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psnet.ahrq.gov/issue/nursing-strategies-safeguard-covid-19-patients-harm-intensive-care-unit
July 31, 2013 - Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. … article discusses how the COVID-19 pandemic has impacted nursing care , highlighting implications on hospital-acquired … infections, patient safety events (such as falls and medication errors), and patient mental health … older patients with severe COVID-19 in intensive care unit. … February 2, 2022
Inpatient telemedicine and new models of care during COVID-19: hospital
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psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-facilities-costs
March 29, 2010 - Review
Computerized physician order entry with clinical decision support in long-term … In analyzing barriers that prevent broad use of computerized physician order entry (CPOE) in long-term … April 28, 2021
Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care. … May 27, 2011
Year in review: medication mishaps in the elderly.
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psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic
March 09, 2022 - Review
Electronic health record nudges and health care quality and outcomes in primary … This review summarizes the association between EHR nudges and health outcomes in primary care. … hospitals: a descriptive study. … March 24, 2019
Changes in medication safety indicators in England throughout the covid … children and adolescents in outpatient settings: clinical practice guideline.
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - Supporting a psychiatric hospital culture of safety. … Supporting a psychiatric hospital culture of safety. … the hospital setting among Black women in the United States. … hospitals. … acute hospital settings: a scoping review.
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psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-netherlands
August 12, 2020 - Study
Diffusing aviation innovations in a hospital in the Netherlands. … Diffusing aviation innovations in a hospital in The Netherlands. … Diffusing aviation innovations in a hospital in The Netherlands. … acute care hospitals. … June 3, 2009
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Specialty Hospitals
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psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings
March 09, 2022 - Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. … August 5, 2020
Risk-adjusted survival for adults following in-hospital cardiac arrest … March 6, 2024
The complexities of communication at hospital discharge of older patients … older adults with a history of falls: a qualitative study. … during the COVID-19 pandemic in the UK-Qualitative assessment.
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psnet.ahrq.gov/issue/systematic-literature-review-effectiveness-and-safety-paediatric-hospital-home-care
December 12, 2014 - substitute for hospital care. … The hospital-at-home (HAH) model allows patients to receive hospital-level care in their homes. … review identified 25 articles (18 interventions) comparing outcomes of pediatric HAH care to standard in-hospital … Hospital at home was not associated with increased hospital readmissions or adverse events. … sectional surveys of nurses and patients in 12 countries in Europe and the United States.
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psnet.ahrq.gov/issue/influence-doctor-patient-conversations-behaviours-patients-presenting-primary-care-new-or
February 17, 2021 - Despite many advances in cancer treatment, delays in cancer diagnosis cause substantial morbidity and … : longitudinal patient record review in 21 English general practices. … November 12, 2014
Relationship between preventable hospital deaths and other measures … older adults with a history of falls: a qualitative study. … January 7, 2015
Primary care physician communication at hospital discharge reduces medication
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psnet.ahrq.gov/issue/regret-among-primary-care-physicians-survey-diagnostic-decisions
November 13, 2019 - Healthcare providers may feel regret when the care they provide falls short of expectations. … study solicited experiences from 29 German primary care providers about diagnostic errors resulting in … December 13, 2023
Assessing patients' perceptions of safety culture in the hospital setting … study of triggers and effects of tense communication episodes in surgical teams. … care or hospital outpatient settings has COVID-19 disease.
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psnet.ahrq.gov/issue/healing-our-own-randomized-trial-assess-benefits-peer-support
May 19, 2021 - Peer support programs are increasingly used to support clinicians involved in adverse events. … events can effectively support providers in short periods of time (for example, 92% of participants … in rural emergency departments. … to identification of serious injury after falls in hospital inpatients. … English hospital organizations?
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psnet.ahrq.gov/issue/stakeholder-perspectives-contributors-delayed-and-inaccurate-diagnosis-cardiovascular-disease
August 18, 2021 - their experiences and challenges in coming to an accurate diagnosis . … Related Resources From the Same Author(s)
Optimizing Therapy to Prevent Avoidable Hospital … Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. … multistate hospital network--13 academic medical centers, April-June 2020. … older adults with a history of falls: a qualitative study.
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psnet.ahrq.gov/issue/how-do-patients-respond-safety-problems-ambulatory-care-results-retrospective-cross-sectional
September 15, 2021 - How do patients respond to safety problems in ambulatory care? … How do patients respond to safety problems in ambulatory care? … September 15, 2021
How do hospital inpatients conceptualise patient safety? … December 14, 2022
Why do hospital prescribers continue antibiotics when it is safe to … September 2, 2020
Do falls and other safety issues occur more often during handovers
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psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
December 23, 2020 - describes chiropractic safety incidents reported to an online reporting and learning system used in … Documented areas for learning and safety improvement included reducing patient falls, improving continuity … hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. … January 3, 2017
Variation in electronic test results management and its implications … out-of-hospital care: an ethnographic view.
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psnet.ahrq.gov/issue/multiple-meanings-resilience-health-professionals-experiences-dual-element-training
August 10, 2022 - February 3, 2021
Emotion and coping in the aftermath of medical error: a cross-country … hospital. … Use of heuristics during the clinical decision process from family care physicians in … May 31, 2023
Patient Safety Innovations
Preventing Falls … April 20, 2022
Nurses' attitudes to a medical emergency team service in a teaching hospital
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psnet.ahrq.gov/node/36604/psn-pdf
June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports. … Since 2003, Minnesota hospitals have been required to report such incidents. … summarizes information about 610 adverse events that were reported, representing a
significant increase in … The rise documented here is likely due to demands on staffing,
general increases in patient complexity
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psnet.ahrq.gov/issue/2015-patient-safety-core-topics-and-tips
July 05, 2017 - September 25, 2019
How reliable are clinical systems in the UK NHS? … July 28, 2013
Clinical risk management in hospitals: strategy, central coordination and … November 16, 2011
An inpatient fall prevention initiative in a tertiary care hospital … April 21, 2010
10 Patient Safety Tips for Hospitals. … Care Providers
Risk Managers
General Internal Medicine
Hospital Medicine
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psnet.ahrq.gov/issue/hospital-error-oversight-called-lax-state-takes-too-long-investigate-mistakes-patient
May 04, 2015 - This article explores inefficiencies in the process for reporting and investigating adverse events in … January 18, 2006
Hospitals save money, but safety is questioned. … January 4, 2006
Settlement to be used for hospital training in labeling medicines. … July 20, 2005
Hospital design plays important role in patient outcomes. … April 27, 2005
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Hospitals
Facility
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psnet.ahrq.gov/issue/center-diagnostic-excellence
July 09, 2019 - April 27, 2022
Structural empowerment, Magnet hospital characteristics, and patient safety … July 21, 2010
Workplace empowerment and magnet hospital characteristics as predictors … June 8, 2023
Recognizing Excellence in Diagnosis. … March 19, 2018
Fall Prevention in Hospitals Training Program. … September 21, 2016
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Hospitals
Health
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psnet.ahrq.gov/issue/university-michigans-patient-safety-enhancement-program-psep
August 31, 2016 - 52 Michigan hospitals. … April 14, 2021
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians … hospitals. … June 24, 2019
Fall Prevention in Hospitals Training Program. … March 6, 2005
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Hospitals
Health Care
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psnet.ahrq.gov/node/866621/psn-pdf
August 28, 2024 - But it falls
short because it emphasizes the few things that go wrong rather than seeking to understand … This increase in
complexity in the healthcare system and recognition of the importance of evaluating … As Safety-II has gained traction, there has been an increase in its practical application in patient … For example, New York Health and Hospitals pioneered what they call a
success cause analysis, which … Children’s
Hospital of Philadelphia Research Institute. January 26, 2024. Accessed July 26, 2024.