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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74871/psn-pdf
    October 01, 2023 - ahrq-safety-program-mrsa-prevention Methicillin-resistant Staphylococcus aureus (MRSA) infections are a persistent challenge inhospitals. … project supports the implementation of targeted healthcare-acquired infection prevention initiatives in … The first of three planned toolkits, Toolkit for MRSA Prevention in ICU & Non-ICU Settings, is now available … is planned for spring 2025, and a third toolkit focused on long- term care settings is anticipated in
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46604/psn-pdf
    January 08, 2018 - A significant proportion noted safety incidents in the course of managing chronic illness, including … falls, adverse drug events, and errors in diagnosis or treatment. … These results underscore the need to include patients in efforts to improve the safety of chronic disease
  3. psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
    August 30, 2023 - Review Wireless technologies and patient safety in hospitals. … Wireless technologies and patient safety in hospitals. Telemed J E Health. 2006;12(3):373-82. … Wireless technologies and patient safety in hospitals. Telemed J E Health. 2006;12(3):373-82. … March 13, 2013 The problem of engaging hospital doctors in promoting safety and quality … July 26, 2011 Patient Safety in Public Hospitals.
  4. psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
    May 27, 2011 - Study A human right-based approach to dealing with adverse events in residential … A human right-based approach to dealing with adverse events in residential care facilities. … January 6, 2017 Improving patient safety in the ED waiting room. … hospital settings: a systematic review of the international literature. … March 10, 2021 Assessment of nursing home reporting of major injury falls for quality
  5. psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis
    February 21, 2024 - A critical reflection on the use of SHERPA and FRAM in healthcare. … June 10, 2020 The problem with making Safety-II work in healthcare. … April 13, 2022 Reducing falls in hospitalized children and adolescents with cancer and … August 4, 2021 Families as partners in hospital error and adverse event surveillance. … February 12, 2020 Automatic detection of omissions in medication lists.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60280/psn-pdf
    April 29, 2020 - the biggest threat to patient safety resulting from missed, rationed or unfinished care, and that falls … (with or without injury) and hospital- acquired infections are the most common resulting adverse events
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60028/psn-pdf
    March 11, 2020 - advocacy-and-patient Over 1,000 nurses across 40 medical/surgical or telemetry units throughout seven hospitals
  8. psnet.ahrq.gov/web-mm/standard-deviations
    January 01, 2006 - "( 3 ) In this case, the hospital team provided excellent diagnosis and treatment planning. … In one study, 21% were readmitted within 2 weeks compared to 3% in a matched control group.( 7 ) Hospitals … should develop strategies to prevent AMA discharges just as they develop strategies to prevent falls … the crucial go-between for the hospital staff.( 12 ) Sometimes adjustments in the hospital regimen can … Hospitals should plan in advance how to deal with that risk.
  9. psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings
    April 10, 2013 - Study Patient safety issues in advanced practice nursing students' care settings. … Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. … Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. … 9, 2011 Association of registered nurse and nursing support staffing with inpatient hospital … 27, 2024 Patient Safety Innovations Preventing Falls
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33875/psn-pdf
    March 01, 2019 - The system at Harvard Vanguard had 15 offices; we did deliveries in 5 hospitals and had 4 more for just … And EHR certainly falls into that. … They were in the best position in terms of having hospitals that they were actively affiliated with … Nobody who's going to die should die in a tertiary care hospital unless it's their neighborhood hospital … The person in the secondary hospital is trying to figure out who to call because it's not clear.
  11. psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
    December 24, 2008 - December 24, 2008 AHRQ Health Information Technology Research: 2018 Year in Review. … May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … May 24, 2015 Training of Hospital Staff To Respond to a Mass Casualty Incident. … July 19, 2023 Health IT Patient Safety Supplemental Items for Hospitals. … October 25, 2017 Fall Prevention in Hospitals Training Program.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43016/psn-pdf
    May 28, 2014 - Identification of serious and reportable events in home care: a Delphi survey to develop consensus. … Identification of serious and reportable events in home care: a Delphi survey to develop consensus. … that 10% of home care patients experienced an adverse event, an incidence comparable to that found in … This study used a Delphi approach to determine the types of adverse events in home care that should … be considered serious (in terms of the level of patient harm) and preventable.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49785/psn-pdf
    February 01, 2017 - https://psnet.ahrq.gov/web-mm/refused-medication-error The Case A 59-year-old man was admitted to the hospital … transfers and handoffs, are the leading causes of inadvertent patient harm.(6,7) It is estimated that US hospitals … Throughout the care in the hospital, the patient's refusal to take lactulose had been entered into the … at a Texas hospital that allowed a patient with Ebola to leave the hospital undetected. … Quantifying the economic impact of communication inefficiencies in U.S. hospitals.
  14. psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
    September 27, 2016 - performance management, and training should be the primary emphasis during culture change initiatives within hospitals … April 20, 2011 6-PACK programme to decrease fall injuries in acute hospitals: cluster … February 14, 2017 Assessment of overuse of medical tests and treatments at US hospitals … a VA hospital: design and outcomes. … PhD, MA December 1, 2006 View More See More About The Topic Hospitals
  15. psnet.ahrq.gov/issue/hospital-safety-climate-surveys-measurement-issues
    December 16, 2009 - Hospital safety climate surveys: measurement issues. … December 16, 2009 Senior charge nurses' leadership behaviours in relation to hospital … April 11, 2012 An inpatient fall prevention initiative in a tertiary care hospital. … public hospitals. … August 29, 2007 View More See More About The Topic Hospitals Health
  16. psnet.ahrq.gov/issue/nearly-90-major-medical-mistakes-logged-utah-hospitals-2008
    July 02, 2009 - Citation Text: Nearly 90 major medical mistakes logged at Utah hospitals in 2008. May H. … October 10, 2012 Deaths in Acute Hospitals: Caring to the End? … January 4, 2017 HealthGrades Eighth Annual Patient Safety in American Hospitals Study … Disclosures will benefit hospital, president insists. … August 5, 2009 Never events: Utah hospitals saw nearly 60 serious errors in 2007.
  17. psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
    January 01, 2015 - We spoke with him about applying Lean in hospitals. Dr. … It's no accident that some early adopters of Lean in hospitals were clinical laboratories, where there … In hospital lab settings, there are huge opportunities to improve the way we manage and to engage employees … It's trying to take these caring individuals and caring settings and making the hospital the best hospital … Benefits of this approach include reducing the risk of falls, earlier mobilization following surgery,
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43387/psn-pdf
    August 20, 2014 - The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional … The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional … the rates of six adverse events considered to be directly related to nursing care: pressure sores, falls … One in seven hospitalized adults experienced at least one of these adverse events.
  19. psnet.ahrq.gov/issue/day-joy-died
    August 20, 2018 - October 27, 2010 Improving hospital systems for the care of women with major obstetric … December 3, 2014 View More Related Resources Fire safety in the … November 23, 2024 Patient falls in the operating room: why is this still a problem in … October 4, 2023 Surgeons' leadership style and team behavior in the hybrid operating … October 4, 2023 Factors causing variation in World Health Organization surgical safety
  20. psnet.ahrq.gov/issue/setting-priorities-patient-safety-ethics-accountability-and-public-engagement
    September 29, 2017 - July 1, 2017 Failure to recognize newly identified aortic dilations in a health care … March 20, 2019 Reversing the rise in maternal mortality. … July 31, 2012 Challenges in ethics, safety, best practices, and oversight regarding HIT … March 4, 2011 The competent surgeon: individual accountability in the era of "systems … March 2, 2011 Medicare nonpayment, hospital falls, and unintended consequences.

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