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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - psychiatric disorder in the hospital setting … bridle securement device may have prevented dislodgement of the first NGT.
– After events of this type, hospitals … every US hospital. … the hospital setting and is safe in most
cases, but there can be serious complications such as esophageal … I-DECIDED®—A decision tool for assessment and management of invasive devices in the hospital setting.
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psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
December 22, 2018 - October 7, 2020
Communication failures contributing to patient injury in anaesthesia … fall prevention in a nursing home. … December 11, 2024
Fire safety in the operating room. … the operating room setting in a tertiary academic center. … a paediatric hospital.
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psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
May 08, 2017 - May 27, 2020
Root cause analysis of reported patient falls in ORs in the Veterans Health … January 18, 2013
Prevalence and causes of diagnostic errors in hospitalized patients … April 12, 2023
The effect of bedrails on falls and injury: a systematic review of clinical … April 11, 2011
The Quality in Australian Health Care Study. … May 22, 2019
Walking the tightrope: communicating overdiagnosis in modern healthcare.
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psnet.ahrq.gov/issue/safe-administration-medication-school-policy-statement
May 31, 2023 - Organizational Policy/Guidelines
Safe Administration of Medication in School: Policy … Safe Administration of Medication in School: Policy Statement. … Safe Administration of Medication in School: Policy Statement. … January 6, 2017
Families as partners in hospital error and adverse event surveillance … children and adolescents in outpatient settings: clinical practice guideline.
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psnet.ahrq.gov/issue/exploring-how-nursing-schools-handle-student-errors-and-near-misses
May 28, 2014 - Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in … The attitudes of nursing students and clinical instructors towards reporting irregular incidents in … Seeing through Google Glass: using an innovative technology to improve medication safety behaviors in … March 13, 2014
Learning in action: developing safety improvement capabilities through … October 19, 2011
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See More About The Topic
Hospitals
Nurses
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psnet.ahrq.gov/issue/seen-through-patients-eyes-safety-chronic-illness-care
May 16, 2018 - falls , adverse drug events , and errors in diagnosis or treatment. … An extensive evaluation of safety culture in a radiotherapy institute. … June 14, 2019
Intensive care medicine in 2050: preventing harm. … May 1, 2019
The global burden of diagnostic errors in primary care. … January 31, 2013
Preventing communication errors in telephone medicine.
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm
August 10, 2022 - safety collaborative impact on hospital-acquired harm. … Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. … Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. … in children's hospitals. … a children's hospital.
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psnet.ahrq.gov/issue/malnutrition-hospitalized-adults-systematic-review
December 21, 2022 - Book/Report
Malnutrition in Hospitalized Adults: A Systematic Review. … Citation Text:
Malnutrition in Hospitalized Adults: A Systematic Review. … provides a comprehensive evidence analysis on the patient malnutrition literature, the relationship of in-hospital … September 29, 2017
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See More About The Topic
Hospitals
Health … Care Executives and Administrators
Facility and Group Administrators
Nutrition/Dietetics
Hospital
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psnet.ahrq.gov/issue/communicating-uncertainty-narrative-review-and-framework-future-research
February 24, 2021 - explaining contingency plans as strategies for effective discussions when uncertainty is present in … May 25, 2022
Omissions of care in nursing homes: a uniform definition for research and … and Quality
April 26, 2023
Towards conceptualizing patients as partners in … April 21, 2021
The patient died: what about involvement in the investigation process? … June 24, 2020
A systematic review of falls in hospital for patients with communication
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psnet.ahrq.gov/issue/scoping-review-studies-evaluating-frailty-and-its-association-medication-harm
May 25, 2022 - Download Citation
Related Resources From the Same Author(s)
Opioids and falls … risk in older adults: a narrative review. … February 16, 2022
Drug-drug interactions and prescription appropriateness at hospital … September 28, 2022
Medication errors and processes to reduce them in care homes in the … coordination reported in a national study of older US adults.
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psnet.ahrq.gov/node/865484/psn-pdf
April 03, 2024 - In this study, records of patients with incidental imaging findings (IIF) were
reviewed to determine … if IIFs were included on hospital discharge summaries and if the patients were
aware of them.
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psnet.ahrq.gov/node/35572/psn-pdf
February 03, 2011 - AHRQ-funded
study examined the status and evolution of patient safety systems through a survey of acute care hospitals … in Missouri and Utah. … More than 100
hospitals completed the survey in 2002 and again in 2004. … Findings demonstrated only modest
improvements in certain areas with variability noted in others. … An accompanying editorial (link below) provides an overview of the factors and
challenges involved in
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psnet.ahrq.gov/node/864865/psn-pdf
March 20, 2024 - March 20, 2024
Sacramento, CA: Hospital Quality Institute; 2024. … patient
safety organization data explores the role of workforce demands during the crisis to affect falls
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psnet.ahrq.gov/node/48067/psn-pdf
June 12, 2019 - Maternal sleepiness and risk of infant drops in the
postpartum period. … Maternal Sleepiness and Risk of Infant Drops in the Postpartum
Period. … maternal-sleepiness-and-risk-infant-drops-postpartum-period
https://psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators
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psnet.ahrq.gov/node/73967/psn-pdf
October 13, 2021 - physical-environment-often-unconsidered-patient-safety-tool
https://psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review
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psnet.ahrq.gov/issue/what-patient-centered-should-mean-confessions-extremist
August 04, 2021 - August 4, 2021
Transforming concepts in patient safety: a progress report. … May 5, 2016
Measuring patient safety in real time: an essential method for effectively … November 18, 2015
Disseminating innovations in health care. … Related Resources
Patient Safety Innovations
Preventing Falls … February 10, 2015
Lack of patient knowledge regarding hospital medications.
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psnet.ahrq.gov/issue/wristband-standardization-initiative
January 08, 2020 - Texas Hospital Association. … Texas Hospital Association. … A COVID-19 Resource for Hospital and Health System Leaders. … Related Resources
Patient Safety Innovations
Preventing Falls … December 3, 2008
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See More About The Topic
Hospitals
Health
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psnet.ahrq.gov/issue/advanced-practice-nursing-students-identification-patient-safety-issues-ambulatory-care
March 02, 2012 - Study
Advanced practice nursing students' identification of patient safety issues in … Advanced practice nursing students' identification of patient safety issues in ambulatory care. … 9, 2011
Association of registered nurse and nursing support staffing with inpatient hospital … in the primary health care setting. … March 24, 2011
Primary care–relevant interventions to prevent falling in older adults
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psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
November 10, 2011 - September 11, 2009
Examining the Increase in Drug Shortages. … October 24, 2018
Australian hospital leaders on the provision of safe care: implications … January 28, 2015
Windows into Safety and Quality in Health Care 2008. … January 8, 2025
Patient falls in the operating room: why is this still a problem in 2024 … learned and considerations to promote further improvement in patient safety.
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psnet.ahrq.gov/issue/state-science-safe-medication-administration
June 22, 2009 - The University of Pennsylvania School of Nursing, the Hospital of the University of Pennsylvania, the … July 14, 2009
Will the COVID-19 pandemic transform infection prevention and control in … maternity care in the United States. … December 18, 2017
Special Issue on Falls. … January 23, 2008
Quantifying nursing workflow in medication administration.