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psnet.ahrq.gov/issue/how-payers-can-help-hospitals-become-safer-through-value-based-programs
December 21, 2022 - Commentary
How payers can help hospitals become safer through value-based programs.
Citation Text:
Hsu E, Ma S, Winn B, et al. How payers can help hospitals become safer through value-based programs. NEJM Catalyst. 2024;5(7):CAT.24.0049. doi:10.1056/cat.24.0049.
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psnet.ahrq.gov/issue/nurse-staffing-nursing-assistants-and-hospital-mortality-retrospective-longitudinal-cohort
July 11, 2018 - Study
Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.
Citation Text:
Griffiths P, Maruotti A, Saucedo AR, et al. Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study. BMJ Qual Saf. 2019;28(…
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psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
April 13, 2022 - Study
Classic
Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance.
Citation Text:
Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes …
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psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety
June 15, 2022 - Study
Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals.
Citation Text:
Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety…
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psnet.ahrq.gov/issue/patient-safety-begins-proper-planning-quantitative-method-improve-hospital-design
July 19, 2023 - Study
Patient safety begins with proper planning: a quantitative method to improve hospital design.
Citation Text:
Birnbach DJ, Nevo I, Scheinman SR, et al. Patient safety begins with proper planning: a quantitative method to improve hospital design. Qual Saf Health Care. 2010;19(5):46…
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psnet.ahrq.gov/issue/what-extent-are-adverse-events-found-patient-records-reported-patients-and-healthcare
January 21, 2009 - Study
To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports?
Citation Text:
Christiaans-Dingelhoff I, Smits M, Zwaan L, et al. To what extent are adverse events found in patient records r…
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psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
June 17, 2014 - Study
Learning from preventable deaths: exploring case record reviewers' narratives using change analysis.
Citation Text:
Hogan H, Healey F, Neale G, et al. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. J R Soc Med. 2014;107(9):365-7…
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psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey
December 04, 2015 - Study
Important factors for effective patient safety governance auditing: a questionnaire survey.
Citation Text:
van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…
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psnet.ahrq.gov/issue/medication-report-reduces-number-medication-errors-when-elderly-patients-are-discharged
February 04, 2009 - Study
Medication report reduces number of medication errors when elderly patients are discharged from hospital.
Citation Text:
Midlöv P, Holmdahl L, Eriksson T, et al. Medication report reduces number of medication errors when elderly patients are discharged from hospital. Pharm World…
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psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents-empirical-evidence
May 18, 2022 - Study
Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals.
Citation Text:
Hauck KD, Wang S, Vincent CA, et al. Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient Safety Incidents: Empirical Evidence From Engli…
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psnet.ahrq.gov/issue/qualitative-formative-evaluation-patient-centred-patient-safety-intervention-delivered
February 22, 2019 - Study
A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital volunteers.
Citation Text:
Louch G, O'Hara JK, Mohammed MA. A qualitative formative evaluation of a patient-centred patient safety intervention delivered in …
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psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
May 19, 2021 - Study
Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database.
Citation Text:
Kepner S, Jones RM. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest eve…
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psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events-acute-care-settings
April 22, 2011 - Study
Impact of patient communication problems on the risk of preventable adverse events in acute care settings.
Citation Text:
Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ. 2008;1…
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psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences
November 29, 2017 - Study
"They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial.
Citation Text:
Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of…
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psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution
October 13, 2018 - Study
Emerging Classic
Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study.
Citation Text:
Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in …
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psnet.ahrq.gov/issue/double-checking-second-look
August 28, 2017 - Study
Double checking: a second look.
Citation Text:
Hewitt T, Chreim S, Forster AJ. Double checking: a second look. J Eval Clin Pract. 2016;22(2):267-74. doi:10.1111/jep.12468.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
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psnet.ahrq.gov/issue/surgical-safety-checklist-successfully-conducted-observational-study-social-interactions
November 29, 2023 - Study
Is the Surgical Safety Checklist successfully conducted? An observational study of social interactions in the operating rooms of a tertiary hospital.
Citation Text:
Cullati S, Le Du S, Raë A-C, et al. Is the Surgical Safety Checklist successfully conducted? An observational study …
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psnet.ahrq.gov/issue/hospital-testing-effectiveness-co-designed-educational-materials-improve-patient-and-visitor
February 28, 2024 - Study
Hospital testing of the effectiveness of co-designed educational materials to improve patient and visitor knowledge and confidence in reporting patient deterioration.
Citation Text:
King L, Belan I, Clark RA, et al. Hospital testing of the effectiveness of co-designed educational m…
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psnet.ahrq.gov/node/37202/psn-pdf
May 04, 2015 - New York City puts hospital error data online.
May 4, 2015
Kershaw S.
https://psnet.ahrq.gov/issue/new-york-city-puts-hospital-error-data-online
This article reports on an initiative to publish data on mortality and hospital-acquired infections in New York
City public hospitals.
https://psnet.ahrq.gov/issue/new-y…
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psnet.ahrq.gov/node/42628/psn-pdf
January 07, 2015 - Engaging patients in medication reconciliation via a
patient portal following hospital discharge.
January 7, 2015
Heyworth L, Paquin AM, Clark J, et al. Engaging patients in medication reconciliation via a patient portal
following hospital discharge. J Am Med Inform Assoc. 2014;21(e1):e157-62. doi:10.1136/amiajnl-2…