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  1. Impact of system-level activities and reporting design on the number of incident reports for patient safety. | PSNet

    psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety
    January 20, 2011 - Study Impact of system-level activities and reporting design on the number of incident reports for patient safety. Citation Text: Fukuda H, Imanaka Y, Hirose M, et al. Impact of system-level activities and reporting design on the number of incident reports for patient safety. Qual Saf …

  2. Implementing a patient safety and quality program across two merged pediatric institutions. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions
    June 03, 2013 - Study Implementing a patient safety and quality program across two merged pediatric institutions. Citation Text: Abramson EL, Hyman D, Osorio N, et al. Implementing a patient safety and quality program across two merged pediatric institutions. Jt Comm J Qual Patient Saf. 2009;35(1):43-…

  3. Quality measures of clinical pharmacy services during transitions of care. | PSNet

    psnet.ahrq.gov/issue/quality-measures-clinical-pharmacy-services-during-transitions-care
    December 05, 2012 - Commentary Quality measures of clinical pharmacy services during transitions of care. Citation Text: King PK, Burkhardt CDO, Rafferty A, et al. Quality measures of clinical pharmacy services during transitions of care. J Am Coll Clin Pharm. 2021;4(7):883-907. doi:10.1002/jac5.1479. Cop…

  4. The practice of medicine: understanding diagnostic error. | PSNet

    psnet.ahrq.gov/issue/practice-medicine-understanding-diagnostic-error
    July 22, 2020 - Commentary The practice of medicine: understanding diagnostic error. Citation Text: Cantey C. The practice of medicine: understanding diagnostic error. J Nurs Pract. 2020;16(8):582-585. doi:10.1016/j.nurpra.2020.05.014. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

  5. Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study. | PSNet

    psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-2-intensive-care-units-prospective-interventional
    January 11, 2017 - Study Increasing patient safety event reporting in 2 intensive care units: A prospective interventional study. Citation Text: Ilan R, Squires M, Panopoulos C, et al. Increasing patient safety event reporting in 2 intensive care units: a prospective interventional study. J Crit Care. 20…

  6. More than a feeling: the role of empathetic care in promoting safety in health care. | PSNet

    psnet.ahrq.gov/issue/more-feeling-role-empathetic-care-promoting-safety-health-care
    June 23, 2021 - Study More than a feeling: the role of empathetic care in promoting safety in health care. Citation Text: Leana C, Meuris J, Lamberton C. More Than a Feeling: The Role of Empathetic Care in Promoting Safety in Health Care. ILR Review. 2017;71(2):394-425. doi:10.1177/0019793917720432. C…

  7. Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. | PSNet

    psnet.ahrq.gov/issue/four-years-experience-hospitalist-led-medical-emergency-team-interrupted-time-series
    October 03, 2011 - Study Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. Citation Text: Rothberg MB, Belforti R, Fitzgerald J, et al. Four years' experience with a hospitalist-led medical emergency team: an interrupted time series. J Hosp Med. 2012;7(2):9…

  8. Targeting the fear of safety reporting on a unit level. | PSNet

    psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
    December 13, 2023 - Commentary Targeting the fear of safety reporting on a unit level. Citation Text: Copeland D. Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124. doi:10.1097/NNA.0000000000000724. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  9. Operating at night does not increase the risk of intraoperative adverse events. | PSNet

    psnet.ahrq.gov/issue/operating-night-does-not-increase-risk-intraoperative-adverse-events
    July 01, 2017 - Study Operating at night does not increase the risk of intraoperative adverse events. Citation Text: Eskesen TG, Peponis T, Saillant N, et al. Operating at night does not increase the risk of intraoperative adverse events. Am J Surg. 2018;216(1):19-24. doi:10.1016/j.amjsurg.2017.10.026. …

  10. Identifying resilience: a system safety review of trauma and orthopaedic theatres. | PSNet

    psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
    October 19, 2011 - Commentary Identifying resilience: a system safety review of trauma and orthopaedic theatres. Citation Text: Wills VE. Identifying resilience: a system safety review of trauma and orthopaedic theatres. Ergonomics. 2024;Epub Aug 9. doi:10.1080/00140139.2024.2343930. Copy Citation Fo…

  11. Patient engagement in health care safety: an overview of mixed-quality evidence. | PSNet

    psnet.ahrq.gov/issue/patient-engagement-health-care-safety-overview-mixed-quality-evidence
    October 21, 2020 - Review Emerging Classic Patient engagement in health care safety: an overview of mixed-quality evidence. Citation Text: Sharma AE, Rivadeneira NA, Barr-Walker J, et al. Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence. Health Aff (…

  12. Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report. | PSNet

    psnet.ahrq.gov/issue/advancing-patient-safety-reviews-agency-healthcare-research-and-qualitys-making-healthcare
    March 18, 2020 - Special or Theme Issue Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report. Citation Text: Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality’s Making Healthcare Safer III Report. J …

  13. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. | PSNet

    psnet.ahrq.gov/issue/surgeon-second-victim-results-boston-intraoperative-adverse-events-surgeons-attitude-bisa
    January 23, 2017 - Study The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. Citation Text: Han K, Bohnen JD, Peponis T, et al. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) …

  14. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-comparison-two-common-risk-prioritisation-methods
    September 09, 2015 - Study Failure mode and effects analysis: a comparison of two common risk prioritisation methods. Citation Text: McElroy LM, Khorzad R, Nannicelli AP, et al. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. BMJ Qual Saf. 2016;25(5):329-336. doi:10…

  15. HCUP_methods_series_cover.ai (pdf file)

    hcup-us.ahrq.gov/reports/methods/2006_2.pdf
    January 01, 2006 - conducting an array of health service research studies, including analysis of chronic conditions, readmission … do not necessarily represent readmissions, it is useful to compare the obtained values to benchmark readmission … For purposes of comparison, an all-population readmission rate of 5.5 percent was used.

  16. Final Progress Report: ESDP in Community Hospitals (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/holland-report.pdf
    January 01, 2024 - poor post-acute recovery experience and that are recognized as important factors likely to impact readmission … Impact of social factors on risk of readmission or mortality in pneumonia and heart failure: systematic … Impact of discharge planning decision support on time to readmission among older adult medical patients

  17. CER 221 Disposition of Comments: Pharmacologic and Nonpharmacologic Therapies in Adult Patients With Exacerbation of COPD (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-221-copd-comments_0.pdf
    October 11, 2019 - admissions were chosen because hospital admissions within 30 days of an index hospitalization count as a readmission … A recent publication found the highest risk of hospital readmission or death to occur within the first … Risk trajectories of readmission and death in the first year after hospitalization for chronic obstructive

  18. Pharmacist Role in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
    June 29, 2020 - patient safety issues, such as appropriate opioid use, access to medications, medication adherence, readmission

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33734/psn-pdf
    August 01, 2012 - In Conversation With… Nicholas G. Castle, MHA, PhD August 1, 2012 In Conversation With… Nicholas G. Castle, MHA, PhD. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd Editor's note: The topic of patient safety in long-term care facilities has not received the attent…

  20. Information to Help Hospitals Get Started

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
    July 23, 2010 - Information to Help Hospitals Get Started The Guide to Patient and Family Engagement in Hospital Quality and Safety: Engaging Patients and Families to Improve the Quality and Safety of Care We Provide [Hospital Name | Presenter name and title | Date of presentation] Insert hospital logo here Information to Help Ho…
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