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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43034/psn-pdfMarch 12, 2014 - Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. March 12, 2014 Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Indian Pediatr. 2014;51(1):11-5. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39639/psn-pdfAugust 03, 2010 - Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. August 3, 2010 Naessens JM, O'Byrne TJ, Johnson MG, et al. Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. International … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74042/psn-pdfNovember 03, 2021 - An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust. November 3, 2021 Manchester, UK: Parliamentary and Health Service Ombudsman; October 2021. https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs- foundation-trust… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40118/psn-pdfJanuary 05, 2011 - Hospital computerized provider order entry adoption and quality: an examination of the United States. January 5, 2011 Kazley AS, Diana ML. Hospital computerized provider order entry adoption and quality: an examination of the United States. Health Care Manage Rev. 2011;36(1):86-94. doi:10.1097/HMR.0b013e3181c8b1e5.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50685/psn-pdfNovember 20, 2019 - 20 Years After “To Err is Human”, Leapfrog Hospital Safety Grades Prove Transparency Can Save Lives. November 20, 2019 Washington DC; National Quality Forum: 2019. https://psnet.ahrq.gov/issue/20-years-after-err-human-leapfrog-hospital-safety-grades-prove-transparency- can-save-lives The Leapfrog Group announces … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44009/psn-pdfJuly 18, 2016 - Automated communication tools and computer-based medication reconciliation to decrease hospital discharge medication errors. July 18, 2016 Smith KJ, Handler S, Kapoor WN, et al. Automated Communication Tools and Computer-Based Medication Reconciliation to Decrease Hospital Discharge Medication Errors. Am J Med Qua… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41653/psn-pdfDecember 30, 2014 - Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series. December 30, 2014 Kirkland KB, Homa KA, Lasky RA, et al. Impact of a hospital-wide hand hygiene initiative on healthcare- associated infections: results of an interrupted time series. BMJ Q… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43876/psn-pdfSeptember 09, 2015 - Improving medication administration safety in a community hospital setting using Lean methodology. September 9, 2015 Critchley S. Improving medication administration safety in a community hospital setting using Lean methodology. J Nurs Care Qual. 2015;30(4):345-351. doi:10.1097/NCQ.0000000000000112. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49858/psn-pdfApril 01, 2019 - What Happened on Telemetry? April 1, 2019 Sandau KE, Funk M. What Happened on Telemetry? PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/what-happened-telemetry Case Objectives Describe current hospital practices for continuous telemetry monitoring. Appreciate key recommendations from the Update to Practice… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33648/psn-pdfMarch 01, 2007 - In Conversation with...Sorrel King March 1, 2007 In Conversation with..Sorrel King. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withsorrel-king Editor's Note: Sorrel King is the mother of Josie King, who died tragically in 2001 at age 18 months because of medical errors during a hospita… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49481/psn-pdfMay 01, 2005 - Discharge Against Medical Advice May 1, 2005 Hwang SW. Discharge Against Medical Advice. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/discharge-against-medical-advice The Case A 50-year-old man with a history of alcohol abuse and alcohol-induced dementia was admitted to the medical service with mild alco… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37831/psn-pdfDecember 23, 2012 - Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality indicators: a multicenter study of freestanding children's hospitals. December 23, 2012 Kronman MP, Hall M, Slonim A, et al. Charges and lengths of stay attributable to adverse patient-care events using pediat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60562/psn-pdfJune 03, 2020 - A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. June 3, 2020 Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died in hospital: the role of treatment e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42788/psn-pdfJanuary 19, 2014 - Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. January 19, 2014 Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531-544. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40534/psn-pdfMarch 23, 2012 - Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. March 23, 2012 Guttmann A, Schull MJ, Vermeulen MJ, et al. Association between waiting times and short term mortality and hospital admiss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44064/psn-pdfNovember 03, 2015 - The July effect: an analysis of never events in the nationwide inpatient sample. November 3, 2015 Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352. https://psnet.ahrq.gov/issue/july-effect-analysi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47716/psn-pdfJune 26, 2019 - Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. June 26, 2019 Chen Y-F, Armoiry X, Higenbottam C, et al. Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. BMJ Open. 2019;9(6):e025764. doi:10.1136/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40941/psn-pdfApril 13, 2016 - Medication administration quality and health information technology: a national study of US hospitals. April 13, 2016 Appari A, Carian EK, Johnson E, et al. Medication administration quality and health information technology: a national study of US hospitals. J Am Med Inform Assoc. 2012;19(3):360-7. doi:10.1136/ami… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41568/psn-pdfApril 05, 2013 - Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. April 5, 2013 Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. BMJ Qual Saf. 2012;21(9):737-745. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837511/psn-pdfJune 22, 2022 - Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme. June 22, 2022 Rotteau L, Goldman J, Shojania KG, et al. Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme. BMJ Qual Saf. 2022;31…
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