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1681. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73177/psn-pdf
      April 28, 2021 - association-nursing-home-characteristics-and-quality-adverse-events-after- hospitalization Transitioning from hospital … This study looked for potential associations between adverse events (AE) for NH residents following hospital … Future research to reduce AEs during transition from hospital to NH should look beyond currently available … discharge-planning-and-transitions-care https://psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare

1682. Right Place, Right Drug, Wrong Strength | PSNet
      psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
      March 26, 2015 - The patient was monitored in the hospital for 1 week after the incident, did well, and was safely discharged … States, use of ADCs in hospitals has increased steadily. … Ideally, a complete automated medication-use loop is in place: the hospital information system allows … ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014. … August 26, 2020 Do falls and other safety issues occur more often during handovers when

1683. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. | PSNet
      psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life
      September 09, 2010 - Related Resources From the Same Author(s) Postdischarge adverse events for 1-day hospital … admissions in older adults admitted from the emergency department. … September 9, 2010 Improving patient safety in intensive care units in Michigan. … October 11, 2023 Patient Safety Innovations Preventing Falls … promoting hand hygiene compliance in the hospital setting.

1684. Primary care teams' reported actions to improve medication safety: a qualitative study with insights in high reliability organising. | PSNet
      psnet.ahrq.gov/issue/primary-care-teams-reported-actions-improve-medication-safety-qualitative-study-insights-high
      July 06, 2022 - Primary care teams' reported actions to improve medication safety: a qualitative study with insights in … Improving medication safety in ambulatory care settings is a patient safety priority . … discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective … older adults with a history of falls: a qualitative study. … July 3, 2013 Managing Patients' Medicines after Discharge from Hospital.

1685. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50703/psn-pdf
      December 04, 2019 - /systematic-review-clinical-outcomes-associated-intrahospital-transitions Care transitions between hospitals … This systematic review focused on transitions of care within hospitals (such as within the same unit … two studies demonstrating that the risk of adverse events - such as medication errors, infections or falls … A prior PSNet WebM&M also discussed medication errors that can arise during transitions between hospital

1686. Missed Nursing Care: A Key Measure for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
      March 01, 2018 - acute hospital settings. … well ( 7 ), and there is an increased risk of adverse events and patient falls.( 8 ) Much of the interest … the hospital. … In many countries, hospital mortality rates are used to assess hospital performance. … net hospitals , which have been very difficult to get to change on hospital nurse staffing.

1687. Adverse drug events resulting from patient errors in older adults. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-resulting-patient-errors-older-adults
      March 11, 2011 - Study Adverse drug events resulting from patient errors in older adults. … Adverse Drug Events Resulting from Patient Errors in Older Adults. … Adverse Drug Events Resulting from Patient Errors in Older Adults. … November 2, 2011 Primary care–relevant interventions to prevent falling in older adults … Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital

1688. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet
      psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
      June 15, 2024 - If the hospital Mr. … Focusing on these aspects enables hospitals to elevate safety and quality of care, particularly during … Communication issues contributing to medication incidents: mixed-method analysis of hospitals' incident … April 27, 2022 WebM&M Cases A Tale of Two Falls … July 8, 2008 View More See More About The Topic Hospitals Hospital

1689. Linking patient safety culture to quality ratings in the nursing home setting. | PSNet
      psnet.ahrq.gov/issue/linking-patient-safety-culture-quality-ratings-nursing-home-setting
      June 29, 2022 - Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. … Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. … analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals … fall prevention in a nursing home. … July 15, 2020 Measuring safety climate in elderly homes.

1690. Using name overlap analysis to understand medication name search safety. | PSNet
      psnet.ahrq.gov/issue/using-name-overlap-analysis-understand-medication-name-search-safety
      August 31, 2022 - January 7, 2015 Changes in medical errors after implementation of a handoff program. … Color-coded prefilled medication syringes decrease time to delivery and dosing error in … May 3, 2023 View More Related Resources Reduction in preventable … time-critical dose omissions: impact of electronic medication management systems on in-patients. … October 1, 2008 View More See More About The Topic Hospitals Hospital

1691. Are physicians safely prescribing opioids for chronic noncancer pain? A systematic review of current evidence. | PSNet
      psnet.ahrq.gov/issue/are-physicians-safely-prescribing-opioids-chronic-noncancer-pain-systematic-review-current
      November 07, 2018 - November 7, 2018 Overnight stay in the emergency department and mortality in older patients … Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in … severe adverse events in the adult medical intensive care unit: a seven-year prospective study. … July 18, 2018 Mortality due to hospital-acquired infection after cardiac surgery. … December 2, 2015 View More See More About The Topic Hospitals Health

1692. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. | PSNet
      psnet.ahrq.gov/issue/patient-safety-factors-and-perceived-consequences-nursing-errors-nursing-staff-home-care
      May 18, 2022 - Factors for and perceived consequences of nursing errors by nursing staff in home care services. … March 3, 2021 Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital … fall prevention in a nursing home. … validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals … in home care related to patient safety: a cross-sectional survey.

1693. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. | PSNet
      psnet.ahrq.gov/issue/lawrence-d-dorr-surgical-techniques-technologies-award-running-two-rooms-does-not-compromise
      July 29, 2020 - Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in … Techniques & Technologies Award: "Running Two Rooms" Does Not Compromise Outcomes or Patient Safety in … The practice of scheduling concurrent surgeries—separate procedures performed at overlapping times in … July 29, 2020 Families as partners in hospital error and adverse event surveillance. … a multistate hospital network--13 academic medical centers, April-June 2020.

1694. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. | PSNet
      psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment
      May 24, 2023 - Study Clinicians' perspectives on proactive patient safety behaviors in the perioperative … Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. … Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. … April 12, 2023 Composite measures for profiling hospitals on bariatric surgery performance … October 26, 2022 Crisis recovery in surgery: error management and problem solving in

1695. Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. | PSNet
      psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and
      September 23, 2020 - the Same Author(s) Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020 Families as partners in hospital error and adverse event surveillance … May 18, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … intensive care units in 50 countries.

1696. Update: Patient Engagement in Safety | PSNet
      psnet.ahrq.gov/perspective/update-patient-engagement-safety
      January 01, 2017 - In a population-based study in Iowa, 20% of participants shared that they or someone close to them had … While this intervention did not reduce safety incidents like pressure ulcers or falls , it did identify … In addition to these research interventions, AHRQ released a patient and family engagement guide in … Beyond health IT, a survey of hospital incident managers found that, although they valued the patient … Safety January 1, 2017 View More See More About The Topic Hospitals

1697. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49513/psn-pdf
      July 01, 2006 - Even in the absence of formal guidelines, most hospitals have recognized the risk of intrahospital transport … Finally, even hospitals with reasonably robust policies rarely have systems in place to ensure that … In this case, the hospital did have a system for assessing and communicating the clinical stability of … this study, the authors reported high levels of variability among hospitals in the responsibilities … Are these destinations in the main hospital, adjacent buildings, across the street?

1698. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. | PSNet
      psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients
      September 11, 2019 - Study Work system barriers and facilitators in inpatient care transitions of pediatric … the Same Author(s) Information flow during pediatric trauma care transitions: things falling … functions and outcomes in two handoff processes. … December 18, 2013 Using an inpatient portal to engage families in pediatric hospital … June 23, 2021 High delayed and missed injury rate after inter-hospital transfer of severely

1699. Promoting collaboration and transparency in patient safety. | PSNet
      psnet.ahrq.gov/issue/promoting-collaboration-and-transparency-patient-safety
      June 21, 2016 - Commentary Promoting collaboration and transparency in patient safety. … Promoting collaboration and transparency in patient safety. … Promoting collaboration and transparency in patient safety. … February 5, 2014 Minnesota Hospital Association Statewide Project: SAFE from FALLS. … 12, 2012 Electronic patient identification for sample labeling reduces wrong blood in

1700. Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. | PSNet
      psnet.ahrq.gov/issue/identifying-potential-medication-discrepancies-during-medication-reconciliation-post-acute
      June 17, 2020 - Identifying potential medication discrepancies during medication reconciliation in … that medication discrepancies were highly prevalent between the patients' home medication lists , hospital … Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls … July 1, 2020 The effect of medication reconciliation in elderly patients at hospital … June 13, 2011 Medication discrepancies upon hospital to skilled nursing facility transitions