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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39054/psn-pdfFebruary 20, 2010 - Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. February 20, 2010 Callen J, McIntosh J, Li J. Accuracy of medication documentation in hospital discharge summaries: A retrospective analys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855106/psn-pdfNovember 08, 2023 - Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. November 8, 2023 Maxwell A. Washington DC: Office of Inspector General; September 2023. Report no. OEI-05-22-00290. https://psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839831/psn-pdfNovember 09, 2022 - A new category of "never events"-ending harmful hospital policies. November 9, 2022 Chokshi DA, Beckman AL. A new category of "never events"-ending harmful hospital policies. JAMA Health Forum. 2022;3(10):e224703. doi:10.1001/jamahealthforum.2022.4703. https://psnet.ahrq.gov/issue/new-category-never-events-ending-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43021/psn-pdfNovember 04, 2014 - Patient safety culture transformation in a children's hospital: an interprofessional approach. November 4, 2014 Nagelkerk J, Peterson T, Pawl BL, et al. Patient safety culture transformation in a children's hospital: an interprofessional approach. J Interprof Care. 2014;28(4):358-64. doi:10.3109/13561820.2014.88593… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35805/psn-pdfJanuary 02, 2017 - Getting the board on board: engaging hospital boards in quality and patient safety. January 2, 2017 Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. https://psnet.ahrq.gov/issue/getting-board-board-engaging-hospita… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36880/psn-pdfAugust 31, 2011 - Complication rates on weekends and weekdays in US hospitals. August 31, 2011 Bendavid E, Kaganova Y, Needleman J, et al. Complication rates on weekends and weekdays in US hospitals. Am J Med. 2007;120(5):422-8. https://psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals This study analyzed … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47041/psn-pdfJune 27, 2018 - Medicare takes aim at boomerang hospitalizations of nursing home patients. June 27, 2018 Rau J. Kaiser Health News. June 13, 2018. https://psnet.ahrq.gov/issue/medicare-takes-aim-boomerang-hospitalizations-nursing-home-patients Safety problems are common in nursing homes due to challenges such as poor safety cultu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73987/psn-pdfOctober 20, 2021 - Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. October 20, 2021 Maxwell E, Amerine J, Carlton G, et al. Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications. Am J Health Sy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74856/psn-pdfFebruary 23, 2022 - The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. February 23, 2022 Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. Ph… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865594/psn-pdfJanuary 01, 2025 - Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a sociotechnical ethnographic study in paediatric units. April 17, 2024 Sutherland AB, Phipps DL, Grant S, et al. Understanding the informal aspects of medication processes to maintain patient safety in hospitals: a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74847/psn-pdfFebruary 16, 2022 - Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. February 16, 2022 Sittig DF, Sengstack P, Singh H. Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. JAMA. 2022;327(8):719-720. doi:10.1001/ja… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41606/psn-pdfFebruary 01, 2019 - Safe use of opioids in hospitals. December 23, 2016 Sentinel Event Alert. 2012;49:1-5. https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals Opioid pain medications are considered high-risk medications due to the potential for respiratory depression and other adverse effects. Because these medications are freque… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73696/psn-pdfSeptember 15, 2021 - Factors related to serious safety events in a children's hospital patient safety collaborative. September 15, 2021 Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi:10.1542/peds.2020-030346. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60261/psn-pdfApril 22, 2020 - Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23- 27, 2020. April 22, 2020 Washington DC: Office of the Inspector General; April 3, 2020. Report no. OEI-06-20-00300. https://psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854246/psn-pdfOctober 04, 2023 - Inpatient EHR user experience and hospital EHR safety performance. October 4, 2023 Classen DC, Longhurst CA, Davis T, et al. Inpatient EHR user experience and hospital EHR safety performance. JAMA Netw Open. 2023;6(9):e2333152. doi:10.1001/jamanetworkopen.2023.33152. https://psnet.ahrq.gov/issue/inpatient-ehr-user… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837425/psn-pdfJune 15, 2022 - Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. June 15, 2022 Redelmeier DA, Etchells EE, Najeeb U. Honest communication and social asymmetries inside a hospital: pitfalls for clinicians. J Hosp Med. 2022;17(5):405-409. doi:10.1002/jhm.12827. https://psnet.ahrq.gov/issue/hon… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60353/psn-pdfMay 20, 2020 - Adverse events after transition from ICU to hospital ward: a multicenter cohort study. May 20, 2020 Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.0000000000004327. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72600/psn-pdfDecember 23, 2020 - Improving hospital safety culture for falls prevention through interdisciplinary health education. December 23, 2020 Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi:10.1177/1524839919840337. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844781/psn-pdfSeptember 11, 2019 - Implementation and spread of a simple and effective way to improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project and success story. September 11, 2019 Botros S, Dunn J. Implementation and spread of a simple and effective way to improve the accuracy of medicine… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44572/psn-pdfJanuary 22, 2016 - Can social media be used as a hospital quality improvement tool? January 22, 2016 Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp Med. 2016;11(1):52-5. doi:10.1002/jhm.2486. https://psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-t…
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