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1661. Types of diagnostic errors in neurological emergencies in the emergency department. | PSNet
      psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
      October 30, 2019 - Study Types of diagnostic errors in neurological emergencies in the emergency department … Types of diagnostic errors in neurological emergencies in the emergency department. … Types of diagnostic errors in neurological emergencies in the emergency department. … More Related Resources Fall prevention with the Smart Socks System reduces hospital … July 26, 2011 Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals

1662. Hospice diagnosis: polypharmacy—a teachable moment. | PSNet
      psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment
      April 24, 2018 - hospital error and adverse event surveillance. … in outpatient settings: clinical practice guideline. … team composition in critical care medicine. … December 19, 2018 Towards safer transitions: a curriculum to teach and assess hospital-to-hospice … February 3, 2011 Improving medication error reporting in hospice care.

1663. Surgical count practice variability and the potential for retained surgical items. | PSNet
      psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
      October 20, 2010 - This commentary identifies areas of variation in surgical count policy and practice and recommends … : A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial … October 20, 2010 Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based … review of root cause analyses of falls leading to adverse events. … October 19, 2022 Families as partners in hospital error and adverse event surveillance

1664. Anesthesia Awareness Registry. | PSNet
      psnet.ahrq.gov/issue/anesthesia-awareness-registry
      May 24, 2015 - Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital … American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in … 2019 Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in … June 16, 2014 View More Related Resources Wake Up Safe in the USA … August 7, 2024 Patient falls in the operating room: why is this still a problem in 2024

1665. Improving medication safety in the ICU: the pharmacist's role. | PSNet
      psnet.ahrq.gov/issue/improving-medication-safety-icu-pharmacists-role
      April 20, 2022 - Improving Medication Safety in the ICU: The Pharmacist's Role. … the Same Author(s) Using human factors and ergonomics principles to prevent inpatient falls … The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital … Medication reconciliation for patients after their discharge from intensive care unit to the hospital … See More About The Topic Intensive Care Units Pharmacists Critical Care Hospital

1666. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36549/psn-pdf
      March 21, 2017 - This study surveyed more than 1600 patients recently discharged from 12 hospitals to determine what … Patients defined "error" more broadly than traditional definitions, including such issues as falls,

1667. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. | PSNet
      psnet.ahrq.gov/issue/communication-techniques-patients-low-health-literacy-survey-physicians-nurses-and
      February 27, 2019 - The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital … April 17, 2013 Using human factors and ergonomics principles to prevent inpatient falls … 16, 2022 A comprehensive method to develop a checklist to increase safety of intra-hospital … hospital: a cross-sectional survey. … December 21, 2022 Association of patient and family reports of hospital safety climate

1668. Patient empowerment and multimodal hand hygiene promotion: a win–win strategy. | PSNet
      psnet.ahrq.gov/issue/patient-empowerment-and-multimodal-hand-hygiene-promotion-win-win-strategy
      November 13, 2024 - Related Resources Patient Safety Innovations Preventing Falls … care during a hospital stay. … caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital … of patients in prevention. … June 2, 2010 Lack of patient knowledge regarding hospital medications.

1669. The impact of sensory stimuli on healthcare workers and outcomes in trauma rooms: a focus group study. | PSNet
      psnet.ahrq.gov/issue/impact-sensory-stimuli-healthcare-workers-and-outcomes-trauma-rooms-focus-group-study
      April 03, 2019 - Study The impact of sensory stimuli on healthcare workers and outcomes in trauma … November 15, 2023 The impact of the built environment on patient falls in hospital rooms … Health care risk managers' consensus on the management of inappropriate behaviors among hospital … seniors await hospital care and suffer avoidable harm. … May 15, 2024 Overnight stay in the emergency department and mortality in older patients

1670. Patient Engagement in Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-safety
      January 01, 2018 - safety both in soliciting safety concerns and activating patients in their care. … In another recent intervention , hospital volunteers reached out to patients to proactively solicit … experiences had no impact on a global measure of safety including outcomes like urinary tract infections and falls … in health care. … Patient Safety March 1, 2007 View More See More About The Topic Hospitals

1671. How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. | PSNet
      psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
      February 03, 2021 - Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital … in West Virginia. … December 2, 2020 Australian hospital leaders on the provision of safe care: implications … Truman Memorial Veterans' Hospital in Columbia, Missouri. … older adults with a history of falls: a qualitative study.

1672. Health Information Technology. | PSNet
      psnet.ahrq.gov/issue/health-information-technology
      August 21, 2016 - Articles in this special issue explore health information technology, including its adoption levels … is successful or results in unintended consequences . … Related Resources From the Same Author(s) WebM&M Cases Falling … May 7, 2018 EHR-related medication errors in two ICUs. … Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals

1673. Trends in anesthesia-related liability and lessons learned. | PSNet
      psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
      August 22, 2018 - Trends in Anesthesia-Related Liability and Lessons Learned. … March 14, 2022 Patient falls in the operating room setting: an analysis of reported safety … non–hospital-affiliated outpatient settings: a systematic review. … hospital practice: factors associated with turnover, outcomes, and patient safety. … against the NHS in England 1995-2007.

1674. A literature review of the individual and systems factors that contribute to medication errors in nursing practice. | PSNet
      psnet.ahrq.gov/issue/literature-review-individual-and-systems-factors-contribute-medication-errors-nursing
      April 22, 2011 - April 22, 2011 Patient education to prevent falls among older hospital inpatients: a … May 6, 2015 Overnight stay in the emergency department and mortality in older patients … hospital practice: factors associated with turnover, outcomes, and patient safety. … the hospital setting. … April 23, 2014 Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid

1675. Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. | PSNet
      psnet.ahrq.gov/issue/understanding-factors-impact-health-care-professionals-risk-perceptions-and-responses-toward
      June 22, 2022 - June 22, 2022 A systematic review of falls in hospital for patients with communication … infection in children. … September 7, 2016 The effect of hospital-acquired Clostridium difficile infection on … in-hospital mortality. … December 21, 2014 Hospital do-not-resuscitate orders: why they have failed and how to

1676. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49529/psn-pdf
      February 01, 2007 - A similar policy was in place at the admitting hospital in the case described, but it clearly did not … Although not widespread, many hospitals have implemented CPOE with clinical decision support to aid in … In one hospital where CPOE has been in place for a number of years, anticoagulants accounted for 7.2% … Pharmacist-provided anticoagulation management in United States hospitals: death rates, length of stay … High rates of adverse drug events in a highly computerized hospital.

1677. CMS's hospital-acquired condition lists link hospital payment, patient safety. | PSNet
      psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety
      May 20, 2009 - Commentary CMS's hospital-acquired condition lists link hospital payment, patient … CMS's hospital-acquired condition lists link hospital payment, patient safety. … CMS's hospital-acquired condition lists link hospital payment, patient safety. … February 17, 2011 Adverse Events in Hospitals: Overview of Key Issues. … January 14, 2009 Many Mass. hospitals will pay for errors.

1678. Medication Reconciliation Pitfalls | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
      May 01, 2006 - The patient denied any history of arrhythmia, syncope, presyncope, dementia, or prior falls. … She did not inform the hospitalist that the medications were in her hospital bag; in fact, she may not … In fact, these errors and their serious consequences prompted requirements in hospitals for medication … Hospitals with pharmacy staffing on the nursing units can incorporate this function in the pharmacy admission … In hospitals without this pharmacist staffing, developing a collaborative approach using nurses or pharmacy

1679. Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. | PSNet
      psnet.ahrq.gov/issue/application-human-factors-methods-ensure-appropriate-infant-identification-and-abduction
      April 27, 2022 - human factors methods to ensure appropriate infant identification and abduction prevention within the hospital … human factors methods to ensure appropriate infant identification and abduction prevention within the hospital … delays to identification of serious injury after falls in hospital inpatients. … : a qualitative interview study from the perspectives of hospital nurses and physicians. … patient-safety challenge in obstetrics.

1680. How safe is primary care? A systematic review. | PSNet
      psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
      December 18, 2013 - Patient safety in ambulatory care settings has received less attention than in the hospital setting … Index: development and application of a novel national indicator for assessing the relative safety of hospital … July 3, 2016 Electronic prescribing systems in hospitals to improve medication safety … November 11, 2020 Patient safety incidents involving sick children in primary care in … November 26, 2014 Primary care–relevant interventions to prevent falling in older adults