-
psnet.ahrq.gov/node/45446/psn-pdf
November 16, 2016 - Evidence-based interventions to reduce adverse events in
hospitals: a systematic review of systematic reviews.
November 16, 2016
Zegers M, Hesselink G, Geense W, et al. Evidence-based interventions to reduce adverse events in
hospitals: a systematic review of systematic reviews. BMJ Open. 2016;6(9):e012555.
doi:10…
-
psnet.ahrq.gov/node/60580/psn-pdf
January 01, 2022 - Sustaining the gains: a 7-year follow-through of a
hospital-wide patient safety improvement project on
hospital-wide adverse event outcomes and patient safety
culture.
June 10, 2020
Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient
safety improvement projec…
-
psnet.ahrq.gov/node/45147/psn-pdf
May 25, 2016 - Are evidence-based practices associated with effective
prevention of hospital-acquired pressure ulcers in US
academic medical centers?
May 25, 2016
Padula W, Gibbons RD, Valuck RJ, et al. Are Evidence-based Practices Associated With Effective
Prevention of Hospital-acquired Pressure Ulcers in US Academic Medical C…
-
psnet.ahrq.gov/node/856586/psn-pdf
November 29, 2023 - The complexities of communication at hospital discharge
of older patients: a qualitative study of healthcare
professionals' views.
November 29, 2023
Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older
patients: a qualitative study of healthcare professionals’ view…
-
psnet.ahrq.gov/node/41725/psn-pdf
January 01, 2013 - Improving patient handovers from hospital to primary
care: a systematic review.
October 3, 2012
Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a
systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-201209180-00006.
https://psnet.ah…
-
psnet.ahrq.gov/node/866556/psn-pdf
August 21, 2024 - Digital maturity as a predictor of quality and safety
outcomes in US hospitals: cross-sectional observational
study.
August 21, 2024
Snowdon A, Hussein A, Danforth M, et al. Digital maturity as a predictor of quality and safety outcomes in
US hospitals: cross-sectional observational study. J Med Internet Res. 2024…
-
psnet.ahrq.gov/node/47845/psn-pdf
April 24, 2019 - Differential safety between top-ranked cancer hospitals
and their affiliates for complex cancer surgery.
April 24, 2019
Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and
Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 2019;2(4):e191912.
doi:10.1001/jama…
-
psnet.ahrq.gov/node/47720/psn-pdf
March 06, 2019 - Hospital infection prevention: how much can we prevent
and how hard should we try?
March 6, 2019
Bearman G, Doll M, Cooper K, et al. Hospital Infection Prevention: How Much Can We Prevent and How
Hard Should We Try? Curr Infect Dis Rep. 2019;21(1):2. doi:10.1007/s11908-019-0660-2.
https://psnet.ahrq.gov/issue/hosp…
-
psnet.ahrq.gov/node/865971/psn-pdf
May 29, 2024 - Lessons learned from a national hospital antibiotic
stewardship implementation project.
May 29, 2024
Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship
implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:10.1016/j.jcjq.2024.04.002.
https://…
-
psnet.ahrq.gov/node/45737/psn-pdf
December 22, 2017 - Nursing skill mix in European hospitals: cross-sectional
study of the association with mortality, patient ratings,
and quality of care.
December 22, 2017
Aiken LH, Sloane DM, Griffiths P, et al. Nursing skill mix in European hospitals: cross-sectional study of the
association with mortality, patient ratings, and q…
-
psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - EMS Perils from Hospital Overcrowding
August 31, 2022
Brown S, Rose JS, Barnes DK. EMS Perils from Hospital Overcrowding. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
The Case
A 71-year-old man with a history of postoperative septic knee arthritis (status: post-intravenous…
-
hcup-us.ahrq.gov/reports/statbriefs/sb113.jsp
May 01, 2011 - Statistical Brief #113
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
-
psnet.ahrq.gov/node/44385/psn-pdf
October 13, 2015 - Same-hospital readmission rates as a measure of
pediatric quality of care.
October 13, 2015
Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric
Quality of Care. JAMA Pediatr. 2015;169(10):905-12. doi:10.1001/jamapediatrics.2015.1129.
https://psnet.ahrq.gov/issue/same…
-
psnet.ahrq.gov/node/74850/psn-pdf
February 16, 2022 - Medicare penalizes dozens of hospitals it also gives five
stars.
February 16, 2022
Rau J. Kaiser Health News. February 8, 2022.
https://psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars
Rating systems face challenges to accurately represent the safety and quality of patient ca…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-216-section-6-tables-5-6.pdf
June 02, 2025 - Section 6, Tables 5 and 6
Table 5: Agreement and Kappa Statistics for Sickle Cell Disease for Inter‐Rater Reliability at Three
Sites
Site Measure Numerator/
Eligibility Criteria
Number of Records Reviewed N Agreed (%) Kappa Statistic
Hospital #1 Antibiotic Treatment 0 ‐ ‐
Hospital #1 Fever Criterion 3 100% 1.…
-
psnet.ahrq.gov/node/40872/psn-pdf
January 23, 2012 - Hospital performance trends on national quality measures
and the association with Joint Commission accreditation.
January 23, 2012
Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures
and the association with joint commission accreditation. J Hosp Med. 2011;6(8). doi…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
June 02, 2025 - Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Case Study of Using the QI Toolkit for Quality Improvement
What is the purpose of this tool? This tool provides a case study from one hospital that
participated in the field test and evaluation of the QI Toolkit. It offers …
-
psnet.ahrq.gov/issue/how-redesigning-abrasive-alarms-hospital-soundscapes-can-save-lives
October 18, 2017 - Newspaper/Magazine Article
How redesigning the abrasive alarms of hospital soundscapes can save lives.
Citation Text:
How redesigning the abrasive alarms of hospital soundscapes can save lives. Couch C. Fast Company. April 3, 2017.
Copy Citation
Save
Save to your …
-
psnet.ahrq.gov/issue/nearly-90-major-medical-mistakes-logged-utah-hospitals-2008
July 02, 2009 - Newspaper/Magazine Article
Nearly 90 major medical mistakes logged at Utah hospitals in 2008.
Citation Text:
Nearly 90 major medical mistakes logged at Utah hospitals in 2008. May H. Salt Lake Tribune. June 26, 2009.
Copy Citation
Save
Save to your library
…
-
psnet.ahrq.gov/issue/using-workforce-practices-drive-quality-improvement-guide-hospitals
March 22, 2017 - Book/Report
Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals.
Citation Text:
Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals. McHugh M, Garman A, McAlearney A, Song P, Harrison M. Chicago, IL: Health Research & Educational Tr…