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  1. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. | PSNet

    psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
    July 02, 2019 - Coordinating care across diseases, settings, and clinicians: a key role for the generalist in … February 28, 2011 Medication errors in the homes of children with chronic conditions. … May 25, 2011 Implementing universal suicide risk screening in a pediatric hospital. … April 25, 2016 Hospital Readmissions Reduction Program: implications for pharmacy. … June 13, 2011 View More See More About The Topic Hospitals Pharmacists

  2. Implementing AORN recommended practices for transfer of patient care information. | PSNet

    psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-transfer-patient-care-information
    October 07, 2013 - November 14, 2012 Medication errors among acutely ill and injured children treated in … July 16, 2019 Intravenous chemotherapy compounding errors in a follow-up pan-Canadian … October 31, 2014 Ticket to ride: reducing handoff risk during hospital patient transport … April 15, 2009 View More See More About The Topic Hospitals Nurses … Nurse Managers General Internal Medicine Hospital Medicine View More

  3. Evaluation of a redesign initiative in an internal-medicine residency. | PSNet

    psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
    February 17, 2011 - Evaluation of a redesign initiative in an internal-medicine residency. … satisfaction in this internal medicine residency program. … December 17, 2020 Delayed time to defibrillation after in-hospital cardiac arrest. … July 14, 2010 Patient whiteboards as a communication tool in the hospital setting: A … October 28, 2009 View More See More About The Topic General Hospitals

  4. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. | PSNet

    psnet.ahrq.gov/issue/ozis-and-politics-safety-using-ict-create-regionally-accessible-patient-medication-record
    February 04, 2009 - the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. … August 31, 2022 Patient and family engagement in incident investigations: exploring hospital … July 8, 2015 Hospital Experiences Using Electronic Health Records to Support Medication … May 27, 2011 Preventing medication errors in hospitals through a systems approach and … with pharmacy in HCIT era.

  5. The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability.  | PSNet

    psnet.ahrq.gov/issue/disruptive-orthopaedic-surgeon-implications-patient-safety-and-malpractice-liability
    August 20, 2018 - December 21, 2014 Families as partners in hospital error and adverse event surveillance … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020 Risk-adjusted survival for adults following in-hospital cardiac arrest … February 5, 2014 Management of test results in family medicine offices. … April 12, 2011 View More See More About The Topic Hospitals Ambulatory

  6. Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. | PSNet

    psnet.ahrq.gov/issue/development-high-value-care-culture-survey-modified-delphi-process-and-psychometric
    December 22, 2018 - August 4, 2021 Decreasing handoff-related care failures in children's hospitals. … Resources Dissecting Leapfrog: how well do Leapfrog Safe Practices Scores correlate with Hospital … September 29, 2017 Overtreatment in the United States. … September 27, 2017 Exploring relationships between hospital patient safety culture and … January 12, 2011 View More See More About The Topic Hospitals Facility

  7. A recurring call to action: every healthcare organization needs a medication safety officer! | PSNet

    psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety-officer
    March 03, 2021 - June 30, 2021 Obtaining the best possible medication history at hospital admission: description … May 19, 2021 In the eye of the storm: the role of the pharmacist in medication safety … during the COVID-19 pandemic at an urban teaching hospital. … April 1, 2020 View More See More About The Topic Hospitals Health Care … Executives and Administrators Medicine Hospital Pharmacy Medication Safety View More

  8. Finding blunders in thyroid testing: experience in newborns. | PSNet

    psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
    March 04, 2020 - Finding blunders in thyroid testing: experience in newborns. … March 4, 2020 Families as partners in hospital error and adverse event surveillance. … November 16, 2022 Ottawa Hospital Patient Safety Study: incidence and timing of adverse … events in patients admitted to a Canadian teaching hospital. … December 19, 2018 Association of patient and family reports of hospital safety climate

  9. Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. | PSNet

    psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals
    November 03, 2015 - Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals … Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national … Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national … November 3, 2015 Survival from in-hospital cardiac arrest during nights and weekends. … October 16, 2012 Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries

  10. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. | PSNet

    psnet.ahrq.gov/issue/disclosure-hospital-adverse-events-and-its-association-patients-ratings-quality-care
    December 29, 2014 - An invited commentary [see link below] by a leader in the patient safety field, Dr. … review: do patients know something that hospitals do not? … January 18, 2017 The effect of hospital-acquired Clostridium difficile infection on in-hospital … April 5, 2013 Fall prevention in acute care hospitals: a randomized trial. … March 5, 2010 View More See More About The Topic General Hospitals

  11. The association between patient-reported incidents in hospitals and estimated rates of patient harm. | PSNet

    psnet.ahrq.gov/issue/association-between-patient-reported-incidents-hospitals-and-estimated-rates-patient-harm
    August 13, 2013 - Study The association between patient-reported incidents in hospitals and estimated … The association between patient-reported incidents in hospitals and estimated rates of patient harm. … The association between patient-reported incidents in hospitals and estimated rates of patient harm. … August 13, 2013 A comprehensive overview of medical error in hospitals using incident-reporting … March 14, 2012 Adverse events in hospitals: the patient's point of view.

  12. The Evolution of Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/evolution-root-cause-analysis
    February 26, 2025 - The toolkit’s flexibility also means it can be adapted for diverse healthcare settings beyond hospitals … to examine patterns across multiple events within a category (such as medication errors or patient falls … At smaller hospitals getting six people together for 3-hour meetings can be difficult. … 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 .

  13. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed-methods-study
    January 19, 2022 - Study Differences in hospitals' workplace violence incident reporting practices: … Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. … Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. … hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. … November 25, 2020 Barcode medication administration technology use in hospital practice

  14. Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey. | PSNet

    psnet.ahrq.gov/issue/hospital-implementation-computerized-provider-order-entry-systems-results-2003-leapfrog-group
    November 21, 2021 - Study Hospital implementation of computerized provider order entry systems: results … Hospital implementation of computerized provider order entry systems: results from the 2003 leapfrog … September 30, 2010 Fall prevention in hospitals: an integrative review. … reported by U.S. hospitals in 2005 and 2009. … 5 community hospitals: a qualitative study.

  15. Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
    June 14, 2017 - October 9, 2024 Medication errors associated with code situations in U.S. hospitals: … payor mix on patient safety indicators, October 7, 2020 Changes in hospital safety … following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study … July 24, 2019 HealthGrades Sixth Annual Patient Safety in American Hospitals Study. … March 13, 2013 HealthGrades Eighth Annual Patient Safety in American Hospitals Study.

  16. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/elimination-central-venous-catheter-related-bloodstream-infections-intensive-care-unit
    January 11, 2017 - bloodstream infections for a 19-month period in a Scottish hospital. … April 12, 2023 Hospital workload and adverse events. … August 31, 2011 View More Related Resources What US hospitals are … in 284 US hospitals using electronic surveillance criteria. … hospital ICUs.

  17. A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. | PSNet

    psnet.ahrq.gov/issue/web-application-involve-patients-medication-reconciliation-process-user-centered-usability
    August 18, 2021 - Related Resources From the Same Author(s) Optimizing Therapy to Prevent Avoidable Hospital … older people prior to a potentially preventable drug-related hospital admission. … January 12, 2022 Experience of hospital-initiated medication changes in older people … Avoidable hospital admissions in Multimorbid older people (OPERAM) trial. … August 19, 2009 View More See More About The Topic Hospitals Ambulatory

  18. A human factors and survey methodology-based design of a web-based adverse event reporting system for families. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system
    January 12, 2012 - Acute Hospital Care Units April 26, 2023 Journal Article … Study Reducing hospital harm: establishing a command centre to foster … October 6, 2016 Fall prevention in acute care hospitals: a randomized trial. … hospital. … April 22, 2011 View More See More About The Topic General Hospitals

  19. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. | PSNet

    psnet.ahrq.gov/issue/hospital-based-transfusion-error-tracking-2005-2010-identifying-key-errors-threatening
    March 09, 2022 - Study Hospital-based transfusion error tracking from 2005 to 2010: identifying the … inappropriately outside of hospital guidelines. … care units and hospital emergency services. … September 7, 2011 Factors determining safety culture in hospitals: a scoping review. … January 7, 2011 View More See More About The Topic Hospitals Health

  20. Managing competing organizational priorities in clinical handover across organizational boundaries. | PSNet

    psnet.ahrq.gov/issue/managing-competing-organizational-priorities-clinical-handover-across-organizational
    February 07, 2024 - a multistate hospital network--13 academic medical centers, April-June 2020. … critical care units and hospital emergency services. … February 12, 2014 An exploratory study of knowledge brokering in hospital settings: facilitating … April 12, 2011 Patient whiteboards as a communication tool in the hospital setting: A … May 5, 2010 View More See More About The Topic Patient Transport Hospitals
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