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psnet.ahrq.gov/node/37544/psn-pdf
June 16, 2011 - Differences in safety climate among hospital anesthesia
departments and the effect of a realistic simulation-based
training program.
June 16, 2011
Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia
departments and the effect of a realistic simulation-based training progr…
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psnet.ahrq.gov/node/42352/psn-pdf
January 14, 2014 - Doing well by doing good: assessing the cost savings of
an intervention to reduce central line-associated
bloodstream infections in a Hawaii hospital.
January 14, 2014
Hsu E, Lin D, Evans SJ, et al. Doing well by doing good: assessing the cost savings of an intervention to
reduce central line-associated bloodstrea…
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psnet.ahrq.gov/node/40995/psn-pdf
January 04, 2012 - Effects of the introduction of the WHO "Surgical Safety
Checklist" on in-hospital mortality: a cohort study.
January 4, 2012
van Klei WA, Hoff RG, van Aarnhem EEHL, et al. Effects of the introduction of the WHO "Surgical Safety
Checklist" on in-hospital mortality: a cohort study. Ann Surg. 2012;255(1):44-9.
doi:10…
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psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
June 29, 2022 - EMERGING INNOVATIONS
Reducing hospital harm: establishing a command centre to foster situational awareness.
Citation Text:
Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885.
Copy Citation
…
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psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration
January 21, 2019 - Commentary
Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions.
Citation Text:
Arbaje AI, Greyson S, Keita Fakeye M, et al. Using stakeholder i…
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psnet.ahrq.gov/issue/emergency-medical-services-responders-perceptions-effect-stress-and-anxiety-patient-safety
January 22, 2016 - Study
Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study.
Citation Text:
Guise J-M, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions …
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psnet.ahrq.gov/issue/do-variations-hospital-mortality-patterns-after-weekend-admission-reflect-reduced-quality
April 12, 2019 - Study
Classic
Do variations in hospital mortality patterns after weekend admission reflect reduced quality of care or different patient cohorts? A population-based study.
Citation Text:
Concha OP, Gallego B, Hillman K, et al. Do variations in hospital mortality …
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psnet.ahrq.gov/issue/engaging-patients-medication-reconciliation-patient-portal-following-hospital-discharge
February 03, 2011 - Study
Engaging patients in medication reconciliation via a patient portal following hospital discharge.
Citation Text:
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(e…
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psnet.ahrq.gov/node/42292/psn-pdf
May 22, 2013 - Leapfrog hospital safety scores 'depressing.'
May 22, 2013
Clark C. HealthLeaders Media. May 9, 2013.
https://psnet.ahrq.gov/issue/leapfrog-hospital-safety-scores-depressing
This news piece reports on a national evaluation of hospitals that found little improvement in safety in the
profiled health care systems.
h…
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psnet.ahrq.gov/node/35191/psn-pdf
July 27, 2005 - Hospital-acquired Infections in Pennsylvania.
July 27, 2005
PHC4 Research Briefs. Harrisburg, PA: Pennsylvania Health Care Cost Containment Council; July 2005.
https://psnet.ahrq.gov/issue/hospital-acquired-infections-pennsylvania
This report summarizes hospital-acquired infection data from Pennsylvania hospitals i…
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psnet.ahrq.gov/node/35337/psn-pdf
September 21, 2005 - Settlement to be used for hospital training in labeling
medicines.
September 21, 2005
Ostrom CM. The Seattle Times. September 13, 2005.
https://psnet.ahrq.gov/issue/settlement-be-used-hospital-training-labeling-medicines
This article reports on how one family and hospital will use personal tragedy to create awaren…
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psnet.ahrq.gov/node/42220/psn-pdf
April 17, 2013 - Lessons from America's safest hospitals.
April 17, 2013
Howard B.
https://psnet.ahrq.gov/issue/lessons-americas-safest-hospitals
This magazine article details how several hospitals have taken a comprehensive approach to improving
patient safety in their organizations. An interactive graphic displays many of the me…
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psnet.ahrq.gov/node/41475/psn-pdf
June 20, 2012 - Behind one hospital's fight against deadly infection.
June 20, 2012
Landro L.
https://psnet.ahrq.gov/issue/behind-one-hospitals-fight-against-deadly-infection
This newspaper article describes how one hospital reduced hospital-acquired infection rates.
https://psnet.ahrq.gov/issue/behind-one-hospitals-fight-against…
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psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - Transfer Troubles
June 1, 2012
Hains IM. Transfer Troubles. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/transfer-troubles
Case Objectives
Recognize that transfer of patients between hospitals is common.
Understand the frequency of errors and adverse events in the transfer of patients between hospitals.
…
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - Building a Safety Program in a Vast Health Care Network
March 1, 2019
Phrampus P. Building a Safety Program in a Vast Health Care Network. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
Perspective
Background
As hospital-based health care in the United …
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psnet.ahrq.gov/node/867642/psn-pdf
February 26, 2025 - Patient-reported harm following cancellation of planned
surgery at a Danish university hospital: a cross-sectional
study.
February 26, 2025
Viftrup A, Laustsen S, Pahle ML, et al. Patient-reported harm following cancellation of planned surgery at a
Danish university hospital: a cross-sectional study. BMJ Open. 202…
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psnet.ahrq.gov/node/843052/psn-pdf
January 25, 2023 - Improving communication from hospital to skilled nursing
facility through standardized hand-off: a quality
improvement project.
January 25, 2023
Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through
standardized hand-off: a quality improvement project. Patient Saf…
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psnet.ahrq.gov/node/61019/psn-pdf
October 14, 2020 - Clinical deterioration and hospital?acquired
complications in adult patients with isolation precautions
for infection control: a systematic review.
October 14, 2020
Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital?acquired complications in adult
patients with isolation precautions for inf…
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psnet.ahrq.gov/node/855432/psn-pdf
November 15, 2023 - Alarm burden and the nursing care environment: a 213-
hospital cross-sectional study.
November 15, 2023
Ruppel H, Dougherty M, Bonafide CP, et al. Alarm burden and the nursing care environment: a 213-
hospital cross-sectional study. BMJ Open Qual. 2023;12(4):e002342. doi:10.1136/bmjoq-2023-002342.
https://psnet.ah…
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psnet.ahrq.gov/node/38224/psn-pdf
February 18, 2011 - Hospital readmissions: physician awareness and
communication practices.
February 18, 2011
Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication
practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s11606-008-0848-x.
https://psnet.ahrq.gov/issue/hospital-readmission…