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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40318/psn-pdfSeptember 12, 2012 - HealthGrades Eighth Annual Patient Safety in American Hospitals Study. September 12, 2012 Reed K, May R. Denver, CO: HealthGrades, Inc.; March 2011. https://psnet.ahrq.gov/issue/healthgrades-eighth-annual-patient-safety-american-hospitals-study This annual report used AHRQ Patient Safety Indicator data from 2007–2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36493/psn-pdfJanuary 01, 2010 - Hospital-acquired Infections in Pennsylvania. December 6, 2006 Harrisburg PA: Pennsylvania Health Care Cost Containment Council -- 2005-2010. https://psnet.ahrq.gov/issue/hospital-acquired-infections-pennsylvania-1 This collection of reports provides annual findings on the number and rate of health care- acquired … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37494/psn-pdfJanuary 23, 2008 - Physician-Owned Specialty Hospital's Ability to Manage Medical Emergencies. January 23, 2008 Levinson DR. Washington DC: US Department of Health and Human Services, Office of Inspector General. January 2008, OEI-02-06-00310. https://psnet.ahrq.gov/issue/physician-owned-specialty-hospitals-ability-manage-medic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35967/psn-pdfJanuary 02, 2017 - Physician perception of hospital safety and barriers to incident reporting. January 2, 2017 Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt Comm J Qual Patient Saf. 2006;32(6):337-43. https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-ba… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35653/psn-pdfJune 25, 2010 - Effective strategies to increase reporting of medication errors in hospitals. June 25, 2010 Force MVO, Deering L, Hubbe J, et al. Effective strategies to increase reporting of medication errors in hospitals. J Nurs Adm. 2006;36(1):34-41. https://psnet.ahrq.gov/issue/effective-strategies-increase-reporting-medicati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38158/psn-pdfOctober 22, 2008 - Predicting patient complaints in hospital settings. October 22, 2008 Kline TJB, Willness C, Ghali WA. Predicting patient complaints in hospital settings. Qual Saf Health Care. 2008;17(5):346-50. doi:10.1136/qshc.2007.024281. https://psnet.ahrq.gov/issue/predicting-patient-complaints-hospital-settings Patient compl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35994/psn-pdfJune 13, 2011 - What drugs do you take? Hospitals seek to collect better data and prevent errors. June 13, 2011 https://psnet.ahrq.gov/issue/what-drugs-do-you-take-hospitals-seek-collect-better-data-and-prevent-errors This article discusses the shared responsibility among patients, hospitals, and practitioners to support appropri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35722/psn-pdfMarch 28, 2011 - Attitudes and barriers to incident reporting: a collaborative hospital study. March 28, 2011 Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: a collaborative hospital study. Qual Saf Health Care. 2006;15(1):39-43. https://psnet.ahrq.gov/issue/attitudes-and-barriers-incident-report… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41618/psn-pdfAugust 22, 2012 - Most adverse events at hospitals still go unreported. August 22, 2012 Shaw G. The Hospitalist. August 2012. https://psnet.ahrq.gov/issue/most-adverse-events-hospitals-still-go-unreported This news piece details the pervasiveness of unreported medical errors and describes the hospitalist perspective on initiatives … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35864/psn-pdfJune 17, 2014 - Exploring strategies for reducing hospital errors. June 17, 2014 McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag. 2006;51(2):123-136. https://psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors The authors surveyed health care quality directors on … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42529/psn-pdfAugust 21, 2013 - Operating-room fire at hospital burns patient, prompts changes. August 21, 2013 Natt TM Jr. The Pilot. August 9, 2013. https://psnet.ahrq.gov/issue/operating-room-fire-hospital-burns-patient-prompts-changes This news article reports how a hospital was placed on "immediate jeopardy" status and revised its policy f… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39130/psn-pdfNovember 25, 2009 - Deaths in Acute Hospitals: Caring to the End? November 25, 2009 Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222. https://psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end This United Kingdom report analyzed m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47661/psn-pdfJanuary 23, 2019 - Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. January 23, 2019 ISMP Medication Safety Alert! Acute Care Edition. January 17, 2019;24:1-6. https://psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic- neuromuscular-blocke… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44951/psn-pdfMarch 02, 2016 - Using the Targeted Solutions Tool® to improve emergency department handoffs in a community hospital. March 2, 2016 Benjamin MF, Hargrave S, Nether K. Using the Targeted Solutions Tool® to Improve Emergency Department Handoffs in a Community Hospital. Jt Comm J Qual Patient Saf. 2016;42(3):107-118. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60228/psn-pdfApril 15, 2020 - How safety is compromised when hospital equipment is a poor fit for patients who are obese. April 15, 2020 Kukielka E. How safety is compromised when hospital equipment is a poor fit for patients who are obese. Patient Saf J. 2020;2(1):48-56. doi:10.33940/data/2020.3.4. https://psnet.ahrq.gov/issue/how-safety-comp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850166/psn-pdfJune 07, 2023 - Classification of health information technology safety events in a pediatric tertiary care hospital. June 7, 2023 Khan A, Karavite DJ, Muthu N, et al. Classification of health information technology safety events in a pediatric tertiary care hospital. J Patient Saf. 2023;19(4):251-257. doi:10.1097/pts.0000000000001… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857453/psn-pdfDecember 06, 2023 - Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. December 6, 2023 Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. J Am M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41131/psn-pdfFebruary 15, 2012 - Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. February 15, 2012 Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836808/psn-pdfMarch 30, 2022 - Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. March 30, 2022 Kukielka E, Jones R. Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. Patient Safety. 2022;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47000/psn-pdfMay 09, 2018 - 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. May 9, 2018 Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. BMC Health Serv Res. 2018;18(1…
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