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psnet.ahrq.gov/node/36539/psn-pdf
March 03, 2011 - Sensitivity of routine system for reporting patient safety
incidents in an NHS hospital: retrospective patient case
note review.
March 3, 2011
Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents
in an NHS hospital: retrospective patient case note review. B…
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psnet.ahrq.gov/node/72648/psn-pdf
January 20, 2021 - Nurse burnout predicts self-reported medication
administration errors in acute care hospitals.
January 20, 2021
Montgomery AP, Azuero A, Baernholdt MB, et al. Nurse burnout predicts self-reported medication
administration errors in acute care hospitals. J Healthc Qual. 2020;43(1):13-23.
doi:10.1097/jhq.00000000000…
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psnet.ahrq.gov/node/837599/psn-pdf
June 29, 2022 - Differences in medication reconciliation interventions
between six hospitals: a mixed method study.
June 29, 2022
Stuijt CCM, van den Bemt BJF, Boerlage VE, et al. Differences in medication reconciliation interventions
between six hospitals: a mixed method study. BMC Health Serv Res. 2022;22(1):722. doi:10.1186/s12…
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psnet.ahrq.gov/node/37113/psn-pdf
March 24, 2011 - Mature rapid response system and potentially avoidable
cardiopulmonary arrests in hospital.
March 24, 2011
Galhotra S, DeVita MA, Simmons RL, et al. Mature rapid response system and potentially avoidable
cardiopulmonary arrests in hospital. Qual Saf Health Care. 2007;16(4):260-265.
https://psnet.ahrq.gov/issue/mat…
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psnet.ahrq.gov/node/74835/psn-pdf
February 16, 2022 - Discrepancy between emergency department admission
diagnosis and hospital discharge diagnosis and its
impact on length of stay, up-triage to the intensive care
unit, and mortality.
February 16, 2022
Bastakoti M, Muhailan M, Nassar A, et al. Discrepancy between emergency department admission
diagnosis and hospital…
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psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
October 30, 2024 - The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/reports/chsp-issue-brief-3.pdf
January 01, 2019 - Third Annual CHSP CoE Workshop
ISSUE BRIEF Third Annual Workshop
of the Comparative
Health System Performance
Initiative
Executive Summary
The Agency for Healthcare Research and Quality (AHRQ) hosted the Comparative Health System
Performance (CHSP) Initiative’s third annual workshop on September 25, 2018, to …
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hcup-us.ahrq.gov/nassoverview.jsp
July 01, 2025 - NASS Overview
An official website of the Department of Health & Human Services
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psnet.ahrq.gov/node/35773/psn-pdf
March 15, 2006 - The association between hospital characteristics and
rates of preventable complications and adverse events.
March 15, 2006
Thornlow DK; Stukenborg GJ.
https://psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-
complications-and-adverse
Using the Agency for Healthcare Research…
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psnet.ahrq.gov/node/35382/psn-pdf
October 05, 2005 - Rx for a better prescription. Hospital bans doctors from
using confusing medical abbreviations.
October 5, 2005
Hall J. Fredericksburg Times. September 25, 2005
https://psnet.ahrq.gov/issue/rx-better-prescription-hospital-bans-doctors-using-confusing-medical-
abbreviations
This article presents one hospital’s pro…
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psnet.ahrq.gov/node/37137/psn-pdf
October 04, 2011 - Rural hospital patient safety systems implementation in
two states.
October 4, 2011
Longo DR, Hewett JE, Ge B, et al. Rural Hospital Patient Safety Systems Implementation in Two States.
The Journal of Rural Health. 2007;23(3). doi:10.1111/j.1748-0361.2007.00090.x.
https://psnet.ahrq.gov/issue/rural-hospital-patien…
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hcup-us.ahrq.gov/reports/methods/2008_01.pdf
January 01, 2008 - Microsoft Word - deliverable45_01.doc
HCUP Methods Series
kbr33831
Contact Information:
Healthcare Cost and Utilization Project (HCUP)
Agency for Healthcare Research and Quality
540 Gaither Road
Rockville, MD 20850
http://www.hcup-us.ahrq.gov
For Technical Assistance with HCUP Products:
Email: …
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016147-rachal-final-report-2009.pdf
January 01, 2009 - Creating Online NICU Networks to Educate, Consult, and Team (Project CONNECT)
Grant Final Report
Grant ID: 1UC1HS016147
Creating Online NICU Networks to Educate, Consult,
and Team (Project CONNECT)
Inclusive Dates: 10/01/05 - 09/30/09
Principal Investigator:
Valerie Rachal, RN, PhD
Team…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - Module 2: How To Manage Change
Training Guide
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve or…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - Module 2: How To Manage Change
Module 2: How To Manage Change
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve …
-
psnet.ahrq.gov/primer/leadership-role-improving-safety
September 15, 2024 - Leadership Role in Improving Safety
Citation Text:
Leadership Role in Improving Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4n
Selected Best Practices and Suggestions for Improvement
IQI: Mortality Review of Select Procedures and Conditions
Why Focus on Mortality Review? …
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/index.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital
Case 3. Grand Hospital Center
Case 4. Suntown …
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hcup-us.ahrq.gov/reports/factsandfigures/2007/intro2.jsp
January 01, 2007 - HCUP Facts and Figures 2007: Statistics on Hospital-Based Care in the United States
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hcup-us.ahrq.gov/db/state/siddist/siddist_filecompia.jsp
August 01, 2006 - SID File Composition - Iowa
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