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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/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/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/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/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure … (i.e., patient falls, pressure injuries, medication administration errors). … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure … October 27, 2010
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Hospitals
Nurse
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psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture
January 10, 2024 - Review
Impact of short-notice accreditation assessments on hospitals' patient safety … August 18, 2010
Postdischarge adverse events for 1-day hospital admissions in older adults … May 22, 2024
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … February 22, 2023
Cost of inpatient falls and cost-benefit analysis of implementation … Improving Diagnostic Safety and Quality
April 26, 2023
For children admitted to hospital
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psnet.ahrq.gov/issue/beyond-error-qualitative-study-human-factors-serious-adverse-events
December 18, 2024 - Root cause analysis investigation reports from two hospital districts were analyzed. … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024 … 27, 2024
Patient Safety Innovations
Preventing Falls … Dangerous Detour
June 1, 2003
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Hospitals … Hospital Medicine
Error Analysis
Communication between Providers
Provider-Patient Communication
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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/nurses-perceived-skills-and-attitudes-about-updated-safety-concepts-impact-medication
January 03, 2017 - hospitals: a descriptive study. … December 9, 2020
In-hospital sequelae of injurious falls in 24 medical/surgical units … in four hospitals in the United States. … hospital practice: factors associated with turnover, outcomes, and patient safety. … August 2, 2012
Errors in the administration of intravenous medication in Brazilian hospitals
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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/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/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
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psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - Newspaper/Magazine Article
Preventing newborn falls and drops. … while preserving rooming-in on a mother-baby unit. … January 29, 2020
What's in a name? … July 16, 2019
Mother claims hospital error kept her from newborn daughter. … June 13, 2011
Safety shortcomings spotted in Sunrise catheter case.
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psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
Patients who have fallen in … issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
https://psnet.ahrq.gov/primer/falls … https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
https: … //psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study … https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study
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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/issue/strategies-improve-patient-safety-outcome-indicator-preventing-or-reducing-falls
March 24, 2021 - Strategies to improve the patient safety outcome indicator: preventing or reducing falls … Strategies to improve the patient safety outcome indicator: preventing or reducing falls. … Strategies to improve the patient safety outcome indicator: preventing or reducing falls. … caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital … July 10, 2019
Techniques to improve patient safety in hospitals: what nurse administrators
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psnet.ahrq.gov/issue/negligence-genuine-error-and-litigation
July 10, 2024 - January 23, 2019
The impact of anti-infective drug shortages on hospitals in the United … April 21, 2015
The effect of health information technology on quality in U.S. hospitals … May 22, 2013
Minnesota Hospital Association Statewide Project: SAFE from FALLS. … October 19, 2012
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries … September 20, 2011
Medicare nonpayment, hospital falls, and unintended consequences.
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psnet.ahrq.gov/node/851658/psn-pdf
July 26, 2023 - The spectrum of hospitalization-associated harm in the
elderly.
July 26, 2023
Schattner A. … The spectrum of hospitalization-associated harm in the elderly. … older adults, including unnecessary testing or
procedures, nosocomial infections, medical errors, falls … patient-safety-frail-older-patients
https://psnet.ahrq.gov/issue/assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims … https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
October 21, 2020 - Falls and delays in diagnosis, treatment, or surgery were the most common adverse events related to … clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital … 14, 2023
Patient Safety Innovations
Preventing Falls … June 15, 2016
Partnering to prevent falls: using a multimodal multidisciplinary team. … Another Fall
April 1, 2003
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Hospitals
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psnet.ahrq.gov/node/46009/psn-pdf
September 13, 2017 - Use of standard risk screening and assessment forms to
prevent harm to older people in Australian hospitals … Use of standard risk screening and assessment forms to prevent harm to older
people in Australian hospitals … screening tools are frequently used to assess risk among hospitalized older patients to
prevent harm from falls … long-term-outcomes-medication-intervention-using-screening-tool-older-persons-potentially
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities