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psnet.ahrq.gov/node/42149/psn-pdf
December 23, 2016 - Medical device alarm safety in hospitals.
December 23, 2016
Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3.
https://psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
The cacophony of alarms in hospitals has led many health care providers to become desensitized to them,
a con…
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psnet.ahrq.gov/node/74854/psn-pdf
February 23, 2022 - Nursing guidelines for comprehensive harm prevention
strategies for adult patients in acute hospitals: an
integrative review and synthesis.
February 23, 2022
Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for
adult patients in acute hospitals: An integrative rev…
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psnet.ahrq.gov/node/45770/psn-pdf
January 25, 2017 - Understanding patient-centred readmission factors: a
multi-site, mixed-methods study.
January 25, 2017
Greysen R, Harrison JD, Kripalani S, et al. Understanding patient-centred readmission factors: a multi-site,
mixed-methods study. BMJ Qual Saf. 2017;26(1):33-41. doi:10.1136/bmjqs-2015-004570.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/74260/psn-pdf
January 19, 2022 - What counts as a voiceable concern in decisions about
speaking out in hospitals: a qualitative study.
January 19, 2022
Dixon-Woods M, Aveling EL, Campbell A, et al. What counts as a voiceable concern in decisions about
speaking out in hospitals: a qualitative study. J Health Serv Res Policy. 2022;27(2):88-95.
doi:…
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psnet.ahrq.gov/node/847546/psn-pdf
March 25, 2021 - Patient safety culture improves during an in situ
simulation intervention: a repeated cross-sectional
intervention study at two hospital sites.
March 25, 2021
Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation
intervention: a repeated cross-sectional interventi…
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psnet.ahrq.gov/node/37040/psn-pdf
April 11, 2011 - The host hospital 24-hour underreferral rate: an
automated measure of call-center safety.
April 11, 2011
Hirsh DA, Simon HK, Massey R, et al. The host hospital 24-hour underreferral rate: an automated measure
of call-center safety. Pediatrics. 2007;119(6):1139-1144.
https://psnet.ahrq.gov/issue/host-hospital-24-ho…
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psnet.ahrq.gov/node/73510/psn-pdf
July 21, 2021 - Stroke hospitalization after misdiagnosis of "benign
dizziness" is lower in specialty care than general practice:
a population-based cohort analysis of missed stroke
using SPADE methods.
July 21, 2021
Chang T-P, Bery AK, Wang Z, et al. Stroke hospitalization after misdiagnosis of “benign dizziness” is lower
in sp…
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psnet.ahrq.gov/node/36702/psn-pdf
June 30, 2011 - The safety of hospital stroke care.
June 30, 2011
Holloway RG, Tuttle D, Baird T, et al. The safety of hospital stroke care. Neurology. 2007;68(8):550-555.
https://psnet.ahrq.gov/issue/safety-hospital-stroke-care
The researchers studied adverse events in stroke patients at one academic medical center and found that…
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psnet.ahrq.gov/node/34942/psn-pdf
April 27, 2005 - Hospital design plays important role in patient outcomes.
April 27, 2005
King K. Silicon Valley Business Journal. April 17, 2005.
https://psnet.ahrq.gov/issue/hospital-design-plays-important-role-patient-outcomes
The vice president of facilities at El Camino Hospital discusses the opportunity for building a facilit…
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psnet.ahrq.gov/node/41919/psn-pdf
December 12, 2012 - The best medicine for fixing the modern hospital.
December 12, 2012
https://psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital
This news article highlights how hospital design can help reduce infection rates, shorten length of stay, and
improve patient safety.
https://psnet.ahrq.gov/issue/best-medicine-fixi…
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psnet.ahrq.gov/node/36090/psn-pdf
September 28, 2010 - Wireless technologies and patient safety in hospitals.
September 28, 2010
Boyle J. Wireless technologies and patient safety in hospitals. Telemed J E Health. 2006;12(3):373-82.
https://psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
The author discusses various wireless devices and their pos…
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psnet.ahrq.gov/node/39205/psn-pdf
January 06, 2010 - How Safe Is Your Hospital?
January 6, 2010
Dr Foster Intelligence Unit. London, UK: Imperial College London; 2009.
https://psnet.ahrq.gov/issue/how-safe-your-hospital
This consumer-focused report ranked the 148 hospital trusts in the United Kingdom National Health
Service (NHS) on patient safety, clinical effectiv…
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psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - Rescue Improvement Conference Innovation Summary
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - SPOTLIGHT CASE
A Room Without Orders
Citation Text:
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - In Conversation With... Anjali Joseph, PhD, EDAC and
Molly M. Scanlon, PhD, FAIA, FACHA
June 30, 2021
In Conversation With.. Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA. PSNet
[internet]. 2021.
https://psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-
…
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psnet.ahrq.gov/node/39544/psn-pdf
May 19, 2010 - Preventing infections: how Portland hospitals compare.
May 19, 2010
Rojas-Burke J. The Oregonian. May 8, 2010.
https://psnet.ahrq.gov/issue/preventing-infections-how-portland-hospitals-compare
This newspaper article describes how lessons from the Keystone ICU Project have reduced central line
infections in Oregon …
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psnet.ahrq.gov/node/37936/psn-pdf
July 23, 2008 - Officials investigate infants' heparin OD at Texas hospital.
July 23, 2008
Vonfremd M, Ibanga I. ABC News.com. July 10, 2008.
https://psnet.ahrq.gov/issue/officials-investigate-infants-heparin-od-texas-hospital
Several infants in a neonatal unit at a Texas hospital received overdoses of heparin. Authorities are
in…
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psnet.ahrq.gov/node/35190/psn-pdf
June 17, 2014 - The quality connection.
June 17, 2014
Solovy A. The 100 most wired 2005: the quality connection. Hospitals Health Network. 2005;79(7):38-50, 2.
https://psnet.ahrq.gov/issue/quality-connection
This article reports on the results of Hospitals & Health Networks' 2005 Most Wired Survey and
Benchmarking Study. Results …
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psnet.ahrq.gov/node/37829/psn-pdf
April 23, 2014 - Hospitals move to reduce risk of night shift.
April 23, 2014
Landro L.
https://psnet.ahrq.gov/issue/hospitals-move-reduce-risk-night-shift
This article reports how hospitals are aiming to boost the safety of care delivered on nights and weekends
by employing "nocturnists" (a hospitalist subspecialty)—physicians wh…
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psnet.ahrq.gov/node/38880/psn-pdf
August 19, 2009 - Patients, beware: 731 nurses reveal what to watch out for
in the hospital.
August 19, 2009
Consumer Reports. 2009 Sep;74(9):18-23.
https://psnet.ahrq.gov/issue/patients-beware-731-nurses-reveal-what-watch-out-hospital
Drawing from surveys of nurses and patients, this article offers tips on how to improve safety du…