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Evaluating shared decision making for lung cancer screening. | PSNet

psnet.ahrq.gov/issue/evaluating-shared-decision-making-lung-cancer-screening

May 25, 2016 - November 12, 2014 Families as partners in hospital error and adverse event surveillance … 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 Care home safety incidents and safeguarding reports relating to hospital … September 11, 2024 Relationships between medications used in a mental health hospital

Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/does-team-reflexivity-impact-teamwork-and-communication-interprofessional-hospital-based

July 21, 2017 - interprofessional hospital-based healthcare teams? … Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare … Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare … May 6, 2020 The impact of mobile technology on teamwork and communication in hospitals … April 28, 2010 View More See More About The Topic Hospitals Quality

Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. | PSNet

psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review

November 10, 2021 - November 10, 2021 Miscarriage treatment-related morbidities and adverse events in hospitals … December 16, 2020 Hospital board and management practices are strongly related to hospital … mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) … hospital. … August 26, 2020 View More See More About The Topic Hospitals Labor

Handling polypharmacy--a qualitative study using focus group interviews with older patients, their relatives, and healthcare professionals. | PSNet

psnet.ahrq.gov/issue/handling-polypharmacy-qualitative-study-using-focus-group-interviews-older-patients-their

August 03, 2022 - August 3, 2022 Effect of an in-hospital multifaceted clinical pharmacist intervention … July 15, 2010 In-situ simulations to detect patient safety threats during in-hospital … hospital settings. … physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital … June 16, 2019 View More See More About The Topic Hospitals Home Care

Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study. | PSNet

psnet.ahrq.gov/issue/predictive-power-trigger-tool-detection-adverse-events-general-surgery-multicenter

September 13, 2023 - In this study, researchers used data from 31 Spanish hospitals to validate a trigger tool in general … critical care units and hospital emergency services. … Developing a programme for medication reconciliation at the time of admission into hospital … Medication reconciliation for patients after their discharge from intensive care unit to the hospital … December 21, 2014 The impact of resident duty hour reform on hospital readmission rates

Patient Safety Amid Nursing Workforce Challenges | PSNet

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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.

Failure to Latch | PSNet

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November 27, 2012 - However, this proportion falls rapidly over the first few weeks of life, and by 6 months less than 40% … Table 2 highlights one hospital system's strategy for managing hyperbilirubinemia. … With a team effort on the part of knowledgeable health care providers, both in the hospital and in the … Take-Home Points Ensure adequate lactation education of hospital staff. … hospital practice: factors associated with turnover, outcomes, and patient safety.

Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet

psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency

September 27, 2023 - hours in the hospital. 3 , 11 There is wide variation in professional guidelines for anticoagulation … admitted to the hospital are at increased risk of developing VTE. … Knowledge of the patient’s clinical history, clear communication, hospital protocols, and cumulative … Risk of first venous thromboembolism in pregnant women in hospital: population-based cohort study from … August 9, 2023 Cost of inpatient falls and cost-benefit analysis of implementation of

Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. | PSNet

psnet.ahrq.gov/issue/incidence-nosocomial-covid-19-patients-hospitalized-large-us-academic-medical-center

October 14, 2020 - returns to hospital: a randomized clinical trial. … validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals … October 5, 2022 Assessment of overuse of medical tests and treatments at US hospitals … SARS-CoV-2 in hospital settings in the UK: a cohort study. … May 13, 2020 View More See More About The Topic Hospitals Health Care

Network of Patient Safety Databases Chartbook. | PSNet

psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook

October 23, 2019 - Resources From the Same Author(s) AHRQ Health Information Technology Research: 2018 Year in … January 14, 2024 Burnout in Primary Care: Assessing and Addressing It in Your Practice … December 24, 2008 Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … October 6, 2021 Making Health Care Safer in Ambulatory Care Settings and Long-term Care … August 19, 2020 View More See More About The Topic Researchers Hospitals

Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. | PSNet

psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility

July 27, 2016 - Magazine Article Paralyzed by mistakes: reassess the safety of neuromuscular blockers in … Citation Text: Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility … Neuromuscular blockers can result in serious harm if administered incorrectly. … June 19, 2019 Accidental IV infusion of heparinized irrigation in the OR. … February 27, 2009 View More See More About The Topic Hospitals Physicians

Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. | PSNet

psnet.ahrq.gov/issue/stepping-out-further-shadows-disclosure-harmful-radiologic-errors-patients

April 21, 2011 - April 21, 2011 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … August 4, 2021 Patient concerns about medical errors in emergency departments. … September 25, 2019 In support of the medical apology: the nonlegal arguments. … November 18, 2016 Reflection on adverse event disclosure in the postsurgical hospital

Emergency lights and sirens on ambulances may do more harm than good. | PSNet

psnet.ahrq.gov/issue/emergency-lights-and-sirens-ambulances-may-do-more-harm-good

February 15, 2023 - June 17, 2020 Raising an alarm, doctors fight to yank hospital ICUs into the modern era … August 2, 2023 The next generation of doctors may be learning bad habits at teaching hospitals … September 6, 2023 The effect of documenting patient weight in kilograms on pediatric … medication dosing errors in emergency medical services. … May 3, 2023 NHS staff cried in safety interviews, says watchdog.

Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. | PSNet

psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy

December 12, 2018 - rural community culminated in criminal harm, incarceration, and delayed healing. … September 22, 2021 The last person you'd expect to die in childbirth. … VA Medical Center in Memphis, Tennessee. … January 31, 2024 The Sunday story: when hospitals don't say sorry. … January 24, 2024 Investigators find hospital error caused mother’s death in Brooklyn.

Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. | PSNet

psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups

June 24, 2020 - June 30, 2021 Selected medication safety risks to manage in 2016 that might otherwise … December 16, 2020 Wrong drug and wrong dose dispensing errors identified in pharmacist … May 4, 2010 View More See More About The Topic Hospitals Outpatient … Pharmacy Risk Managers Quality and Safety Professionals Hospital Pharmacy View More

Major congenital malformations after first-trimester exposure to ACE inhibitors. | PSNet

psnet.ahrq.gov/issue/major-congenital-malformations-after-first-trimester-exposure-ace-inhibitors

July 10, 2008 - Related Resources From the Same Author(s) Prevention of fall-related injuries in … March 3, 2011 Prescription of long-acting opioids and mortality in patients with chronic … January 23, 2017 A multi-hospital before–after observational study using a point-prevalence … January 10, 2007 Fatal drug mix-up exposes hospital flaws.

Error disclosure and apology in radiology: the case for further dialogue. | PSNet

psnet.ahrq.gov/issue/error-disclosure-and-apology-radiology-case-further-dialogue

October 19, 2022 - Error Disclosure and Apology in Radiology: The Case for Further Dialogue. … Error Disclosure and Apology in Radiology: The Case for Further Dialogue. … November 11, 2015 Key principles in quality and safety in radiology. … July 5, 2023 Hospital image repair strategies, organizational apology, and medical errors … January 18, 2017 View More See More About The Topic Hospitals Physicians

Recognizing the importance of whistleblowers in healthcare. | PSNet

psnet.ahrq.gov/issue/recognizing-importance-whistleblowers-healthcare

June 24, 2009 - Recognizing the importance of whistleblowers in healthcare. … Recognizing the importance of whistleblowers in healthcare. … care hospital units. … in undergraduate nursing students: a systematic review. … June 23, 2009 View More Related Resources Hospitals in two states

ASPEN parenteral nutrition safety consensus recommendations: translation into practice. | PSNet

psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations-translation-practice

February 17, 2015 - This commentary describes strategies to promote the use of parenteral nutrition safety guidelines in … August 4, 2021 Addressing disease-related malnutrition in hospitalized patients: a call … , 2014 Avoiding potential harm by improving appropriateness of urinary catheter use in … February 28, 2011 Creating high reliability in health care organizations. … January 20, 2010 View More See More About The Topic Hospitals Physicians

Dangerous deception--hiding the evidence of adverse drug events. | PSNet

psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events

November 09, 2022 - International variations in the safety information accompanying top-selling prescription drugs. … March 2, 2011 Medication-attributed adverse effects in placebo groups: implications for … Massachusetts Hospitals. … Moving beyond misuse and diversion: the urgent need to consider the role of iatrogenic addiction in … August 10, 2010 Iatrogenic disease management: moderating medication errors and risks in

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