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1881. In Conversation With… Christine Cassel, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-christine-cassel-md
      February 26, 2025 - sector (all the key government agencies) and the private sector (the insurance industry, clinicians, hospitals … feasible is it to get this data, and would it be hugely expensive and very difficult for doctors and hospitals … But these are considered the core harms that, particularly in patient safety, hospitals work to try to … Or a patient falls or gets what might be a preventable pressure ulcer, or a mistake occurs in a surgical … February 10, 2010 View More See More About The Topic Hospitals Health

1882. Non-English speakers find ERs hard to reach. | PSNet
      psnet.ahrq.gov/issue/non-english-speakers-find-ers-hard-reach
      January 18, 2023 - April 29, 2009 Avoidable mistakes rise despite hospital efforts. … July 23, 2010 Medication errors: the year in review. … April 26, 2023 Hospitals look to computers to predict patient emergencies before they … care in a pediatric emergency department. … August 3, 2011 Fixing America's hospitals.

1883. Quality and Patient Safety. | PSNet
      psnet.ahrq.gov/issue/quality-and-patient-safety
      December 24, 2008 - of patient safety resources collected by AHRQ, including a new section summarizing their involvement in … 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. … June 28, 2018 Fall Prevention in Hospitals Training Program. … October 4, 2017 Advances in Patient Safety: From Research to Implementation.

1884. Shift to Safety. | PSNet
      psnet.ahrq.gov/issue/shift-safety
      May 22, 2019 - May 22, 2019 Never Events for Hospital Care in Canada: Safer Care for Patients. … September 23, 2020 The Case for Investing in Patient Safety in Canada. … June 28, 2018 Fall Prevention in Hospitals Training Program. … November 9, 2016 Association for Professionals in Infection Control and Epidemiology. … March 17, 2011 View More See More About The Topic Hospitals Health

1885. IHI Open School Patient Safety Curriculum | PSNet
      psnet.ahrq.gov/issue/patient-safety-curriculum-2nd-edition
      July 12, 2017 - curriculum introduces participants to patient safety concepts and explains how they can be applied in … Human factors engineering , workforce safety, and simulation are new areas of focus in the materials … September 16, 2020 Hospital Preparedness for a COVID-19 Surge: Assessment Tool. … October 24, 2018 Pressure Injury Prevention in Hospitals Training Program. … October 18, 2017 Fall Prevention in Hospitals Training Program.

1886. Flying blind. | PSNet
      psnet.ahrq.gov/issue/flying-blind
      January 18, 2023 - January 30, 2008 Avoidable mistakes rise despite hospital efforts. … July 23, 2010 Medication errors: the year in review. … March 19, 2008 Measuring shared mental models in healthcare. … November 14, 2018 Making Hospitals Safe for People With Diabetes. … July 8, 2016 Plan aims to cut hospital deaths.

1887. Medication reconciliation at hospital discharge: evaluating discrepancies. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
      July 08, 2008 - December 22, 2010 Unintentional discontinuation of chronic medications for seniors in … October 19, 2022 Judgment errors in surgical care. … August 24, 2011 Medication reconciliation in a community, nonteaching hospital. … June 13, 2011 Hospital admission medication reconciliation in medically complex children … October 22, 2008 View More See More About The Topic Specialty Hospitals

1888. In the wake of hospital inquiries: impact on staff and safety. | PSNet
      psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
      January 12, 2022 - Commentary In the wake of hospital inquiries: impact on staff and safety. … In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3. … The authors present several high-profile systems failures in Australian hospitals and how they affected … In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3. … August 9, 2006 View More See More About The Topic Hospitals Health

1889. Mortality rate after nonelective hospital admission. | PSNet
      psnet.ahrq.gov/issue/mortality-rate-after-nonelective-hospital-admission
      January 22, 2016 - Analysis of more than 29 million hospital discharges revealed higher mortality in patients admitted on … Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals … September 27, 2016 Interdisciplinary teamwork in hospitals: a review and practical recommendations … February 23, 2015 Do variations in hospital mortality patterns after weekend admission … September 29, 2009 View More See More About The Topic Hospitals Health

1890. Radio frequency identification applications in hospital environments. | PSNet
      psnet.ahrq.gov/issue/radio-frequency-identification-applications-hospital-environments
      March 24, 2021 - Commentary Radio frequency identification applications in hospital environments. … Radio frequency identification applications in hospital environments. … The authors discuss the potential benefits of radio frequency identification (RFID) in hospitals along … Radio frequency identification applications in hospital environments. … January 25, 2010 View More See More About The Topic Hospitals Quality

1891. Potential for drug interactions in hospitalized cancer patients. | PSNet
      psnet.ahrq.gov/issue/potential-drug-interactions-hospitalized-cancer-patients
      June 07, 2016 - Study Potential for drug interactions in hospitalized cancer patients. … Potential for drug interactions in hospitalized cancer patients. … Potential for drug interactions in hospitalized cancer patients. … August 10, 2010 Medication safety in the ambulatory chemotherapy setting. … September 21, 2009 View More See More About The Topic Hospitals Physicians

1892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60609/psn-pdf
      June 24, 2020 - adverse events including falls, central nervous system depression and respiratory depression.3 Due … In addition to the harm to this patient, this night nurse put the hospital at legal risk by failing to … Hospitals must ensure that new graduates and nurses with less experience have adequate supervision and … supervisors to provide oversight.10 Programs that provide strong orientation and onboarding, not only to the hospital … most community hospitals there are few physicians or pharmacy staff available to the inpatient units

1893. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865872/psn-pdf
      May 15, 2024 - Speaking up and taking action: psychological safety and joint problem-solving orientation in safety … Speaking up and taking action: psychological safety and joint problem-solving orientation in safety … speaking-and-taking-action-psychological-safety-and-joint-problem-solving- orientation-safety When staff feel psychologically safe, they are more likely to engage in … https://psnet.ahrq.gov/issue/physician-and-nurse-well-being-and-preferred-interventions-address-burnout-hospital-practice

1894. Surviving a bad diagnosis. | PSNet
      psnet.ahrq.gov/issue/surviving-bad-diagnosis
      January 19, 2022 - January 19, 2022 Adverse Events in Rehabilitation Hospitals: National Incidence Among … February 15, 2017 Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals … February 11, 2015 Patient Safety Organizations: Hospital Participation, Value, and Challenges … June 22, 2016 Designing and Delivering Whole-Person Transitional Care: Hospital Guide … April 26, 2006 View More See More About The Topic Hospitals Patients

1895. Advocate Health Care: a systemwide approach to quality and safety. | PSNet
      psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
      July 19, 2023 - learning organization recognized for its commitment to quality and safety across multiple locations in … hospital practice: factors associated with turnover, outcomes, and patient safety. … September 18, 2024 Remote patient monitoring improves patient falls and reduces harm. … studies: identifying what contributes to successful interventions to promote hand hygiene in patient … October 21, 2020 Reducing the risk of diagnostic error in the COVID-19 era.

1896. Medication errors, routines, and differences between perioperative and non-perioperative nurses. | PSNet
      psnet.ahrq.gov/issue/medication-errors-routines-and-differences-between-perioperative-and-non-perioperative-nurses
      June 27, 2018 - errors; this concern was echoed by nurses working in other settings. … January 23, 2017 Healthcare-associated infections in Veterans Affairs acute-care and … Exploring organizational context and structure as predictors of medication errors and patient falls … 2011 Physician and nurse well-being and preferred interventions to address burnout in … hospital practice: factors associated with turnover, outcomes, and patient safety.

1897. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. | PSNet
      psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
      November 16, 2016 - Commentary Chemotherapy in home care: one team's performance improvement journey … Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors … a paediatric hospital. … June 21, 2023 The development and implementation of checklists in obstetrics. … Strategies to improve the patient safety outcome indicator: preventing or reducing falls

1898. Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. | PSNet
      psnet.ahrq.gov/issue/safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative-review
      July 05, 2017 - This narrative review of safety in telephone triage found that the lowest error rates occurred in systems … in perinatal settings. … October 1, 2013 Safety in teletriage by nurses and physicians in the United States and … May 1, 2024 Patient falls in the operating room setting: an analysis of reported safety … March 19, 2019 Improving hospital infant safe sleep compliance by using safety prevention

1899. Anesthesia workspaces for safe medication practices: design guidelines. | PSNet
      psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines
      November 29, 2017 - Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in … April 3, 2019 The impact of the built environment on patient falls in hospital rooms: … June 16, 2021 Patient safety in the cardiac operating room: human factors and teamwork … FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in … October 22, 2014 Optimizing Pediatric Patient Safety in the Emergency Care Setting.

1900. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. | PSNet
      psnet.ahrq.gov/issue/sources-and-types-discrepancies-between-electronic-medical-records-and-actual-outpatient
      July 19, 2023 - This study highlights the discrepancies that may occur when conducting medication reconciliation in … The majority of discrepancies noted by investigators were attributed to medications still listed in the … hospital practice: factors associated with turnover, outcomes, and patient safety. … May 19, 2021 Cultural diversity: what role does it play in patient safety? … Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls