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A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. | PSNet

psnet.ahrq.gov/issue/scoping-review-legibility-hand-written-prescriptions-and-drug-orders-writing-wall

January 12, 2022 - June 21, 2016 How do hospital boards govern for quality improvement? … A mixed methods study of 15 organisations in England. … September 23, 2015 Prospects for comparing European hospitals in terms of quality and … Computerized Provider Order Entry March 15, 2025 Factors influencing in-hospital … Overdose April 1, 2003 View More See More About The Topic Hospitals

Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. | PSNet

psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health

October 26, 2022 - Three hospitals in one health system implemented a voluntary error reporting system for clinicians … the Children's Hospitals' Solutions for Patient Safety Collaborative. … Acute Hospital Care Units April 26, 2023 Factors associated with missed nursing … September 27, 2017 Interruptions in clinical nursing practice. … September 24, 2016 View More See More About The Topic Hospitals Facility

Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. | PSNet

psnet.ahrq.gov/issue/are-opioid-infusions-used-inappropriately-end-life-results-qualitysafety-project

November 16, 2022 - Potentially inappropriate opioid infusion use can result in adverse patient outcomes . … November 16, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … a multistate hospital network--13 academic medical centers, April-June 2020. … of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals … November 23, 2016 View More See More About The Topic Researchers Hospitals

Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. | PSNet

psnet.ahrq.gov/issue/organizational-and-safety-culture-canadian-intensive-care-units-relationship-size-intensive

November 21, 2016 - Study Organizational and safety culture in Canadian intensive care units: relationship … Organizational and safety culture in Canadian intensive care units: relationship to size of intensive … Organizational and safety culture in Canadian intensive care units: relationship to size of intensive … Canadian hospitals: results of a multicentre observational study. … October 31, 2011 Adverse events after transition from ICU to hospital ward: a multicenter

ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome. | PSNet

psnet.ahrq.gov/issue/icu-admittance-rapid-response-team-versus-conventional-admittance-characteristics-and-outcome

January 28, 2010 - In this study, rapid response teams admitted more than half of patients transferred from the wards … Download Citation Related Resources From the Same Author(s) Reducing in-hospital … cardiac arrests and hospital mortality by introducing a medical emergency team. … May 31, 2023 We are not there yet: a qualitative system probing study of a hospital … 2011 Impact of computerized physician order entry on medication prescription errors in

Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. | PSNet

psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study

June 13, 2011 - Study Drug error in anaesthetic practice: a review of 896 reports from the Australian … April 6, 2011 Families as partners in hospital error and adverse event surveillance. … with hospital mortality. … November 2, 2010 Survey of medication documentation at hospital discharge: implications … June 13, 2011 6-PACK programme to decrease fall injuries in acute hospitals: cluster

"To err is human" but disclosure must be taught: a simulation-based assessment study. | PSNet

psnet.ahrq.gov/issue/err-human-disclosure-must-be-taught-simulation-based-assessment-study

August 04, 2021 - hospital practice: factors associated with turnover, outcomes, and patient safety. … July 19, 2023 Human factors and simulation in emergency medicine. … a multistate hospital network--13 academic medical centers, April-June 2020. … April 24, 2018 Using in situ simulation to improve in-hospital cardiopulmonary resuscitation … March 4, 2009 View More See More About The Topic Hospitals Health Care

No harm found when nurse anesthetists work without supervision by physicians. | PSNet

psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians

August 04, 2021 - Certified registered nurse anesthetists (CRNAs) provide anesthesia for 30 million patients per year in … the United States, and are allowed to practice without physician supervision in 14 states. … other studies in different settings. … November 9, 2022 Risk-adjusted survival for adults following in-hospital cardiac arrest … a paediatric hospital.

Is oral chemotherapy prescription safe for patients? A cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey

May 18, 2022 - with failures in communication during the event. … July 2, 2019 Prevalence of adverse events in the hospitals of five Latin American countries … and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. … strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. … January 2, 2009 View More See More About The Topic Hospitals Physicians

An integrative review: fatigue among nurses in acute care settings. | PSNet

psnet.ahrq.gov/issue/integrative-review-fatigue-among-nurses-acute-care-settings

June 01, 2022 - An integrative review: fatigue among nurses in acute care settings. … a multistate hospital network--13 academic medical centers, April-June 2020. … March 26, 2015 Performance-based payment incentives increase burden and blame for hospital … February 10, 2015 Nurse staffing and education and hospital mortality in nine European … April 9, 2008 View More See More About The Topic Hospitals Nurses

Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

January 06, 2018 - March 13, 2013 Prevalence of adverse events in pediatric intensive care units in the … hospital practice: factors associated with turnover, outcomes, and patient safety. … December 8, 2021 Pressure Injury Prevention in Hospitals Training Program. … March 23, 2012 View More See More About The Topic Hospitals Health … Care Providers Quality and Safety Professionals General Internal Medicine Hospital Medicine

The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation

October 20, 2021 - Citation Related Resources From the Same Author(s) Medication errors at hospital … December 8, 2021 Medication safety in mental health hospitals: a mixed-methods analysis … in the NHS. … July 22, 2009 View More See More About The Topic Hospitals Quality … and Safety Professionals Hospital Medicine Radiology Medical/Surgical Nursing View More

Racial implicit bias and communication among physicians in a simulated environment. | PSNet

psnet.ahrq.gov/issue/racial-implicit-bias-and-communication-among-physicians-simulated-environment

October 19, 2022 - In this study, physicians participated in a simulated online patient visit, randomized to either a Black … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … July 19, 2023 Organisational culture: variation across hospitals and connection to patient … January 22, 2017 Inappropriate hospital admission as a risk factor for the subsequent

Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management. | PSNet

psnet.ahrq.gov/issue/evaluation-electronic-health-record-implementation-pharmacist-interventions-related-oral

January 25, 2023 - the Same Author(s) Determination of unnecessary blood transfusion by comprehensive 15-hospital … hospital practice: factors associated with turnover, outcomes, and patient safety. … February 20, 2019 Validity of AHRQ patient safety indicators derived from ICD-10 hospital … December 18, 2014 Racial and ethnic bias in the diagnosis of alcohol use disorder in … July 2, 2008 View More See More About The Topic Hospitals Pharmacists

Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet

psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among

June 22, 2022 - Download Citation Related Resources From the Same Author(s) Analysis of hospital-level … readmission rates and variation in adverse events among patients with pneumonia in the United States … June 22, 2022 Quality and safety outcomes of a hospital merger following a full integration … at a safety net hospital. … September 29, 2021 Comparison of quality measures from US hospitals with physician vs

Strategic Alliance For Error Reduction in California Healthcare (SAFER). | PSNet

psnet.ahrq.gov/issue/strategic-alliance-error-reduction-california-healthcare-safer

July 01, 2022 - Multi-use Website Strategic Alliance For Error Reduction in California Healthcare … Citation Text: Strategic Alliance For Error Reduction in California Healthcare (SAFER). … The Strategic Alliance For Error Reduction in California Healthcare (SAFER) was organized by the Medical … Directors of the University of California system in 1999. … February 5, 2018 Fall Prevention in Hospitals Training Program.

Graduate Programs in Healthcare Quality and Patient Safety. | PSNet

psnet.ahrq.gov/issue/graduate-programs-healthcare-quality-and-patient-safety

September 21, 2005 - Citation Text: Graduate Programs in Healthcare Quality and Patient Safety. … Center for Education in the Health Sciences, Northwestern University, Chicago, IL. … Center for Education in the Health Sciences, Northwestern University, Chicago, IL. … to Engage in Patient Safety. … August 20, 2018 Fall Prevention in Hospitals Training Program.

Rescue Improvement Conference Innovation Summary | PSNet

psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary

September 23, 2024 - For patients with major complications, the mortality rate in some hospitals was double the mortality … rate in other hospitals. 4 The RIC was developed to combat failure to rescue and close the mortality … gap among hospitals in Michigan. 4 Innovations like RIC may promote ongoing improvement, learning, … Hospitals can maintain buy-in by developing a feedback loop to share positive results from RICs. … Variation in hospital mortality associated with inpatient surgery.

Capturing essential information to achieve safe interoperability. | PSNet

psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability

February 23, 2015 - A previous WebM&M commentary discussed risks inherent in lack of system interoperability. … multistate hospital network--13 academic medical centers, April-June 2020. … intensive care units in England. … Acute Hospital Care Units April 26, 2023 Perspectives on Safety … March 31, 2010 View More See More About The Topic Hospitals Facility

Regional variations in diagnostic practices. | PSNet

psnet.ahrq.gov/issue/regional-variations-diagnostic-practices

July 15, 2020 - Regional variations in diagnostic practices. … Regional variations in diagnostic practices. … at US Children's Hospitals, 2016-2019. … interventions in Washington State. … March 26, 2014 View More See More About The Topic Hospitals Ambulatory

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