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psnet.ahrq.gov/issue/economic-evaluations-interventions-prevent-and-control-health-care-associated-infections
May 18, 2022 - March 12, 2014
Adverse events among children in Canadian hospitals: the Canadian Paediatric … January 15, 2020
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What US hospitals … Nursing Homes
February 24, 2022
Evolving factors in hospital safety: a systematic … review and meta-analysis of hospital adverse events. … June 7, 2017
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Hospitals
Facility
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psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - In contrast, a weak action step would be “update a policy on test result
communication.” … 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 … RCA Methodology
In addition to RCA2, there have been other recent innovations in RCA methodology. … The challenges of undertaking root cause analysis in health care: a
qualitative study.
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psnet.ahrq.gov/node/33785/psn-pdf
May 01, 2015 - measurement, hospital efficiency, and value-based purchasing. … outcomes both across hospitals and across surgeons. … For many years working with this large collaborative of
bariatric surgeons and hospitals in the state … how they get hired by hospitals. … The second major avenue falls more on the psychometric disciplines.
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - the hospital
Discuss the role of the electronic health record and auto-firing alerts to aid in the … Most hospitals have 24/7 access to inpatient pharmacist help. … U.S. hospitals. … May 31, 2023
Patient Safety Innovations
Preventing Falls … Pharmacists
Residents
Hospitals
Quality and Safety Professionals
Hospital Medicine
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - Preventing hospital-acquired urinary tract infection in the United States: a national study. … SS : I applaud Medicare's interest in preventing hospital-acquired complications in general, and hospital-acquired … place at hospitals. … In the 1970s, when infection control really began to blossom, infection control professionals, the hospital … For many patient safety problems, that type of applied epidemiological approach is appropriate: falls
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psnet.ahrq.gov/issue/quality-measures-patients-risk-adverse-outcomes-veterans-health-administration-expert-panel
June 22, 2022 - Download Citation
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Analysis of hospital-level … June 22, 2022
Quality and safety outcomes of a hospital merger following a full integration … at a safety net hospital. … January 30, 2013
Medication errors in family practice, in hospitals and after discharge … from the hospital: an ethical analysis.
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psnet.ahrq.gov/issue/risks-and-medication-errors-analysis-evaluate-impact-chemotherapy-compounding-workflow
January 27, 2019 - an outpatient hospital pharmacy. … September 1, 2016
Inappropriate hospital admission as a risk factor for the subsequent … care units and hospital emergency services. … November 17, 2021
Patient involvement in evaluation of safety in oral antineoplastic … December 15, 2010
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Hospitals
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psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
December 31, 2014 - Review
Post-implementation optimization of medication alerts in hospital computerized … Post-implementation optimization of medication alerts in hospital computerized provider order entry systems … Post-implementation optimization of medication alerts in hospital computerized provider order entry systems … Dangerous Dapsone
June 1, 2004
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Hospitals … Hospital Medicine
Hospital Pharmacy
Side Effects/Adverse Drug Reactions
Medication Errors
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psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
September 08, 2010 - Study
Out-of-hospital medication errors: a 6-year analysis of the national poison … Out-of-hospital medication errors: a 6-year analysis of the national poison data system. … March 5, 2025
Families as partners in hospital error and adverse event surveillance. … May 8, 2017
Strategies for improving patient safety culture in hospitals: a systematic … November 9, 2016
6-PACK programme to decrease fall injuries in acute hospitals: cluster
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psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service-comparison-two-population
February 16, 2011 - June 20, 2018
Latency of ECG displays of hospital telemetry systems: a science advisory … acute hospital trusts in England: a cross-sectional study. … collaboration with hospital volunteers. … August 2, 2017
Do hospital boards matter for better, safer, patient care? … July 1, 2016
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Hospitals
Facility
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psnet.ahrq.gov/issue/what-does-safety-commitment-mean-leaders-multi-method-investigation
September 11, 2024 - hospitals: stakeholders, contributory factors, and leverage points. … February 22, 2023
Speaking up as an extension of socio-cultural dynamics in hospital … settings: a study of staff experiences of speaking up across seven hospitals. … June 5, 2013
What stops hospital clinical staff from following protocols? … public hospitals.
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psnet.ahrq.gov/issue/early-cost-and-safety-benefits-inpatient-electronic-health-record
August 04, 2021 - multistate hospital network--13 academic medical centers, April-June 2020. … July 29, 2020
Families as partners in hospital error and adverse event surveillance. … Assessing the anticipated consequences of computer-based provider order entry at three community hospitals … critical access hospitals. … September 17, 2008
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General Hospitals
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psnet.ahrq.gov/issue/effect-audible-alarms-anaesthesiologists-response-times-adverse-events-simulated-anaesthesia
September 18, 2013 - Improving the safety of hospital alarm systems has been added as a National Patient Safety Goal in … August 10, 2022
Families as partners in hospital error and adverse event surveillance … hospitals: a mixed method study. … January 7, 2015
Predictive combinations of monitor alarms preceding in-hospital code … October 4, 2011
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Hospitals
Health
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psnet.ahrq.gov/issue/wide-variation-and-overprescription-opioids-after-elective-surgery
April 24, 2018 - January 11, 2017
Association of hospital participation in a surgical outcomes monitoring … November 16, 2022
Families as partners in hospital error and adverse event surveillance … April 16, 2018
Opioid-related critical care resource use in US children's hospitals. … April 16, 2018
Predictors of in-hospital postoperative opioid overdose after major elective … July 19, 2017
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Hospitals
Health Care
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psnet.ahrq.gov/issue/quality-improvement-initiative-using-peer-audit-and-feedback-improve-compliance-surgical
March 24, 2021 - A comparison of 24 surgical safety checklists in Switzerland. … a VA hospital: design and outcomes. … differences in patient safety between Medicaid and privately insured hospital patients. … September 18, 2024
Perceptions of hospital electronic health record (EHR) training, support … September 11, 2024
Relationships between medications used in a mental health hospital
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psnet.ahrq.gov/issue/optimizing-therapy-prevent-avoidable-hospital-admissions-multimorbid-older-adults-operam
December 21, 2022 - Study
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster … December 21, 2022
Experience of hospital-initiated medication changes in older people … Avoidable hospital admissions in Multimorbid older people (OPERAM) trial. … April 1, 2020
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Hospitals
Geriatrics
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psnet.ahrq.gov/issue/association-hospital-employee-satisfaction-patient-safety-and-satisfaction-within-veterans
August 04, 2021 - May 18, 2022
6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised … a multistate hospital network--13 academic medical centers, April-June 2020. … October 12, 2022
Recruitment of hospitals for a safety climate study: facilitators and … structural characteristics in VA and nonfederal hospitals. … April 1, 2010
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Hospitals
Health Care
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psnet.ahrq.gov/issue/how-reliable-are-clinical-systems-uk-nhs-study-seven-nhs-organisations
November 26, 2008 - This survey of seven National Health Service hospitals found poor task reliability across several clinical … For example, essential operating room equipment was unavailable in up to 37% of cases at one hospital … Some hospitals did achieve higher reliability, and the authors cite standardization of processes as one … May 17, 2012
An inpatient fall prevention initiative in a tertiary care hospital. … August 10, 2011
Adverse-event-reporting practices by US hospitals: results of a national
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psnet.ahrq.gov/issue/large-scale-organisational-intervention-improve-patient-safety-four-uk-hospitals-mixed-method
February 23, 2011 - Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method … In this phase one study, the SPI focused efforts in 4 hospitals, where a $1.2 million investment was … Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method … January 4, 2012
An inpatient fall prevention initiative in a tertiary care hospital. … August 10, 2011
Multiple component patient safety intervention in English hospitals:
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psnet.ahrq.gov/issue/patient-readmissions-emergency-visits-and-adverse-events-after-software-assisted-discharge
November 16, 2022 - Adverse events after hospital discharge are surprisingly common , and the relationship between hospital … Investigators discovered no difference in readmissions, emergency department visits, or adverse events … medical education: results from the 2012 clerkship directors in internal medicine survey. … April 8, 2020
Families as partners in hospital error and adverse event surveillance. … July 14, 2010
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Specialty Hospitals