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psnet.ahrq.gov/node/38746/psn-pdf
July 01, 2009 - Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexisting
hospital electronic health record.
July 1, 2009
Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in-
hospital transitions of care by enhancing a preexist…
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psnet.ahrq.gov/node/45551/psn-pdf
November 30, 2016 - Parents' perspectives on "keeping their children safe" in
the hospital.
November 30, 2016
Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in
the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193.
https://psnet.ahrq.gov/issue/parent…
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psnet.ahrq.gov/node/48164/psn-pdf
August 14, 2019 - Patient safety issues continue to plague American
hospitals.
August 14, 2019
Wilensky GR. Patient Safety Issues Continue to Plague American Hospitals. The Milbank Q.
2019;97(3):641-644. doi:10.1111/1468-0009.12406.
https://psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals
High-quality,…
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psnet.ahrq.gov/node/38364/psn-pdf
June 14, 2011 - Excess cost and length of stay associated with voluntary
patient safety event reports in hospitals.
June 14, 2011
Paradis AR, Stewart VT, Bayley KB, et al. Excess Cost and Length of Stay Associated With Voluntary
Patient Safety Event Reports in Hospitals. American Journal of Medical Quality. 2009;24(1).
doi:10.117…
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psnet.ahrq.gov/primer/medication-reconciliation
March 15, 2025 - Medication Reconciliation
Citation Text:
Medication Reconciliation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
May 01, 2013 - Cover slide
Explore the role of patient and family advisors
Describe how to work with patients and family advisors
Present tools to improve communication among patients, families, and clinicians
Discuss how to communicate an adverse event to a patient and family members
Learning Objectives
The Patient’s Hos…
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily5.html
July 01, 2018 - Guide to Patient and Family Engagement
Implications for the Guide
Previous Page Next Page
Table of Contents
Guide to Patient and Family Engagement
Executive Summary
Introduction
Methods
Findings
Implications for the Guide
Summary and Discussion
Next Steps
References
Appendix A: Dra…
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psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
June 01, 2014 - October 4, 2023
In their own words: safety and quality perspectives from families of hospitalized
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - Perioperative management of
the hospitalized patient.
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psnet.ahrq.gov/issue/overcoming-barriers-adopting-and-implementing-computerized-physician-order-entry-systems-us
July 10, 2008 - Study
Classic
Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals.
Citation Text:
Poon EG, Blumenthal D, Jaggi T, et al. Overcoming barriers to adopting and implementing computerized physician order ent…
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psnet.ahrq.gov/issue/what-influences-sustainment-and-nonsustainment-facilitation-activities-implementation
April 17, 2017 - Study
What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS.
Citation Text:
Baloh J, Zhu X, Ward MM. What influences sustainment and nonsustainment of facilitation activities in…
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psnet.ahrq.gov/issue/broken-hospital-windows-debating-theory-spreading-disorder-and-its-application-healthcare
October 26, 2022 - Commentary
'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations.
Citation Text:
Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare orga…
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psnet.ahrq.gov/issue/drug-related-problems-older-people-after-hospital-discharge-and-interventions-reduce-them
September 13, 2023 - Review
Drug-related problems in older people after hospital discharge and interventions to reduce them.
Citation Text:
Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, et al. Drug-related problems in older people after hospital discharge and interventions to reduce them. Age Ageing.…
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psnet.ahrq.gov/issue/learning-doing-resident-perspectives-developing-competency-high-quality-discharge-care
July 18, 2012 - Study
"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care.
Citation Text:
Greysen R, Schiliro D, Curry LA, et al. "Learning by doing"--resident perspectives on developing competency in high-quality discharge care. J Gen Intern Med. 2012;27(9)…
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psnet.ahrq.gov/issue/progress-interoperability-measuring-us-hospitals-engagement-sharing-patient-data
March 27, 2024 - Study
Progress in interoperability: measuring US hospitals' engagement in sharing patient data.
Citation Text:
Holmgren J, Patel V, Adler-Milstein J. Progress in interoperability: measuring US hospitals' engagement in sharing patient data. Health Aff (Millwood). 2017;36(10):1820-1827. do…
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psnet.ahrq.gov/issue/improving-hospital-safety-culture-falls-prevention-through-interdisciplinary-health-education
December 16, 2011 - Study
Improving hospital safety culture for falls prevention through interdisciplinary health education.
Citation Text:
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…
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psnet.ahrq.gov/issue/national-quality-forum-30-safe-practices-priority-and-progress-iowa-hospitals
November 17, 2010 - Study
National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.
Citation Text:
Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8.
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…
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psnet.ahrq.gov/issue/association-between-night-or-weekend-admission-and-hospitalization-relevant-patient-outcomes
November 26, 2014 - Study
The association between night or weekend admission and hospitalization-relevant patient outcomes.
Citation Text:
Khanna R, Wachsberg K, Marouni A, et al. The association between night or weekend admission and hospitalization-relevant patient outcomes. J Hosp Med. 2011;6(1):10-4.…
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psnet.ahrq.gov/issue/improving-patient-care-through-leadership-engagement-frontline-staff-department-veterans
October 14, 2009 - Study
Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study.
Citation Text:
Singer SJ, Rivard PE, Hayes J, et al. Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs…
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psnet.ahrq.gov/issue/burden-hospitalizations-related-adverse-drug-events-usa-retrospective-analysis-large
April 15, 2020 - Study
Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database.
Citation Text:
Poudel DR, Acharya P, Ghimire S, et al. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from l…