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2341. Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. | PSNet
      psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients
      April 24, 2018 - result in decreased in-hospital mortality compared to usual care. … intervention versus control hospitals. … hospital error and adverse event surveillance. … November 12, 2014 Latency of ECG displays of hospital telemetry systems: a science advisory … View More See More About The Topic Intensive Care Units Children's Hospitals

2342. ‘He thought what he was doing was good for people.’ Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system? | PSNet
      psnet.ahrq.gov/issue/he-thought-what-he-was-doing-was-good-people-why-it-so-difficult-prevent-unnecessary-medical
      September 02, 2020 - Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system? … Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system? … Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system? … August 22, 2018 Rethinking hospital restraints. … August 18, 2021 Patient Safety in Private Hospitals: the Known and the Unknown Risk.

2343. Guidelines for timely medication administration: response to the CMS "30-minute rule." | PSNet
      psnet.ahrq.gov/issue/guidelines-timely-medication-administration-response-cms-30-minute-rule
      June 10, 2018 - February 1, 2023 Selected medication safety risks to manage in 2016 that might otherwise … February 24, 2016 A hard look at hard stops and workarounds in the acute care setting … December 1, 2021 Preventing medication errors at small and rural hospitals. … September 22, 2010 View More See More About The Topic Hospitals Nurses

2344. Survey by Ohio regulator shows stress, fatigue among pharmacists at chain stores. | PSNet
      psnet.ahrq.gov/issue/survey-ohio-regulator-shows-stress-fatigue-among-pharmacists-chain-stores
      November 09, 2022 - This story highlights working conditions in chain pharmacies that cause concerns for pharmacists in … July 14, 2021 A spike in people dying at home suggests coronavirus deaths in Houston … December 8, 2021 How a major public hospital is protecting doctors by silencing the patients … June 26, 2024 Medical mistakes are more likely in women and minorities. … September 20, 2023 Hospitals in two states denied an abortion to a miscarrying patient

2345. Federal speech rulings may embolden health care workers to call out safety issues. | PSNet
      psnet.ahrq.gov/issue/federal-speech-rulings-may-embolden-health-care-workers-call-out-safety-issues
      July 24, 2013 - media as a platform for employees to highlight conditions that reduce staff and patient safety in … July 24, 2013 Medicare failed to investigate suspicious infection cases from 96 hospitals … May 17, 2017 Lax oversight leaves surgery center regulators and patients in the dark. … July 26, 2017 Do cell phones belong in the operating room? … May 5, 2021 View More Related Resources Hospitals in two states

2346. Whither Challenger, wither Columbia: management decision making and the knowledge analytic. | PSNet
      psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic
      September 07, 2011 - includes an eye toward the role that NASA's organizational culture and sharing of knowledge played in … and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. … March 1, 2023 Error traps in acute pain management in children. … July 16, 2014 State of science: human factors and ergonomics in healthcare. … June 12, 2013 Who is in charge of patient safety?

2347. Implementing a patient safety alert system. | PSNet
      psnet.ahrq.gov/issue/implementing-patient-safety-alert-system
      June 21, 2015 - A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in … a United Kingdom hospital. … April 27, 2022 Fatigue and safety in paramedicine. … maternal morbidity and mortality in the United States. … March 23, 2016 The effect of contact precautions on frequency of hospital adverse events

2348. Medical Office Survey on Patient Safety Culture. | PSNet
      psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture
      December 24, 2008 - Survey collects information from outpatient providers and staff about the culture of patient safety in … June 28, 2023 AHRQ Health Information Technology Research: 2018 Year in Review. … May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … May 29, 2024 Working conditions in primary care: physician reactions and care quality … June 20, 2014 Engaging Patients in Improving Ambulatory Care.

2349. To err is human: quality and safety issues in spine care. | PSNet
      psnet.ahrq.gov/issue/err-human-quality-and-safety-issues-spine-care
      August 04, 2021 - To err is human: quality and safety issues in spine care. … To err is human: quality and safety issues in spine care. … November 16, 2022 Ottawa Hospital Patient Safety Study: incidence and timing of adverse … events in patients admitted to a Canadian teaching hospital. … October 10, 2018 Clash in the name of care.

2350. Phony diagnoses hide high rates of drugging at nursing homes. | PSNet
      psnet.ahrq.gov/issue/phony-diagnoses-hide-high-rates-drugging-nursing-homes
      December 22, 2021 - December 22, 2021 In U.S. nursing homes, where Covid-19 killed scores, even reports of … March 24, 2021 Drug shortages persist in US, harming care. … September 7, 2016 Whistle-blowing nurse is acquitted in Texas. … hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. … September 16, 2020 View More Related Resources Hospitals in two

2351. Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-patients-after-their-discharge-intensive-care-unit-hospital-ward
      March 09, 2022 - Medication reconciliation for patients after their discharge from intensive care unit to the hospital … Medication reconciliation for patients after their discharge from intensive care unit to the hospital … Nearly one in five had an error requiring physician changes to the order. … care units and hospital emergency services. … February 2, 2022 Medication reconciliation during hospitalization and in hospital-home

2352. Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. | PSNet
      psnet.ahrq.gov/issue/nurse-staffing-levels-missed-vital-signs-and-mortality-hospitals-retrospective-longitudinal
      July 19, 2019 - Hospitals: Retrospective Longitudinal Observational Study. … Nurse Staffing Levels, Missed Vital Signs And Mortality In Hospitals: Retrospective Longitudinal Observational … Nurse Staffing Levels, Missed Vital Signs And Mortality In Hospitals: Retrospective Longitudinal Observational … September 23, 2020 Nursing skill mix in European hospitals: cross-sectional study of … care community hospital.

2353. Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique. | PSNet
      psnet.ahrq.gov/issue/supporting-carers-improve-patient-safety-and-maintain-their-well-being-transitions-mental
      May 31, 2023 - 2011 Barriers and facilitators to implementing interventions for reducing avoidable hospital … June 15, 2022 Reviewing deaths in British and US hospitals: a study of two scales for … to 20 hospitals in England during implementation of the 7-day services national health policy. … November 25, 2020 Ranking hospitals based on preventable hospital death rates: a systematic … April 3, 2019 Weekend specialist intensity and admission mortality in acute hospital

2354. The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. | PSNet
      psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish
      March 03, 2021 - Irish hospitals—a retrospective record review study. … February 8, 2017 Impact of hospital-acquired conditions on financial liabilities for … November 26, 2014 Improving America's Hospitals: The Joint Commission's Annual Report … Safer Hospital Care. … December 1, 2010 Adverse Events in Hospitals: Care Study of Incidence Among Medicare

2355. The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet
      psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
      October 31, 2011 - March 23, 2011 Medication reconciliation during internal hospital transfer and impact … Improving Diagnostic Safety and Quality April 26, 2023 Paradoxical effects of a hospital-based … Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in … April 12, 2014 An exploratory study of knowledge brokering in hospital settings: facilitating … Leading clinical handover improvement: a change strategy to implement best practices in

2356. Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet
      psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
      November 21, 2017 - November 21, 2017 Prospects for comparing European hospitals in terms of quality and … study of two NHS hospitals in England. … two English NHS hospitals. … February 2, 2022 Transmission of community- and hospital-acquired SARS-CoV-2 in hospital … three hospitals.

2357. Impact of introducing an electronic physiological surveillance system on hospital mortality. | PSNet
      psnet.ahrq.gov/issue/impact-introducing-electronic-physiological-surveillance-system-hospital-mortality
      December 19, 2018 - Impact of introducing an electronic physiological surveillance system on hospital mortality. … mortality for a broad range of diagnoses at both hospitals. … Hospitals: Retrospective Longitudinal Observational Study. … a multistate hospital network--13 academic medical centers, April-June 2020. … June 15, 2022 Hospitals look to computers to predict patient emergencies before they

2358. Patient Safety Education Project. | PSNet
      psnet.ahrq.gov/issue/patient-safety-education-project
      July 16, 2018 - Copy Citation Related Resources From the Same Author(s) Graduate Programs in … May 1, 2015 Delivering High-Quality Cancer Care: Charting a New Course for a System in … March 18, 2025 Society to Improve Diagnosis in Medicine. … Hospitals Training Program. … July 14, 2010 Strategic Alliance For Error Reduction in California Healthcare (SAFER)

2359. A team performance measurement model for continuous improvement. | PSNet
      psnet.ahrq.gov/issue/team-performance-measurement-model-continuous-improvement
      February 26, 2025 - January 18, 2012 An inpatient fall prevention initiative in a tertiary care hospital. … April 6, 2011 Comparison of the clinical diagnosis and subsequent autopsy findings in

2360. In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
      April 24, 2024 - In addition, travel nurses represent, on average, about 3–4% of hospitals’ overall nurse staffing. 8 … In August 2021, agency nurses accounted for 8–10% of hospital staffing. 8 However, this high utilization … falls, and medication errors on the basis of nurse experience, as well as on agency and travel nurse … hospital units. … hospital governance.