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psnet.ahrq.gov/issue/nurses-perceptions-safety-culture-long-term-care-settings
April 06, 2011 - facilities are particularly vulnerable to patient safety problems such as medication errors and falls … Mirroring an issue previously identified in hospitals, nurse managers had a considerably more optimistic … The study measured safety climate using a slightly modified version of the AHRQ Hospital Survey on Patient … falls: enhancing resident safety in long-term care. … falls: enhancing resident safety in long-term care.
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psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report
March 30, 2022 - Lewin Group: Falls Church, VA; March 2005. … Lewin Group: Falls Church, VA; March 2005. … a VA hospital: design and outcomes. … January 13, 2021
Adverse Events in Rehabilitation Hospitals: National Incidence Among … June 18, 2013
Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events
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psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
October 20, 2021 - a paediatric hospital. … January 12, 2022
The impact of adding a 2-way video monitoring system on falls and costs … , ethnic, and payer groups for pediatric safety events in US hospitals. … a children's hospital cohort. … hospital.
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psnet.ahrq.gov/node/860382/psn-pdf
January 10, 2024 - Changes in hospital adverse events and patient outcomes
associated with private equity acquisition. … Changes in hospital adverse events and patient outcomes associated with
private equity acquisition. … Findings indicate a significant increase in in-hospital falls and healthcare-associated infections (i.e … There was no change in 30-day mortality after
hospital discharge, but in-hospital mortality decreased … /primer/falls
https://psnet.ahrq.gov/primer/health-care-associated-infections
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psnet.ahrq.gov/issue/call-action-addressing-pediatric-fall-safety-ambulatory-environments
June 30, 2021 - Patient falls represent a significant cause of patient harm. … While most research on falls focus on the in-patient setting, this study reviewed research evidence … and findings from environmental assessments to provide recommendations for reducing risk of falls in … a paediatric hospital. … June 8, 2010
Ounce of prevention: to reduce errors, hospitals prescribe innovative designs
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psnet.ahrq.gov/issue/health-care-facility-design-safety-risk-assessment-toolkit
May 01, 2017 - The toolkit focuses on six areas of safety: infections , falls , medication errors , security, injuries … January 24, 2018
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs … December 18, 2008
Fall Prevention in Hospitals Training Program. … August 17, 2016
Toolkit for Reducing CAUTI in Hospitals. … December 9, 2015
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care
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psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospitals
November 04, 2009 - Study
Nursing care quality and adverse events in US hospitals. … Nursing care quality and adverse events in US hospitals. … Nursing care quality and adverse events in US hospitals. … survival after in-hospital cardiac arrests. … July 19, 2023
Nurse staffing and education and hospital mortality in nine European countries
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psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation
October 05, 2022 - Citation Text:
Safer Hospital Care: Strategies for Continuous Innovation, Second Edition. … Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024 … October 5, 2011
The Patient Safety Initiative at America’s Public Hospitals: The Year … February 9, 2011
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Hospitals
Health
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - Falling Between the Cracks in the Software
Citation Text:
Adler-Milstein J. … Falling Between the Cracks in the Software. PSNet [internet]. … Falling Between the Cracks in the Software. PSNet [internet]. … Falling Between the Cracks in the Software. PSNet [internet]. … September 7, 2022
Progress in interoperability: measuring US hospitals' engagement in
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psnet.ahrq.gov/issue/harm-free-care
April 15, 2020 - This initiative seeks to reduce four key sources of harm in hospitals: pressure ulcers, falls, catheter-associated … Related Resources
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … awaiting long-term care in hospital. … September 14, 2022
Hospital Compare. … January 23, 2019
HealthGrades Sixth Annual Patient Safety in American Hospitals Study
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psnet.ahrq.gov/issue/use-temporary-nurses-and-nurse-and-patient-safety-outcomes-acute-care-hospital-units
March 24, 2021 - Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. … Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units. … among various hospital-based healthcare professionals and trainees in a simulated patient room. … February 10, 2015
Influence of unit-level staffing on medication errors and falls in … military hospitals.
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psnet.ahrq.gov/issue/inter-and-intra-disciplinary-collaboration-and-patient-safety-outcomes-us-acute-care-hospital
August 07, 2024 - Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units … of both hospital-acquired pressure ulcers and falls. … Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units … March 5, 2010
Relationship between call light use and response time and inpatient falls … medical and surgical wards of selected hospitals in Kuwait.
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psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
September 14, 2011 - Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. … in hospitals: a qualitative study. … January 2, 2013
Minnesota Hospital Association Statewide Project: SAFE from FALLS. … Hospital Care. … October 12, 2011
Medicare nonpayment, hospital falls, and unintended consequences.
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psnet.ahrq.gov/node/44872/psn-pdf
February 12, 2016 - Reducing preventable harm in hospitals.
February 12, 2016
Bornstein D. New York Times. … https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
Discussing the importance of designing … collaboratives, including the Partnership for
Patients initiative, as approaches that show promise in … as hospital-acquired infections, patient falls, and
culture change. … partnership-patients
https://psnet.ahrq.gov/issue/partnership-patients
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-medical-and-surgical
July 11, 2018 - December 15, 2021
Root causes of adverse drug events in hospitals and artificial intelligence … August 20, 2018
Clinical deterioration and hospital‐acquired complications in adult patients … January 17, 2024
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … awaiting long-term care in hospital. … infection, falls, pressure ulcers or medication errors?
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psnet.ahrq.gov/node/74239/psn-pdf
January 12, 2022 - evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-
adults
Fall prevention in … evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults
https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing … https://psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review
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psnet.ahrq.gov/issue/no-safety-no-quality-synthesis-research-hospital-and-patient-safety-1996-2007
January 04, 2010 - January 4, 2010
Innovation in patient safety: a new task design in reducing patient falls … April 29, 2020
Magnitude and modifiers of the weekend effect in hospital admissions: … by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint … hospitals: a systematic review. … March 23, 2011
Implementing patient safety interventions in your hospital: what to try
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psnet.ahrq.gov/node/837728/psn-pdf
July 27, 2022 - Trends in adverse event rates in hospitalized patients,
2010-2019. … Trends in adverse event rates in hospitalized patients, 2010-2019. … hospitals is a longstanding national priority. … the rates of adverse events (e.g., adverse
drug events, hospital-acquired infections, postoperative … adverse events, hospital-acquired pressure ulcers,
falls) over time among patients hospitalized for
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psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate
May 19, 2021 - : immediate jeopardies in California hospitals, 2007-2017. … in California hospitals, 2007-2017. … in California hospitals, 2007-2017. … to identification of serious injury after falls in hospital inpatients. … April 6, 2022
Medication safety in mental health hospitals: a mixed-methods analysis
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psnet.ahrq.gov/issue/creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient
January 12, 2022 - hospitals. … employees mechanisms to recommend organizational change, is associated with fewer medication errors and falls … October 21, 2010
Talking about falls: a qualitative exploration of spoken communication … of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention … February 8, 2012
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Hospitals
Nurses