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461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41748/psn-pdf
     April 05, 2013 - Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. … Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals. … psnet.ahrq.gov/issue/factors-contributing-all-cause-30-day-readmissions-structured-case-series- across-18-hospitals … Preventing readmissions after hospital discharge is a national policy priority. … complementary-telephone-strategies-improve-postdischarge-communication https://psnet.ahrq.gov/issue/effect-hospital-follow-appointment-clinical-event-outcomes-and-mortality

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38909/psn-pdf
     September 02, 2009 - Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals … Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals … psnet.ahrq.gov/issue/effect-work-hours-regulations-intensive-care-unit-mortality-united-states- teaching-hospitals … This study of mortality in 40 intensive care units found that mortality decreased in all hospitals after … introduction of duty hour regulations, with no difference between teaching and non-teaching hospitals

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46737/psn-pdf
     February 07, 2018 - The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals … The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals … https://psnet.ahrq.gov/issue/use-patient-feedback-hospital-boards-directors-qualitative-study-two-nhs … https://psnet.ahrq.gov/issue/use-patient-feedback-hospital-boards-directors-qualitative-study-two-nhs-hospitals-england … https://psnet.ahrq.gov/issue/use-patient-feedback-hospital-boards-directors-qualitative-study-two-nhs-hospitals-england

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46833/psn-pdf
     December 03, 2018 - The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons … The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the United States: Lessons … https://psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states … - lessons-learned The Joint Commission requires hospitals to have antimicrobial stewardship programs … https://psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47080/psn-pdf
     May 02, 2018 - The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations … https://psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many … on clusters of safety violations the Centers for Medicare and Medicaid Services found at teaching hospitals … environments where patients receive unsafe care may perpetuate poor practices and reviews how teaching hospitals … https://psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-safety-violations

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47017/psn-pdf
     November 28, 2018 - In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals … In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals … psnet.ahrq.gov/issue/pursuit-quality-and-safety-8-year-study-clinical-peer-review-best-practices-us- hospitals … psnet.ahrq.gov/issue/pursuit-quality-and-safety-8-year-study-clinical-peer-review-best-practices-us-hospitals … https://psnet.ahrq.gov/issue/objective-impact-clinical-peer-review-hospital-quality-and-safety

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44798/psn-pdf
     November 02, 2016 - From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals … From the closest observers of patient care: a thematic analysis of online narrative reviews of hospitals … Patients' experiences with safety issues influence their perceptions of hospital quality. … This study examined online reviews of hospitals and found concerns discussed in narratives that would … not have surfaced using the Hospital Consumer Assessment of Healthcare Providers and Services patient

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41561/psn-pdf
     August 01, 2012 - Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. … research to examine rates of adverse events reported to state-level reporting systems compared with hospital … It found that, even in states with required hospital reporting of adverse events, only about one in … incident reporting system, the investigators concluded that the low rate of reporting was likely due to hospital … https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36887/psn-pdf
     May 16, 2007 - Hospitals tie CEO bonuses to safety. May 16, 2007 Rowland C. … https://psnet.ahrq.gov/issue/hospitals-tie-ceo-bonuses-safety This article reports on Massachusetts … hospitals that are basing hospital executive bonuses on the extent to which their hospitals implement … https://psnet.ahrq.gov/issue/hospitals-tie-ceo-bonuses-safety

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45352/psn-pdf
     September 01, 2018 - hospitals. September 1, 2018 Unruh L, Hofler R. … Hospitals. Health Serv Res. 2016;51(6):2258-2281. doi:10.1111/1475-6773.12468. … https://psnet.ahrq.gov/issue/predictors-gaps-patient-safety-and-quality-us-hospitals Reporting requirements … Several websites, including Hospital Compare, make hospital quality data readily available to the public … quality scores, this study posits that they may unfairly penalize hospitals with fewer resources.

471. Quick Safety. | PSNet
     psnet.ahrq.gov/issue/quick-safety
     May 30, 2012 - May 30, 2012 America's Hospitals: Improving Quality and Safety—The Joint Commission's … November 23, 2016 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

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42220/psn-pdf
     April 17, 2013 - Lessons from America's safest hospitals. April 17, 2013 Howard B. … https://psnet.ahrq.gov/issue/lessons-americas-safest-hospitals This magazine article details how several … hospitals have taken a comprehensive approach to improving patient safety in their organizations. … An interactive graphic displays many of the methods being used; an accompanying tool lists hospitals … https://psnet.ahrq.gov/issue/lessons-americas-safest-hospitals

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39462/psn-pdf
     April 21, 2010 - Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. … Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. … https://psnet.ahrq.gov/issue/comparing-safety-climate-naval-aviation-and-hospitals-implications-improving … found that the safety culture in naval aviation is much more positive in nearly all domains than in hospitals … https://psnet.ahrq.gov/issue/comparing-safety-climate-naval-aviation-and-hospitals-implications-improving-patient-safety

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37995/psn-pdf
     September 19, 2016 - Inpatient suicide and suicide attempts in Veterans Affairs hospitals. … Inpatient suicide and suicide attempts in Veterans Affairs hospitals. … This study reports on the use of this technique to analyze inpatient suicide attempts at VA hospitals … A prior study reported on preventive mechanisms that have been implemented at VA hospitals to reduce … https://psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals https:

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45296/psn-pdf
     September 21, 2016 - Comparison of medication safety systems in critical access hospitals: combined analysis of two studies … Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies … https://psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined- … This study looked at the impact of several factors on reducing medication errors in critical access hospitals … https://psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined-analysis-two-studies

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35877/psn-pdf
     July 23, 2010 - National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. … National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. … This study assessed a representative group of hospitals to evaluate their perception and priority of … Based on evaluating individual hospital characteristics, the authors also identified 20 safe practices … not associated with measures of hospital structure, capacity, or resources.

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37487/psn-pdf
     May 26, 2011 - Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate … Predicting computerized physician order entry system adoption in US hospitals: Can the federal mandate … https://psnet.ahrq.gov/issue/predicting-computerized-physician-order-entry-system-adoption-us-hospitals … This secondary data analysis estimated that the likely penetration of CPOE in hospitals across the country … https://psnet.ahrq.gov/primer/computerized-provider-order-entry https://psnet.ahrq.gov/issue/hospital-implementation-computerized-provider-order-entry-systems-results

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44929/psn-pdf
     February 08, 2017 - Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a … The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals-a … psnet.ahrq.gov/issue/irish-national-adverse-events-study-inaes-frequency-and-nature-adverse- events-irish-hospitals … retrospective study, researchers sought to understand the frequency of adverse events across Irish hospitals … psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors https://psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41068/psn-pdf
     September 29, 2017 - A review of verbal order policies in acute care hospitals. … A review of verbal order policies in acute care hospitals. … https://psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals Verbal orders, usually … This survey of 40 hospitals found wide variation in hospital policies regarding verbal orders, with … https://psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals https://psnet.ahrq.gov

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44434/psn-pdf
     June 21, 2016 - A prior review found that the governance boards of high-performing hospitals had greater engagement … in safety activities compared to low-performing hospitals. … This study, which used survey data from a large sample of hospitals in the United States and England … In addition, high-performing hospitals used more effective management practices, i.e., they consistently … Hospitals with high management scores were also more likely to be teaching institutions.