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psnet.ahrq.gov/issue/pharmacist-supported-medication-review-training-general-practitioners-feasibility-and
July 29, 2020 - October 5, 2022
Prescribing errors on admission to hospital and their potential impact … January 15, 2014
Changes in prevalence of health care-associated infections in U.S. hospitals … February 26, 2014
Prescribing errors on admission to hospital and their potential impact … and hospital admissions: systematic review and meta-analysis. … Medication report reduces number of medication errors when elderly patients are discharged from hospital
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psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital
November 02, 2016 - Study
Nurse reports of adverse events during sedation procedures at a pediatric hospital … Nurse reports of adverse events during sedation procedures at a pediatric hospital. … Nurse reports of adverse events during sedation procedures at a pediatric hospital. … hospital practice: factors associated with turnover, outcomes, and patient safety. … January 12, 2022
Families as partners in hospital error and adverse event surveillance
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psnet.ahrq.gov/issue/improving-patient-safety-hospitals-contributions-high-reliability-theory-and-normal-accident
October 13, 2010 - Commentary
Improving patient safety in hospitals: contributions of high-reliability … Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory … Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory … an Australian outer metropolitan teaching hospital. … Successful Hospital Safety Program
July 1, 2006
Naval aviation safety and
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psnet.ahrq.gov/issue/building-highway-quality-health-care
February 14, 2017 - October 16, 2012
Weekend specialist intensity and admission mortality in acute hospital … December 4, 2016
The new CMS hospital quality star ratings: the stars are not aligned … January 31, 2011
Prioritizing patient safety interventions in small and rural hospitals … September 27, 2010
Implementation of patient safety initiatives in US hospitals. … May 24, 2006
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Hospitals
Facility
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psnet.ahrq.gov/issue/cpoe-strategies-success
October 09, 2019 - hospital practice: factors associated with turnover, outcomes, and patient safety. … in US hospitals. … November 9, 2011
The effect of hospital electronic health record adoption on nurse-assessed … October 19, 2011
Nurses' role in medication safety. … February 23, 2009
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Hospitals
Nurses
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psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
December 18, 2019 - NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals … 17, 2015
Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals … June 21, 2023
Hospitals in two states denied an abortion to a miscarrying patient. … May 31, 2023
'We had such trust, we feel such fools’: how shocking hospital mistakes … March 18, 2020
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General Public
Hospitals
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psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
May 18, 2022 - internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals … November 8, 2012
Improving America's Hospitals: The Joint Commission's Report on Quality … December 1, 2010
Patient whiteboards as a communication tool in the hospital setting: … January 6, 2010
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Hospitals
Quality … and Safety Professionals
Organizational Behaviorists
General Internal Medicine
Hospital Medicine
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psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
July 19, 2023 - hospital practice: factors associated with turnover, outcomes, and patient safety. … a statewide collaborative and changes in hospital safety culture. … September 2, 2020
Determination of unnecessary blood transfusion by comprehensive 15-hospital … hospital. … August 4, 2010
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Hospitals
Nurses
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psnet.ahrq.gov/issue/adverse-drug-events-elderly
April 21, 2011 - August 29, 2018
Electronic prescribing systems in hospitals to improve medication safety … January 12, 2022
Families as partners in hospital error and adverse event surveillance … Exploring the roots of unintended safety threats associated with the introduction of hospital … June 28, 2017
What is known about adverse events in older medical hospital inpatients … May 15, 2013
Causes of preventable drug-related hospital admissions: a qualitative study
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psnet.ahrq.gov/issue/infusing-fun-quality-and-safety-initiatives
October 19, 2022 - October 19, 2022
Pediatric medication safety in the emergency department. … January 7, 2015
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Related Resources
Impact of a hospital-wide … February 19, 2014
Application of a theoretical framework for behavior change to hospital … July 25, 2012
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Hospitals
Health Care … Providers
Quality and Safety Professionals
General Internal Medicine
Hospital Medicine
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psnet.ahrq.gov/issue/novice-nurse-and-clinical-decision-making-how-avoid-errors
May 04, 2022 - May 4, 2022
Patient perceptions of hospital experiences: implications for innovations … hospital practice: factors associated with turnover, outcomes, and patient safety. … hospitals: a multilevel analysis. … August 7, 2019
Effects of individual nurse and hospital characteristics on patient adverse … May 22, 2013
Fall prevention in hospitals: an integrative review.
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psnet.ahrq.gov/issue/integrating-knowledge-based-resources-electronic-health-record-history-current-status-and
July 19, 2023 - hospital practice: factors associated with turnover, outcomes, and patient safety. … hospitals? … July 27, 2022
Guidelines for US hospitals and clinicians on assessment of electronic … February 16, 2022
Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems … July 2, 2014
Preventing medication errors in hospitals through a systems approach and
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psnet.ahrq.gov/issue/rethinking-use-air-safety-principles-reduce-fatal-hospital-errors
May 15, 2024 - Newspaper/Magazine Article
Rethinking use of air-safety principles to reduce fatal hospital … Citation Text:
Rethinking use of air-safety principles to reduce fatal hospital errors. doi:10.1377 … Citation
Citation Text:
Rethinking use of air-safety principles to reduce fatal hospital … May 15, 2024
Understanding And Addressing Pre-Hospital Diagnostic Delays. … August 24, 2011
Ounce of prevention: to reduce errors, hospitals prescribe innovative
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Some potential or implemented approaches to date include the following:
Self-reporting tools: Hospitals … As an example, a tool (recently piloted at a large multispecialty hospital) has been designed to elicit … Thus, we are not yet at a stage where hospital safety administration can comprehensively adopt an explicitly … Perspective
The Ongoing Journey to Prevent Patient Falls … Acute Hospital Care Units
April 26, 2023
Perspective
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psnet.ahrq.gov/issue/recognition-adverse-drug-events-older-hospitalized-medical-patients
August 10, 2022 - mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) … older people prior to a potentially preventable drug-related hospital admission. … December 30, 2014
Adverse drug events after hospital discharge in older adults: types … November 28, 2012
Fall prevention in acute care hospitals: a randomized trial. … June 13, 2011
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Hospitals
Health Care
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psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical
August 09, 2023 - In this study, one Veterans Affairs (VA) hospital implemented three clinical care and two accurate data … Related Resources
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals. … December 21, 2018
HealthGrades Sixth Annual Patient Safety in American Hospitals Study … October 8, 2008
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Hospitals
Hospital
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psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
April 13, 2017 - An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. … This study examined a survey about just culture in conjunction with Hospital Compare quality ratings … The author concludes that just culture is not sufficient to create a blame-free culture in hospitals. … An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. … best practices in US hospitals.
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psnet.ahrq.gov/issue/ensuring-patient-safety-wireless-medical-device-networks
May 03, 2006 - Newspaper/Magazine Article
Ensuring patient safety in wireless medical device networks … Citation Text:
Ensuring patient safety in wireless medical device networks. … May 3, 2006
Training of Hospital Staff To Respond to a Mass Casualty Incident. … January 30, 2008
Avoidable mistakes rise despite hospital efforts. … June 16, 2010
Medication errors: the year in review.
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psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-multi-professional-edition
February 14, 2024 - June 24, 2015
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer … Hospital Care. … Related Resources
Annual Perspective
Equity in … March 19, 2018
Fall Prevention in Hospitals Training Program.
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psnet.ahrq.gov/issue/why-admitting-mistakes-can-help-doctors-and-patients
September 13, 2023 - The CANDOR system is highlighted in this presentation by one of the originators of the concept as a … October 25, 2023
The hospital ran out of her child's cancer drug. … DeBakey VA Medical Center in Houston, Texas. … September 28, 2022
Disrespectful behavior in healthcare: has it improved? … October 21, 2021
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See More About The Topic
Hospitals
Long-Term