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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43230/psn-pdf
    July 15, 2014 - Hospital deaths in patients with sepsis from 2 independent cohorts. July 15, 2014 Liu V, Escobar GJ, Greene JD, et al. Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA. 2014;312(1):90-2. https://psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts This study used nati…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39535/psn-pdf
    May 19, 2010 - Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. May 19, 2010 Gizzi LA, Slain D, Hare JT, et al. Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients. Am J Geriatr Pharmacother. 2010;8(2):127-35. doi:10.1…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39606/psn-pdf
    April 11, 2011 - Drug-related problems in older people after hospital discharge and interventions to reduce them. April 11, 2011 Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, et al. Drug-related problems in older people after hospital discharge and interventions to reduce them. Age Ageing. 2010;39(4):430-8. doi:10.1093/agein…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38527/psn-pdf
    September 02, 2009 - Relationship of safety climate and safety performance in hospitals. September 2, 2009 Singer SJ, Lin S, Falwell A, et al. Relationship of safety climate and safety performance in hospitals. Health Serv Res. 2009;44(2 Pt 1):399-421. doi:10.1111/j.1475-6773.2008.00918.x. https://psnet.ahrq.gov/issue/relationship-saf…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60534/psn-pdf
    May 27, 2020 - Hospital workers complain of minimal disclosure after COVID exposures. May 27, 2020 Gold J, Hawryluk M. Kaiser Health News. May 13, 2020. https://psnet.ahrq.gov/issue/hospital-workers-complain-minimal-disclosure-after-covid-exposures A successful safety culture is consistently evident across all areas of a hospita…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45191/psn-pdf
    June 01, 2016 - Rating hospitals by the stars: the feds' latest plan to measure quality is the most controversial. June 1, 2016 Rau J. Washington Post. May 17, 2016. https://psnet.ahrq.gov/issue/rating-hospitals-stars-feds-latest-plan-measure-quality-most-controversial Collecting data to meet quality measurement requirements adds…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43559/psn-pdf
    September 24, 2014 - Talking behind their backs: negative gossip and burnout in hospitals. September 24, 2014 Georganta K, Panagopoulou E, Montgomery A. Talking behind their backs: Negative gossip and burnout in Hospitals. Burn Res. 2014;1(2). doi:10.1016/j.burn.2014.07.003. https://psnet.ahrq.gov/issue/talking-behind-their-backs-nega…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43036/psn-pdf
    March 27, 2014 - Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. March 27, 2014 Chopra V, McMahon LF. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. JAMA. 2014;311(12):1199-200. doi:10.1001/jama.2014.710. https://psnet.ahrq.gov/issue/redesigning-hospital-alarms…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39690/psn-pdf
    July 21, 2010 - Characteristics of quality and patient safety curricula in major teaching hospitals. July 21, 2010 Pingleton SK, Davis DA, Dickler RM. Characteristics of quality and patient safety curricula in major teaching hospitals. Am J Med Qual. 2010;25(4):305-11. doi:10.1177/1062860610367677. https://psnet.ahrq.gov/issue/ch…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35657/psn-pdf
    July 05, 2013 - Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety. July 5, 2013 Casey MM, Moscovice I, Davidson G. Minneapolis, MN: Upper Midwest Rural Health Research Center; 2005. https://psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-im…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43489/psn-pdf
    September 03, 2014 - Did hospital engagement networks actually improve care? September 3, 2014 Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med. 2014;371(8):691-693. doi:10.1056/NEJMp1405800. https://psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care In this commentary,…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867019/psn-pdf
    October 23, 2024 - Reports on Hospital and ASC Performance. October 23, 2024 Reports On Hospital And Asc Performance. Washington DC: The Leapfrog Group; September 2024. https://psnet.ahrq.gov/issue/reports-hospital-and-asc-performance Data collection and transparency are known to motivate change and drive improvement efforts. This se…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41222/psn-pdf
    May 01, 2016 - Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization (PSO). May 1, 2016 Agency for Healthcare Quality and Research. https://psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization- pso Patient safety organizations (PSO) present a unique o…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43525/psn-pdf
    July 16, 2015 - Clinical handovers between prehospital and hospital staff: literature review. July 16, 2015 Wood K, Crouch R, Rowland E, et al. Clinical handovers between prehospital and hospital staff: literature review. Emerg Med J. 2015;32(7):577-581. doi:10.1136/emermed-2013-203165. https://psnet.ahrq.gov/issue/clinical-hando…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39442/psn-pdf
    March 23, 2011 - Adverse events in hospitals: the patient's point of view. March 23, 2011 Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585. https://psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37710/psn-pdf
    April 23, 2008 - A 3-year study of medication incidents in an acute general hospital. April 23, 2008 Song L, Chui WCM, Lau CP, et al. A 3-year study of medication incidents in an acute general hospital. J Clin Pharm Ther. 2008;33(2):109-14. doi:10.1111/j.1365-2710.2007.00880.x. https://psnet.ahrq.gov/issue/3-year-study-medication-…
  17. psnet.ahrq.gov/web-mm/transfer-troubles
    December 29, 2014 - SPOTLIGHT CASE Transfer Troubles Citation Text: Hains IM. Transfer Troubles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
  18. psnet.ahrq.gov/issue/effect-automated-unit-dose-dispensing-barcode-scanning-medication-administration-errors
    August 10, 2022 - Study Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study. Citation Text: Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode scanning on medication a…
  19. psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure
    May 08, 2017 - Study Classic Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. Citation Text: Wachter R, Flanders S, Fee C, et al. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flaw…
  20. psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective
    March 18, 2013 - Study What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study. Citation Text: Baines RJ, de Bruijne M, Langelaan M, et al. What are the safety risks for patients undergoing treatment by multiple specialties: a retr…

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