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2061. A widow’s mission to change NC dental sedation rules. | PSNet
      psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules
      March 10, 2021 - March 10, 2022 Patient harm in dentistry is receiving increased attention and scrutiny . … March 30, 2022 View More Related Resources Hospitals in two states … May 5, 2021 Drug error at Eskenazi Hospital killed prominent cancer researcher. … July 29, 2020 As college students return, a crisis in campus care awaits. … July 29, 2020 UCSD, doc who overdosed in hospital bathroom face lawsuits.

2062. Overreaction. | PSNet
      psnet.ahrq.gov/issue/overreaction
      November 15, 2023 - Reporting on how test inaccuracies can lead to misdiagnosis of food allergies in children and the … Resources From the Same Author(s) Alarm burden and the nursing care environment: a 213-hospital … January 12, 2022 Performance-based payment incentives increase burden and blame for hospital … November 6, 2015 Medication errors in the management of anaphylaxis in a pediatric emergency … April 1, 2009 Hospitals move to cut dangerous lab errors.

2063. Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. | PSNet
      psnet.ahrq.gov/issue/skin-cancer-risk-no-matter-skin-tone-it-may-be-overlooked-people-dark-skin
      September 06, 2023 - But it may be overlooked in people with dark skin. … The article highlights skin cancer identification problems in patients of color. … But it may be overlooked in people with dark skin. West S. Kaiser Health News. … September 19, 2018 Half of hospitals in Conn., Del. hit by Medicare's safety penalties … January 17, 2018 At US hospitals, a drug mix-up is just a few keystrokes away.

2064. If safety is your yardstick, measuring culture from the top down must be a priority. | PSNet
      psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority
      April 29, 2018 - This article discusses the importance of a safety culture in health care organizations and provides … April 26, 2012 An inpatient fall prevention initiative in a tertiary care hospital. … December 22, 2010 The safety culture in a children's hospital. … September 28, 2010 Creating high reliability in health care organizations. … September 1, 2006 View More See More About The Topic Hospitals

2065. Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). | PSNet
      psnet.ahrq.gov/issue/follow-ismp-guidelines-safeguard-design-and-use-automated-dispensing-cabinets-adcs
      May 07, 2018 - March 10, 2021 Selected medication safety risks to manage in 2016 that might otherwise … View More Related Resources Targeted Medication Safety Best Practices for Hospitals … December 30, 2014 Automated drug dispensing system reduces medication errors in an intensive … Involving Heparin May 1, 2009 View More See More About The Topic Hospitals … Health Care Providers Quality and Safety Professionals General Internal Medicine Hospital

2066. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. | PSNet
      psnet.ahrq.gov/issue/cascade-iatrogenesis-factors-leading-development-adverse-events-hospitalized-older-adults
      June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events in … events in hospitalized elderly patients. … June 27, 2012 Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired … catheter-associated urinary tract infections in intensive care units. … February 17, 2010 View More See More About The Topic Hospitals Nurses

2067. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. | PSNet
      psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
      January 05, 2017 - The authors share initial data from a system-wide effort to improve safety and quality in their hospitals … October 21, 2011 An inpatient fall prevention initiative in a tertiary care hospital. … January 10, 2011 Improving America's Hospitals: The Joint Commission's Report on Quality … November 13, 2009 View More See More About The Topic Hospitals Health … Care Providers General Internal Medicine Hospital Medicine Medication Errors/Preventable Adverse

2068. Creating a web-based incident analysis and communication system. | PSNet
      psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system
      May 01, 2003 - November 23, 2016 Inpatient suicide and suicide attempts in Veterans Affairs hospitals … Lessons learned from implementation of a computerized application for pending tests at hospital … January 17, 2012 Fall prevention in acute care hospitals: a randomized trial. … July 14, 2010 View More See More About The Topic General Hospitals … Quality and Safety Professionals Information Professionals General Internal Medicine Hospital

2069. Evaluating safety and competency at the bedside. | PSNet
      psnet.ahrq.gov/issue/evaluating-safety-and-competency-bedside
      November 16, 2022 - Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals … July 28, 2014 Ticket to ride: reducing handoff risk during hospital patient transport … May 4, 2012 Fall prevention in hospitals: an integrative review. … April 15, 2009 View More See More About The Topic Hospitals Nurses … Nurse Managers General Internal Medicine Hospital Medicine View More

2070. Life of the Mother. How Abortion Bans Lead to Preventable Deaths. | PSNet
      psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
      October 02, 2024 - a multistate hospital network--13 academic medical centers, April-June 2020. … November 29, 2017 Adverse events in long-term care residents transitioning from hospital … June 7, 2023 Hospitals in two states denied an abortion to a miscarrying patient. … May 31, 2023 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act … November 28, 2018 View More See More About The Topic Hospitals Emergency

2071. Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. | PSNet
      psnet.ahrq.gov/issue/serious-hazards-transfusion-shot-haemovigilance-and-progress-improving-transfusion-safety
      April 27, 2019 - May 1, 2015 Interdisciplinary teamwork in hospitals: a review and practical recommendations … February 23, 2015 What is known about adverse events in older medical hospital inpatients … March 17, 2014 Responsibility for quality improvement and patient safety: hospital board … September 20, 2012 The problem of engaging hospital doctors in promoting safety and quality … July 26, 2011 View More See More About The Topic Hospitals Health Care

2072. Gaps in pediatric clinician communication and opportunities for improvement. | PSNet
      psnet.ahrq.gov/issue/gaps-pediatric-clinician-communication-and-opportunities-improvement
      March 24, 2011 - a multistate hospital network--13 academic medical centers, April-June 2020. … Healthcare professional views on hospital to home care transitions. … February 15, 2011 Patient whiteboards as a communication tool in the hospital setting … October 15, 2008 View More See More About The Topic Hospitals Physicians … Health Care Executives and Administrators General Internal Medicine Hospital Medicine

2073. Internal medicine work hours: trends, associations, and implications for the future. | PSNet
      psnet.ahrq.gov/issue/internal-medicine-work-hours-trends-associations-and-implications-future
      February 03, 2016 - 24, 2011 Association of registered nurse and nursing support staffing with inpatient hospital … December 16, 2009 Nurse-staffing levels and the quality of care in hospitals. … February 18, 2011 Nurse staffing in hospitals: is there a business case for quality? … October 24, 2012 Failure to weigh patients in hospital: a medication safety risk. … July 14, 2010 Patient whiteboards as a communication tool in the hospital setting: A

2074. Assessing clinical handover between paramedics and the trauma team. | PSNet
      psnet.ahrq.gov/issue/assessing-clinical-handover-between-paramedics-and-trauma-team
      January 19, 2011 - This study found deficits in communication between paramedics and trauma staff during both pre-hospital … communications and in-hospital handoffs . … multistate hospital network--13 academic medical centers, April-June 2020. … hospitals. … January 12, 2022 Consumer perceptions of safety in hospitals.

2075. Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. | PSNet
      psnet.ahrq.gov/issue/adapting-joint-commissions-seven-foundations-safe-and-effective-transitions-care-home
      July 10, 2024 - Outlining key elements of hospital-to-home transitions recommended by The Joint Commission , this … in Rome. … pancreatic surgery in the United States. … and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. … Another Fall April 1, 2003 View More See More About The Topic Hospitals

2076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860050/psn-pdf
      January 04, 2024 - While falling asleep, he was noted to have eye-rolling and he did not respond to his name, shaking his … On physical exam, the patient was asleep, arousing briefly with stimulation but then falling back to … smaller hospitals and rural settings that lack specialized expertise in pediatric trauma or child abuse … Hospitals and clinicians that may encounter injured children should commit to ongoing education and … that include physicians, nurses, hospital social workers and others.4 The goal of these teams is to

2077. Adoption of National Quality Forum safe practices by magnet hospitals. | PSNet
      psnet.ahrq.gov/issue/adoption-national-quality-forum-safe-practices-magnet-hospitals
      May 15, 2019 - The Magnet Hospital Program recognizes hospitals with a track record of maintaining an excellent work … By examining adoption of National Quality Forum (NQF) safe practices in a group of hospitals enrolled … May 15, 2019 Does the patient's payer matter in hospital patient safety? … September 20, 2011 Differences in safety climate among hospital anesthesia departments … July 25, 2012 Fall prevention in hospitals: an integrative review.

2078. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
      July 31, 2023 - After nursing school, I worked as a staff nurse in a hospital, then as a director of nursing in a long-term … That is the microsystem of the learning system in Pennsylvania and what is happening within each hospital … We advise hospitals through publication. … event and risk information back to health systems in order to impact hospital processes related to that … We were working not on falls or adverse drug reactions, but on the overarching issues that could make

2079. Understanding human over-reliance on technology. | PSNet
      psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
      February 24, 2016 - We ALL have a role in prevention! … syringes = 120; prepared in minibags = 0. … November 13, 2013 Wired hospitals: can high tech save your life? … December 17, 2008 Fixing America's hospitals. … October 7, 2008 View More See More About The Topic Hospitals Health

2080. Improving care transitions: current practice and future opportunities for pharmacists. | PSNet
      psnet.ahrq.gov/issue/improving-care-transitions-current-practice-and-future-opportunities-pharmacists
      December 12, 2012 - hospital practice: factors associated with turnover, outcomes, and patient safety. … July 19, 2023 Families as partners in hospital error and adverse event surveillance. … Related Resources Survey results: community liaison programs to decrease hospital … Enhancing medication safety in the outpatient setting. … June 13, 2011 View More See More About The Topic Hospitals Ambulatory