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psnet.ahrq.gov/issue/perioperative-patient-safety-recommendations-systematic-review-clinical-practice-guidelines
January 08, 2025 - hospitals. … critical care units and hospital emergency services. … It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital … November 28, 2012
Reducing medication errors for adults in hospital settings. … European hospitals.
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psnet.ahrq.gov/issue/medication-reconciliation-reducing-drug-discrepancy-adverse-events
October 10, 2018 - occurrence of discrepancy-related adverse drug events for patients returning to nursing homes after a hospital … "Hospital at Home" patients. … March 27, 2013
The effect of medication reconciliation in elderly patients at hospital … Medication report reduces number of medication errors when elderly patients are discharged from hospital … January 23, 2009
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Hospitals
Long-Term
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psnet.ahrq.gov/issue/implementation-electronic-system-medication-reconciliation
December 02, 2020 - The Joint Commission has mandated that all hospitals implement a system for medication reconciliation … Prior research in this area has documented the effectiveness of pharmacists in the medication reconciliation … December 2, 2020
Association between unmet nonmedication needs after hospital discharge … October 19, 2022
Families as partners in hospital error and adverse event surveillance … of Safety
April 1, 2006
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Hospitals
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psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - the hospital and ICU. … Role of the Physical Therapist in the Hospital Setting
A hospital's rehabilitation department includes … functional abilities, decrease in delirium, and shortened length of
stay in the ICU and hospital. … Proposed System Changes
Initiatives to reduce expenses in hospitals have caused rehabilitation departments … minute
Oxygen saturation less than 88%
Development of a new arrhythmia
Mean arterial blood pressure falls
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psnet.ahrq.gov/issue/association-rapid-response-teams-hospital-mortality-medicare-patients
September 23, 2020 - Association of rapid response teams with hospital mortality in Medicare patients. … Rapid response teams (RRTs) have been implemented at hospitals worldwide, despite mixed results in … Of 56 hospitals that participated in this project and had complete data, only four showed lower-than-expected … survival after in-hospital cardiac arrests. … July 7, 2021
Fall prevention implementation strategies in use at 60 United States hospitals
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psnet.ahrq.gov/issue/perinatal-care-quality-and-safety-initiative-are-there-financial-rewards-improved-quality
April 27, 2019 - An inconvenient truth about the patient safety movement is that in many cases hospitals actually profit … This study examined the financial impact of an effort to eliminate obstetric complications in a five-hospital … The project led to an 11% reduction in preventable adverse events, but hospital reimbursements decreased … a community hospital. … The effect of a tiered hospital network on hospital admissions.
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psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications-discharge-hospital
February 15, 2011 - Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: … Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: … discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective … June 1, 2012
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/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent
April 24, 2019 - This study found that adoption of a nurse-led transitional care program produced a 48% reduction in … Related Resources From the Same Author(s)
Differential safety between top-ranked cancer hospitals … August 17, 2018
Association between hospital penalty status under the Hospital Readmission … February 14, 2017
Patient and family engagement: a survey of US hospital practices. … hospitals: a focus group study.
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psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate-nurse-medication
September 24, 2016 - a teaching hospital. … for Sick Children in Toronto. … October 2, 2013
Parent perceptions of children's hospital safety climate. … children's hospitals. … April 11, 2011
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Children's Hospitals
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psnet.ahrq.gov/issue/structured-interdisciplinary-rounds-medical-teaching-unit-improving-patient-safety
November 26, 2014 - The accompanying editorial notes that the hospital where this study was conducted had several structural … electronic health record), and that structured interdisciplinary rounds could have an even larger impact at hospitals … October 26, 2011
An inpatient fall prevention initiative in a tertiary care hospital. … August 18, 2010
Patient whiteboards as a communication tool in the hospital setting: … May 5, 2010
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Specialty Hospitals
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psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand
December 02, 2020 - critical care units and hospital emergency services. … , ethnic, and payer groups for pediatric safety events in US hospitals. … conditions in pediatric hospitals. … February 6, 2019
Childrens' Hospitals' Solutions for Patient Safety. … March 22, 2006
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Children's Hospitals
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psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
June 16, 2021 - In hospital and long-term care settings, pressure ulcers are considered preventable complications, but … hospital practice: factors associated with turnover, outcomes, and patient safety. … Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. … July 20, 2022
6-PACK programme to decrease fall injuries in acute hospitals: cluster … May 9, 2012
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Hospitals
Health Care
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psnet.ahrq.gov/issue/mobile-situ-obstetric-emergency-simulation-and-teamwork-training-improve-maternal-fetal
July 09, 2008 - maternal–fetal safety in hospitals. … in hospitals. … The program has been utilized successfully at multiple rural and community hospitals in Oregon. … in hospitals. … July 9, 2008
Families as partners in hospital error and adverse event surveillance.
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psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia
May 06, 2009 - a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition … from the hospital to home. … Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital … a paediatric hospital. … March 22, 2006
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Children's Hospitals
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psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
July 21, 2025 - Based on a national sample of hospitals, this study explored the impact of hospital visitation restrictions … Results indicate that hospitals with closed visitations experienced larger performance deficits across … The COVID-19 pandemic has disrupted many aspects of health care delivery, including how hospitals prevent … common hospital-acquired conditions such as pressure injuries. … Based on retrospective data, the authors of this study did not identify a longitudinal increase in hospital-acquired
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psnet.ahrq.gov/issue/pediatric-obesity-and-safety-inpatient-settings-systematic-literature-review
November 12, 2014 - November 12, 2014
Families as partners in hospital error and adverse event surveillance … hospital practice: factors associated with turnover, outcomes, and patient safety. … Veterans Affairs hospitals. … in 93 pediatric hospitals. … May 14, 2014
How can we keep patients with dementia safe in our acute hospitals?
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psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
January 18, 2013 - in conditions targeted by the Hospital Readmissions Reduction Program. … hospital practice: factors associated with turnover, outcomes, and patient safety. … March 18, 2020
Fall prevention in hospitals: an integrative review. … March 2, 2012
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Hospitals
Quality … and Safety Professionals
Hospital Medicine
Nurse Care
Failure to rescue
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - Dying in the Hospital With Advanced Dementia. PSNet [internet]. … Dying in the Hospital With Advanced Dementia. PSNet [internet]. … "( 6 ) In that analysis, 76% of those in hospice died at home, and only 7% died in a hospital; in contrast … Eligible Hospitals, Critical Access Hospitals and Dual Eligible Hospitals Attesting to CMS EHR Incentive … Related Resources
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety
September 06, 2023 - Potentially inappropriate medication use is associated with increased risk of incident disability in … March 8, 2023
6-PACK programme to decrease fall injuries in acute hospitals: cluster … hospitals to improve medication safety: a multi-methods research programme. … December 21, 2022
Impact of introducing an electronic physiological surveillance system on hospital … September 4, 2024
Patient safety in actioning and communicating blood test results in
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psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
February 24, 2016 - Newspaper/Magazine Article
Is an indication-based prescribing system in our future … Citation Text:
Is an indication-based prescribing system in our future? … July 12, 2017
E-collection: Safety and Error Prevention in Health. … September 7, 2016
Medication errors in paediatric outpatients. … January 19, 2011
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Hospitals
Facility