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psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer
September 19, 2012 - implemented on a surgical unit at an academic medical center that had a persistently high rate of falls … hospitals: what nurse administrators need to know. … February 9, 2022
The secondary use of data to support medication safety in the hospital … November 24, 2010
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Hospitals
Health … Care Executives and Administrators
General Internal Medicine
Hospital Medicine
Patient Falls
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psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
October 19, 2022 - hospital-wide adverse events at a single large hospital in Singapore. … December 8, 2021
Relationship between call light use and response time and inpatient falls … January 4, 2010
Innovation in patient safety: a new task design in reducing patient falls … October 21, 2010
How event reporting by US hospitals has changed from 2005 to 2009. … four UK hospitals: mixed method evaluation.
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psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory-study-us-hospital
November 11, 2020 - Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. … Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. … June 9, 2021
Evolving factors in hospital safety: a systematic review and meta-analysis … hospitals: a descriptive study. … December 9, 2020
Clinical deterioration and hospital‐acquired complications in adult
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psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
August 02, 2015 - Frequent incidents were falls, delays in diagnosis or treatment, and medication errors . … November 21, 2012
Root cause analysis of reported patient falls in ORs in the Veterans … August 21, 2013
Using root cause analysis to reduce falls with injury in community settings … August 21, 2013
Using root cause analysis to reduce falls with injury in the psychiatric … February 17, 2010
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Hospitals
Health
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psnet.ahrq.gov/issue/deep-scope-framework-safe-healthcare-design
August 18, 2021 - April 21, 2021
Inpatient telemedicine and new models of care during COVID-19: hospital … June 23, 2021
Assessing patient safety culture in hospital settings. … anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway … April 15, 2009
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Hospitals
Facility … and Group Administrators
Quality and Safety Professionals
Patient Falls
Latent Errors
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psnet.ahrq.gov/issue/delirium-hospitalized-older-adults
December 15, 2008 - the hospital. … April 7, 2021
The overlooked danger of delirium in hospitals. … May 24, 2015
Reducing falls and fall-related injuries in mental health: a 1-year multihospital … falls collaborative. … May 1, 2009
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Hospitals
Health
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psnet.ahrq.gov/node/48085/psn-pdf
June 19, 2019 - This report describes
a quality improvement intervention to reduce preventable harm in a 15-hospital … The health system sought to prevent
pressure ulcers, adverse drug events, falls with injury, health … to realize
substantial improvements during the initial 5-year period and achieve further reductions in … /psnet.ahrq.gov/issue/decade-preventing-harm
https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/periodic-issue/periodic-issue-445
May 29, 2024 - Falls are a leading cause of injury and death in adults aged 65 years and older, and prevention is a … hospitals. … rather than in hospitals. … rather than in hospitals. … hospitals.
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psnet.ahrq.gov/issue/adverse-events-0
September 20, 2011 - September 20, 2011
Adverse Events in Hospitals: Methods for Identifying Events. … March 17, 2010
Adverse Events in Hospitals: Public Disclosure of Information About Events … December 12, 2023
Home Health Agencies Failed To Report Over Half of Falls With Major … February 6, 2019
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Hospitals
Hospital … Medicine
Nurse Care
Medical Complications
Patient Falls
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psnet.ahrq.gov/node/72554/psn-pdf
December 09, 2020 - Fall prevention implementation strategies in use at 60
United States hospitals: a descriptive study. … Fall prevention implementation strategies in use at 60 United States
hospitals: a descriptive study. … https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals … in the United States. … inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/issue/aviations-gift-health-care
December 19, 2018 - Copy Citation
Related Resources From the Same Author(s)
Why Hospitals Should … care or hospital outpatient settings has COVID-19 disease. … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024 … Communication During Transitions of Care
March 27, 2024
Safer Hospital … May 16, 2019
Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change
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psnet.ahrq.gov/issue/patients-experience-patient-safety-information-and-participation-care-during-hospital-stay
April 05, 2023 - Patients' experience of patient safety information and participation in care during a hospital stay. … Patients' experience of patient safety information and participation in care during a hospital stay. … September 7, 2022
Assessing patients' perceptions of safety culture in the hospital setting … February 28, 2018
Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital … among various hospital-based healthcare professionals and trainees in a simulated patient room.
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psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis
August 25, 2021 - Handovers between providers occur regularly during hospital stays. … Recognition of these factors can improve successful implementation of handover procedures in hospitals … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … July 23, 2014
Techniques to improve patient safety in hospitals: what nurse administrators
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psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
December 23, 2016 - Sentinel Event Alerts
Medical device alarm safety in hospitals. … Citation Text:
Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3. … The cacophony of alarms in hospitals has led many health care providers to become desensitized to them … hospitals. … February 10, 2021
Preventing falls and fall-related injuries in health care facilities
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psnet.ahrq.gov/issue/hospital-tells-surgery-wrong-side
July 02, 2008 - Citation Text:
Hospital tells of surgery on wrong side. Smith S. … July 2, 2008
Most surgery in wrong spot done on spine: 11 such cases found in state since … September 19, 2018
Best Care at Lower Cost: The Path to Continuously Learning Health Care in … June 10, 2015
Man falls off surgical table; St. Joseph's Hospital sued. … December 22, 2010
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
April 06, 2022 - older adults with a history of falls: a qualitative study. … May 5, 2021
There's no place like home--integrating a pharmacist into the hospital-in-home … March 17, 2021
Falling through the cracks: the invisible hospital cleaning workforce. … hospital. … April 23, 2014
Addressing safety concerns about U-500 insulin in a hospital setting.
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psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
May 18, 2022 - Falls in hospitalized older adults represent a source of serious preventable patient harm . … Investigators examined 328 falls and found that more than 60% of the older patients who fell had received … acute care hospitals to residential aged care facilities. … July 20, 2011
Medication discrepancies upon hospital to skilled nursing facility transitions … December 22, 2010
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Hospitals
Health
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psnet.ahrq.gov/node/47849/psn-pdf
August 14, 2019 - The effect of external inspections on safety in acute
hospitals in the National Health Service in England … The effect of external inspections on safety in acute hospitals in the
National Health Service in England … https://psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service … to evaluate hospital
safety. … did not improve rates of either pressure ulcers or falls.
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psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
October 12, 2011 - of a staff-driven reporting program to collect data on indicators such as medication errors, patient falls … hospital. … May 14, 2014
Influence of unit-level staffing on medication errors and falls in military … hospitals. … care hospital units.
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psnet.ahrq.gov/issue/impact-rationing-nursing-care-patient-safety-systematic-review
December 06, 2023 - essential nursing care) adversely impacts patient safety, contributing to higher incidence of falls … The authors of the review discuss several hospital characteristics (i.e., workload, staffing levels, … April 18, 2018
Hospital inpatient falls across clinical departments. … December 16, 2020
Adverse events among children in Canadian hospitals: the Canadian Paediatric … Care
September 1, 2011
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Hospitals