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psnet.ahrq.gov/node/846763/psn-pdf
March 29, 2023 - Why hospitals still make serious medical errors—and how
they are trying to reduce them. … https://psnet.ahrq.gov/issue/why-hospitals-still-make-serious-medical-errors-and-how-they-are-trying- … This article discusses the potential that improved technology use has in reducing medication errors, … falls, surgical errors, and high-risk hospital-acquired infections. … two-decades-err-human-progress-still-chasm
https://psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates
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psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
December 23, 2016 - May 14, 2018
Medical device alarm safety in hospitals. … January 25, 2023
Preventing falls and fall-related injuries in health care facilities … March 1, 2023
A systems analysis of work-related violence in hospitals: stakeholders, … September 6, 2017
Preventing falls and fall-related injuries in health care facilities … December 23, 2016
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See More About The Topic
Hospitals
Health
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psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know-about-psychiatric
January 30, 2019 - April 12, 2023
Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency … May 11, 2016
Provider-patient communication and hospital ratings: perceived gaps and … December 16, 2020
Safety events in children's hospitals during the COVID-19 pandemic. … March 18, 2015
Reducing falls and fall-related injuries in mental health: a 1-year multihospital … falls collaborative.
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psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
March 03, 2021 - January 26, 2022
Crowd-sourced hospital ratings are correlated with patient satisfaction … hospitals: a descriptive study. … hospitals: a system-based approach. … February 22, 2023
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Related Resources
Patient falls in … October 26, 2022
Patient falls in the operating room setting: an analysis of reported
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psnet.ahrq.gov/issue/top-patient-safety-strategies-can-be-encouraged-adoption-now
September 20, 2011 - health care–associated infections and surgical complications , bundled interventions to reduce falls … August 4, 2021
Families as partners in hospital error and adverse event surveillance. … May 1, 2016
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … Hospital Care. … March 17, 2010
Announcing 2009 Leapfrog top hospitals.
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psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure
November 02, 2016 - November 28, 2012
Medication errors in hospitals: a literature review of disruptions … August 5, 2020
Risk-adjusted survival for adults following in-hospital cardiac arrest … Related Resources
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … awaiting long-term care in hospital. … December 21, 2018
Is single room hospital accommodation associated with differences in
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psnet.ahrq.gov/issue/why-hospitals-still-make-serious-medical-errors-and-how-they-are-trying-reduce-them
October 04, 2023 - This article discusses the potential that improved technology use has in reducing medication errors, … falls , surgical errors, and high-risk hospital-acquired infections. … August 17, 2016
At the hospital, better responses to those beeping alarms. … March 20, 2024
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … But are hospitals getting any safer?
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - than in hospitals.3 Office-based settings appear to
be safer than hospital settings, but patient safety … hospitals. … But challenges in
office-based care settings, such as falls, diagnostic issues, and complications related … acute and office-based settings, for example patient falls can occur in any patient setting. … Compared to hospital-based settings, medication prescribing in office-based settings may be associated
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - Background For many years, the patient safety field focused on improving safety in hospital and ambulatory … SNFs as in hospitals. … A WebM&M commentary highlights falls that occur in SNF patients in more detail and gives evidence-based … Unfortunately, safety culture in many long-term care facilities is poorer than that found in hospitals … These require SNFs to have measures in place to prevent specific clinical harms (such as falls, pressure
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psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
July 19, 2023 - associated infections - in one hospital were analyzed to identify if disparities exist and to create … October 19, 2022
Families as partners in hospital error and adverse event surveillance … June 19, 2024
The impact of adding a 2-way video monitoring system on falls and costs … February 14, 2024
Remote patient monitoring improves patient falls and reduces harm. … April 14, 2021
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See More About The Topic
Hospitals
Nurse Care
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psnet.ahrq.gov/issue/initiative-deprescribe-high-risk-drugs-older-adults-presenting-emergency-department-after
August 18, 2021 - Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls … Inappropriate medications can increase the risk of falls among older adults. … Related Resources From the Same Author(s)
Optimizing Therapy to Prevent Avoidable Hospital … a predefined care track: a retrospective patient record review study in a single tertiary hospital in … older people prior to a potentially preventable drug-related hospital admission.
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psnet.ahrq.gov/node/849137/psn-pdf
May 17, 2023 - But are
hospitals getting any safer?
May 17, 2023
Weintraub K. USA Today. May 3, 2023. … The semi-annual Leapfrog Hospital Safety Grades are recognized across the industry as a tool for
highlighting … successes and tracking gaps in safety to focus improvement efforts. … article shares one
organization’s work to improve core safety activities related to medication safety, falls … https://psnet.ahrq.gov/issue/hospital-safety-grade
https://psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients
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psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
October 27, 2010 - one hospital's effort to decrease readmissions and adverse events involving inpatients at risk for falls … November 2, 2012
Fall prevention in acute care hospitals: a randomized trial. … September 20, 2011
An inpatient fall prevention initiative in a tertiary care hospital … Coverage
February 1, 2007
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See More About The Topic
Hospitals … Health Care Providers
Risk Managers
Hospital Medicine
Patient Falls
View More
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psnet.ahrq.gov/issue/revitalizing-established-rapid-response-team
September 23, 2020 - a multistate hospital network--13 academic medical centers, April-June 2020. … July 5, 2017
Cost of inpatient falls and cost-benefit analysis of implementation of an … November 16, 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls … March 26, 2008
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See More About The Topic
Hospitals
Nurses
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psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
June 19, 2024 - Related Resources
Patient Safety Innovations
Preventing Falls … in ORs in the Veterans Health Administration. … July 16, 2015
Effects of an intervention to increase bed alarm use to prevent falls in … July 21, 2010
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See More About The Topic
Hospitals
Facility … and Group Administrators
Risk Managers
Hospital Medicine
Nurse Care
View More
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psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - Patient safety culture and the association with safe
resident care in nursing homes. … Patient safety culture and the association with safe resident care in
nursing homes. … a structure (safety culture), a process (use of physical restraints), and an
outcome (incidence of falls … statistically significant association between higher
safety culture scores, lower use of restraints, and fewer falls … https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
September 15, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … hospital. … analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals … awaiting long-term care in hospital.
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psnet.ahrq.gov/node/46910/psn-pdf
January 23, 2019 - A qualitative
study of a large-scale exercise in seeking to measure for
improvement, not blame. … A qualitative study of
a large-scale exercise in seeking to measure for improvement, not blame. … Kingdom, the NHS Safety Thermometer, which
measured incidence of pressure ulcers, harm from falls, … preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
https://psnet.ahrq.gov/primer/falls … https://psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals
https://psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism
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psnet.ahrq.gov/issue/keeping-each-patient-safe
September 21, 2005 - These include protecting patients from hospital-acquired infection, minimizing falls and confusion, and … The organization was recognized for this work with the John Eisenberg award in 2004 . … July 19, 2023
Serious Reportable Events in Massachusetts. … October 24, 2018
Fall Prevention in Hospitals Training Program. … See More About The Topic
Health Care Providers
Nosocomial Infections
Patient Falls
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psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs
August 30, 2023 - , and analyzed anonymized data from nearly 29,000 incidents, with the largest proportion related to falls … December 16, 2020
Opportunities for diagnostic improvement among pediatric hospital readmissions … Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital … November 8, 2013
Fall prevention in acute care hospitals: a randomized trial. … Providers
Risk Managers
Quality and Safety Professionals
Information Professionals
Patient Falls