-
psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - activities)
– focused deprescribing especially of psychotropic medications and opioids, decreasing
environmental … evidence of pain, or other possible causes of agitation such
as constipation given, and no additional environmental … such as age, gender, attitudes/beliefs; interpersonal factors, such as staff/resident
interactions; environmental … that the risk
for falls can be decreased by optimizing the strength, function, physical status
and environmental … residents for their risk of falls based on their fall history, medications,
cognition, function, and environmental
-
psnet.ahrq.gov/issue/analysis-paediatric-long-term-ventilation-incidents-community
November 06, 2024 - factors involved the patients, staff performance, family caregivers, equipment, organizational, and environmental
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psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report
August 04, 2021 - broad areas of interest (experience of patients, functioning of microsystems and organizations, and environmental
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psnet.ahrq.gov/issue/hard-work-failure-analysis
September 06, 2023 - August 17, 2022
Environmental Cleaning for the Prevention of Healthcare-Associated Infections
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psnet.ahrq.gov/node/49755/psn-pdf
February 01, 2016 - therapeutic procedures,
https://psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
medication effects, and environmental … These protocols have historically focused on addressing environmental factors such as loud
noise, bright … hospitalized patients and is caused by underlying illness(es),
diagnostic and therapeutic procedures, and environmental
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psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20
October 23, 2019 - April 17, 2019
Overview of the Environmental Scan of Primary Care-Based Effort To Reduce
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psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety
October 23, 2019 - April 17, 2019
Overview of the Environmental Scan of Primary Care-Based Effort To Reduce
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psnet.ahrq.gov/issue/managing-patient-safety-and-staff-safety-nursing-homes-exploring-how-leaders-nursing-homes
September 13, 2023 - This qualitative study explored how nursing home leadership in Norway balances environmental and patient
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psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
June 01, 2010 - and identify solutions by deconstructing care into three realms: individual provider, patient, and environmental … Environmental System Issues
The ED care environment can be a significant source of safety problems. … The practice of boarding admitted patients in the ED creates the greatest environmental contributor to … There are several potential solutions to address environmental system issues. … (Go to table citation in the text)
Individual Provider Issues
Patient Issues
Environmental
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - dual-task activities), focused deprescribing especially of psychotropic medications and opioids, decreasing environmental … evidence of pain, or other possible causes of agitation such as constipation given, and no additional environmental … such as age, gender, attitudes/beliefs; interpersonal factors, such as staff/resident interactions; environmental … that the risk for falls can be decreased by optimizing the strength, function, physical status and environmental … residents for their risk of falls based on their fall history, medications, cognition, function, and environmental
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psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit
February 24, 2011 - hospitalization and after discharge to identify service quality deficiencies and found delays, communication, and environmental
-
psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps-and-challenges
November 18, 2020 - including the absence of resident perspectives regarding safety and the role of interpersonal and environmental
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psnet.ahrq.gov/issue/impact-missed-nursing-care-or-care-not-done-adults-health-care-rapid-review-consensus
October 27, 2021 - Included studies cited several causes (e.g., environmental factors, staffing levels and skill mix)
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psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set
November 04, 2020 - Organizational, environmental, and work-related factors can contribute to performance variations and
-
psnet.ahrq.gov/issue/barriers-and-enablers-nurses-use-harm-prevention-strategies-older-patients-hospital-cross
August 10, 2022 - medicine wards identified both enabling factors (behavioral regulation, perceived capabilities, and environmental
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psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
September 08, 2021 - commitment to safety was associated with lower rates of major injuries from falls and catheter use, and that environmental
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psnet.ahrq.gov/issue/triggers-contributing-health-care-clinicians-disruptive-behaviors
June 24, 2020 - The most frequent triggers included pressures from high census; environmental overload; chronic, unresolved
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psnet.ahrq.gov/issue/deep-scope-framework-safe-healthcare-design
August 18, 2021 - Informed environmental features , such as the built environment , can improve safety outcomes.
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psnet.ahrq.gov/issue/it-depends-complexity-allowing-residents-fail-perspective-clinical-supervisors
December 14, 2022 - to fail are often made in the moment and are influenced by the patient, supervisor, trainee, and environmental
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psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration
November 17, 2021 - Recommendations include avoidance of environmental hazards , medication monitoring, control of firearms