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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/implementation-integrated-computerized-prescriber-order-entry-system-chemotherapy-multisite
August 30, 2023 - Author(s)
Barriers and facilitators to implementing interventions for reducing avoidable hospital … December 30, 2014
Primary care–relevant interventions to prevent falling in older adults … transitions from mental health hospitals to the community: a prioritisation nominal group technique. … to 20 hospitals in England during implementation of the 7-day services national health policy. … November 25, 2020
Reviewing deaths in British and US hospitals: a study of two scales
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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/canadian-anesthesia-incident-reporting-system
December 04, 2019 - Reporting mistakes in anesthesiology practice can motivate and inform error reduction work. … March 8, 2017
The Case for Investing in Patient Safety in Canada. … September 21, 2016
Hospital Harm Project. … November 30, 2016
Never Events for Hospital Care in Canada: Safer Care for Patients. … August 7, 2024
Patient falls in the operating room: why is this still a problem in 2024
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psnet.ahrq.gov/issue/protect-against-drug-errors-ask-questions
December 09, 2015 - September 16, 2020
A Guide to Patient Safety in the Medical Practice. … February 7, 2019
Hospital internet site content on patient safety and medical errors. … December 16, 2020
Patient safety incidents describing patient falls in critical care … in North West England between 2009 and 2017. … Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital
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psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-analysis
March 18, 2010 - Related Resources From the Same Author(s)
Medication assessment: one determinant of falls … March 18, 2010
Patients taking their own medications while in the hospital. … View More
Related Resources
Interview
In … Perspective
Surveillance Monitoring to Improve Patient Safety in … Acute Hospital Care Units
April 26, 2023
Perspectives on Safety
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psnet.ahrq.gov/issue/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list
January 12, 2022 - multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … medication management systems on in-patients. … a panel of hospitals. … May 12, 2021
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Hospitals
Cardiology
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psnet.ahrq.gov/issue/implementing-survey-patients-provide-safety-experience-feedback-following-care-transition
January 08, 2020 - The survey data were perceived to be useful to physicians and hospital staff to identify potential safety … October 5, 2016
Care home safety incidents and safeguarding reports relating to hospital … May 31, 2023
Implementing, Studying, and Reporting Health System Improvement in … Improving the quality of insulin prescribing for people with diabetes being discharged from hospital … August 2, 2010
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General Hospitals
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psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
May 29, 2019 - April 29, 2018
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … hospital settings. … December 21, 2017
The effect of hospital electronic health record adoption on nurse-assessed … pharmacy in HCIT era. … January 7, 2011
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Hospitals
Nurses
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psnet.ahrq.gov/issue/paediatric-adverse-drug-reactions-reported-sweden-1987-2001
June 17, 2014 - Paediatric adverse drug reactions reported in Sweden from 1987 to 2001. … June 17, 2014
The impact of the built environment on patient falls in hospital rooms: … Swedish healthcare in a 13-year perspective. … hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. … September 2, 2016
Out-of-hospital medication errors among young children in the United
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psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
June 09, 2021 - A roadmap to advance patient safety in ambulatory care. … A roadmap to advance patient safety in ambulatory care. … September 13, 2023
Information flow during pediatric trauma care transitions: things falling … units of a community teaching hospital after electronic health record implementation: sociotechnical … Hospital Care.
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - The organization I am in right now is a 40-hospital system with hundreds of outpatient clinical settings … With falls, for example, we have an aging population. … As we transfer care from hospital-based to ambulatory to home-based, the people who end up in the hospital … population at risk for falls. … health system (i.e., a group of one or more healthcare organizations, such as physician practices, hospitals
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psnet.ahrq.gov/issue/routinely-recorded-patient-safety-events-primary-care-literature-review
April 18, 2012 - Routinely recorded patient safety events in primary care: a literature review. … Routinely recorded patient safety events in primary care: a literature review. … From the Same Author(s)
A review of patient safety measures based on routinely collected hospital … August 7, 2013
Managing Patients' Medicines after Discharge from Hospital. … May 2, 2012
Primary care–relevant interventions to prevent falling in older adults: a
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psnet.ahrq.gov/issue/disease-management-mid-decade-evolution-toward-patient-safety
January 28, 2010 - Related Resources From the Same Author(s)
Lack of patient knowledge regarding hospital … May 22, 2019
Hospital Survey on Patient Safety Culture: 2016 User Comparative Database … A comparative study measuring the difference of healthcare workers reactions among those involved in … Trainees in Relation to Their Medical Education—EQUIP Study. … Strategies to improve the patient safety outcome indicator: preventing or reducing falls
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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/issue/workplace-violence-pervasiveness-perioperative-environment-multiprofessional-survey
November 11, 2020 - Study
Workplace violence pervasiveness in the perioperative environment: a multiprofessional … Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. … most common sources of workplace violence were the patient or a family member, friend, or physician in … Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. … October 6, 2016
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Hospitals
Operating
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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