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1741. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866247/psn-pdf
      July 10, 2024 - ) has been used to categorize patient safety reports and reduce the burden of manual review within hospitals … or hospital networks. … Most incidents were medication-related, followed by patient falls, and incidents related to venous thromboembolism

1742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836959/psn-pdf
      April 20, 2022 - safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned- readmissions Older adults are at high risk for 30-day unplanned hospital … readmissions-and-adverse-events-after-discharge https://psnet.ahrq.gov/issue/readmissions-observation-and-hospital-readmissions-reduction-program

1743. Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement. | PSNet
      psnet.ahrq.gov/issue/clinical-uncertainty-primary-care-challenge-collaborative-engagement
      December 23, 2008 - Book/Report Clinical Uncertainty in Primary Care: The Challenge of Collaborative … Citation Text: Clinical Uncertainty In Primary Care. … fall prevention in a nursing home. … August 8, 2014 Engaging Patients in Improving Ambulatory Care. … February 28, 2011 Deficits in communication and information transfer between hospital-based

1744. Taking risky business out of the MRI suite. | PSNet
      psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
      September 12, 2016 - Materials management in health care. 2006;15(1):18-23. … Materials management in health care . 2006; 15 (1) :18-23 . … Materials management in health care. 2006;15(1):18-23. … January 26, 2022 Improving handoffs in the emergency department. … common cause analysis of safety events at a pediatric hospital.

1745. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. | PSNet
      psnet.ahrq.gov/issue/towards-framework-select-techniques-error-prediction-supporting-novice-users-healthcare
      March 28, 2011 - Towards a framework to select techniques for error prediction: supporting novice users in … Towards a framework to select techniques for error prediction: supporting novice users in the healthcare … Towards a framework to select techniques for error prediction: supporting novice users in the healthcare … September 27, 2023 Medication errors in anesthesiology: is it time to train by example … July 19, 2019 Errors and discrepancies in the administration of intravenous infusions

1746. Physician Quality Officer: a new model for engaging physicians in quality improvement. | PSNet
      psnet.ahrq.gov/issue/physician-quality-officer-new-model-engaging-physicians-quality-improvement
      May 03, 2017 - Commentary Physician Quality Officer: a new model for engaging physicians in quality … Physician quality officer: a new model for engaging physicians in quality improvement. … Physician quality officer: a new model for engaging physicians in quality improvement. … March 14, 2022 Medication errors in the homes of children with chronic conditions. … November 16, 2022 Significant and sustained reduction in chemotherapy errors through

1747. Tubing safety in the obstetric setting: preventing medication errors. | PSNet
      psnet.ahrq.gov/issue/tubing-safety-obstetric-setting-preventing-medication-errors
      November 04, 2020 - Commentary Tubing safety in the obstetric setting: preventing medication errors. … Tubing safety in the obstetric setting: preventing medication errors. … Tubing safety in the obstetric setting: preventing medication errors. … November 12, 2014 Families as partners in hospital error and adverse event surveillance … fall prevention in a nursing home.

1748. Eight-year experience with a neurosurgical checklist. | PSNet
      psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
      September 27, 2023 - A 6-item checklist was successfully implemented and used in more than 99% of neurosurgical cases over … June 3, 2020 Quality Improvement in Neurosurgery. … November 14, 2012 Side errors in neurosurgery. … September 15, 2010 Wrong-site sinus surgery in otolaryngology. … May 26, 2010 Third wrong-sided brain surgery at R.I. hospital.

1749. Determining the safety of office-based surgery: what 10 years of Florida data and 6 years of Alabama data reveal. | PSNet
      psnet.ahrq.gov/issue/determining-safety-office-based-surgery-what-10-years-florida-data-and-6-years-alabama-data
      October 04, 2011 - January 12, 2012 Reducing falls in hospitalized children and adolescents with cancer … a West Virginia hospital. … March 17, 2021 Patient safety in the office-based setting. … checklist useful in a broad practice? … October 13, 2010 Detecting adverse events in dermatologic surgery.

1750. The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications | PSNet
      psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
      July 23, 2024 - in practice and high rates of potentially inappropriate use in ten HMS hospitals. 7 Obtaining ID physician … An earlier survey of ten Michigan hospitals found that there was significant variation in clinical practice … For example, 47% of the respondents indicated that 10–25% of PICCs inserted in their hospitals might … Strategies to prevent central line-associated bloodstream infections in acute care hospitals: 2014 update … May 31, 2023 Patient Safety Innovations Preventing Falls

1751. Classics and Emerging Classics | PSNet
      psnet.ahrq.gov/classics
      August 01, 2023 - ) Medical Complications (93) Nosocomial Infections (50) Patient Falls … (691) Children's Hospitals (20) General Hospitals (210) Emergency … their hospitals. … hospitals: a systematic review. … in reducing controlled substance medication errors in hospitals.

1752. Diagnostic reasoning and cognitive biases of nurse practitioners. | PSNet
      psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners
      October 19, 2022 - hospital. … November 29, 2023 Patient safety incidents describing patient falls in critical care … in North West England between 2009 and 2017. … September 12, 2018 Social disparities in patient safety in primary care: a systematic … August 22, 2018 Realist synthesis of intentional rounding in hospital wards: exploring

1753. Creating effective quality-improvement collaboratives: a multiple case study. | PSNet
      psnet.ahrq.gov/issue/creating-effective-quality-improvement-collaboratives-multiple-case-study
      December 19, 2012 - October 1, 2014 Families as partners in hospital error and adverse event surveillance … June 13, 2011 Trends and patterns in reporting of patient safety situations in transplantation … with hospital mortality. … June 30, 2021 Assessment of nursing home reporting of major injury falls for quality … October 6, 2010 Breaking the mould in patient safety.

1754. Crew resource management training--clinicians' reactions and attitudes. | PSNet
      psnet.ahrq.gov/issue/crew-resource-management-training-clinicians-reactions-and-attitudes
      November 16, 2022 - November 16, 2022 Assessment of adverse drug events among patients in a tertiary care … May 20, 2019 Understanding and confronting our mistakes: the epidemiology of error in … November 11, 2015 Hospital-acquired SARS-CoV-2 infection: lessons for public health. … older adults with a history of falls: a qualitative study. … November 30, 2022 Evaluation of communication and safety behaviors during hospital-wide

1755. Diagnostic Error in Medicine. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-medicine-0
      November 28, 2018 - Special or Theme Issue Diagnostic Error in Medicine. … Citation Text: Diagnostic Error in Medicine. Singh H, ed. … June 5, 2013 How Does Hospital Quality Management Drive Quality? … 27, 2024 Patient Safety Innovations Preventing Falls … August 8, 2013 Diagnostic Error in Medicine.

1756. Accuracy of infection reporting in US nursing home ratings. | PSNet
      psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
      August 24, 2022 - Accuracy of infection reporting in US nursing home ratings. … This study used hospital claims to determine the percentage of nursing home residents admitted to a hospital … Accuracy of infection reporting in US nursing home ratings. … February 10, 2015 Assessment of nursing home reporting of major injury falls for quality … awaiting long-term care in hospital.

1757. Incidence and preventability of adverse drug events among older persons in the ambulatory setting. | PSNet
      psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-among-older-persons-ambulatory-setting
      March 11, 2011 - capturing events through a number of strategies that included reports from health care providers, review of hospital … hospital practice: factors associated with turnover, outcomes, and patient safety. … July 19, 2023 Adverse drug events after hospital discharge in older adults: types, severity … older adults with a history of falls: a qualitative study. … July 23, 2008 Predictors of medication errors among elderly hospital patients.

1758. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. | PSNet
      psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis
      October 21, 2020 - Patients and caregivers play an essential role in safe ambulatory care. … January 19, 2022 Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital … in mental health and hospital care. … older adults with a history of falls: a qualitative study. … May 5, 2021 Primary care physician communication at hospital discharge reduces medication

1759. Interventions to increase patient safety in long-term care facilities-umbrella review. | PSNet
      psnet.ahrq.gov/issue/interventions-increase-patient-safety-long-term-care-facilities-umbrella-review
      September 01, 2021 - RIS Download Citation Related Resources From the Same Author(s) Hospital … inpatient falls across clinical departments. … August 2, 2023 National trends in hospital-acquired preventable adverse events after … major cancer surgery in the USA. … complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital

1760. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45769/psn-pdf
      December 21, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National … https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data … nonpayment and reporting requirements have stimulated health care organizations to focus on reducing hospital-acquired … events, catheter-associated urinary tract infections, central line–associated bloodstream infections, falls … https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts