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1961. Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. | PSNet
      psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
      July 08, 2015 - This newsletter article examines survey responses from nearly 400 hospitals which demonstrated modest … progress in implementation of medication safety best practices that recommended strategies to augment … March 14, 2012 Lack of patient knowledge regarding hospital medications. … Patient Safety March 1, 2007 View More See More About The Topic Hospitals … Health Care Providers Health Care Executives and Administrators Hospital Medicine Hospital

1962. Increasing demands for quality measurement. | PSNet
      psnet.ahrq.gov/issue/increasing-demands-quality-measurement
      November 16, 2022 - multistate hospital network--13 academic medical centers, April-June 2020. … October 19, 2022 Achieving rapid door-to-balloon times: how top hospitals improve complex … May 20, 2014 The Patient Safety Initiative at America’s Public Hospitals: The Year One … April 1, 2010 Medication errors in family practice, in hospitals and after discharge … from the hospital: an ethical analysis.

1963. Drug shortages continue to compromise patient care. | PSNet
      psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
      February 24, 2016 - July 25, 2018 Anticoagulant safety takes center stage in 2007. … aureus: hospital-level analysis of administrative data from the United States. … York State Hospitals. … June 27, 2018 The other opioid crisis: hospital shortages lead to patient pain, medical … September 6, 2016 View More See More About The Topic Hospitals Facility

1964. 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? | PSNet
      psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect-tyre-nichols
      July 19, 2023 - September 6, 2023 Hospitals in two states denied an abortion to a miscarrying patient … May 31, 2023 Few hospitals are willing to bear the cost of providing psychiatric care … March 8, 2023 Crisis in the Lakeshore Hospital ER. … May 25, 2022 EMS crews brought patients to the hospital with misplaced breathing tubes … out-of-hospital care: an ethnographic view. 

1965. A concept analysis of systems thinking. | PSNet
      psnet.ahrq.gov/issue/concept-analysis-systems-thinking
      August 20, 2018 - July 5, 2017 Families as partners in hospital error and adverse event surveillance. … hospital practice: factors associated with turnover, outcomes, and patient safety. … September 18, 2019 Organizational learning in hospitals: a realist review. … August 21, 2019 Organisational learning in hospitals: a concept analysis. … November 27, 2013 Fall prevention in hospitals: an integrative review.

1966. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33788/psn-pdf
      June 01, 2015 - 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 … Or a patient falls or gets what might be a preventable pressure ulcer, or a mistake occurs in a surgical … err-human-building-safer-health-system https://psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details

1967. First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP). | PSNet
      psnet.ahrq.gov/issue/first-annual-review-data-submitted-ismp-national-vaccine-errors-reporting-program-verp
      June 10, 2018 - July 3, 2013 Managing Patients' Medicines after Discharge from Hospital. … June 29, 2011 Frequency of and risk factors for preventable medication-related hospital … admissions in the Netherlands. … May 13, 2009 Medication errors in family practice, in hospitals and after discharge from … the hospital: an ethical analysis.

1968. Technology and error-prevention strategies: why are we still overlooking the IV room? | PSNet
      psnet.ahrq.gov/issue/technology-and-error-prevention-strategies-why-are-we-still-overlooking-iv-room
      July 08, 2015 - February 1, 2023 Selected medication safety risks to manage in 2016 that might otherwise … June 16, 2019 ASHP guidelines on preventing medication errors in hospitals. … June 10, 2018 Paralyzed by mistakes: reassess the safety of neuromuscular blockers in … April 12, 2006 View More See More About The Topic Hospitals Pharmacists … Hospital Medicine Hospital Pharmacy Medication Errors/Preventable Adverse Drug Events

1969. How chaos at chain pharmacies is putting patients at risk. | PSNet
      psnet.ahrq.gov/issue/how-chaos-chain-pharmacies-putting-patients-risk
      June 12, 2019 - Pharmacists are instrumental to safe medication use in the ambulatory setting. … May 16, 2018 Reducing preventable harm in hospitals. … February 12, 2016 Investigators find hospital error caused mother’s death in Brooklyn … January 24, 2024 A night in the hospital, from both ends of the stethoscope. … September 20, 2023 Hospitals in two states denied an abortion to a miscarrying patient

1970. Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers. | PSNet
      psnet.ahrq.gov/issue/bleeding-and-pain-pregnant-woman-louisiana-couldnt-get-answers
      January 18, 2023 - Citation Text: Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers. … January 18, 2023 Preeminent hospitals penalized over rates of patients’ injuries. … February 19, 2020 Half of hospitals in Conn., Del. hit by Medicare's safety penalties … Rural hospitals weigh keeping obstetric units when births decline. … June 7, 2023 Hospitals in two states denied an abortion to a miscarrying patient.

1971. Beyond the Quick Fix: Strategies for Improving Patient Safety. | PSNet
      psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety
      March 14, 2018 - February 8, 2017 Never Events for Hospital Care in Canada: Safer Care for Patients. … Patient Safety in Canada. … November 30, 2016 Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 … November 25, 2015 Never Events for Hospital Care in Canada: Safer Care for Patients. … September 23, 2015 View More See More About The Topic Hospitals Health

1972. Challenge Competition: Impact of Patient Safety Tools. | PSNet
      psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
      December 24, 2008 - hospitals , emergency departments, long-term care facilities, and ambulatory settings to prevent … 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. … February 15, 2023 A scoping review of adverse incidents research in aged care homes: … August 26, 2020 View More See More About The Topic Researchers Hospitals

1973. Adverse Health Events in Minnesota: Annual Reports. | PSNet
      psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
      February 28, 2015 - Since 2003, Minnesota hospitals have been required to report such incidents. … March 14, 2022 Quantifying discharge medication reconciliation errors at 2 pediatric hospitals … January 16, 2025 Your Safety in our Hands in Hospital. … DeBakey VA Medical Center in Houston, Texas. … View More See More About The Topic Outpatient Surgery Psychiatric Facilities Hospitals

1974. State sepsis mandates—a new era for regulation of hospital quality. | PSNet
      psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital-quality
      October 02, 2019 - State Sepsis Mandates - A New Era for Regulation of Hospital Quality. … State Sepsis Mandates - A New Era for Regulation of Hospital Quality. … safety-net hospitals: an analysis of Medicare's SEP-1 performance measure. … May 5, 2021 Delayed time to defibrillation after in-hospital cardiac arrest. … May 20, 2020 View More See More About The Topic Hospitals Facility

1975. Hospital nurses' work environment characteristics and patient safety outcomes: a literature review. | PSNet
      psnet.ahrq.gov/issue/hospital-nurses-work-environment-characteristics-and-patient-safety-outcomes-literature
      October 24, 2018 - acute-care hospitals. … October 27, 2021 Organizational learning in hospitals: a realist review. … August 20, 2018 Realist synthesis of intentional rounding in hospital wards: exploring … April 27, 2016 Fall prevention in hospitals: an integrative review. … March 2, 2012 View More See More About The Topic Hospitals Nurses

1976. The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. | PSNet
      psnet.ahrq.gov/issue/human-factor-improve-patients-safety-hospitals-urged-adjust-how-staff-use-new-technology
      April 22, 2016 - Nurses' perception of medication administration errors and factors associated with their reporting in … January 17, 2024 Prevalence, causes and severity of medication administration errors in … December 14, 2022 Miscoding, misclassification and misdiagnosis of diabetes in primary … February 22, 2012 A proposed approach to allegations of sexual boundary violation in … November 1, 2012 Computer viruses are "rampant" on medical devices in hospitals.

1977. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." | PSNet
      psnet.ahrq.gov/issue/hospitalization-associated-disability-she-was-probably-able-ambulate-im-not-sure
      August 04, 2015 - This commentary reviews the epidemiology of hospital-associated disability—the long-term loss of ability … Download Citation Related Resources From the Same Author(s) Support from hospital … UK hospitals. … November 4, 2015 Detection of adverse events in an acute geriatric hospital over a 6- … February 11, 2009 View More See More About The Topic Specialty Hospitals

1978. Nurse practitioner–led medication reconciliation in critical access hospitals. | PSNet
      psnet.ahrq.gov/issue/nurse-practitioner-led-medication-reconciliation-critical-access-hospitals
      March 18, 2020 - Study Nurse practitioner–led medication reconciliation in critical access hospitals … Nurse Practitioner–led Medication Reconciliation in Critical Access Hospitals. … Nurse Practitioner–led Medication Reconciliation in Critical Access Hospitals. … March 29, 2023 Predictive combinations of monitor alarms preceding in-hospital code blue … August 22, 2012 Patients taking their own medications while in the hospital.

1979. Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? | PSNet
      psnet.ahrq.gov/issue/learning-mistakes-new-zealand-hospitals-what-else-do-we-need-besides-no-fault
      March 16, 2022 - Study Learning from mistakes in New Zealand hospitals: what else do we need besides … Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? … Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? … March 16, 2022 Hospital-readmission risk--isolating hospital effects from patient effects … May 24, 2010 View More See More About The Topic Hospitals Facility

1980. Reducing medication errors for adults in hospital settings. | PSNet
      psnet.ahrq.gov/issue/reducing-medication-errors-adults-hospital-settings
      March 09, 2022 - Review Reducing medication errors for adults in hospital settings. … Reducing medication errors for adults in hospital settings. … Reducing medication errors for adults in hospital settings. … June 16, 2021 Medication-related interventions delivered both in hospital and following … August 24, 2011 View More See More About The Topic Researchers Hospitals