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psnet.ahrq.gov/node/41399/psn-pdf
May 23, 2012 - Rapid response team in a rural hospital.
May 23, 2012
Brown S, Anderson MA, Hill PD. Rapid response team in a rural hospital. Clin Nurse Spec. 2012;26(2):95-
102. doi:10.1097/NUR.0b013e31824590fb.
https://psnet.ahrq.gov/issue/rapid-response-team-rural-hospital
This survey of nurses at a rural hospital found that a…
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psnet.ahrq.gov/node/40952/psn-pdf
December 07, 2011 - Hospital quality and patient safety competencies:
development, description, and recommendations for use.
December 7, 2011
O'Leary KJ, Afsar-Manesh N, Budnitz T, et al. Hospital quality and patient safety competencies:
Development, description, and recommendations for use. J Hosp Med. 2011;6(9). doi:10.1002/jhm.937.…
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psnet.ahrq.gov/node/38965/psn-pdf
August 15, 2016 - Simulation as a tool to improve the safety of pre-hospital
anaesthesia—a pilot study.
August 15, 2016
Batchelder AJ, Steel A, Mackenzie R, et al. Simulation as a tool to improve the safety of pre-hospital
anaesthesia--a pilot study. Anaesthesia. 2009;64(9):978-83. doi:10.1111/j.1365-2044.2009.05990.x.
https://psne…
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psnet.ahrq.gov/node/36464/psn-pdf
January 07, 2011 - Establishing a rapid response team (RRT) in an academic
hospital: one year's experience.
January 7, 2011
King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One
year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114.
https://psnet.ahrq.gov/issue/establishing-rapi…
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psnet.ahrq.gov/node/38530/psn-pdf
April 01, 2009 - Assessing the impact of an educational program on
decreasing prescribing errors at a university hospital.
April 1, 2009
Peeters MJ, Pinto SL. Assessing the impact of an educational program on decreasing prescribing errors at
a university hospital. J Hosp Med. 2009;4(2):97-101. doi:10.1002/jhm.387.
https://psnet.ah…
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psnet.ahrq.gov/node/40573/psn-pdf
June 10, 2018 - Parents can detect, contribute to, or be affected by critical
events during a child’s hospitalization.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. June 16, 2011;16:1-3.
https://psnet.ahrq.gov/issue/parents-can-detect-contribute-or-be-affected-critical-events-during-childs-
hospitalization
This…
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psnet.ahrq.gov/node/40756/psn-pdf
September 07, 2011 - How reliable is your hospital? A qualitative framework for
analysing reliability levels.
September 7, 2011
Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability
levels. BMJ Qual Saf. 2011;20(9):785-790.
https://psnet.ahrq.gov/issue/how-reliable-your-hospital-qualit…
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psnet.ahrq.gov/node/39025/psn-pdf
October 14, 2009 - Implementing patient safety initiatives in rural hospitals.
October 14, 2009
Klingner J, Moscovice I, Tupper JB, et al. Implementing Patient Safety Initiatives in Rural Hospitals. J Rural
Health. 2009;25(4):352-357. doi:10.1111/j.1748-0361.2009.00243.x.
https://psnet.ahrq.gov/issue/implementing-patient-safety-initi…
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psnet.ahrq.gov/node/35757/psn-pdf
July 19, 2010 - Effects of working conditions on intravenous medication
errors in a Japanese hospital.
July 19, 2010
Seki Y, Yamazaki Y. Effects of working conditions on intravenous medication errors in a Japanese hospital.
J Nurs Manag. 2006;14(2):128-39.
https://psnet.ahrq.gov/issue/effects-working-conditions-intravenous-medica…
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psnet.ahrq.gov/node/39342/psn-pdf
March 03, 2010 - Discharge missteps can send seniors back to hospital.
March 3, 2010
Korc B, Landers SJ. American Medical News. February 15, 2010.
https://psnet.ahrq.gov/issue/discharge-missteps-can-send-seniors-back-hospital
This news article uses an example of a preventable readmission to illustrate how ineffective communication
…
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psnet.ahrq.gov/node/35845/psn-pdf
June 13, 2011 - Reconcilable differences: correcting medication errors at
hospital admission and discharge.
June 13, 2011
Vira T, Colquhoun M, Etchells E. Reconcilable differences: correcting medication errors at hospital
admission and discharge. Qual Saf Health Care. 2006;15(2):122-6.
https://psnet.ahrq.gov/issue/reconcilable-di…
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psnet.ahrq.gov/node/60933/psn-pdf
September 23, 2020 - Seroprevalence of SARS-CoV-2 among frontline health
care personnel in a multistate hospital network--13
academic medical centers, April-June 2020.
September 23, 2020
Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health
care personnel in a multistate hospital network - 1…
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psnet.ahrq.gov/node/838238/psn-pdf
October 05, 2022 - Spreading a strategy to prevent suicide after psychiatric
hospitalization: results of a quality improvement spread
initiative.
October 5, 2022
Riblet NB, Varela M, Ashby W, et al. Spreading a strategy to prevent suicide after psychiatric
hospitalization: results of a quality improvement spread initiative. Jt Comm …
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psnet.ahrq.gov/node/43594/psn-pdf
May 01, 2015 - Impact of introducing an electronic physiological
surveillance system on hospital mortality.
May 1, 2015
Schmidt PE, Meredith P, Prytherch DR, et al. Impact of introducing an electronic physiological surveillance
system on hospital mortality. BMJ Qual Saf. 2015;24(1):10-20. doi:10.1136/bmjqs-2014-003073.
https://p…
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psnet.ahrq.gov/node/38260/psn-pdf
April 22, 2011 - Information exchange among physicians caring for the
same patient in the community.
April 22, 2011
van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same
patient in the community. CMAJ. 2008;179(10):1013-8. doi:10.1503/cmaj.080430.
https://psnet.ahrq.gov/issue/informa…
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psnet.ahrq.gov/node/44743/psn-pdf
December 22, 2017 - Patients' and providers' perceptions of the preventability
of hospital readmission: a prospective, observational
study in four European countries.
December 22, 2017
van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of
hospital readmission: a prospective, observ…
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psnet.ahrq.gov/node/38175/psn-pdf
April 11, 2011 - An intervention to decrease narcotic-related adverse drug
events in children's hospitals.
April 11, 2011
Sharek PJ, McClead RE, Taketomo C, et al. An intervention to decrease narcotic-related adverse drug
events in children's hospitals. Pediatrics. 2008;122(4):e861-e866. doi:10.1542/peds.2008-1011.
https://psnet.a…
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psnet.ahrq.gov/node/38217/psn-pdf
April 26, 2017 - Patient safety climate in US hospitals: variation by
management level.
April 26, 2017
Singer SJ, Falwell A, Gaba DM, et al. Patient safety climate in US hospitals: variation by management
level. Med Care. 2008;46(11):1149-56. doi:10.1097/MLR.0b013e31817925c1.
https://psnet.ahrq.gov/issue/patient-safety-climate-us-…
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psnet.ahrq.gov/node/60934/psn-pdf
September 23, 2020 - Hospital ward adaptation during the COVID-19 pandemic:
a national survey of academic medical centers.
September 23, 2020
Auerbach AD, O'Leary KJ, Greysen SR, et al. Hospital ward adaptation during the COVID-19 pandemic: a
national survey of academic medical centers. J Hosp Med. 2020;15(8):483-488. doi:10.12788/jhm.…
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psnet.ahrq.gov/node/41925/psn-pdf
November 26, 2014 - Medication reconciliation accuracy and patient
understanding of intended medication changes on
hospital discharge.
November 26, 2014
Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding
of intended medication changes on hospital discharge. J Gen Intern Med. 2012;2…