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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.464_slideshow.ppt
January 01, 2019 - barely arousable and confused, and she was transferred to the intensive care unit (ICU) of the regular hospital … Psychiatry
There has been a large drive to improve safety in the hospital setting
Much of the foundational … inpatient psychiatry have been reported from 40 Veterans Affairs (VA) hospitals
The rate of safety … reported included
Medication errors (17.2/100 discharges)
Adverse drug events (4.1/100 discharge)
Falls … Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards
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psnet.ahrq.gov/node/42855/psn-pdf
February 06, 2014 - psnet.ahrq.gov/glossary-0#glossary-heading-term-73842
https://psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
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psnet.ahrq.gov/node/47666/psn-pdf
January 01, 2020 - A partially structured postoperative handoff protocol
improves communication in 2 mixed surgical intensive … care units: findings from the Handoffs and Transitions in
Critical Care (HATRICC) prospective cohort … A Partially Structured Postoperative Handoff Protocol Improves
Communication in 2 Mixed Surgical Intensive … between the operating room and the
intensive care unit (ICU) across two surgical ICUs at two hospitals … They examined omission of information
across 13 topics contained in the handoff template before and
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psnet.ahrq.gov/issue/patient-and-hospital-characteristics-associated-delayed-diagnosis-appendicitis
January 12, 2022 - Study
Patient and hospital characteristics associated with delayed diagnosis of appendicitis … Patient and hospital characteristics associated with delayed diagnosis of appendicitis. … The researchers found that this risk was mitigated when Black patients received care at hospitals serving … Patient and hospital characteristics associated with delayed diagnosis of appendicitis. … critical care units and hospital emergency services.
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psnet.ahrq.gov/issue/factors-determining-safety-culture-hospitals-scoping-review
March 09, 2022 - Review
Factors determining safety culture in hospitals: a scoping review. … Factors determining safety culture in hospitals: a scoping review. … This review sought to identify the factors measured by safety culture instruments in hospitals. … Factors determining safety culture in hospitals: a scoping review. … April 21, 2010
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Hospitals
Hospital
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psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
January 12, 2022 - Study
Do hospitals provide lower quality care on weekends? … Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612. … Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612. … August 9, 2023
Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans … December 7, 2022
Hospital-acquired functional decline and clinical outcomes in older
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psnet.ahrq.gov/issue/medication-reconciliation-during-internal-hospital-transfer-and-impact-computerized
October 15, 2008 - October 15, 2008
Pharmacist medication assessments in a surgical preadmission clinic. … July 8, 2008
Computerised provider order entry and residency education in an academic … internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals … April 13, 2011
Hospital admission medication reconciliation in medically complex children … October 15, 2008
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Specialty Hospitals
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psnet.ahrq.gov/issue/structured-judgement-method-enhance-mortality-case-note-review-development-and-evaluation
May 27, 2011 - quality data in acute hospitals: results from the National Reporting and Learning System. … pneumonia in 284 US hospitals using electronic surveillance criteria. … April 22, 2017
Causes of medication administration errors in hospitals: a systematic … October 9, 2013
What do hospital staff in the UK think are the causes of penicillin medication … January 30, 2013
How dangerous is a day in hospital?
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psnet.ahrq.gov/issue/hospital-rules-based-system-next-generation-medical-informatics-patient-safety
April 21, 2010 - Study
Hospital rules-based system: the next generation of medical informatics for … Hospital rules-based system: the next generation of medical informatics for patient safety. … a multistate hospital network--13 academic medical centers, April-June 2020. … June 11, 2010
Families as partners in hospital error and adverse event surveillance. … Frankel, MD
July 1, 2006
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Hospitals
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psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
November 20, 2013 - after hospital discharge. … at a safety net hospital. … March 30, 2022
Association between hospital penalty status under the Hospital Readmission … December 13, 2013
The effect of medication reconciliation in elderly patients at hospital … February 4, 2009
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Hospitals
Health
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psnet.ahrq.gov/node/865658/psn-pdf
April 24, 2024 - the patient, who is
now weak and disoriented, to the toilet, but the patient sits down prematurely, falling … nurse on call is
notified and relief staff arrives, an ambulance is called to take the patient to the hospital … A physical therapist at the hospital determines that this patient needs a
higher level of care in the … nurse on call was notified and a relief staff was provided, and the
resident was then taken to the hospital … A physical therapist at the hospital determined that
this patient needed a higher level of care during
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psnet.ahrq.gov/issue/exploratory-analysis-association-between-hospital-quality-measures-and-financial-performance
September 11, 2024 - April 17, 2024
Assessing the excess costs of the in-hospital adverse events covered by … February 21, 2024
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals. … payor mix on patient safety indicators,
October 7, 2020
Changes in hospital safety … January 4, 2012
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Hospitals
Hospital
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psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts
November 21, 2021 - Study
Hospital deaths in patients with sepsis from 2 independent cohorts. … Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA. 2014;312(1):90-2. … Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA. 2014;312(1):90-2. … November 21, 2021
Incidence and trends of sepsis in US hospitals using clinical vs claims … States teaching hospitals.
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psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
September 27, 2016 - August 26, 2015
Risk-adjusted survival for adults following in-hospital cardiac arrest … March 6, 2019
Success in hospital-acquired pressure ulcer prevention: a tale in two data … ulcers in a system of community hospitals. … March 7, 2018
6-PACK programme to decrease fall injuries in acute hospitals: cluster … March 20, 2013
Adverse Events in Hospitals: Overview of Key Issues.
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psnet.ahrq.gov/issue/patients-right-safety-improving-quality-care-through-litigation-against-hospitals
February 17, 2011 - The patient's right to safety--improving the quality of care through litigation against hospitals. … The author discusses the role of hospital and corporate responsibility in broadening a patient's hospital … July 31, 2013
Delayed time to defibrillation after in-hospital cardiac arrest. … February 16, 2022
Techniques to improve patient safety in hospitals: what nurse administrators … July 14, 2010
Lawyers say 'sorry' may sink you in court.
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psnet.ahrq.gov/issue/how-often-do-physicians-review-medication-charts-ward-rounds
September 23, 2020 - August 25, 2011
Medication reconciliation in a community, nonteaching hospital. … May 25, 2010
Accuracy of medication documentation in hospital discharge summaries: a … February 20, 2010
Errors and omissions in hospital prescriptions: a survey of prescription … writing in a hospital. … October 1, 2008
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General Hospitals
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psnet.ahrq.gov/issue/long-term-reduction-adverse-drug-events-evidence-based-improvement-model
August 28, 2024 - hospital in-patients: a before and after study. … February 15, 2012
Improving America's Hospitals: The Joint Commission's Annual Report … May 4, 2010
Accuracy of medication documentation in hospital discharge summaries: a retrospective … February 20, 2010
Errors and omissions in hospital prescriptions: a survey of prescription … writing in a hospital.
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psnet.ahrq.gov/issue/inappropriate-hospital-admission-risk-factor-subsequent-development-adverse-events-cross
March 09, 2022 - Study
Inappropriate hospital admission as a risk factor for the subsequent development … Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a … This observational study set in a high-complexity hospital in Spain found that patients with inappropriate … care units and hospital emergency services. … September 29, 2017
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Hospitals
Pediatrics
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psnet.ahrq.gov/issue/developing-patient-measure-safety-pmos
June 25, 2014 - hospitals (PMOS): a validation study. … hospital settings: a systematic review. … a hospital setting? … October 3, 2012
Families as partners in hospital error and adverse event surveillance … June 1, 2016
Developing a reliable and valid patient measure of safety in hospitals (
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psnet.ahrq.gov/issue/machine-learning-booming-medicine-its-also-facing-credibility-crisis
May 22, 2019 - Newspaper/Magazine Article
Machine learning is booming in medicine. … Citation Text:
Machine learning is booming in medicine. It’s also facing a credibility crisis. … Copy Citation
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For 4 days, the hospital thought he had just pneumonia.