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Ambiguities of chronic illness management and challenges to the medical error paradigm. | PSNet

psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-paradigm

July 02, 2014 - July 2, 2014 Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective … in outpatient settings: clinical practice guideline. … July 29, 2020 Cognitive error in an academic emergency department. … February 22, 2012 Addressing safety concerns about U-500 insulin in a hospital setting … June 11, 2010 Finding blunders in thyroid testing: experience in newborns.

Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety. | PSNet

psnet.ahrq.gov/issue/effectiveness-computerized-system-intravenous-heparin-administration-using-information

February 27, 2009 - They found significant improvements in the safety of this drug's administration. … RIS Download Citation Related Resources From the Same Author(s) Hospital … March 24, 2019 Differences in day and night shift clinical performance in anesthesiology … June 14, 2011 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022 Prevalence and causes of diagnostic errors in hospitalized patients

A transdisciplinary team acting on evidence through analyses of moot malpractice cases. | PSNet

psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases

November 03, 2021 - September 20, 2023 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022 Reducing medication errors for adults in hospital settings. … November 13, 2024 Recovery from COVID-19-related disruptions in cancer detection. … July 28, 2010 Worries and concerns experienced by nurse specialists during inter-hospital … May 25, 2010 A model of recovering medical errors in the coronary care unit.

Applying the Toyota Production System: using a patient safety alert system to reduce error. | PSNet

psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error

June 21, 2015 - The authors describe their institution's Patient Safety Alert system in which employees are required … May 7, 2014 Fatigue and safety in paramedicine. … December 18, 2019 Adverse respiratory events in anesthesia: a closed claims analysis. … Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital … Wristband July 1, 2003 View More See More About The Topic Hospitals

Patient safety and acute care medicine: lessons for the future, insights from the past. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past

April 27, 2022 - A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in … a United Kingdom hospital. … January 24, 2024 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … March 3, 2011 Technology, governance and patient safety: systems issues in technology

Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet

psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly

May 02, 2018 - June 10, 2018 Selected medication safety risks to manage in 2016 that might otherwise … February 1, 2023 Medication errors: the year in review: January through December 2021 … Administration Blur June 24, 2020 View More See More About The Topic Hospitals … Intensive Care Units Health Care Executives and Administrators Quality and Safety Professionals Hospital

The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide-perinatal

September 23, 2020 - Among 29 participating hospitals between July 2020 and September 2021, the researchers identified sustained … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital procedural units. … March 29, 2023 Using potentially preventable severe maternal morbidity to monitor hospital … August 10, 2022 Distinguishing high-performing from low-performing hospitals for severe

Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-mobile-app-prehospital-medication-errors-during-simulated-pediatric-resuscitation

October 06, 2021 - pediatric out-of-hospital cardiac arrest scenarios . … Related Resources From the Same Author(s) Effect of medication reconciliation at hospital … admission on 30-day returns to hospital: a randomized clinical trial. … dosing errors in emergency medical services. … May 3, 2023 A novel study of situational awareness among out-of-hospital providers during

Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study. | PSNet

psnet.ahrq.gov/issue/factors-influencing-witnesses-perception-patient-safety-during-pre-hospital-health-care

March 09, 2022 - Study Factors influencing witnesses' perception of patient safety during pre-hospital … Factors influencing witnesses’ perception of patient safety during pre-hospital health care from emergency … Factors influencing witnesses’ perception of patient safety during pre-hospital health care from emergency … March 9, 2022 Factors influencing the perception of feeling safe in pre-hospital emergency … March 5, 2025 Surgery is in itself a risk factor for the patient.

A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/poison-information-centre-can-provide-important-assessment-and-guidance-regarding-medication

May 11, 2022 - qualifying risk assessment and potentially reduce hospital admissions. … January 8, 2025 Effect of an in-hospital multifaceted clinical pharmacist intervention … April 12, 2019 Assessing nourishment problems at a hospital: what can we learn from them … March 25, 2015 We are not there yet: a qualitative system probing study of a hospital … March 15, 2023 Reflections on implementing a hospital-wide provider-based electronic

High rate of implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses. | PSNet

psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure-mode-effect-analysis

December 09, 2020 - This study of 117 FMEAs from 3 hospitals in Sweden found that the recommended safety interventions were … December 9, 2020 Reporting of sentinel events in Swedish hospitals: a comparison of severe … Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital … December 31, 2012 View More See More About The Topic Hospitals Health … Care Executives and Administrators Hospital Medicine Epidemiology of Errors and Adverse Events

Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study

April 14, 2021 - of safety culture within their individual unit than for the hospital as a whole. … The study used the AHRQ Hospital Survey on Patient Safety Culture . … a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward. … to 20 hospitals in England during implementation of the 7-day services national health policy. … September 30, 2010 Worries and concerns experienced by nurse specialists during inter-hospital

Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. | PSNet

psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event

September 14, 2022 - factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals … factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals … factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals … May 18, 2022 Exploring the causes of adverse events in hospitals and potential prevention … March 18, 2010 View More See More About The Topic Hospitals Hospital

Communicating patient safety information through video and oral formats-a comparison. | PSNet

psnet.ahrq.gov/issue/communicating-patient-safety-information-through-video-and-oral-formats-comparison

November 16, 2022 - care during a hospital stay. … among various hospital-based healthcare professionals and trainees in a simulated patient room. … significantly lower odds of 30-day inpatient mortality: a national cross-sectional study of acute-care hospitals … March 11, 2013 View More See More About The Topic Hospitals Quality … and Safety Professionals Hospital Medicine Nurse Care Epidemiology of Errors and Adverse Events

Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey. | PSNet

psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals-orders-physicians-and

February 14, 2024 - Study Risky procedures by nurses in hospitals: problems and (contemplated) refusals … Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians … Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians … Dutch hospitals. … July 26, 2011 Variation in the rates of adverse events between hospitals and hospital

The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. | PSNet

psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized

April 27, 2022 - effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital … August 10, 2022 Differences in medication reconciliation interventions between six hospitals … June 29, 2022 Medication-related hospital readmissions within 30 days of discharge: prevalence … October 6, 2016 View More See More About The Topic Hospital Pharmacists … Hospitals Quality and Safety Professionals Information Professionals Anesthesiology

A comprehensive obstetric patient safety program reduces liability claims and payments. | PSNet

psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and-payments

June 22, 2017 - A comprehensive obstetric patient safety program at an academic hospital—which involved teamwork training … January 10, 2011 Improving America's Hospitals: The Joint Commission's Report on Quality … December 1, 2010 Hospital responses to the Leapfrog Group in local markets. … April 1, 2010 View More See More About The Topic Hospitals Health Care … Executives and Administrators Hospital Medicine Latent Errors Institutional Patient Safety

The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. | PSNet

psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical

July 14, 2021 - Based on a national sample of hospitals, this study explored the impact of hospital visitation restrictions … Results indicate that hospitals with closed visitations experienced larger performance deficits across … May 11, 2022 Don't go to the hospital alone: ensuring safe, highly reliable patient visitation … January 12, 2022 Quality and safety in hospital pediatrics during COVID-19: a national … April 8, 2020 View More See More About The Topic Hospitals Health Care

Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care. | PSNet

psnet.ahrq.gov/issue/patients-and-doctors-views-and-experiences-patient-safety-trajectory-breast-cancer-care

December 08, 2021 - hospital practice: factors associated with turnover, outcomes, and patient safety. … January 12, 2022 Perceived causes of prescribing errors by junior doctors in hospital … September 2, 2020 Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … older people prior to a potentially preventable drug-related hospital admission. … hematology day hospitals.

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication

July 27, 2018 - Interruptions during medication administration are a major contributor to medication errors in hospitals … example of how human factors principles can be used to improve the physical environment within a hospital … ambulatory practice: a time and motion study in four specialties. … of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals … December 19, 2012 View More See More About The Topic Hospitals Physicians

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