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psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson
November 16, 2022 - Book/Report
Report of the Independent Inquiry into the Issues Raised by Paterson.
Citation Text:
Report of the Independent Inquiry into the Issues Raised by Paterson. James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020.…
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psnet.ahrq.gov/node/40232/psn-pdf
February 23, 2011 - Large scale organisational intervention to improve patient
safety in four UK hospitals: mixed method evaluation.
February 23, 2011
Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in
four UK hospitals: mixed method evaluation. BMJ. 2011;342(feb03 1):d195. doi:1…
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psnet.ahrq.gov/node/40231/psn-pdf
February 23, 2011 - Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase.
February 23, 2011
Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English
hospitals: controlled evaluation of second phase. BMJ. 2011;342:d199. doi:10.1136/bmj.d199…
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psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
December 18, 2019 - Newspaper/Magazine Article
Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up.
Citation Text:
Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. Lintern S. The Independent. January 15, 2020.
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…
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psnet.ahrq.gov/issue/operative-team-communication-during-simulated-emergencies-too-busy-respond
March 04, 2020 - Study
Operative team communication during simulated emergencies: too busy to respond?
Citation Text:
Davis A, Jones S, Crowell-Kuhnberg AM, et al. Operative team communication during simulated emergencies: Too busy to respond? Surgery. 2017;161(5):1348-1356. doi:10.1016/j.surg.2016.09.02…
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psnet.ahrq.gov/issue/african-american-covid-19-mortality-sentinel-event
November 16, 2022 - Commentary
Emerging Classic
African American COVID-19 mortality: a sentinel event.
Citation Text:
Ferdinand KC, Nasser SA. African American COVID-19 mortality: a sentinel event. J Am Coll Cardiol. 2020;75(21):2746-2748. doi:10.1016/j.jacc.2020.04.040.
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - Assessment by wellness nurse: Using a modified version of the state's Independent Living Assessment … success: As part of the planning process, program leaders identified the need for future implementers to measure … To learn more about aging in place and other aging issues, see: http://www.n4a.org/ .
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psnet.ahrq.gov/node/60267/psn-pdf
March 01, 2021 - Assessment by wellness nurse: Using a modified version of the state's Independent Living
Assessment … success: As part of the planning process, program leaders
identified the need for future implementers to measure … To learn more about aging in place and other aging issues, see: http://www.n4a.org/.
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psnet.ahrq.gov/issue/improvement-cymru
October 20, 2014 - A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.
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psnet.ahrq.gov/issue/patient-and-family-engagement-survey-us-hospital-practices
January 02, 2017 - Study
Patient and family engagement: a survey of US hospital practices.
Citation Text:
Herrin J, Harris KG, Kenward K, et al. Patient and family engagement: a survey of US hospital practices. BMJ Qual Saf. 2016;25(3):182-9. doi:10.1136/bmjqs-2015-004006.
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Format:
…
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psnet.ahrq.gov/node/867428/psn-pdf
December 18, 2024 - I look at this as a process measure. Falls rates are outcome measures. … fall-prevention-acute-care-hospitals-randomized-trial
Sarah Mossburg: Can you briefly describe your work to prevent falls among community-dwelling … (NIA).4 The study sought to incorporate interventions
related to the six common risk factors among community-dwelling … decision support that we developed with ASPIRE and provide personalized exercise
prescriptions for community-dwelling … is one of those interventions that reduces fall risks by 23%,
so it is a good one to encourage for community-dwelling
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psnet.ahrq.gov/issue/animated-stories-medical-error-means-teaching-undergraduates-patient-safety-evaluation-study
June 10, 2020 - Study
Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study.
Citation Text:
Cooper K, Hatfield E, Yeomans J. Animated stories of medical error as a means of teaching undergraduates patient safety: an evaluation study. Perspect Med Edu…
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - I look at this as a process measure. Falls rates are outcome measures. … Sarah Mossburg : Can you briefly describe your work to prevent falls among community-dwelling adults? … NIA). 4 The study sought to incorporate interventions related to the six common risk factors among community-dwelling … decision support that we developed with ASPIRE and provide personalized exercise prescriptions for community-dwelling … is one of those interventions that reduces fall risks by 23%, so it is a good one to encourage for community-dwelling
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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - I look at this as a process measure. Falls rates are outcome measures. … Sarah Mossburg : Can you briefly describe your work to prevent falls among community-dwelling adults? … NIA). 4 The study sought to incorporate interventions related to the six common risk factors among community-dwelling … decision support that we developed with ASPIRE and provide personalized exercise prescriptions for community-dwelling … is one of those interventions that reduces fall risks by 23%, so it is a good one to encourage for community-dwelling
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psnet.ahrq.gov/issue/health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities
September 19, 2016 - Study
Classic
The health care cost of drug-related morbidity and mortality in nursing facilities.
Citation Text:
Bootman JL, Harrison DL, Cox E. The health care cost of drug-related morbidity and mortality in nursing facilities. Arch Intern Med. 1997;157(18):2…
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psnet.ahrq.gov/issue/eight-years-decreased-methicillin-resistant-staphylococcus-aureus-health-care-associated
March 23, 2012 - January 12, 2022
View More
Related Resources
Infection control measure
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psnet.ahrq.gov/issue/addressing-structural-racism-pediatric-clinical-practice
November 16, 2022 - Commentary
Addressing structural racism in pediatric clinical practice.
Citation Text:
Laster M, Kozman D, Norris KC. Addressing structural racism in pediatric clinical practice. Pediatr Clin North Am. 2023;70(4):725-743. doi:10.1016/j.pcl.2023.03.010.
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psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
November 15, 2023 - care. 1
Shorter length of stay:
A prospective study conducted in 3 cities and including 455 community-dwelling … 10.4%). 7
Fewer interventions:
A prospective study conducted in 3 cities and including 455 community-dwelling … 2% vs. 31%). 9
Fewer complications: A prospective study conducted in 3 cities and including 455 community-dwelling … for hospital inpatients. 9
Higher satisfaction and lower stress: A survey administered to 214 community-dwelling … Higher satisfaction: A 40-item survey administered to 214 community-dwelling elderly patients and their
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psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - November 12, 2014
Relationship between preventable hospital deaths and other measures
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - inpatient care.1
Shorter length of stay:
A prospective study conducted in 3 cities and including 455 community-dwelling … 1.7% vs. 10.4%).7
Fewer interventions:
A prospective study conducted in 3 cities and including 455 community-dwelling … psnet.ahrq.gov//#6
Fewer complications: A prospective study conducted in 3 cities and including 455 community-dwelling … than for hospital inpatients.9
Higher satisfaction and lower stress: A survey administered to 214 community-dwelling … Higher satisfaction: A 40-item survey administered to 214 community-dwelling elderly patients and
their