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psnet.ahrq.gov/issue/systematic-review-evidence-misdiagnosis-dementia-and-its-impact-accessing-dementia-care
December 02, 2020 - critical care units and hospital emergency services. … August 23, 2017
Inappropriate hospital admission as a risk factor for the subsequent … Medication reconciliation for patients after their discharge from intensive care unit to the hospital … Developing a programme for medication reconciliation at the time of admission into hospital … July 27, 2016
Primary care–relevant interventions to prevent falling in older adults:
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psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
July 19, 2023 - hospital practice: factors associated with turnover, outcomes, and patient safety. … July 29, 2020
Effect of nonpayment for preventable infections in U.S. hospitals. … We need to talk: an observational study of the impact of electronic medical record implementation on hospital … March 4, 2011
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Hospitals
Ambulatory … Care
Quality and Safety Professionals
Information Professionals
Hospital Medicine
View
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psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety
January 31, 2024 - January 22, 2016
Mortality rate after nonelective hospital admission. … June 1, 2011
Overnight stay in the emergency department and mortality in older patients … December 16, 2020
Changes in medication safety indicators in England throughout the covid … September 29, 2017
Restoring trust in VA health care. … March 5, 2013
Primary care–relevant interventions to prevent falling in older adults:
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psnet.ahrq.gov/node/45511/psn-pdf
July 21, 2017 - In this cluster randomized trial, hospital wards were designated either to receive usual
hospital care … included pressure ulcers, venous thromboembolism, catheter-associated urinary tract infections, and falls … While the
participating hospital wards were able to collect safety feedback from patients in a feasible … in the patient
engagement wards and the usual care wards. … psnet.ahrq.gov/primer/health-care-associated-infections
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/enhancing-electronic-health-record-usability-pediatric-patient-care-scenario-based-approach
July 13, 2010 - a multistate hospital network--13 academic medical centers, April-June 2020. … January 25, 2017
Cost of inpatient falls and cost-benefit analysis of implementation … January 13, 2021
Families as partners in hospital error and adverse event surveillance … March 28, 2011
Preventing medication errors in hospitals through a systems approach and … August 2, 2010
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Children's Hospitals
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psnet.ahrq.gov/issue/relationship-adverse-events-and-support-rn-burnout
February 08, 2023 - acute care hospitals. … medication error interception in the emergency department. … the hospital setting: a prospective observational study. … when patients are in jeopardy. … January 18, 2011
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Hospitals
Nurses
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psnet.ahrq.gov/issue/call-shift-fatigue-and-use-countermeasures-and-avoidance-strategies-certified-registered
March 15, 2023 - October 26, 2011
Implementing universal suicide risk screening in a pediatric hospital … March 21, 2018
Association between unmet nonmedication needs after hospital discharge … July 2, 2009
Exploring the intersection of structural racism and ageism in healthcare … September 7, 2016
Nurses' shift length and overtime working in 12 European countries: … March 26, 2015
The working hours of hospital staff nurses and patient safety.
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psnet.ahrq.gov/issue/act-performance-exploring-residents-decision-making-processes-seek-help
October 13, 2021 - fall prevention in a nursing home. … in mental health and hospital care. … in hospitals. … failures in communication during the event. … October 1, 2007
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Hospitals
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psnet.ahrq.gov/node/45933/psn-pdf
March 08, 2017 - Bad hospital design is making us sicker.
March 8, 2017
Khullar D. New York Times. … https://psnet.ahrq.gov/issue/bad-hospital-design-making-us-sicker
Implementing design changes in care … This newspaper article
reports on how efforts to address hospital design concerns can augment infection … https://psnet.ahrq.gov/issue/bad-hospital-design-making-us-sicker
https://psnet.ahrq.gov/perspective/ … ://psnet.ahrq.gov/issue/guidelines-design-and-construction
https://psnet.ahrq.gov/issue/single-room-hospital-accommodation-associated-differences-healthcare-associated-infection
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psnet.ahrq.gov/issue/canada-continues-lag-behind-other-oecd-countries-measures-patient-safety
March 26, 2014 - March 26, 2014
Patient Safety in Canada: An Update. … August 29, 2007
The Case for Investing in Patient Safety in Canada. … March 8, 2017
Hospital Harm Project. … October 31, 2023
HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada … December 6, 2023
Home Health Agencies Failed To Report Over Half of Falls With Major
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psnet.ahrq.gov/issue/role-human-factors-home-health-care-workshop-summary
August 03, 2011 - Committee on the Role of Human Factors in Home Healthcare, National Research Council. … July 8, 2016
Improving Diagnosis in Health Care. … develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health … November 15, 2023
Home Health Agencies Failed To Report Over Half of Falls With Major … December 23, 2020
Adverse drug events and medication problems in "Hospital at Home" patients
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - Among the organization's goals were publicly available hospital ratings, transparency in state
medical … the mid-
to late-1990s, primarily in children's hospitals.(14) The Center for Advancing Health, also … involvement in driving down harm in hospitals, patients and patient groups found
themselves being actively … Compare), in some states (hospital-acquired infection and sentinel events), and by private entities … Important topics like health care disparities, personal
technology, and much of what falls under the
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psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
December 23, 2008 - December 23, 2008
Clinical Uncertainty in Primary Care: The Challenge of Collaborative … Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in … fall prevention in a nursing home. … September 21, 2022
Anesthesiologist group says hospitals can prevent fatal errors like … February 13, 2019
Safety enhancements every hospital must consider in wake of another
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psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
December 23, 2016 - The Joint Commission issues sentinel event alerts in response to significant emerging safety risks … January 25, 2023
Health care workers in the midst of crisis. … February 10, 2021
Preventing falls and fall-related injuries in health care facilities … December 23, 2016
Safe use of opioids in hospitals. … Dosing
August 21, 2005
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Hospitals
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psnet.ahrq.gov/issue/nurses-practice-environments-error-interception-practices-and-inpatient-medication-errors
December 15, 2011 - February 2, 2011
Effects of nurse staffing and nurse education on patient deaths in hospitals … a Japanese hospital. … July 19, 2010
Relationship between call light use and response time and inpatient falls … medical and surgical wards of selected hospitals in Kuwait. … January 23, 2008
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Hospitals
Nurses
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psnet.ahrq.gov/issue/practically-speaking-rethinking-hand-hygiene-improvement-programs-health-care-settings
September 03, 2011 - January 22, 2025
Decreasing handoff-related care failures in children's hospitals. … review of root cause analyses of falls leading to adverse events. … May 22, 2019
Safer Hospital Care: Strategies for Continuous Innovation, Second Edition … September 10, 2013
Hand Hygiene Project: Best Practices from Hospitals Participating … July 21, 2010
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Hospitals
Health Care
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psnet.ahrq.gov/issue/are-we-finally-getting-serious-about-medical-errors
May 11, 2016 - Copy Citation
Related Resources From the Same Author(s)
Hospital Survey on … January 27, 2021
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … August 18, 2021
Combined impact of Medicare's hospital pay for performance programs on … March 21, 2017
'Global Trigger Tool' shows that adverse events in hospitals may be ten … August 26, 2009
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Hospitals
Health
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psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - a national approach to appointing risk managers in hospitals. … In fact, the economic incentives in hospitals still work against risk management to some extent
because … For instance, there are millions of falls reported in this database, but relatively few classic
adverse … This is very public, very visible, and if you are running a hospital you can get
tremendous heat. … If you
want to study falls on a national basis for instance, after you have 500 or 1000 falls you probably
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psnet.ahrq.gov/node/34766/psn-pdf
March 05, 2013 - safety practices (including computerized order entry, use of
pharmacists on rounds, methods to prevent falls … nosocomial infections, and interventions to create a
culture of safety), became quite influential, in … was the first effort to subject safety practices
to the same scrutiny as other clinical practices in … now-famous list of the top 11 practices became the focus of many a new patient safety program at
hospitals … , and it is worth reviewing recent literature before adopting even the most
highly rated practices in
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psnet.ahrq.gov/issue/noise-distraction-interruption-and-safety-hazard
February 01, 2014 - in student providers: a scoping review. … December 7, 2022
Effects of a communication-and-resolution program on hospitals' malpractice … November 30, 2012
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Related Resources
Do falls and other … September 24, 2016
Interruptions and multitasking in nursing care. … Error
February 1, 2006
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Hospitals