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psnet.ahrq.gov/node/39500/psn-pdf
January 03, 2017 - Using in situ simulation to improve in-hospital
cardiopulmonary resuscitation.
January 3, 2017
Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary
resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16.
https://psnet.ahrq.gov/issue/using-situ-simulation-improve-h…
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psnet.ahrq.gov/node/42345/psn-pdf
June 12, 2013 - With money at risk, hospitals push staff to wash hands.
June 12, 2013
Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety
Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Healthcare. Clinical
Infectious Diseases. 2011;54(1). doi:10.1093…
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psnet.ahrq.gov/node/35110/psn-pdf
April 06, 2011 - Medication safety program reduces adverse drug events
in a community hospital.
April 6, 2011
Cohen MM, Kimmel NL, Benage MK, et al. Medication safety program reduces adverse drug events in a
community hospital. Qual Saf Health Care. 2005;14(3):169-74.
https://psnet.ahrq.gov/issue/medication-safety-program-reduces-…
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psnet.ahrq.gov/node/41683/psn-pdf
September 19, 2012 - Techniques to improve patient safety in hospitals: what
nurse administrators need to know.
September 19, 2012
Fagan MJ. Techniques to improve patient safety in hospitals: what nurse administrators need to know. J
Nurs Adm. 2012;42(9):426-430. doi:10.1097/NNA.0b013e3182664df5.
https://psnet.ahrq.gov/issue/technique…
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psnet.ahrq.gov/node/38227/psn-pdf
November 19, 2008 - Sleep and errors in a group of Australian hospital nurses
at work and during the commute.
November 19, 2008
Dorrian J, Tolley C, Lamond N, et al. Sleep and errors in a group of Australian hospital nurses at work and
during the commute. Appl Ergon. 2008;39(5):605-13. doi:10.1016/j.apergo.2008.01.012.
https://psnet.…
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psnet.ahrq.gov/node/40155/psn-pdf
January 26, 2011 - Addressing safety concerns about U-500 insulin in a
hospital setting.
January 26, 2011
Samaan KH, Dahlke M, Stover J. Addressing safety concerns about U-500 insulin in a hospital setting. Am
J Health Syst Pharm. 2011;68(1):63-8. doi:10.2146/ajhp100224.
https://psnet.ahrq.gov/issue/addressing-safety-concerns-about-…
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psnet.ahrq.gov/node/38607/psn-pdf
January 02, 2017 - Pharmacists' medication reconciliation-related clinical
interventions in a children's hospital.
January 2, 2017
Gardner B, Graner K. Pharmacists' medication reconciliation-related clinical interventions in a children's
hospital. Jt Comm J Qual Patient Saf. 2009;35(5):278-82.
https://psnet.ahrq.gov/issue/pharmacist…
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psnet.ahrq.gov/node/36564/psn-pdf
January 12, 2011 - Preventing medication errors in hospitals through a
systems approach and technological innovation: a
prescription for 2010.
January 12, 2011
Crane J, Crane FG. Preventing medication errors in hospitals through a systems approach and
technological innovation: a prescription for 2010. Hosp Top. 2006;84(4):3-8.
http…
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psnet.ahrq.gov/node/43351/psn-pdf
July 16, 2014 - Patient involvement in medication safety in hospital: an
exploratory study.
July 16, 2014
Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an
exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8.
https://psnet.ahrq.gov/issue/patient-in…
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psnet.ahrq.gov/node/35323/psn-pdf
April 22, 2011 - Frequency, type and clinical importance of medication
history errors at admission to hospital: a systematic
review.
April 22, 2011
Tam VC. Frequency, type and clinical importance of medication history errors at admission to hospital: a
systematic review. Can Med Assoc J. 2005;173(5). doi:10.1503/cmaj.045311.
http…
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psnet.ahrq.gov/node/42695/psn-pdf
August 02, 2015 - Composite measures for profiling hospitals on bariatric
surgery performance.
August 2, 2015
Dimick JB, Birkmeyer NJ, Finks JF, et al. Composite measures for profiling hospitals on bariatric surgery
performance. JAMA Surg. 2014;149(1):10-6. doi:10.1001/jamasurg.2013.4109.
https://psnet.ahrq.gov/issue/composite-meas…
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psnet.ahrq.gov/node/41645/psn-pdf
September 12, 2012 - A safety culture transformation: its effects at a children's
hospital.
September 12, 2012
Peterson TH, Teman SF, Connors RH. A safety culture transformation: its effects at a children's hospital. J
Patient Saf. 2012;8(3):125-30. doi:10.1097/PTS.0b013e31824bd744.
https://psnet.ahrq.gov/issue/safety-culture-transfor…
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psnet.ahrq.gov/node/45241/psn-pdf
October 31, 2023 - Hospital Harm Project.
October 31, 2023
Canadian Institute for Health Information, Health Excellence Canada.
https://psnet.ahrq.gov/issue/hospital-harm-project
Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative
developed a measure to track unintended harm in acute c…
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psnet.ahrq.gov/node/43555/psn-pdf
October 22, 2014 - Older people's experiences of medicine changes on
leaving hospital.
October 22, 2014
Bagge M, Norris P, Heydon S, et al. Older people's experiences of medicine changes on leaving hospital.
Res Social Admin Pharm. 2013;10(5):791-800. doi:10.1016/j.sapharm.2013.10.005.
https://psnet.ahrq.gov/issue/older-peoples-expe…
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psnet.ahrq.gov/node/42651/psn-pdf
October 09, 2013 - Origin of Adverse Drug Events in US Hospitals, 2011.
October 9, 2013
Weiss AJ, Elixhauser A, Bae J, Encinosa W. HCUP Statistical Brief #158. Rockville, MD: Agency for
Healthcare Research and Quality; September 2013.
https://psnet.ahrq.gov/issue/origin-adverse-drug-events-us-hospitals-2011
This report present…
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psnet.ahrq.gov/node/35723/psn-pdf
March 28, 2011 - Impact of nursing on hospital patient mortality: a focused
review and related policy implications.
March 28, 2011
Tourangeau AE, Cranley LA, Jeffs L. Impact of nursing on hospital patient mortality: a focused review and
related policy implications. Qual Saf Health Care. 2006;15(1):4-8.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/38008/psn-pdf
August 27, 2008 - The Team Climate Inventory: application in hospital teams
and methodological considerations.
August 27, 2008
Ouwens M, Hulscher M, Akkermans R, et al. The Team Climate Inventory: application in hospital teams
and methodological considerations. Qual Saf Health Care. 2008;17(4):275-80.
doi:10.1136/qshc.2006.021543.
…
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psnet.ahrq.gov/node/34971/psn-pdf
May 11, 2005 - Scanning out medication errors: Ohio Valley Hospital's
automated IV system provides real-time access to patient
data.
May 11, 2005
Carbasho T.
https://psnet.ahrq.gov/issue/scanning-out-medication-errors-ohio-valley-hospitals-automated-iv-system-
provides-real-time
This article reports on Ohio Valley General Hosp…
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psnet.ahrq.gov/node/38457/psn-pdf
December 31, 2014 - 10-State project to study methods to reduce central line-
associated bloodstream infections in hospital ICUs.
December 31, 2014
Rockville, MD: Agency for Healthcare Research and Quality; February 19, 2009.
https://psnet.ahrq.gov/issue/10-state-project-study-methods-reduce-central-line-associated-bloodstream-
infec…
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psnet.ahrq.gov/node/43434/psn-pdf
August 06, 2014 - Maryland hospitals aren't reporting all errors and
complications, experts say.
August 6, 2014
Cohn M.
https://psnet.ahrq.gov/issue/maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say
This news article reports weaknesses in a Maryland reporting program, including poor understanding about
wh…