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Drug-related problems among older people with dementia: a systematic review. | PSNet

psnet.ahrq.gov/issue/drug-related-problems-among-older-people-dementia-systematic-review

January 12, 2022 - critical care units and hospital emergency services. … Developing a programme for medication reconciliation at the time of admission into hospital … November 1, 2023 Factors determining safety culture in hospitals: a scoping review. … August 16, 2023 Medication errors and processes to reduce them in care homes in the United … June 28, 2017 View More See More About The Topic Hospitals Long-Term

Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet

psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems

August 04, 2021 - emergency departments (EDs) and geriatric wards in one teaching hospital in London to identify system … August 4, 2021 Perceived causes of prescribing errors by junior doctors in hospital inpatients … July 29, 2020 Improving handoffs in the emergency department. … health hospitals: a multi-centre study. … December 18, 2019 View More See More About The Topic Researchers Hospitals

US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/us-clinicians-experiences-and-perspectives-resource-limitation-and-patient-care-during-covid

November 30, 2022 - October 19, 2022 Families as partners in hospital error and adverse event surveillance … January 12, 2022 Do professionalism lapses in medical school predict problems in residency … February 2, 2022 Quality and safety in hospital pediatrics during COVID-19: a national … July 29, 2020 How the pandemic is reshaping hospital architecture and design. … May 6, 2020 View More See More About The Topic General Hospitals Health

A trigger tool to identify adverse events in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit

April 08, 2011 - A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. … Non-physician reviewers at 54 hospitals screened charts for evidence of 23 clinical events, such as chest … to use in appropriately targeting patient safety measures. … March 10, 2010 'Global Trigger Tool' shows that adverse events in hospitals may be ten … April 26, 2012 An inpatient fall prevention initiative in a tertiary care hospital.

Measuring patient safety in real time: an essential method for effectively improving the safety of care. | PSNet

psnet.ahrq.gov/issue/measuring-patient-safety-real-time-essential-method-effectively-improving-safety-care

February 15, 2011 - Commentary Measuring patient safety in real time: an essential method for effectively … Electronic health records have been widely adopted in both inpatient and outpatient settings. … hospitals and that barriers such as data collection burden, mismatched definitions , and ineffective … February 15, 2011 'Global Trigger Tool' shows that adverse events in hospitals may be … March 1, 2017 View More See More About The Topic Hospitals Facility

Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. | PSNet

psnet.ahrq.gov/issue/are-informed-policies-place-promote-safe-and-usable-ehrs-cross-industry-comparison

September 19, 2018 - Study Are informed policies in place to promote safe and usable EHRs? … in-hospital adverse drug events. … August 3, 2017 The effect of health information technology on quality in U.S. hospitals … Blumenthal, MD, MPP July 1, 2012 Use of electronic health records in US hospitals … July 30, 2008 View More See More About The Topic Hospitals Physicians

Prevalence of medication transfer errors in nephrology patients and potential risk factors. | PSNet

psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-factors

January 26, 2022 - This study sought to identify risk factors for error in nephrology patients in the ambulatory care setting … bar-code-assisted medication administration in hospitals. … lists reported by patients in personal health records: a prospective cohort study in a hospital setting … January 7, 2015 Medication-related hospital readmissions within 30 days of discharge: … Hazards in delivery of surgical instruments.

Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. | PSNet

psnet.ahrq.gov/issue/do-written-disclosures-serious-events-increase-risk-malpractice-claims-one-health-care

October 12, 2011 - In this study, researchers sought to understand the effect of state legislation requiring disclosure … July 29, 2020 Ticket to ride: reducing handoff risk during hospital patient transport … April 24, 2019 Effects of a communication-and-resolution program on hospitals' malpractice … July 9, 2018 Malpractice claims related to diagnostic errors in the hospital. … September 21, 2005 View More See More About The Topic Hospitals Facility

Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice. | PSNet

psnet.ahrq.gov/issue/does-simulation-training-acute-care-nurses-improve-patient-safety-outcomes-systematic-review

January 12, 2022 - Simulation is an active learning methodology being used in hospitals to improve patient care. … hospital practice: factors associated with turnover, outcomes, and patient safety. … September 23, 2009 Families as partners in hospital error and adverse event surveillance … in undergraduate nursing students: a systematic review. … October 31, 2012 View More See More About The Topic Hospitals Educators

Interunit handoffs from emergency department to inpatient care: a cross-sectional survey of physicians at a university medical center. | PSNet

psnet.ahrq.gov/issue/interunit-handoffs-emergency-department-inpatient-care-cross-sectional-survey-physicians

September 23, 2020 - a multistate hospital network--13 academic medical centers, April-June 2020. … October 19, 2022 Families as partners in hospital error and adverse event surveillance … between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital … December 5, 2018 Medication errors in injured patients. … See More About The Topic Emergency Departments Physicians Emergency Medicine Hospital

Unintended patient safety risks due to wireless smart infusion pump library update delays. | PSNet

psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library-update-delays

September 25, 2019 - This study demonstrated significant delays in updating the drug information for smart infusion pumps. … 25, 2019 Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals … 16, 2019 Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals … a specialty cardiac hospital. … March 2, 2012 View More See More About The Topic Hospitals Health Care

Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. | PSNet

psnet.ahrq.gov/issue/appropriateness-commercially-available-and-partially-customized-medication-dosing-alerts

July 16, 2015 - In this retrospective review of pediatric medication alerts, more than 85% of dosing alerts presented … The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital … Frequency and severity of parenteral nutrition medication errors at a large children's hospital … April 15, 2016 View More See More About The Topic Hospitals Children's … Hospitals Ambulatory Clinic or Office Physicians Information Professionals View More

Economic analysis of the prevalence and clinical and economic burden of medication error in England. | PSNet

psnet.ahrq.gov/issue/economic-analysis-prevalence-and-clinical-and-economic-burden-medication-error-england

April 17, 2024 - The authors estimate that 237 million medication errors occur annually in the UK. … These medication errors result in hospital admissions or longer length of stay, as well as death . … a multistate hospital network--13 academic medical centers, April-June 2020. … October 19, 2022 Families as partners in hospital error and adverse event surveillance … February 27, 2019 View More See More About The Topic Hospitals Long-Term

Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants. | PSNet

psnet.ahrq.gov/issue/multicomponent-pharmacist-intervention-did-not-reduce-clinically-important-medication-errors

March 17, 2021 - Pharmacists are frequently involved in medication reviews for hospitalized patients prescribed direct … After 90 days, there were no differences in clinically important medication errors between groups … April 28, 2021 Adverse events in long-term care residents transitioning from hospital … August 7, 2019 Medication errors in the homes of children with chronic conditions. … March 5, 2025 Danger in discharge summaries: abbreviations create confusion for both

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. | PSNet

psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety

December 02, 2014 - transfer to an intensive care unit (ICU) due to failure to identify and treat clinical deterioration in … This study aimed to design a novel care system at a large pediatric hospital that would improve situational … September 21, 2022 Failure events in transition of care for surgical patients. … four UK hospitals: mixed method evaluation. … July 20, 2009 View More See More About The Topic Hospitals Health Care

How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. | PSNet

psnet.ahrq.gov/issue/how-many-too-many-using-cognitive-load-theory-determine-maximum-safe-number-inpatient

October 19, 2022 - between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital … April 14, 2011 Sustaining reductions in catheter related bloodstream infections in Michigan … September 28, 2022 What causes medication administration errors in a mental health hospital … January 23, 2019 Medication-administration errors in an urban mental health hospital: … February 18, 2011 View More See More About The Topic Hospitals Internal

SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. | PSNet

psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post

November 21, 2018 - This study evaluated training of hospital nurses in Belgium with a standardized nurse–physician communication … September 20, 2011 Drug administration errors in an institution for individuals with … October 18, 2023 Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital … May 25, 2011 View More See More About The Topic Hospitals Health Care … Providers Health Care Executives and Administrators General Internal Medicine Hospital Medicine

Safety perceptions of health care leaders in 2 Canadian academic acute care centers. | PSNet

psnet.ahrq.gov/issue/safety-perceptions-health-care-leaders-2-canadian-academic-acute-care-centers

March 14, 2022 - October 4, 2023 Medication-related hospital readmissions within 30 days of discharge: … effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital … in patients with polypharmacy. … October 4, 2011 Anticoagulant medication errors in hospitals and primary care: a cross-sectional … August 20, 2018 View More See More About The Topic Hospitals Facility

Impact of multidisciplinary chart reviews on opioid dose reduction and monitoring practices. | PSNet

psnet.ahrq.gov/issue/impact-multidisciplinary-chart-reviews-opioid-dose-reduction-and-monitoring-practices

October 11, 2023 - The program resulted in a decrease in overall opioid use as well as a reduction in coprescribing of … 2020 Validation of new ICD-10-based patient safety indicators for identification of in-hospital … a tertiary pediatric hospital. … February 15, 2011 View More See More About The Topic Specialty Hospitals … Facility and Group Administrators Hospital Pharmacy Ordering/Prescribing Errors Opiates/

Standardizing concentrations of adult drug infusions in Indiana. | PSNet

psnet.ahrq.gov/issue/standardizing-concentrations-adult-drug-infusions-indiana

August 01, 2018 - Standardizing concentrations of adult drug infusions in Indiana. … Standardizing concentrations of adult drug infusions in Indiana. … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … January 16, 2008 View More See More About The Topic Hospitals Quality

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