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3621. Sentinel Event Alert. | PSNet
      psnet.ahrq.gov/issue/sentinel-event-alert
      May 30, 2012 - May 30, 2012 America's Hospitals: Improving Quality and Safety—The Joint Commission's … March 25, 2015 America's Hospitals: Improving Quality and Safety: The Joint Commission's … November 26, 2014 Improving America's Hospitals: The Joint Commission's Annual Report … November 2, 2012 Improving America's Hospitals: The Joint Commission's Report on Quality … December 1, 2010 Improving America's Hospitals: The Joint Commission's Annual Report

3622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34972/psn-pdf
      May 11, 2017 - 2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy in Hospitals. … https://psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessmentr-antithrombotic-therapy- hospitals … Institution for Safe Medication Practices for self-assessment scores, compare practices with other hospitals … https://psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessmentr-antithrombotic-therapy-hospitals … https://psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessmentr-antithrombotic-therapy-hospitals

3623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37188/psn-pdf
      September 19, 2007 - Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. … https://psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help … - stat This article discusses the advent of rapid response teams and describes how several hospitals … https://psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-stat … https://psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help-stat

3624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40924/psn-pdf
      February 23, 2015 - Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement. … Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement. … https://psnet.ahrq.gov/issue/interdisciplinary-teamwork-hospitals-review-and-practical-recommendations … - improvement Reviewing the role of teamwork in safe hospital care, this article recommends interventions … https://psnet.ahrq.gov/issue/interdisciplinary-teamwork-hospitals-review-and-practical-recommendations-improvement

3625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36053/psn-pdf
      June 18, 2013 - The incidence and cost of adverse events in Victorian hospitals 2003-04. … The incidence and cost of adverse events in Victorian hospitals 2003- 04. … https://psnet.ahrq.gov/issue/incidence-and-cost-adverse-events-victorian-hospitals-2003-04 The investigators … analyzed patient data in selected Australian hospitals during a 1-year period to determine costs of … https://psnet.ahrq.gov/issue/incidence-and-cost-adverse-events-victorian-hospitals-2003-04 https://psnet.ahrq.gov

3626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37434/psn-pdf
      January 02, 2008 - Hospital adoption of information technologies and improved patient safety: a study of 98 hospitals in … https://psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study … - 98-hospitals Hospitals with mature clinical information systems demonstrated improved performance … https://psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study … -98-hospitals https://psnet.ahrq.gov/issue/hospital-adoption-information-technologies-and-improved-patient-safety-study

3627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35279/psn-pdf
      June 30, 2009 - Results of a survey on medical error reporting systems in Korean hospitals. … Results of a survey on medical error reporting systems in Korean hospitals. … https://psnet.ahrq.gov/issue/results-survey-medical-error-reporting-systems-korean-hospitals The authors … studied the use of hospital information systems to report adverse events in Korean hospitals. … https://psnet.ahrq.gov/issue/results-survey-medical-error-reporting-systems-korean-hospitals

3628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41777/psn-pdf
      April 05, 2013 - hospitals. April 5, 2013 Lee GM, Kleinman K, Soumerai SB, et al. … Effect of nonpayment for preventable infections in U.S. hospitals. … https://psnet.ahrq.gov/issue/effect-nonpayment-preventable-infections-us-hospitals In 2008, the Centers … for Medicare and Medicaid Services (CMS) eliminated reimbursement for certain preventable errors and hospital-acquired … /issue/medicare-says-it-wont-cover-hospital-errors https://psnet.ahrq.gov/primer/health-care-associated-infections

3629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39297/psn-pdf
      January 22, 2017 - A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. … A checklist to identify inpatient suicide hazards in veterans affairs hospitals. … https://psnet.ahrq.gov/issue/checklist-identify-inpatient-suicide-hazards-veterans-affairs-hospitals … occur in patients hospitalized on psychiatric units, and a prior study conducted in Veterans Affairs hospitals … https://psnet.ahrq.gov/issue/checklist-identify-inpatient-suicide-hazards-veterans-affairs-hospitals

3630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38454/psn-pdf
      January 02, 2017 - Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … systems serve as an important mechanism to understand, analyze, and potentially prevent errors in the hospital … The authors advocate for hospitals to focus their IR systems on process-driven reports that encourage … /psnet.ahrq.gov//#incidentreporting https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events

3631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44379/psn-pdf
      August 05, 2015 - Implementing computerized provider order entry in acute care hospitals in the United States could generate … Implementing Computerized Provider Order Entry in Acute Care Hospitals in the United States Could Generate … https://psnet.ahrq.gov/issue/implementing-computerized-provider-order-entry-acute-care-hospitals-united … This cost-utility analysis compared CPOE with paper ordering among patients in acute care hospitals … https://psnet.ahrq.gov/issue/implementing-computerized-provider-order-entry-acute-care-hospitals-united-states-could

3632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35926/psn-pdf
      July 26, 2010 - The patient's right to safety—improving the quality of care through litigation against hospitals. … The patient's right to safety--improving the quality of care through litigation against hospitals. … The author discusses the role of hospital and corporate responsibility in broadening a patient's hospital … He uses the example that half of the nation's hospitals endorsed and implemented evidence- based safety … By placing the responsibility of safety on hospitals, which actually control the systems contributing

3633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40185/psn-pdf
      December 29, 2014 - Variation in the rates of adverse events between hospitals and hospital departments. … Variation in the rates of adverse events between hospitals and hospital departments. … https://psnet.ahrq.gov/issue/variation-rates-adverse-events-between-hospitals-and-hospital-departments … This study discovered significant differences in adverse event rates between hospitals and hospital … https://psnet.ahrq.gov/issue/variation-rates-adverse-events-between-hospitals-and-hospital-departments

3634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41373/psn-pdf
      May 16, 2012 - Self-reported violations during medication administration in two paediatric hospitals. … Self-reported violations during medication administration in two paediatric hospitals. … https://psnet.ahrq.gov/issue/self-reported-violations-during-medication-administration-two-paediatric- hospitals … https://psnet.ahrq.gov/issue/self-reported-violations-during-medication-administration-two-paediatric-hospitals … https://psnet.ahrq.gov/issue/self-reported-violations-during-medication-administration-two-paediatric-hospitals

3635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42345/psn-pdf
      June 12, 2013 - With money at risk, hospitals push staff to wash hands. … https://psnet.ahrq.gov/issue/money-risk-hospitals-push-staff-wash-hands This newspaper article reports … such as remote video monitoring or distributing "red cards," to improve hand hygiene compliance in hospitals … https://psnet.ahrq.gov/issue/money-risk-hospitals-push-staff-wash-hands https://psnet.ahrq.gov/issue/ … hand-hygiene-project-best-practices-hospitals-participating-joint-commission-center

3636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41683/psn-pdf
      September 19, 2012 - Techniques to improve patient safety in hospitals: what nurse administrators need to know. … Techniques to improve patient safety in hospitals: what nurse administrators need to know. … https://psnet.ahrq.gov/issue/techniques-improve-patient-safety-hospitals-what-nurse-administrators-need … https://psnet.ahrq.gov/issue/techniques-improve-patient-safety-hospitals-what-nurse-administrators-need-know … https://psnet.ahrq.gov/issue/techniques-improve-patient-safety-hospitals-what-nurse-administrators-need-know

3637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36564/psn-pdf
      January 12, 2011 - Preventing medication errors in hospitals through a systems approach and technological innovation: a … Preventing medication errors in hospitals through a systems approach and technological innovation: a … https://psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and- technological-innovation … https://psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation … https://psnet.ahrq.gov/issue/preventing-medication-errors-hospitals-through-systems-approach-and-technological-innovation

3638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42694/psn-pdf
      August 02, 2015 - Compensation of chief executive officers at nonprofit US hospitals. … Compensation of chief executive officers at nonprofit US hospitals. … https://psnet.ahrq.gov/issue/compensation-chief-executive-officers-nonprofit-us-hospitals This study … found no association between hospital chief executive officer (CEO) compensation and mortality rates … However, hospitals with higher CEO compensation had significantly more advanced technology and higher

3639. Health-care industry agrees on patient safety rules. | PSNet
      psnet.ahrq.gov/issue/health-care-industry-agrees-patient-safety-rules
      August 17, 2016 - May 18, 2016 Hospitals find a way to say, 'I'm sorry.' … February 17, 2016 At the hospital, better responses to those beeping alarms. … January 13, 2016 The most crucial half-hour at a hospital: the shift change. … Keys to safer hospitals. … June 8, 2010 Fixing America's hospitals.

3640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36166/psn-pdf
      June 14, 2011 - Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. … Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. … psnet.ahrq.gov/issue/identification-root-causes-emergency-diagnostic-imaging-delays-three- canadian-hospitals … /psnet.ahrq.gov/issue/identification-root-causes-emergency-diagnostic-imaging-delays-three-canadian-hospitals … /psnet.ahrq.gov/issue/identification-root-causes-emergency-diagnostic-imaging-delays-three-canadian-hospitals