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2101. Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers? | PSNet
      psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
      September 23, 2020 - Severe hospital-acquired pressure ulcers are considered a never event , and they result in loss of payment … the incidence of hospital-acquired pressure ulcers in academic medical centers. … January 23, 2019 Success in hospital-acquired pressure ulcer prevention: a tale in two … ulcers in a system of community hospitals. … March 7, 2018 Pressure Injury Prevention in Hospitals Training Program.

2102. Unintended discontinuation of medication following hospitalisation: a retrospective cohort study. | PSNet
      psnet.ahrq.gov/issue/unintended-discontinuation-medication-following-hospitalisation-retrospective-cohort-study
      September 05, 2018 - As with prior studies , medication documentation in hospital discharge summaries remains highly variable … in primary care and its association with hospital admission: longitudinal study. … discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective … August 26, 2020 Role of relatives of ethnic minority patients in patient safety in hospital … September 20, 2012 The effect of medication reconciliation in elderly patients at hospital

2103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33592/psn-pdf
      December 15, 2024 - Last reviewed in 2024. … psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review hospital … For example, consider a patient who is admitted to the hospital and placed in a shared room. … https://psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital … if care had been different; Adverse events due to negligence: those that occurred due to care that falls

2104. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
      July 29, 2020 - Conducted in a geriatric patient population, this prospective cohort study found a similar incidence … multistate hospital network--13 academic medical centers, April-June 2020. … discharge care at teaching hospitals. … hospital discharge. … June 10, 2009 View More See More About The Topic Hospitals Health Care

2105. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
      February 26, 2025 - At smaller hospitals getting six people together for 3-hour meetings can be difficult. … more sustainable ways. 2 One last example is New York Health and Hospitals, which has done fantastic … We have individuals going out into individual homes, where some serious events occur, like patient falls … IHI helps hospitals prepare for new CMS measures to make care safer . … to examine patterns across multiple events within a category (such as medication errors or patient falls

2106. The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients. | PSNet
      psnet.ahrq.gov/issue/impact-medical-errors-ninety-day-costs-and-outcomes-examination-surgical-patients
      August 03, 2017 - From the Same Author(s) Meaningful use of health information technology and declines in … in-hospital adverse drug events. … hospitals? … licensure: immediate jeopardies in California hospitals, 2007-2017. … November 5, 2008 View More See More About The Topic Hospitals Health

2107. Reported medication errors after introducing an electronic medication management system. | PSNet
      psnet.ahrq.gov/issue/reported-medication-errors-after-introducing-electronic-medication-management-system
      November 18, 2016 - hospital: a cross-sectional survey. … Australian hospitals: a mixed methods study. … January 19, 2022 6-PACK programme to decrease fall injuries in acute hospitals: cluster … two 'early adopter' hospitals. … hospitals.

2108. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. | PSNet
      psnet.ahrq.gov/issue/realist-synthesis-intentional-rounding-hospital-wards-exploring-evidence-what-works-whom-what
      March 01, 2023 - Review Realist synthesis of intentional rounding in hospital wards: exploring the … Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for … Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for … January 29, 2020 Families as partners in hospital error and adverse event surveillance … September 16, 2009 View More See More About The Topic Hospitals Nurses

2109. Comparison of computerized surveillance and manual chart review for adverse events. | PSNet
      psnet.ahrq.gov/issue/comparison-computerized-surveillance-and-manual-chart-review-adverse-events
      August 31, 2011 - This study found that computerized surveillance systems detected more hospital-acquired infections … June 16, 2019 Identifying patients with sepsis on the hospital wards. … March 12, 2011 Adverse drug event rates in six community hospitals and the potential … April 15, 2009 Characteristics of medication errors and adverse drug events in hospitals … November 12, 2008 View More See More About The Topic Hospitals Quality

2110. Do faculty and resident physicians discuss their medical errors? | PSNet
      psnet.ahrq.gov/issue/do-faculty-and-resident-physicians-discuss-their-medical-errors
      February 15, 2011 - Conducted at a teaching hospital, this survey provides encouraging results, in that most physicians reported … In order to provide emotional support for physicians, one hospital has implemented a peer support program … teaching hospitals. … August 8, 2018 Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital … June 11, 2010 Patient whiteboards as a communication tool in the hospital setting: A

2111. Effect of patient safety strategies on the incidence of adverse events. | PSNet
      psnet.ahrq.gov/issue/effect-patient-safety-strategies-incidence-adverse-events
      March 09, 2022 - This study found that adverse event rates in a Spanish hospital increased following the introduction … June 15, 2016 Hospital reputation and perceptions of patient safety. … hospitals. … May 26, 2014 How hospital leaders contribute to patient safety through the development … European hospitals: results from the multicountry cross-sectional RN4CAST study.

2112. Introducing the safety score audit for staff member and patient safety. | PSNet
      psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
      April 16, 2014 - This commentary describes a program designed to enhance safety culture in hospitals for patients and … multistate hospital network--13 academic medical centers, April-June 2020. … pneumonia in 284 US hospitals using electronic surveillance criteria. … October 26, 2011 An inpatient fall prevention initiative in a tertiary care hospital. … September 24, 2010 View More See More About The Topic Hospitals Health

2113. Nurses' use of computerized clinical guidelines to improve patient safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/nurses-use-computerized-clinical-guidelines-improve-patient-safety-hospitals
      June 06, 2018 - hospitals. … Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. … Nurses' Use of Computerized Clinical Guidelines to Improve Patient Safety in Hospitals. … conditions in a pediatric hospital with the implementation of a patient safety program. … precaution practices in hospitals: a qualitative study.

2114. What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet
      psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
      November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication … What do hospital staff in the UK think are the causes of penicillin medication errors? … What do hospital staff in the UK think are the causes of penicillin medication errors? … January 9, 2019 Electronic prescribing systems in hospitals to improve medication safety … June 9, 2011 Multiple component patient safety intervention in English hospitals: controlled

2115. Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. | PSNet
      psnet.ahrq.gov/issue/safety-concerns-hospital-based-new-practice-registered-nurses-and-their-preceptors
      September 24, 2016 - Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. … hospitals. … May 15, 2024 View More Related Resources Effect of changes in hospital … October 10, 2018 Nursing skill mix in European hospitals: cross-sectional study of the … November 2, 2010 View More See More About The Topic Hospitals Nurses

2116. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. | PSNet
      psnet.ahrq.gov/issue/confirming-delivery-understanding-role-hospitalized-patient-medication-administration-safety
      March 02, 2016 - September 27, 2016 Who do hospital physicians and nurses go to for advice about medications … November 26, 2014 Application of a theoretical framework for behavior change to hospital … June 12, 2013 Hospital discharge documentation and risk of rehospitalisation. … December 22, 2010 View More See More About The Topic Hospitals Health … Care Providers Quality and Safety Professionals Organizational Behaviorists Hospital Medicine

2117. Hospital inpatient nutrition service errors and patient safety interventions: a scoping review. | PSNet
      psnet.ahrq.gov/issue/hospital-inpatient-nutrition-service-errors-and-patient-safety-interventions-scoping-review
      January 01, 2000 - Review Hospital inpatient nutrition service errors and patient safety interventions … medical records at a hospital emergency department. … December 20, 2023 Meta-analysis of medication administration errors in African hospitals … October 27, 2021 Clinical deterioration and hospital‐acquired complications in adult … June 12, 2018 View More See More About The Topic Hospitals Nutrition

2118. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
      September 01, 2005 - A 79-year-old man with diabetes mellitus was admitted to the hospital with hypoglycemia. … Adverse events among medical patients after discharge from hospital. … Adverse events among medical patients after discharge from hospital. … pharmaceutical care is presumed to be supervised In the ambulatory setting, responsibility falls to … to rehabilitation center Home to hospital Hospital to ambulatory care setting Involves simultaneous

2119. Patient Safety and Opioid Medications | PSNet
      psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
      January 01, 2015 - idea of pain as a "fifth vital sign," and the inclusion of pain-related questions on the HCAHPS [Hospital … Consumer Assessment of Healthcare Providers and Systems] survey, whose results can affect hospital reimbursement … In this sense, the opioid epidemic is iatrogenic, and thus falls within the scope of patient safety. … and colleagues reported that Medicare beneficiaries (age 65 and older) are often discharged from the hospital … September 22, 2010 View More See More About The Topic Hospitals Health

2120. Patient safety: threats and solutions. | PSNet
      psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
      January 19, 2011 - hospitalizations in the United States, 2008 to 2021. … English hospitals. … October 23, 2013 Frontline hospital workers and the worker safety/patient safety nexus … July 21, 2010 View More See More About The Topic Hospitals Health Care … Providers Health Care Executives and Administrators General Internal Medicine Hospital Medicine