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psnet.ahrq.gov/issue/safe-practices-copy-and-paste-ehr-systematic-review-recommendations-and-novel-model-health-it
April 08, 2018 - Review
Safe practices for copy and paste in the EHR. … Safe Practices for Copy and Paste in the EHR. … Safe Practices for Copy and Paste in the EHR. … hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital … November 21, 2012
Use of electronic health records in US hospitals.
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psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
May 26, 2011 - boards pursue disciplinary action, such as license suspension, against pharmacists who are involved in … a multistate hospital network--13 academic medical centers, April-June 2020. … July 17, 2024
Identifying and classifying diagnostic errors in acute care across hospitals … : early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. … June 15, 2011
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Hospitals
Ambulatory
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psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice
February 02, 2011 - Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. … hospital privileging. … February 2, 2011
Pediatric Readiness in the Emergency Department. … hospital discharge. … 31, 2014
Predicting potential postdischarge adverse drug events and 30-day unplanned hospital
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psnet.ahrq.gov/issue/evaluating-effect-distractions-operating-room-clinical-decision-making-and-patient-safety
November 16, 2022 - Study
Evaluating the effect of distractions in the operating room on clinical decision-making … Distractions in the operating room are common . … November 16, 2022
Families as partners in hospital error and adverse event surveillance … September 11, 2024
The cost of serious fall-related injuries at three midwestern hospitals … January 27, 2019
ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals
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psnet.ahrq.gov/issue/patient-safety-critical-care-environment
November 16, 2022 - Commentary
Patient safety in the critical care environment. … Patient safety in the critical care environment. … Patient safety in the critical care environment. … November 16, 2022
Reduced postdischarge incidents after implementation of a hospital-to-home … July 9, 2008
Complication rates, hospital size, and bias in the CMS Hospital-Acquired
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psnet.ahrq.gov/issue/checklists-change-communication-about-key-elements-patient-care
November 16, 2022 - Implementation of communication checklists in two intensive care units improved communication around … Related Resources From the Same Author(s)
Implementation of the I-PASS handoff program in … a multistate hospital network--13 academic medical centers, April-June 2020. … January 23, 2019
Effect of a pediatric early warning system on all-cause mortality in … November 27, 2012
In search of common ground in handoff documentation in an intensive
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psnet.ahrq.gov/issue/teaching-structured-tool-improves-clarity-and-content-interprofessional-clinical
June 28, 2017 - ) communication method, resulting in improvement in their ability to clearly communicate with senior … colleagues in a simulated setting. … Related Resources From the Same Author(s)
Risk-adjusted survival for adults following in-hospital … March 4, 2011
Hospital ward adaptation during the COVID-19 pandemic: a national survey … Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital
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psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review
June 01, 2022 - Review
Organizational factors that promote error reporting in healthcare: a scoping … Organizational factors that promote error reporting in healthcare: a scoping review. … Organizational factors that promote error reporting in healthcare: a scoping review. … getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital … hospital settings: a study of staff experiences of speaking up across seven hospitals.
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psnet.ahrq.gov/issue/lancet-commission-lessons-future-covid-19-pandemic
January 12, 2022 - COVID-19 illuminated gaps in emergency preparedness and healthcare delivery in the face of a global … November 16, 2022
Reduction in hospital-wide clinical laboratory specimen identification … a panel of hospitals. … June 23, 2021
Addressing systemic racism in nursing homes: a time for action. … 2020
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Public Health Professionals
Hospitals
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psnet.ahrq.gov/issue/what-computer-needs-physician-humanism-and-artificial-intelligence
June 21, 2016 - hospital error and adverse event surveillance. … Findings of a naloxone database and its utilization to improve safety and education in … March 17, 2021
Quality improvement initiatives lead to reduction in nulliparous term … nationwide study of the "July Effect" concerning postpartum hemorrhage and its risk factors at teaching hospitals … December 31, 2014
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Hospitals
Health
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psnet.ahrq.gov/issue/case-report-medication-error-look-alike-packaging-classic-surrogate-marker-unsafe-system
January 12, 2022 - Look-alike sound-alike medications can contribute to confusion and result in drug administration errors … commentary illustrates how switching to a generic brand of medication to save costs was a factor in … Factors for and perceived consequences of nursing errors by nursing staff in home care services. … August 8, 2007
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Hospitals
Health … Care Providers
Quality and Safety Professionals
Anesthesiology
Hospital Pharmacy
View
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psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
August 17, 2017 - An analysis of near misses identified by anesthesia providers in the intensive care unit. … hospital practice: factors associated with turnover, outcomes, and patient safety. … October 19, 2022
Families as partners in hospital error and adverse event surveillance … November 16, 2022
Medication errors associated with code situations in U.S. hospitals … March 16, 2016
Situation awareness errors in anesthesia and critical care in 200 cases
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psnet.ahrq.gov/issue/case-study-research-view-complexity-science
January 03, 2017 - The authors advocate using the complexity science perspective in case study research. … hospital practice: factors associated with turnover, outcomes, and patient safety. … Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital … May 4, 2010
Cognitive error in an academic emergency department. … communication systems in healthcare.
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psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
November 13, 2024 - This systematic review found that poor well-being and burnout in health care workers were associated … hospital nurses. … multistate hospital network--13 academic medical centers, April-June 2020. … clinical teams and healthcare organisations in maintaining safety. … January 22, 2014
Drug administration errors in hospital inpatients: a systematic review
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psnet.ahrq.gov/issue/poor-resident-attending-intraoperative-communication-may-compromise-patient-safety
September 23, 2020 - residents to question their intraoperative decisions, only slightly more than half of the residents in … in the operating room. … 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. … December 21, 2014
The impact of resident duty hour reform on hospital readmission rates
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psnet.ahrq.gov/issue/hidden-flaws-behind-expert-level-accuracy-multimodal-gpt-4-vision-medicine
March 24, 2019 - Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. … Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. … a multistate hospital network--13 academic medical centers, April-June 2020. … threats in adult tracheostomy care. … detection and mitigation strategies in electronic health record-based models.
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psnet.ahrq.gov/issue/improving-maternal-safety-scale-mentor-model-collaborative-improvement
March 31, 2021 - statewide collaborative, this program divided participating health systems into groups of six to eight hospitals … July 18, 2012
Inpatient suicide in a general hospital. … October 27, 2021
Decreased incidence of cesarean surgical site infection rate with hospital-wide … maternal morbidity and mortality in the United States. … September 1, 2018
Patient safety initiatives in obstetrics: a rapid review.
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psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-project
January 12, 2022 - Standardization in patient safety: the WHO High 5s project. … multiple countries in the past 5 years. … November 12, 2014
Did hospital engagement networks actually improve care? … October 7, 2008
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Hospitals
Health … Care Providers
Health Care Executives and Administrators
Hospital Medicine
Medication Safety
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psnet.ahrq.gov/issue/physician-burnout-electronic-health-record-era-are-we-ignoring-real-cause
October 04, 2023 - Commentary
Physician burnout in the electronic health record era: are we ignoring … Physician Burnout in the Electronic Health Record Era: Are We Ignoring the Real Cause? … Related Resources From the Same Author(s)
Inpatient EHR user experience and hospital … in children's hospitals. … October 5, 2016
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Hospitals
Physicians
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psnet.ahrq.gov/issue/use-simulation-measure-effects-just-time-information-prevent-nursing-medication-errors
August 04, 2021 - Study
Use of simulation to measure the effects of just-in-time information to prevent … Use of Simulation to Measure the Effects of Just-in-Time Information to Prevent Nursing Medication Errors … August 4, 2021
Incidence of adverse events and negligence in hospitalized patients. … February 18, 2011
Variation in the reporting of elective surgeries and its influence … a regional hospital.