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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40261/psn-pdf
    March 02, 2011 - Doctors' handovers in hospitals: a literature review. March 2, 2011 Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389. https://psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review This review ex…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37870/psn-pdf
    June 25, 2008 - The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.  June 25, 2008 Wilson L. https://psnet.ahrq.gov/issue/cost-errors-medicares-new-policy-could-cost-average-hospital-23772-study This article discusses the potential systematic and financial repercussions of Medicare's new poli…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38419/psn-pdf
    February 18, 2009 - Outcomes after out-of-hospital endotracheal intubation errors. February 18, 2009 Wang HE, Cook LJ, Chang C-CH, et al. Outcomes after out-of-hospital endotracheal intubation errors. Resuscitation. 2009;80(1):50-5. doi:10.1016/j.resuscitation.2008.08.016. https://psnet.ahrq.gov/issue/outcomes-after-out-hospital-endo…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35507/psn-pdf
    February 22, 2010 - The 100,000 Lives Campaign: crystallizing standards of care for hospitals. February 22, 2010 Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals. Health Aff (Millwood). 2005;24(6):1560-70. https://psnet.ahrq.gov/issue/100000-lives-campaign-crystallizing-standards-c…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33666/psn-pdf
    October 01, 2008 - Methicillin-Resistant Staphylococcus aureus April 1, 2008 Noskin GA. Methicillin-Resistant Staphylococcus aureus. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus Perspective Methicillin-resistant Staphylococcus aureus (MRSA) has received a great deal of media …
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38204/psn-pdf
    October 03, 2017 - Errors test openness at Beth Israel Deaconess. Disclosures will benefit hospital, president insists. October 3, 2017 Wen P. https://psnet.ahrq.gov/issue/errors-test-openness-beth-israel-deaconess-disclosures-will-benefit-hospital- president This newspaper article reports on one hospital executive's work on transp…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36823/psn-pdf
    August 26, 2011 - Pharmacist involvement in a rapid-response team at a community hospital. August 26, 2011 Cooper BE. Pharmacist involvement in a rapid-response team at a community hospital. Am J Health Syst Pharm. 2007;64(7):694, 697-8. https://psnet.ahrq.gov/issue/pharmacist-involvement-rapid-response-team-community-hospital The…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39097/psn-pdf
    May 02, 2012 - Managing Patients' Medicines after Discharge from Hospital. May 2, 2012 London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442. https://psnet.ahrq.gov/issue/managing-patients-medicines-after-discharge-hospital This report analyzed how medication information is shared among …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37552/psn-pdf
    April 01, 2010 - Hospital responses to the Leapfrog Group in local markets. April 1, 2010 Scanlon D, Christianson JB, Ford E. Hospital responses to the leapfrog group in local markets. Med Care Res Rev. 2008;65(2):207-31. doi:10.1177/1077558707312499. https://psnet.ahrq.gov/issue/hospital-responses-leapfrog-group-local-markets Th…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36293/psn-pdf
    July 14, 2010 - Hospital internet site content on patient safety and medical errors. July 14, 2010 Heffner JE, Webster L, Ellis R. J Patient Saf. 2006;2(2):72-77. https://psnet.ahrq.gov/issue/hospital-internet-site-content-patient-safety-and-medical-errors The authors looked at safety program–related content on 250 US hospitals' …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35890/psn-pdf
    July 26, 2010 - Incidents during out-of-hospital patient transportation. July 26, 2010 Flabouris A, Runciman WB, Levings B. Incidents during out-of-hospital patient transportation. Anaesth Intensive Care. 2006;34(2):228-236. https://psnet.ahrq.gov/issue/incidents-during-out-hospital-patient-transportation The authors analyzed adv…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37905/psn-pdf
    December 19, 2018 - Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care. December 19, 2018 Nance JJ. Boseman, MT: Second River Healthcare Press; 2008. ISBN: 9780974386058. https://psnet.ahrq.gov/issue/why-hospitals-should-fly-ultimate-flight-plan-patient-safety-and-quality-care This book describes si…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35787/psn-pdf
    July 01, 2009 - Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. July 1, 2009 Rockville MD: Center for Devices and Radiological Health, Food and Drug Administration; 2006. https://psnet.ahrq.gov/issue/hospital-bed-system-dimensional-and-assessment-guidance-reduce- entrapment This document provides ba…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41883/psn-pdf
    June 10, 2018 - Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. June 10, 2018 ISMP Medication Safety Alert! Acute care edition. November 15, 2012;17:1-3. https://psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital- community This article d…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40438/psn-pdf
    August 17, 2011 - Consumers' Priorities for Hospital Quality Improvement and Implications for Public Reporting. August 17, 2011 Ginsburg M, Glasmire K. Oakland, CA: California HealthCare Foundation; April 2011. https://psnet.ahrq.gov/issue/consumers-priorities-hospital-quality-improvement-and-implications-public- reporting Examini…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40420/psn-pdf
    July 08, 2013 - Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. July 8, 2013 Chicago, IL: Health Research & Educational Trust; March 2011. https://psnet.ahrq.gov/issue/health-care-leaders-action-guide-hospital-strategies-reducing-preventable- mortality This report discusses steps hospita…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37521/psn-pdf
    January 06, 2017 - Implementing computerized physician order management at a community hospital. January 6, 2017 Kraus S, Barber TR, Briggs B, et al. Implementing computerized physician order management at a community hospital. Jt Comm J Qual Patient Saf. 2008;34(2):74-84. https://psnet.ahrq.gov/issue/implementing-computerized-physi…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36798/psn-pdf
    March 09, 2009 - Organizational culture, critical success factors, and the reduction of hospital errors. March 9, 2009 Stock GN, McFadden KL, Gowen CR. Organizational culture, critical success factors, and the reduction of hospital errors. Int J Prod Econ. 2006;106(2). doi:10.1016/j.ijpe.2006.07.005. https://psnet.ahrq.gov/issue/o…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33714/psn-pdf
    July 01, 2011 - In Conversation with…William B. Munier, MD, MBA July 1, 2011 In Conversation with…William B. Munier, MD, MBA. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba Editor's note: William B. Munier, MD, MBA, is the Director of the Center for Quality Improvement and Pati…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72614/psn-pdf
    March 01, 2021 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes Originally published on December 22, 2020 Last updated on December 23, 2020 https://psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads- improved-outcomes Summary Multidisciplinary tea…

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