-
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…
-
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…
-
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…
-
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…
-
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.…
-
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…
-
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 …
-
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)…
-
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…
-
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…
-
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…
-
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…
-
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 …
-
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…
-
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…
-
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-…
-
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…
-
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…
-
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…
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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…