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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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 …
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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…
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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' …
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…