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psnet.ahrq.gov/issue/relationships-between-medications-used-mental-health-hospital-and-types-medication-errors
November 29, 2023 - Study
Relationships between medications used in a mental health hospital and types of medication errors: a cross-sectional study over an 8-year period.
Citation Text:
Lebas R, Calvet B, Schadler L, et al. Relationships between medications used in a mental health hospital and types of med…
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psnet.ahrq.gov/issue/psychological-safety-and-error-reporting-within-veterans-health-administration-hospitals
November 24, 2021 - Study
Psychological safety and error reporting within Veterans Health Administration hospitals.
Citation Text:
Derickson R, Fishman J, Osatuke K, et al. Psychological safety and error reporting within Veterans Health Administration hospitals. J Patient Saf. 2015;11(1):60-66. doi:10.1097/…
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psnet.ahrq.gov/issue/nonpayment-harms-resulting-medical-care-catheter-associated-urinary-tract-infections
December 19, 2017 - Commentary
Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections.
Citation Text:
Wald HL, Kramer AM. Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections. JAMA. 2007;298(23):2782-4. doi:10.1001/jama.298.…
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psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals
March 28, 2011 - Study
Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System.
Citation Text:
Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to sa…
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psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
November 21, 2017 - Study
Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service.
Citation Text:
Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quali…
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psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
May 25, 2013 - Study
Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval.
Citation Text:
Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…
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psnet.ahrq.gov/issue/preventability-and-causes-readmissions-national-cohort-general-medicine-patients
January 25, 2017 - Study
Classic
Preventability and causes of readmissions in a national cohort of general medicine patients.
Citation Text:
Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients…
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psnet.ahrq.gov/issue/top-patient-safety-strategies-can-be-encouraged-adoption-now
September 20, 2011 - Commentary
The top patient safety strategies that can be encouraged for adoption now.
Citation Text:
Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-…
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psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
January 11, 2017 - Study
A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers.
Citation Text:
Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause ana…
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psnet.ahrq.gov/issue/nurses-shift-length-and-overtime-working-12-european-countries-association-perceived-quality
August 20, 2018 - Study
Nurses' shift length and overtime working in 12 European countries: the association with perceived quality of care and patient safety.
Citation Text:
Griffiths P, Dall'Ora C, Simon M, et al. Nurses' shift length and overtime working in 12 European countries: the association with pe…
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psnet.ahrq.gov/issue/medicare-and-medicaid-programs-and-childrens-health-insurance-program-hospital-inpatient
November 23, 2015 - Legislation/Regulation
Medicare and Medicaid Programs and the Children’s Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requir…
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psnet.ahrq.gov/node/40755/psn-pdf
March 02, 2012 - Fall prevention in hospitals: an integrative review.
March 2, 2012
Spoelstra SL, Given BA, Given CW. Fall Prevention in Hospitals. Clin Nurs Res. 2011;21(1).
doi:10.1177/1054773811418106.
https://psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review
Analyzing literature on fall prevention, this review …
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psnet.ahrq.gov/node/38844/psn-pdf
June 30, 2011 - What's the difference between a hospital and a bottling
factory?
June 30, 2011
Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20
1). doi:10.1136/bmj.b2727.
https://psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
This commentary a…
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psnet.ahrq.gov/node/36748/psn-pdf
September 27, 2017 - Medication safety in a psychiatric hospital.
September 27, 2017
Rothschild JM, Mann K, Keohane C, et al. Medication safety in a psychiatric hospital. Gen Hosp Psychiatry.
2007;29(2):156-62.
https://psnet.ahrq.gov/issue/medication-safety-psychiatric-hospital
The authors analyzed the incidence and type of medication…
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psnet.ahrq.gov/node/41452/psn-pdf
June 06, 2012 - Patient Safety and Satisfaction: The State of American
Hospitals.
June 6, 2012
Golden, CO: HealthGrades Inc.; May 2012.
https://psnet.ahrq.gov/issue/patient-safety-and-satisfaction-state-american-hospitals
This report used Medicare hospitalization data from 2008–2010 to explore correlations between
patient–provid…
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psnet.ahrq.gov/node/40419/psn-pdf
October 21, 2011 - ISMP Medication Safety Self Assessment for Hospitals.
October 21, 2011
Horsham, PA: Institute for Safe Medication Practices; April 2011.
https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals
This tool provides hospitals with a team-based process to evaluate medication practices in their faci…
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psnet.ahrq.gov/node/36611/psn-pdf
January 14, 2011 - In the wake of hospital inquiries: impact on staff and
safety.
January 14, 2011
Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J
Aust. 2007;186(2):80-3.
https://psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
The authors present seve…
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psnet.ahrq.gov/node/38670/psn-pdf
November 25, 2009 - Assessing hospital safety on nights and weekends: the
SWAN tool.
November 25, 2009
Shulkin DJ. Assessing hospital safety on nights and weekends: the SWAN tool. J Patient Saf.
2009;5(2):75-8. doi:10.1097/PTS.0b013e3181a5db10.
https://psnet.ahrq.gov/issue/assessing-hospital-safety-nights-and-weekends-swan-tool
This…
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psnet.ahrq.gov/node/35744/psn-pdf
July 15, 2010 - Medication safety infrastructure in critical-access
hospitals in Florida.
July 15, 2010
Winterstein AG, Hartzema AG, Johns TE, et al. Medication safety infrastructure in critical-access hospitals
in Florida. American Journal of Health-System Pharmacy. 2006;63(5). doi:10.2146/ajhp050345.
https://psnet.ahrq.gov/issu…
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psnet.ahrq.gov/node/41825/psn-pdf
November 21, 2012 - Supporting a psychiatric hospital culture of safety.
November 21, 2012
Mahoney JS, Ellis TE, Garland G, et al. Supporting a psychiatric hospital culture of safety. J Am Psychiatr
Nurses Assoc. 2012;18(5):299-306. doi:10.1177/1078390312460577.
https://psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safe…