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1901. Infection Prevention Compendium For Long-Term Care Facilities. | PSNet
      psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities
      November 08, 2017 - Healthcare-associated infections (HAIs) challenge safety in long-term care . … (s) Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in … 2017 2015 Rosenthal Symposium: Protecting Patients: Advances and Future Directions in … 2022 View More Related Resources The Nursing Home Expert Panel’s Falls … August 12, 2020 Northeastern University Hospital Surge Capacity Planning Model: Bed,

1902. A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service. | PSNet
      psnet.ahrq.gov/issue/prospective-review-adverse-events-during-interhospital-transfers-neonates-dedicated-neonatal
      March 03, 2011 - March 3, 2011 Prescription of long-acting opioids and mortality in patients with chronic … Implementation of an integrated computerized prescriber order-entry system for chemotherapy in … April 26, 2023 Multifactorial interventions to reduce duration and variability in … delays to identification of serious injury after falls in hospital inpatients. … Part 2: safety in patient retrieval systems.

1903. How is medication prescribing ceased? A systematic review. | PSNet
      psnet.ahrq.gov/issue/how-medication-prescribing-ceased-systematic-review
      June 14, 2019 - Clinicians often must have patients discontinue taking inappropriate or potentially harmful medications, in … in 38 countries (PRICOV-19). … November 16, 2011 Families as partners in hospital error and adverse event surveillance … Care March 27, 2024 Perspective Patient Safety in … 31, 2024 Patient Safety Innovations Preventing Falls

1904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867359/psn-pdf
      December 18, 2024 - the hospital. … 1991, the WHO and UNICEF launched the “Baby-Friendly Hospital Initiative” and encouraged hospitals … looking at the second case through the lens of preventing medical errors, this likely falls in the category … In-hospital formula feeding and breastfeeding duration. Pediatrics. 2020;146(1):e20201221. … In-hospital formula feeding and breastfeeding duration. Pediatrics. 2020 Jul 1;146(1).

1905. Time out: an analysis. | PSNet
      psnet.ahrq.gov/issue/time-out-analysis
      October 19, 2022 - August 11, 2021 Delayed diagnosis of serious paediatric conditions in 13 regional emergency … August 13, 2010 The impact of adding a 2-way video monitoring system on falls and costs … April 24, 2024 Factor structure and construct validity of a hospital survey on patient … June 9, 2021 Just culture: the foundation of staff safety in the perioperative environment … July 29, 2009 AORN Guidance Statement: Safe Medication Practices in Perioperative Settings

1906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33856/psn-pdf
      April 01, 2018 - admitted to the hospital in the United States 35 million times per year.(1) The discharge period—when … Impaired mobility from deconditioning increases the risk of falls, as well as preventing the patient … care providers to "pull patients back in" to care in the post-hospital environment are among the most … Fast Facts on US hospitals. Chicago, IL: American Hospital Association; January 2015. … Deficits in communication and information transfer between hospital-based and primary care physicians

1907. Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN). | PSNet
      psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy
      July 14, 2010 - underutilized in ambulatory practice.  … July 14, 2010 Management of test results in family medicine offices. … April 12, 2011 Reduced postdischarge incidents after implementation of a hospital-to-home … frequencies in the primary health care setting. … November 14, 2011 Primary care–relevant interventions to prevent falling in older adults

1908. AHRQ Impact Case Studies: Patient Safety. | PSNet
      psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety
      October 23, 2019 - May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … March 4, 2024 Overall Hospital Quality Star Ratings. … July 10, 2019 Fall Prevention in Hospitals Training Program. … October 4, 2017 Advances in Patient Safety: From Research to Implementation. … May 13, 2015 View More See More About The Topic Hospitals Health Care

1909. Safety Quality and Informatics Leadership Program. | PSNet
      psnet.ahrq.gov/issue/safety-quality-and-informatics-leadership-program
      May 01, 2015 - July 16, 2018 Fall Prevention in Hospitals Training Program. … October 4, 2017 Towards safer transitions: a curriculum to teach and assess hospital-to-hospice … acute hospital settings—limited evidence of effectiveness. … November 17, 2010 View More See More About The Topic Hospitals Quality … and Safety Professionals Hospital Medicine Epidemiology of Errors and Adverse Events Education

1910. TeamSTEPPS Core Curriculum. | PSNet
      psnet.ahrq.gov/issue/teamstepps-core-curriculum
      August 01, 2012 - The curriculum offers training for participants to implement TeamSTEPPS ® in their organizations. … May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … July 12, 2018 Pressure Injury Prevention in Hospitals Training Program. … October 18, 2017 Fall Prevention in Hospitals Training Program. … February 10, 2015 View More See More About The Topic Hospitals Health

1911. MHA and MHA Keystone Center Annual Reports. | PSNet
      psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report
      September 26, 2016 - Okemos, MI: Michigan Health & Hospital Association. … Okemos, MI: Michigan Health & Hospital Association. … Explorations in Quality Assessment and Monitoring. … August 9, 2013 The Patient Safety Initiative at America’s Public Hospitals: The Year … July 1, 2009 View More See More About The Topic Hospitals Health Care

1912. Managing Ascites: Hazards of Fluid Removal | PSNet
      psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
      June 01, 2018 - hospital admission since the presence of alcohol confirms continued drinking and precludes liver transplantation … Perhaps the patient in this case was eating more pre-prepared meals, which are high in salt content, … resolve in the short term. … As you drain fluid, the pressure in the abdomen falls exponentially and very rapidly, leading to a rapid … reduction in right atrial pressure.

1913. Few hospitals are willing to bear the cost of providing psychiatric care for kids. | PSNet
      psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids
      March 15, 2023 - Newspaper/Magazine Article Few hospitals are willing to bear the cost of providing … Citation Text: Few hospitals are willing to bear the cost of providing psychiatric care for kids. … April 14, 2021 Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable … April 5, 2023 Crisis in the Lakeshore Hospital ER. … Children's Hospitals Mental Health Care (Psychiatry and Clinical Psychology) View More

1914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40578/psn-pdf
      July 06, 2011 - In 2003 ACGME regulations came out and, for the first time, limited housestaff work hours. … In late 2007, the Institute of Medicine (IOM)—responding to strong concerns voiced by the US Congress—assessed … The report serves as a guide and foundation for policymakers, hospital administrators, and residency … that tightened the 2003 mandates still fall considerably short of the IOM recommendations and those in

1915. Medication/Drug Errors | PSNet
      psnet.ahrq.gov/curated-library/medicationdrug-errors
      March 12, 2021 - hospital medication safety behaviours. … This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress … Newspaper/Magazine Article Safety enhancements every hospital must consider in … infections, medication errors, inpatient suicide, and specific clinical harms such as falls and pressure … Study Adverse drug events after hospital discharge in older adults: types, severity

1916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840139/psn-pdf
      November 16, 2022 - //psnet.ahrq.gov/issue/cdc-clinical-practice-guideline-prescribing-opioids-pain-united-states-2022 In … sickle cell disease or cancer or to patients receiving palliative or end-of-life care, or for patients in … the emergency department or admitted to the hospital.

1917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74029/psn-pdf
      January 01, 2022 - Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping … Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping … This scoping review explores patient safety strategies used in psychiatry. … These strategies primarily target reductions in suicide, self- harm, violence, and falls.

1918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61018/psn-pdf
      October 14, 2020 - Findings indicate that opioid use after active cancer treatment was associated with a 15-fold increase in … risk of adverse events (including overdose) and an increased risk in adverse events related to opioid … use, including falls, fractures, and hospitalization.

1919. Reporting and second-order problem solving can turn short-term fixes into long-term remedies. | PSNet
      psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies
      May 07, 2018 - May 5, 2018 Reducing preventable harm in hospitals. … October 22, 2014 The leader's role in medical device safety. … November 2, 2012 Announcing 2009 Leapfrog top hospitals. … December 16, 2009 Fixing America's hospitals. … Care Providers Health Care Executives and Administrators Hospital Medicine Medication Safety

1920. Assessing patient safety culture: a review and synthesis of the measurement tools. | PSNet
      psnet.ahrq.gov/issue/assessing-patient-safety-culture-review-and-synthesis-measurement-tools
      July 10, 2008 - July 10, 2008 Patient safety climate in hospitals: act locally on variation across units … September 24, 2017 The association of hospital quality ratings with adverse events. … December 29, 2014 Error reporting and disclosure systems: views from hospital leaders … review: do patients know something that hospitals do not? … April 26, 2012 An inpatient fall prevention initiative in a tertiary care hospital.