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In Conversation With… Ashish K. Jha, MD, MPH | PSNet

psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph

May 01, 2013 - The most important question to me is this: why didn't every hospital in America take that up the next … the adoption of evidence-based guidelines, including catheter-associated urinary tract infections and falls … In 2012, more than 2000 hospitals were affected; collectively, they paid approximately $280 million in … Public reporting and pay for performance in hospital quality improvement. … Effect of nonpayment for preventable infections in U.S. hospitals.

Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors. | PSNet

psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol

October 19, 2022 - January 7, 2016 Inappropriate hospital admission as a risk factor for the subsequent … in conditions targeted by the Hospital Readmissions Reduction Program. … the hospital? … October 6, 2011 Medication errors common for hospital diabetes. … March 2, 2011 View More See More About The Topic Hospitals Nurses

Enteral nutrition: an underappreciated source of patient safety events. | PSNet

psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events

February 01, 2023 - hospital practice: factors associated with turnover, outcomes, and patient safety. … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020 6-PACK programme to decrease fall injuries in acute hospitals: cluster … November 6, 2015 View More See More About The Topic Hospitals Nutrition … /Dietetics Hospital Medicine Administration Errors Monitoring Errors and Failures View

Systematic review of medication safety assessment methods. | PSNet

psnet.ahrq.gov/issue/systematic-review-medication-safety-assessment-methods

January 03, 2017 - January 12, 2022 Families as partners in hospital error and adverse event surveillance … June 26, 2019 Hospital organisation, management, and structure for prevention of health-care-associated … community hospitals. … March 18, 2010 Characteristics of medication errors and adverse drug events in hospitals … November 12, 2008 View More See More About The Topic Hospitals Pharmacists

Should health care providers be forced to apologise after things go wrong? | PSNet

psnet.ahrq.gov/issue/should-health-care-providers-be-forced-apologise-after-things-go-wrong

March 14, 2016 - July 29, 2020 What stops hospital clinical staff from following protocols? … June 19, 2012 From fable to reality at Parkland Hospital: the impact of evidence-based … a multistate hospital network--13 academic medical centers, April-June 2020. … May 27, 2011 Adverse events in hospitals: the patient's point of view. … March 4, 2009 View More See More About The Topic Hospitals Health Care

Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet

psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action

March 21, 2017 - This analysis of data from a commercial, web-based system at an academic hospital confirms some prior … June 8, 2016 How many hospital pharmacy medication dispensing errors go undetected? … November 23, 2016 Fall prevention in acute care hospitals: a randomized trial. … hospital. … March 2, 2010 View More See More About The Topic Specialty Hospitals

A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. | PSNet

psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients

April 11, 2011 - April 7, 2022 Automated surveillance for adverse drug events at a community hospital … a multistate hospital network--13 academic medical centers, April-June 2020. … March 18, 2010 Characteristics of medication errors and adverse drug events in hospitals … September 17, 2008 View More See More About The Topic General Hospitals … Quality and Safety Professionals General Internal Medicine Hospital Medicine Hospital Pharmacy

Rooting an error review process in just culture: lessons learned. | PSNet

psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned

April 20, 2022 - Rooting an error review process in just culture: lessons learned. … This article describes findings from focus groups with nurses at Children’s Hospital of Philadelphia … care units and hospital emergency services. … January 12, 2022 Reducing medication errors for adults in hospital settings. … January 4, 2012 View More See More About The Topic Hospitals Ambulatory

Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. | PSNet

psnet.ahrq.gov/issue/assessing-impact-electronic-chemotherapy-order-verification-checklist-pharmacist-reported

January 22, 2016 - This retrospective study examined medication errors involving chemotherapies reported at one hospital … January 22, 2016 Mortality rate after nonelective hospital admission. … June 1, 2011 Effect of a rapid response team on hospital-wide mortality and code rates … outside the ICU in a children’s hospital. … December 4, 2024 Reflection on adverse event disclosure in the postsurgical hospital

Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac-surgery

February 17, 2021 - hospitals or hospital units. … February 17, 2021 Hospital-wide cardiac arrest in situ simulation to identify and mitigate … hospitals and how they change over time: a narrative review. … May 11, 2022 Patients went into the hospital for care. … July 31, 2012 View More See More About The Topic Hospitals Intensive

Development and evaluation of a checklist to support decision making in cancer multidisciplinary team meetings: MDT-QuIC. | PSNet

psnet.ahrq.gov/issue/development-and-evaluation-checklist-support-decision-making-cancer-multidisciplinary-team

September 25, 2011 - multistate hospital network--13 academic medical centers, April-June 2020. … and nature of harm to patients in hospital. … January 2, 2017 Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us … July 21, 2010 View More See More About The Topic Hospitals Health Care … Providers General Internal Medicine Medical Oncology Hospital Medicine View More

Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event

July 24, 2024 - reports from 71 hospitals in Pennsylvania. … June 4, 2024 Impact of repeated reimbursement penalties on hospital total quality scores … But are hospitals getting any safer? … May 17, 2023 Concordance of hospital ranks and category ratings using the current technical … specification of US Hospital Star Ratings and reasonable alternative specifications.

Understanding the factors influencing doctors’ intentions to report patient safety concerns: a qualitative study. | PSNet

psnet.ahrq.gov/issue/understanding-factors-influencing-doctors-intentions-report-patient-safety-concerns

July 29, 2020 - multistate hospital network--13 academic medical centers, April-June 2020. … a children's hospital. … June 7, 2023 Managing near-miss reporting in hospitals: the dynamics between staff members … April 17, 2019 Characterisations of adverse events detected in a university hospital: … quality data in acute hospitals: results from the National Reporting and Learning System.

Inappropriate medication in a national sample of US elderly patients receiving home health care. | PSNet

psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care

September 09, 2020 - ) State policies for prescription drug monitoring programs and adverse opioid-related hospital … hospital practice: factors associated with turnover, outcomes, and patient safety. … older people in primary care and its association with hospital admission: longitudinal study. … on discharge from hospital: an observational and interventional study. … February 1, 2013 The effect of medication reconciliation in elderly patients at hospital

Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. | PSNet

psnet.ahrq.gov/issue/clinical-and-financial-effects-smart-pump-electronic-medical-record-interoperability-hospital

November 16, 2022 - Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital … Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital … Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital … November 16, 2022 Families as partners in hospital error and adverse event surveillance … August 11, 2010 View More See More About The Topic Hospitals Pharmacists

Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff. | PSNet

psnet.ahrq.gov/issue/patient-safety-patients-who-occupy-beds-clinically-inappropriate-wards-qualitative-interview

January 12, 2022 - hospital setting? … April 24, 2017 Developing a reliable and valid patient measure of safety in hospitals … June 11, 2014 An exploratory study of knowledge brokering in hospital settings: facilitating … July 20, 2009 View More See More About The Topic Hospitals Health Care … Providers Facility and Group Administrators General Internal Medicine Hospital Medicine

Organizational factors associated with high performance in quality and safety in academic medical centers. | PSNet

psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical

January 03, 2017 - hospitals and residents' knowledge of quality and patient safety? … April 24, 2018 Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report … hospital nursing units. … March 17, 2010 Teamwork in the operating room: frontline perspectives among hospitals … January 7, 2008 View More See More About The Topic Hospitals Health

Clinical nurse competence and its effect on patient safety culture: a systematic review. | PSNet

psnet.ahrq.gov/issue/clinical-nurse-competence-and-its-effect-patient-safety-culture-systematic-review

March 22, 2023 - October 18, 2023 Electronic health record-based prediction models for in-hospital adverse … service of a Canadian hospital: a prospective study. … Updated Results for the AHRQ Surveys on Patient Safety Culture Workplace Safety Supplemental Item Set for Hospitals … November 25, 2020 A critical review: moral injury in nurses in the aftermath of a patient … February 26, 2020 View More See More About The Topic Researchers Hospitals

Medical malpractice litigation and daylight saving time. | PSNet

psnet.ahrq.gov/issue/medical-malpractice-litigation-and-daylight-saving-time

March 24, 2019 - Clostridioides difficile infection rates among US hospitals March 10, 2021 Intervening … August 3, 2017 Effect of nonpayment for preventable infections in U.S. hospitals. … September 9, 2020 Associations between in-hospital mortality, health care utilization … May 15, 2019 Night-time communication at Stanford University Hospital: perceptions, reality … June 7, 2016 View More See More About The Topic Hospitals Medicine

Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-diagnostic-imaging-us-childrens-hospitals

April 22, 2020 - US Children's Hospitals, 2016-2019. … Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, … Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, … May 19, 2021 Quality and safety outcomes of a hospital merger following a full integration … at a safety net hospital.

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