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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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,…
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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…
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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…
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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…
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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
…
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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-…
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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.
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Format:
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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…
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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…
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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…