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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43806/psn-pdf
    March 20, 2015 - Associations between perceived crisis mode work climate and poor information exchange within hospitals. March 20, 2015 Patterson ME, Bogart MS, Starr KR. Associations between perceived crisis mode work climate and poor information exchange within hospitals. J Hosp Med. 2015;10(3):152-159. doi:10.1002/jhm.2290. htt…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36699/psn-pdf
    March 28, 2011 - Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place. March 28, 2011 Olsen S, Neale G, Schwab K, et al. Hospital staff should use more than one method to detect advers…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45483/psn-pdf
    March 20, 2018 - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. March 20, 2018 Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur Heart J Acute Cardiovasc Care. 20…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42819/psn-pdf
    October 31, 2014 - Implementing a national program to reduce catheter- associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. October 31, 2014 Fakih MG, George C, Edson B, et al. Implementing a national prog…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38983/psn-pdf
    February 10, 2015 - Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. February 10, 2015 Jha AK, Chan DC, Ridgway AB, et al. Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Health Aff (Millwood). 2009;28(5):1475-1484. doi:10.1377/hlthaff.28.5.1475. https://psnet.ahrq.…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73613/psn-pdf
    August 18, 2021 - Implementing universal suicide risk screening in a pediatric hospital. August 18, 2021 Sullivant SA, Brookstein D, Camerer M, et al. Implementing universal suicide risk screening in a pediatric hospital. Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001. https://psnet.ahrq.gov/issue/im…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40604/psn-pdf
    December 30, 2014 - Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. December 30, 2014 Westbrook JI, Rob MI, Woods A, et al. Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience. BMJ Qual …
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41288/psn-pdf
    April 22, 2012 - Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. April 22, 2012 Hartnell N, MacKinnon NJ, Sketris I, et al. Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. BMJ Qual Saf. 2012;21(5)…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42136/psn-pdf
    March 27, 2013 - Prospects for comparing European hospitals in terms of quality and safety: lessons from a comparative study in five countries. March 27, 2013 Burnett S, Renz A, Wiig S, et al. Prospects for comparing European hospitals in terms of quality and safety: lessons from a comparative study in five countries. Int J Qual H…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38294/psn-pdf
    March 01, 2011 - Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. March 1, 2011 Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg. 2008;107(6):1924-35. doi:10.1213/a…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35244/psn-pdf
    December 17, 2008 - Representative case series from public hospital admissions 1998 II: surgical adverse events. December 17, 2008 Briant R, Morton J, Lay-Yee R, et al. Representative case series from public hospital admissions 1998 II: surgical adverse events. N Z Med J. 2005;118(1219):U1591. https://psnet.ahrq.gov/issue/representat…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851653/psn-pdf
    July 26, 2023 - Content analysis of nurses' reflections on medication errors in a regional hospital. July 26, 2023 Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.2220432. https://psnet.ahrq.gov/issue/co…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72511/psn-pdf
    November 25, 2020 - Hospital Preparedness for a COVID-19 Surge: Assessment Tool. November 25, 2020 Boston, MA:  Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool Hospital crisis management, preparation, and planning are of heightened interest due to the …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38762/psn-pdf
    June 28, 2011 - Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. June 28, 2011 Smits M, Janssen J, de Vet R, et al. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. Int J Qual H…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41394/psn-pdf
    December 29, 2014 - An adverse event screening tool based on routinely collected hospital-acquired diagnoses. December 29, 2014 Brand CA, Tropea J, Gorelik A, et al. An adverse event screening tool based on routinely collected hospital-acquired diagnoses. Int J Qual Health Care. 2012;24(3):266-78. doi:10.1093/intqhc/mzs007. https://p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43126/psn-pdf
    April 23, 2014 - Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. April 23, 2014 Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002. https://psnet.ahrq.gov/issue/safe-and-appropriate-use-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43291/psn-pdf
    June 25, 2014 - The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. June 25, 2014 Hickerton BC, Fitzgerald DJ, Perry E, et al. The interpretability of doctor identification badges in UK hospitals: a survey of nurses and patients. BMJ Qual Saf. 2014;23(7):543-7. doi:10.1136/bmjqs-2…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46143/psn-pdf
    June 14, 2017 - Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. June 14, 2017 Dublin, Ireland: Health Information and Quality Authority; May 2017. https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital- tullamore-coun…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42122/psn-pdf
    May 23, 2013 - High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. May 23, 2013 Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. BMJ Qual Saf. 2013;2…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38511/psn-pdf
    March 25, 2009 - The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. March 25, 2009 Thompson WC Jr. New York, NY: Office of the New York City Comptroller, Office of Policy Management; 2009. https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-a…

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