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2281. Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals. | PSNet
      psnet.ahrq.gov/issue/medication-safety-events-after-acute-myocardial-infarction-among-veterans-treated-va-versus
      April 07, 2022 - Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals … examined the use of outpatient medications for secondary prevention (e.g., beta blockers, statins) in … The researchers found that medication omissions, duplications and delays in prescribing of secondary … prevention medications were more common among patients treated at non-VA hospitals. … a multistate hospital network--13 academic medical centers, April-June 2020.

2282. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. | PSNet
      psnet.ahrq.gov/issue/revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline
      June 16, 2011 - In this study, seven hospitals attempted to implement leadership walk rounds, and their effect on safety … climate did improve significantly in both hospitals.  … April 24, 2013 A safety culture transformation: its effects at a children's hospital. … November 23, 2011 An inpatient fall prevention initiative in a tertiary care hospital … August 26, 2009 View More See More About The Topic Hospitals Health

2283. Impact of medication reconciliation for improving transitions of care. | PSNet
      psnet.ahrq.gov/issue/impact-medication-reconciliation-improving-transitions-care
      June 19, 2019 - programs in real-world settings. … July 10, 2019 Prevalence of potentially inappropriate prescribing in older people in … primary care and its association with hospital admission: longitudinal study. … December 14, 2016 Promoting effective transitions of care at hospital discharge: a review … April 22, 2011 View More See More About The Topic Hospitals Physicians

2284. Interventions targeted at reducing diagnostic error: systematic review. | PSNet
      psnet.ahrq.gov/issue/interventions-targeted-reducing-diagnostic-error-systematic-review
      March 10, 2021 - March 10, 2021 Medication-related interventions delivered both in hospital and following … the hospital setting: a systematic review. … hospitals: a descriptive study. … of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals … June 1, 2022 Diagnostic error in the pediatric hospital: a narrative review.

2285. Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. | PSNet
      psnet.ahrq.gov/issue/early-warning-systems-and-rapid-response-systems-prevention-patient-deterioration-acute-adult
      July 29, 2020 - Eleven studies representing patients in 282 hospitals were reviewed to determine the effect of RRS or … July 29, 2020 Reducing medication errors for adults in hospital settings. … hospitals: a systematic review. … April 7, 2021 Clinical deterioration and hospital‐acquired complications in adult patients … April 20, 2022 Family support role in hospital rapid response teams: a scoping review

2286. Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety. | PSNet
      psnet.ahrq.gov/issue/leadership-safety-climate-and-continuous-quality-improvement-impact-process-quality-and
      May 24, 2006 - However, having improvement activities in place was correlated with higher rates of hospital-acquired … US hospitals. … January 19, 2014 An inpatient fall prevention initiative in a tertiary care hospital. … four UK hospitals: mixed method evaluation. … February 23, 2011 Multiple component patient safety intervention in English hospitals

2287. In Conversation With… Susan Haas, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
      March 01, 2019 - The system at Harvard Vanguard had 15 offices; we did deliveries in 5 hospitals and had 4 more for just … And EHR certainly falls into that. … They were in the best position in terms of having hospitals that they were actively affiliated with at … Nobody who's going to die should die in a tertiary care hospital unless it's their neighborhood hospital … Hospital consolidation: "safety in numbers" strategy prevails in preparation for a value-based marketplace

2288. Improving Patient Safety and Team Communication through Daily Huddles | PSNet
      psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
      December 15, 2024 - Examples include patients who may be on medications that could increase their risk of falls or bleeding … Malpractice risk in communication failures. Boston, MA. 2015. … In: Henriksen K BJ, Keyes MA, Grady ML, ed. … July 20, 2022 Human factors considerations in using personal protective equipment in … See More About The Topic Culture of Safety Communication between Providers Hospitals

2289. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. | PSNet
      psnet.ahrq.gov/issue/adverse-events-among-children-canadian-hospitals-canadian-paediatric-adverse-events-study
      April 22, 2011 - hospitals: the Canadian Paediatric Adverse Events Study. … Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. … Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. … January 15, 2020 Families as partners in hospital error and adverse event surveillance … multistate hospital network--13 academic medical centers, April-June 2020.

2290. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33855/psn-pdf
      April 01, 2018 - In the hospital, getting people out of the hospital was our goal. … The rates of infection, bleeding, blood clots, and falls were increasing—in addition to the risk of … People come in the hospital with a condition. … should follow the lead of pediatric hospitals in this way). … the old days, it would have been in the hospital.

2291. Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. | PSNet
      psnet.ahrq.gov/issue/outcomes-michigan-medicines-integrated-patient-safety-and-communication-and-resolution
      April 24, 2018 - hospital error and adverse event surveillance. … April 24, 2018 Effects on resident work hours, sleep duration and work experience in … Related Resources A mixed methods study exploring patient safety culture at 4 VHA Hospitals … November 14, 2018 Leading a highly visible hospital through a serious reportable event … October 3, 2017 View More See More About The Topic Hospitals Hospital

2292. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. | PSNet
      psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
      September 25, 2011 - From the Same Author(s) The cost of serious fall-related injuries at three midwestern hospitals … February 15, 2011 Reducing medication prescribing errors in a teaching hospital. … September 24, 2010 Families as partners in hospital error and adverse event surveillance … December 21, 2022 Modes of failure in venous thromboembolism prophylaxis. … October 8, 2008 View More See More About The Topic Hospitals Quality

2293. Recommended guidelines for monitoring, reporting, and conducting research on medical emergency team, outreach, and rapid response systems: an Utstein-style scientific statement. | PSNet
      psnet.ahrq.gov/issue/recommended-guidelines-monitoring-reporting-and-conducting-research-medical-emergency-team
      August 04, 2021 - September 1, 2016 Survival from in-hospital cardiac arrest during nights and weekends … bar-code-assisted medication administration in hospitals. … June 3, 2020 Reasons for repeat rapid response team calls, and associations with in-hospital … May 9, 2013 The role of the medical emergency team in end-of-life care: a multicenter … August 8, 2007 View More See More About The Topic Hospitals Critical

2294. Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. | PSNet
      psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
      March 09, 2022 - hospital: analysis of 100 autopsy cases in a prospective study. … Clinical and pathological disagreement upon the cause of death in a teaching hospital: Analysis of 100 … Clinical and pathological disagreement upon the cause of death in a teaching hospital: Analysis of 100 … October 23, 2019 Factors influencing witnesses' perception of patient safety during pre-hospital … March 18, 2020 Factors influencing the perception of feeling safe in pre-hospital emergency

2295. Potential medication errors associated with computer prescriber order entry. | PSNet
      psnet.ahrq.gov/issue/potential-medication-errors-associated-computer-prescriber-order-entry
      May 05, 2014 - This study, conducted at a tertiary care hospital in Spain, found that medication prescribing errors … December 31, 2012 Inappropriate hospital admission as a risk factor for the subsequent … hospitals: a systematic review. … Developing a programme for medication reconciliation at the time of admission into hospital … April 8, 2009 View More See More About The Topic Hospitals Facility

2296. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. | PSNet
      psnet.ahrq.gov/issue/diagnostic-reliability-teledermatology-systematic-review-and-meta-analysis
      September 23, 2020 - Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. … Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. … a multistate hospital network--13 academic medical centers, April-June 2020. … January 12, 2022 Families as partners in hospital error and adverse event surveillance … February 24, 2011 Trends in adverse event rates in hospitalized patients, 2010-2019.

2297. Pediatric surgical errors: a systematic scoping review. | PSNet
      psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-review
      August 17, 2022 - a multistate hospital network--13 academic medical centers, April-June 2020. … December 9, 2020 Crowd-sourced hospital ratings are correlated with patient satisfaction … March 16, 2022 Diagnostic error in the pediatric hospital: a narrative review. … March 11, 2020 The need for surgical safety checklists in neurosurgery now and in the … View More See More About The Topic Researchers Operating Room Children's Hospitals

2298. Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study. | PSNet
      psnet.ahrq.gov/issue/gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter-observational-study
      March 09, 2022 - department, primary care, gastroenterology, and hospital admission). … critical care units and hospital emergency services. … December 2, 2020 Patient and hospital characteristics associated with delayed diagnosis … February 1, 2023 Reducing medication errors for adults in hospital settings. … May 4, 2022 Inappropriate hospital admission as a risk factor for the subsequent development

2299. Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. | PSNet
      psnet.ahrq.gov/issue/inappropriate-prescriptions-direct-oral-anticoagulants-doacs-hospitalized-patients-narrative
      November 21, 2018 - in the intensive care: a retrospective cohort study. … Hazards in delivery of surgical instruments. … A laboratory experiment and field study in cardiac rehabilitation. … September 24, 2010 View More See More About The Topic Hospitals Medicine … Hospital Pharmacy Ordering/Prescribing Errors Anticoagulants View More

2300. The untold toll — the pandemic’s effects on patients without Covid-19. | PSNet
      psnet.ahrq.gov/issue/untold-toll-pandemics-effects-patients-without-covid-19
      August 02, 2015 - hospital practice: factors associated with turnover, outcomes, and patient safety. … March 6, 2019 Scoring no goal—further adventures in transparency. … December 5, 2012 Mortality among patients in VA hospitals in the first 2 years following … April 29, 2020 A war on two fronts: cancer care in the time of COVID-19. … April 22, 2020 View More See More About The Topic Hospitals Health