27, 2012 - Study
Patient safety climate in hospitals: act locally on variation across units.
Citation Text:
Campbell EG, Singer SJ, Kitch BT, et al. Patient safety climate in hospitals: act locally on variation across units. Jt Comm J Qual Patient Saf. 2010;36(7):319-26.
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-hospitalised-patients
March 20, 2024 - Study
Potentially inappropriate prescribing to hospitalised patients.
Citation Text:
Radosević N, Gantumur M, Vlahović-Palcevski V. Potentially inappropriate prescribing to hospitalised patients. Pharmacoepidemiol Drug Saf. 2008;17(7):733-7.
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psnet.ahrq.gov/issue/how-we-cut-drug-errors
August 19, 2020 - Newspaper/Magazine Article
How we cut drug errors.
Citation Text:
Nicol N, Huminski L. How we cut drug errors. At one hospital, IT and changed culture saves lives. Modern healthcare. 2006;36(34):38.
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psnet.ahrq.gov/issue/learning-mistakes-new-zealand-hospitals-what-else-do-we-need-besides-no-fault
March 16, 2022 - Study
Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"?
Citation Text:
Soleimani F. Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? N Z Med J. 2006;119(1239):U2099.
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psnet.ahrq.gov/issue/twenty-four-hour-intensivist-staffing-teaching-hospitals-tensions-between-safety-today-and
June 10, 2013 - Commentary
Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety today and safety tomorrow.
Citation Text:
Kerlin MP, Halpern S. Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety today and safety tomorrow. Chest. 2012;1…
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psnet.ahrq.gov/issue/interrater-agreement-standard-scheme-classifying-medication-errors
September 30, 2020 - Study
Interrater agreement with a standard scheme for classifying medication errors.
Citation Text:
Forrey RA, Pedersen CA, Schneider PJ. Interrater agreement with a standard scheme for classifying medication errors. Am J Health Syst Pharm. 2007;64(2):175-81.
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psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
November 13, 2024 - Commentary
Ending extra payment for "never events"—stronger incentives for patients' safety.
Citation Text:
Milstein A. Ending extra payment for "never events"--stronger incentives for patients' safety. N Engl J Med. 2009;360(23):2388-90. doi:10.1056/NEJMp0809125.
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