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  1. Building a Safety Program in a Vast Health Care Network | PSNet

    psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
    March 01, 2019 - In addition, a number of individual hospitals across our health system hold their own safety conferences … Hospital consolidation: "safety in numbers" strategy prevails in preparation for a value-based marketplace … 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

  2. Seeking answers, hearing silence. | PSNet

    psnet.ahrq.gov/issue/seeking-answers-hearing-silence
    October 09, 2024 - Lack of transparency regarding errors in patient care contributes to harm, mistrust, and inclination … September 18, 2024 Overnight stay in the emergency department and mortality in older … July 5, 2023 Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. … 25, 2018 Thematic analysis of women's perspectives on the meaning of safety during hospital-based … November 21, 2016 View More See More About The Topic Hospitals Physicians

  3. Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. | PSNet

    psnet.ahrq.gov/issue/intravenous-chemotherapy-compounding-errors-follow-pan-canadian-observational-study
    March 18, 2011 - Study Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational … Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. … Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. … multistate hospital network--13 academic medical centers, April-June 2020. … September 21, 2009 View More See More About The Topic Hospitals Physicians

  4. Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke. | PSNet

    psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke
    June 08, 2010 - Review Implicit bias in stroke care: a recurring old problem in the rising incidence … Misdiagnosis , variation in treatment of  stroke  and gaps in secondary prevention in  young patients … June 25, 2018 Cold debriefings after in-hospital cardiac arrest in an international pediatric … January 30, 2019 Slow progress on meeting hospital safety standards: learning from the … March 22, 2023 In-hospital mortality associated with the misdiagnosis or unidentified

  5. An elusive balance — residents' work hours and the continuity of care. | PSNet

    psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care
    July 19, 2017 - July 19, 2017 Safe injection, infusion, and medication vial practices in health care … January 12, 2022 Patient safety culture transformation in a children's hospital: an interprofessional … November 4, 2014 Assessing and monitoring override medications in automated dispensing … in secondary care: a qualitative study. … Safety February 1, 2010 View More See More About The Topic Hospitals

  6. EMS helicopter crashes: what influences fatal outcome? | PSNet

    psnet.ahrq.gov/issue/ems-helicopter-crashes-what-influences-fatal-outcome
    September 23, 2020 - the Same Author(s) Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … February 14, 2017 Hospital readmission after noncardiac surgery: the role of major complications … hospital in-patients: a before and after study.

  7. How to develop a second victim support program: a toolkit for health care organizations. | PSNet

    psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
    April 03, 2019 - This commentary describes the development of a toolkit to help hospitals create and implement support … Resources From the Same Author(s) The impact of adverse events on clinicians: what's in … January 10, 2017 To tell the truth: ethical and practical issues in disclosing medical … June 29, 2011 View More See More About The Topic Hospitals Health Care … Executives and Administrators General Internal Medicine Hospital Medicine Psychological and

  8. Building safer systems by ecological design: using restoration science to develop a medication safety intervention. | PSNet

    psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety
    February 14, 2024 - bar-code-assisted medication administration in hospitals. … Hazards in delivery of surgical instruments. … June 26, 2019 Exploring strategies for reducing hospital errors. … June 17, 2014 Safety in EMS. … December 21, 2011 Association between hospital-reported Leapfrog Safe Practices scores

  9. Scoring no goal—further adventures in transparency. | PSNet

    psnet.ahrq.gov/issue/scoring-no-goal-further-adventures-transparency
    August 02, 2015 - Commentary Scoring no goal—further adventures in transparency. … Scoring No Goal--Further Adventures in Transparency. … Scoring No Goal--Further Adventures in Transparency. … hospital practice: factors associated with turnover, outcomes, and patient safety. … December 5, 2012 Mortality among patients in VA hospitals in the first 2 years following

  10. Interdisciplinary team training identifies discrepancies in institutional policies and practices. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-team-training-identifies-discrepancies-institutional-policies-and-practices
    November 26, 2012 - Study Interdisciplinary team training identifies discrepancies in institutional policies … Interdisciplinary team training identifies discrepancies in institutional policies and practices. … Interdisciplinary team training identifies discrepancies in institutional policies and practices. … February 17, 2011 Use of electronic health records in US hospitals. … a community hospital.

  11. Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). | PSNet

    psnet.ahrq.gov/issue/measuring-handoff-quality-labor-and-delivery-development-validation-and-application
    January 03, 2017 - Study Measuring handoff quality in labor and delivery: development, validation, and … November 26, 2008 Changes in prevalence of health care-associated infections in U.S. … hospitals. … It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital … April 1, 2010 View More See More About The Topic Hospitals Health Care

  12. Using smart pumps to understand and evaluate clinician practice patterns to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/using-smart-pumps-understand-and-evaluate-clinician-practice-patterns-ensure-patient-safety
    September 01, 2016 - September 1, 2016 Antimicrobial residual drug error in the intensive care unit; a single … View More Related Resources Interview In … June 16, 2019 Is researching adverse events in hospital deaths a good way to describe … patient safety in hospitals: a retrospective patient record review study. … September 16, 2015 View More See More About The Topic Hospitals Health

  13. What is an ethically informed approach to managing patient safety risk during discharge planning? | PSNet

    psnet.ahrq.gov/issue/what-ethically-informed-approach-managing-patient-safety-risk-during-discharge-planning
    November 16, 2022 - Related Resources From the Same Author(s) Implementation of the I-PASS handoff program in … March 10, 2019 Changes in burnout and satisfaction with work-life integration in physicians … May 17, 2017 Families as partners in hospital error and adverse event surveillance. … October 24, 2017 Impact of initial hospital diagnosis on mortality for acute myocardial … Another Fall April 1, 2003 View More See More About The Topic Hospitals

  14. Potentially inappropriate medications and adverse drug effects in elders in the ED. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-adverse-drug-effects-elders-ed
    December 23, 2020 - Study Potentially inappropriate medications and adverse drug effects in elders in … Potentially inappropriate medications and adverse drug effects in elders in the ED. … Potentially inappropriate medications and adverse drug effects in elders in the ED. … June 22, 2022 Uncertain diagnoses in a children's hospital: patient characteristics and … adverse events in older patients admitted to hospital: a retrospective cohort study.

  15. Cardiac surgical ICU care: eliminating "preventable" complications. | PSNet

    psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
    August 04, 2021 - a multistate hospital network--13 academic medical centers, April-June 2020. … June 3, 2020 Families as partners in hospital error and adverse event surveillance. … March 29, 2023 Fast tracking in cardiac surgery: is it safe? … May 11, 2022 A systems approach to analyzing and preventing hospital adverse events. … surgery: tracking all failures in the pediatric cardiac operating room.

  16. Retained foreign bodies after surgery. | PSNet

    psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery
    November 23, 2011 - the incidence of RFB at their hospital. … November 23, 2011 Families as partners in hospital error and adverse event surveillance … a multistate hospital network--13 academic medical centers, April-June 2020. … in the Elderly and Potentially Harmful Drug–Disease Interactions in the Elderly quality measures. … January 18, 2013 The lost sponge: patient safety in the operating room.

  17. Safety with nebulized medications requires an interdisciplinary team approach. | PSNet

    psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
    December 27, 2018 - March 14, 2023 Selected medication safety risks to manage in 2016 that might otherwise … February 24, 2016 Smart pumps in practice: survey results reveal widespread use, but … bar-code-assisted medication administration in hospitals. … January 23, 2019 Safety enhancements every hospital must consider in wake of another … March 18, 2010 View More See More About The Topic Hospitals Health

  18. ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. | PSNet

    psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-associated-age
    July 27, 2016 - Newspaper/Magazine Article ISMP National Vaccine Errors Reporting Program: one in … Vaccine errors can hinder immunization efforts in the United States. … and drug concentration consistencies in children's hospitals in the United States. … April 25, 2016 Out-of-hospital medication errors among young children in the United States … November 4, 2014 Hospital deaths in patients with sepsis from 2 independent cohorts.

  19. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet

    psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
    June 07, 2017 - to refine dosage recommendations, policy development, alert review, and data usage to reduce alerts in … hospital practice: factors associated with turnover, outcomes, and patient safety. … January 12, 2022 Changes in medical errors after implementation of a handoff program. … December 21, 2014 The MedSafer study-electronic decision support for deprescribing in … August 31, 2016 View More See More About The Topic Hospitals Physicians

  20. Evaluation of parenteral nutrition errors in an era of drug shortages. | PSNet

    psnet.ahrq.gov/issue/evaluation-parenteral-nutrition-errors-era-drug-shortages
    October 02, 2013 - Evaluation of Parenteral Nutrition Errors in an Era of Drug Shortages. … Evaluation of Parenteral Nutrition Errors in an Era of Drug Shortages. … a multistate hospital network--13 academic medical centers, April-June 2020. … October 2, 2024 Implementation of a "second victim" program in a pediatric hospital. … April 27, 2010 View More See More About The Topic Hospitals Pharmacists
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