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psnet.ahrq.gov/node/846442/psn-pdf
March 22, 2023 - Heatwaves, hospitals and health system resilience in
England: a qualitative assessment of frontline
perspectives from the hot summer of 2019.
March 22, 2023
Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a
qualitative assessment of frontline perspectives from the…
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psnet.ahrq.gov/node/35050/psn-pdf
May 27, 2011 - High rates of adverse drug events in a highly
computerized hospital.
May 27, 2011
Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized
hospital. Arch Intern Med. 2005;165(10):1111-6.
https://psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospita…
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psnet.ahrq.gov/node/867384/psn-pdf
December 18, 2024 - Involving patients and/or their next of kin in serious
adverse event investigations: a qualitative study on
hospital perspectives.
December 18, 2024
Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious
adverse event investigations: a qualitative study on hospital…
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psnet.ahrq.gov/node/838633/psn-pdf
October 19, 2022 - ASHP National Survey of Pharmacy Practice in Hospital
Settings: clinical services and workforce-2021.
October 19, 2022
Schneider PJ, Pedersen CA, Ganio MC, et al. ASHP National Survey of Pharmacy Practice in Hospital
Settings: clinical services and workforce—2021. Am J Health Syst Pharm. 2022;79(18):1531-1550.
doi…
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psnet.ahrq.gov/node/72742/psn-pdf
February 17, 2021 - High delayed and missed injury rate after inter-hospital
transfer of severely injured trauma patients.
February 17, 2021
Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital
transfer of severely injured trauma patients. Eur J Trauma Emerg Surg. 2020;46(6):1367-1374.
…
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psnet.ahrq.gov/node/852749/psn-pdf
January 01, 2024 - A multi-facetted patient safety resource--a qualitative
interview study on hospital managers' perception of the
nurse-led Rapid Response Team.
August 23, 2023
Axelsen MS, Baumgarten M, Egholm CL, et al. A multi?facetted patient safety resource—a qualitative
interview study on hospital managers' perception of the n…
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psnet.ahrq.gov/node/40921/psn-pdf
November 16, 2011 - Adverse Events in Hospitals: Medicare's Responses to
Alleged Serious Events.
November 16, 2011
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; October 2011. Report No. OEI-01-08-00590.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-response…
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psnet.ahrq.gov/node/849340/psn-pdf
May 24, 2023 - Death Inside Lemuel Shattuck Hospital: A Case Study on
Medical Treatment for Persons with Mental Health
Disabilities.
May 24, 2023
Massachusetts Protection and Advocacy. Boston, MA: Disability Law Center; May 8, 2023.
https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treat…
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psnet.ahrq.gov/node/45662/psn-pdf
January 23, 2017 - National trends in hospitalizations for opioid poisonings
among children and adolescents, 1997 to 2012.
January 23, 2017
Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among
Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;170(12):1195-1201.
doi:10.1001/j…
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psnet.ahrq.gov/node/46285/psn-pdf
August 02, 2017 - A hospital is not just a factory, but a complex adaptive
system—implications for perioperative care.
August 2, 2017
Mahajan A, Islam SD, Schwartz MJ, et al. A Hospital Is Not Just a Factory, but a Complex Adaptive
System-Implications for Perioperative Care. Anesth Analg. 2017;125(1):333-341.
doi:10.1213/ANE.000000…
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psnet.ahrq.gov/node/853960/psn-pdf
January 01, 2024 - The influence of hospital leadership support on burnout,
psychological safety, and safety climate for US infection
preventionists during the coronavirus disease 2019
(COVID-19) pandemic.
September 27, 2023
Gilmartin HM, Saint S, Ratz D, et al. The influence of hospital leadership support on burnout, psychological
…
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psnet.ahrq.gov/node/73684/psn-pdf
September 08, 2021 - Provider bias in prescribing opioid analgesics: a study of
electronic medical records at a hospital emergency
department.
September 8, 2021
Keister LA, Stecher C, Aronson B, et al. Provider bias in prescribing opioid analgesics: a study of electronic
medical records at a hospital emergency department. BMC Public H…
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psnet.ahrq.gov/node/858164/psn-pdf
December 13, 2023 - Risk-adjusted cumulative sum for early detection of
hospitals with excess perioperative mortality.
December 13, 2023
Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with
excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:10.1001/jamasurg.2023.3673.
htt…
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psnet.ahrq.gov/node/73880/psn-pdf
January 01, 2022 - Decreased incidence of cesarean surgical site infection
rate with hospital-wide perioperative bundle.
September 29, 2021
Sood N, Lee RE, To JK, et al. Decreased incidence of cesarean surgical site infection rate with hospital?
wide perioperative bundle. Birth. 2022;49(1):141-146. doi:10.1111/birt.12586.
https://ps…
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psnet.ahrq.gov/node/38270/psn-pdf
December 01, 2010 - Improving America's Hospitals: The Joint Commission's
Report on Quality and Safety 2008.
December 1, 2010
Oakbrook Terrace, IL: The Joint Commission; November 2008.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008
The quality of care delivered at US hospita…
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psnet.ahrq.gov/node/39358/psn-pdf
October 13, 2010 - Hospital safety climate and safety outcomes: is there a
relationship in the VA?
October 13, 2010
Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in
the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703.
https://psnet.ahrq.gov/issue/hospi…
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psnet.ahrq.gov/node/36518/psn-pdf
March 28, 2011 - Nurses' attitudes to a medical emergency team service in
a teaching hospital.
March 28, 2011
Jones D, Baldwin I, McIntyre T, et al. Nurses' attitudes to a medical emergency team service in a teaching
hospital. Qual Saf Health Care. 2006;15(6):427-32.
https://psnet.ahrq.gov/issue/nurses-attitudes-medical-emergency-…
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psnet.ahrq.gov/node/40260/psn-pdf
February 08, 2017 - A case for safety leadership team training of hospital
managers.
February 8, 2017
Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers.
Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d.
https://psnet.ahrq.gov/issue/case-safety-leadership-…
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psnet.ahrq.gov/node/45023/psn-pdf
April 17, 2018 - Lean Hospitals: Improving Quality, Patient Safety, and
Employee Engagement, Third Edition.
April 17, 2018
Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259.
https://psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement-
third-edition
Lean methodology fo…
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psnet.ahrq.gov/node/34099/psn-pdf
March 02, 2016 - Findings from the ISMP Medication Safety Self-
Assessment for hospitals.
March 2, 2016
Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for
hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597.
https://psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-as…