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381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39008/psn-pdf
     October 14, 2009 - Comparing safety climate between two populations of hospitals in the United States. … Comparing Safety Climate between Two Populations of Hospitals in the United States. … https://psnet.ahrq.gov/issue/comparing-safety-climate-between-two-populations-hospitals-united-states … federal hospitals found that perceptions of safety climate varied primarily at the individual hospital … level, and VA hospitals did not seem to have a consistently superior safety climate.

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41140/psn-pdf
     February 15, 2012 - Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient … Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient … https://psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality … - and-patient-safety This Spanish study found that hospitals with more mature quality improvement systems … appeared to have lower rates of preventable in-hospitals complications.

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38062/psn-pdf
     March 04, 2011 - Steering patients to safer hospitals? … Steering patients to safer hospitals? … https://psnet.ahrq.gov/issue/steering-patients-safer-hospitals-effect-tiered-hospital-network-hospital … https://psnet.ahrq.gov/issue/steering-patients-safer-hospitals-effect-tiered-hospital-network-hospital-admissions … https://psnet.ahrq.gov/issue/steering-patients-safer-hospitals-effect-tiered-hospital-network-hospital-admissions

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43509/psn-pdf
     September 10, 2014 - Patient Safety in Private Hospitals: the Known and the Unknown Risk. … https://psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk This report discusses … issues with staffing, equipment, and documentation that contributed to patient harm in private hospitals … with National Health System hospitals. … They also outline recommendations to augment data collection and transparency in private hospitals.

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43707/psn-pdf
     November 26, 2014 - America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014. … https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual … report-2014 This Joint Commission annual report shows continued improvements in quality of care in hospitals … This year's list of Top Performers included a record 1224 hospitals, representing nearly 37% of all … reporting Joint Commission-accredited hospitals.

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45036/psn-pdf
     February 15, 2017 - Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. … https://psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare … experienced an adverse event during their stay, a proportion nearly identical to rates at acute care hospitals … Nearly one-fourth of patients who had an adverse event required transfer to an acute care hospital for … https://psnet.ahrq.gov/issue/adverse-events-hospitals-national-incidence-among-medicare-beneficiaries

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39300/psn-pdf
     February 17, 2010 - Patient safety outcomes in small urban and small rural hospitals. … Patient safety outcomes in small urban and small rural hospitals. … https://psnet.ahrq.gov/issue/patient-safety-outcomes-small-urban-and-small-rural-hospitals This article … as measured by the AHRQ Patient Safety Indicators) was similar for both small urban and small rural hospitals … A toolkit for implementing safety measures in rural hospitals has been published previously.

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46483/psn-pdf
     October 04, 2017 - Fall Prevention in Hospitals Training Program. … https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program Falls are a primary focus of … quality and patient safety improvement efforts in hospitals. … This training program provides educational webinars and implementation guidance to help hospitals use … https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program https://psnet.ahrq.gov/primer

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41079/psn-pdf
     October 16, 2012 - Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work … Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work … https://psnet.ahrq.gov/issue/effects-nurse-staffing-and-nurse-education-patient-deaths-hospitals-different … Hospitals with a poor work environment derived no benefit from reducing patient-to-nurse ratios. … https://psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-nurse-burnout-and-job-dissatisfaction

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42652/psn-pdf
     October 31, 2014 - Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. … Safety in numbers: the development of Leapfrog's composite patient safety score for U.S. hospitals. … availability of multiple publicly reported patient safety accountability measures, a composite score for hospital … The Leapfrog Group convened a panel of experts to develop such a score for hospitals in the United States … After calculating the score for all US hospitals for which data were available, they found lower scores

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41010/psn-pdf
     November 26, 2014 - Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in … Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in … https://psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us … https://psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals … -2005 https://psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37042/psn-pdf
     March 04, 2011 - Do hospitals provide lower quality care on weekends? March 4, 2011 Becker DJ. … Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612. … that patients admitted to the hospital on a weekend have a higher risk of mortality from conditions … These problems have been attributed to lower hospital staffing ratios on weekends.  … complication-rates-weekends-and-weekdays-us-hospitals https://psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36807/psn-pdf
     October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. … https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals … fourth annual report on the safety of hospitalized Medicare patients builds on past efforts to evaluate hospital … Grading for all states and a selected group of highly rated hospitals is included with the implication … that, if all hospitals performed at a level comparable to the ones acknowledged, more than 34,000 Medicare

394. Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. | PSNet
     psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries
     February 15, 2017 - More than half of those who experienced harm were readmitted to the hospital. … September 20, 2011 Hospital Incident Reporting Systems Do Not Capture Most Patient Harm … February 18, 2009 Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues. … September 20, 2011 Adverse Events in Hospitals: Overview of Key Issues.

395. Brigham and Women's airing medical mistakes. | PSNet
     psnet.ahrq.gov/issue/brigham-and-womens-airing-medical-mistakes
     August 24, 2016 - August 24, 2016 Report faults Children's Hospital for medication errors. … June 6, 2018 Maternal deaths at MetroWest hospital prompt state probes. … May 1, 2013 Healing the hospital hierarchy. … What will it take to make America's hospitals safer? … General Internal Medicine Hospital Medicine Active Errors View More

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38308/psn-pdf
     April 21, 2010 - Adverse-event-reporting practices by US hospitals: results of a national survey. … Adverse-event-reporting practices by US hospitals: results of a national survey. … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … This AHRQ-funded study evaluated the quality of more than 1600 hospitals' error-reporting systems.  … Results indicate that, by these criteria, the majority of hospitals do not have effective systems in

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42885/psn-pdf
     January 22, 2014 - Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project … Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project … https://psnet.ahrq.gov/issue/medication-error-reporting-rural-critical-access-hospitals-north-dakota- … Dakota Telepharmacy Project frequently identifies and resolves medication issues at 17 critical access hospitals … Telepharmacies are increasingly proving to be effective at providing medication safety for rural hospitals

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44096/psn-pdf
     November 03, 2015 - This study used nationwide hospital discharge data to identify never events and examined whether the … incidence for weekend admissions compared to weekday admissions; after adjustment for patient and hospital … This data adds to prior work on the weekend effect to demonstrate that current weekend hospital conditions … are associated with higher risk of serious and preventable hospital-acquired conditions. … /issue/mortality-among-patients-admitted-hospitals-weekends-compared-weekdays

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46405/psn-pdf
     October 13, 2018 - Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. … Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. … https://psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital … https://psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm … https://psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36470/psn-pdf
     September 27, 2010 - Prioritizing patient safety interventions in small and rural hospitals. … Prioritizing patient safety interventions in small and rural hospitals. … https://psnet.ahrq.gov/issue/prioritizing-patient-safety-interventions-small-and-rural-hospitals This … study surveyed chief executive officers (CEOs) of 29 small and rural hospitals (with a median of 28 … staffed hospital beds) to determine their priorities for improving patient safety, and compared them