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psnet.ahrq.gov/node/848044/psn-pdf
April 26, 2023 - Effect of a hospital command centre on patient safety: an
interrupted time series study.
April 26, 2023
Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653.
https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
Command centers…
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psnet.ahrq.gov/node/848825/psn-pdf
May 10, 2023 - Laura Levis' death outside ER has changed hospital
signage, lighting in Mass.
May 10, 2023
Mullins L, Menard F. WBUR. April 27, 2023.
https://psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass
Incomplete information and building design problems can reduce access to care an…
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psnet.ahrq.gov/node/867393/psn-pdf
December 18, 2024 - The predictors of patient safety culture in hospital setting:
a systematic review.
December 18, 2024
Vibe A, Rasmussen SH, Rasmussen NOP, et al. The predictors of patient safety culture in hospital setting:
a systematic review. J Patient Saf. 2024;20(8):576-592. doi:10.1097/pts.0000000000001285.
https://psnet.ahrq…
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psnet.ahrq.gov/node/46104/psn-pdf
May 03, 2017 - Secret data on hospital inspections may soon become
public.
May 3, 2017
Ornstein C. Health Shots. National Public Radio and ProPublica. April 18, 2017.
https://psnet.ahrq.gov/issue/secret-data-hospital-inspections-may-soon-become-public
Summary data about serious errors in hospitals are available, but often detail…
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psnet.ahrq.gov/node/73660/psn-pdf
September 01, 2021 - Hospital inpatient falls across clinical departments.
September 1, 2021
Mikos M, Banas T, Czerw A, et al. Hospital inpatient falls across clinical departments. Int J Environ Res
Public Health. 2021;18(15):8167. doi:10.3390/ijerph18158167.
https://psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departm…
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psnet.ahrq.gov/node/40242/psn-pdf
February 23, 2011 - An anesthesiology department leads culture change at a
hospital system level to improve quality and patient
safety.
February 23, 2011
Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a
hospital system level to improve quality and patient safety. Anesthesiol Clin. 201…
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psnet.ahrq.gov/node/43875/psn-pdf
September 19, 2016 - Implementation of a "second victim" program in a
pediatric hospital.
September 19, 2016
Krzan KD, Merandi J, Morvay S, et al. Implementation of a "second victim" program in a pediatric hospital.
Am J Health Syst Pharm. 2015;72(7):563-7. doi:10.2146/ajhp140650.
https://psnet.ahrq.gov/issue/implementation-second-vic…
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psnet.ahrq.gov/node/73885/psn-pdf
September 29, 2021 - Reporting of unsafe conditions at an academic women
and children's hospital.
September 29, 2021
Grabinski ZG, Babineau J, Jamal N, et al. Reporting of unsafe conditions at an academic women and
children's hospital. Jt Comm J Qual Patient Saf. 2021;47(11):731-738. doi:10.1016/j.jcjq.2021.08.004.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/39861/psn-pdf
September 22, 2010 - A network collaboration implementing technology to
improve medication dispensing and administration in
critical access hospitals.
September 22, 2010
Wakefield DS, Ward MM, Loes JL, et al. A network collaboration implementing technology to improve
medication dispensing and administration in critical access hospital…
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psnet.ahrq.gov/node/38386/psn-pdf
February 04, 2009 - Clinical outcomes from the use of Medication Report
when elderly patients are discharged from hospital.
February 4, 2009
Midlöv P, Deierborg E, Holmdahl L, et al. Clinical outcomes from the use of Medication Report when elderly
patients are discharged from hospital. Pharm World Sci. 2008;30(6):840-5. doi:10.1007/s1…
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psnet.ahrq.gov/node/36087/psn-pdf
September 28, 2010 - Improving patient safety in hospitals: contributions of
high-reliability theory and normal accident theory.
September 28, 2010
Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and
normal accident theory. Health Serv Res. 2006;41(4 Pt 2):1654-76.
https://psnet.ah…
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psnet.ahrq.gov/node/41521/psn-pdf
July 18, 2012 - Twenty-four-hour intensivist staffing in teaching
hospitals: tensions between safety today and safety
tomorrow.
July 18, 2012
Kerlin MP, Halpern S. Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety
today and safety tomorrow. Chest. 2012;141(5):1315-1320. doi:10.1378/chest.11-1459…
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psnet.ahrq.gov/node/45933/psn-pdf
March 08, 2017 - Bad hospital design is making us sicker.
March 8, 2017
Khullar D. New York Times. February 22, 2017.
https://psnet.ahrq.gov/issue/bad-hospital-design-making-us-sicker
Implementing design changes in care environments can improve patient safety. This newspaper article
reports on how efforts to address hospital desig…
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psnet.ahrq.gov/node/35235/psn-pdf
September 27, 2017 - What is the measure of a safe hospital? Medication errors
missed by risk management, clinical staff, and surveyors.
September 27, 2017
Grasso BC, Rothschild JM, Jordan CW, et al. What is the measure of a safe hospital? Medication errors
missed by risk management, clinical staff, and surveyors. J Psychiatr Pract. 20…
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psnet.ahrq.gov/node/37189/psn-pdf
April 14, 2011 - Measuring hospital-wide activity volume for patient safety
and infection control: a multi-centre study in Japan.
April 14, 2011
Hayashida K, Imanaka Y, Fukuda H. Measuring hospital-wide activity volume for patient safety and
infection control: a multi-centre study in Japan. BMC Health Serv Res. 2007;7:140.
https:/…
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psnet.ahrq.gov/node/40417/psn-pdf
April 27, 2011 - Medication-Related Adverse Outcomes in U.S. Hospitals
and Emergency Departments, 2008.
April 27, 2011
Lucado J, Paez K, Elixhauser A. HCUP Statistical Brief #109. Rockville, MD: Agency for Healthcare
Research and Quality; April 2011.
https://psnet.ahrq.gov/issue/medication-related-adverse-outcomes-us-hospitals-and…
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psnet.ahrq.gov/node/42383/psn-pdf
December 29, 2014 - Associations of patient safety outcomes with models of
nursing care organization at unit level in hospitals.
December 29, 2014
Dubois C-A, D'Amour D, Tchouaket E, et al. Associations of patient safety outcomes with models of nursing
care organization at unit level in hospitals. Int J Qual Health Care. 2013;25(2):11…
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psnet.ahrq.gov/node/40064/psn-pdf
July 08, 2013 - Hand Hygiene Project: Best Practices from Hospitals
Participating in the Joint Commission Center for
Transforming Healthcare Project.
July 8, 2013
Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010.
https://psnet.ahrq.gov/issue/hand-hygiene-project-best-practices-hospitals-part…
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - In Conversation With…Kaveh G. Shojania, MD
September 1, 2011
Also Read an Essay
Citation Text:
In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
December 24, 2008 - Audiovisual Presentation
AHRQ Patient Safety YouTube Channel.
Citation Text:
AHRQ Patient Safety YouTube Channel. Rockville, MD: Agency for Healthcare Research and Quality.
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