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2661. Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. | PSNet
      psnet.ahrq.gov/issue/five-strategies-how-patients-and-families-can-improve-patient-safety-world-patient-safety-day
      July 07, 2021 - True partnership with patients and families in safety work is an important yet elusive goal. … efforts are fully informed and enriched through the application of the patient and family experience in … April 1, 2010 Families as partners in hospital error and adverse event surveillance. … reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital … Patient Safety March 1, 2007 View More See More About The Topic Hospitals

2662. Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. | PSNet
      psnet.ahrq.gov/issue/multidisciplinary-obstetric-simulated-emergency-scenarios-moses-promoting-patient-safety
      March 25, 2009 - : evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital … October 13, 2021 Delivering high reliability in maternity care: in situ simulation as … to improve maternal–fetal safety in hospitals. … a community hospital. … September 16, 2009 Teamwork in obstetric critical care.

2663. Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. | PSNet
      psnet.ahrq.gov/issue/misdiagnosis-mistreatment-and-harm-when-medical-care-ignores-social-forces
      November 16, 2022 - July 29, 2020 Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … multistate hospital network--13 academic medical centers, April-June 2020. … August 20, 2018 Quantifying discharge medication reconciliation errors at 2 pediatric hospitals … hospital practice: factors associated with turnover, outcomes, and patient safety. … February 23, 2022 Diagnostic reasoning in cardiovascular medicine.

2664. Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized
      September 13, 2023 - Study Classic Effect of an in-hospital multifaceted clinical … Effect of an In-Hospital Multifaceted Clinical Pharmacist Intervention on the Risk of Readmission: A … Effect of an In-Hospital Multifaceted Clinical Pharmacist Intervention on the Risk of Readmission: A … hospitals: a mixed method study. … February 27, 2019 ASHP national survey of pharmacy practice in hospital settings: monitoring

2665. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845472/psn-pdf
      March 15, 2023 - at George Washington University Hospital (GW). … Sarah Mossburg: As a nurse who worked in the hospital, one challenge that I saw was occasionally inaccurate … , which could reduce the risk of heart attack and stroke that may lead to potential disability and falls … augment that with telehealth where you get a view into someone's home and see if there are tripping or falling … for keeping someone out of the emergency department or the hospital.

2666. Strengthening the Business Case for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
      May 01, 2013 - the adoption of evidence-based guidelines, including catheter-associated urinary tract infections and falls … In 2012, more than 2000 hospitals were affected; collectively, they paid approximately $280 million in … Public reporting and pay for performance in hospital quality improvement. … Effect of nonpayment for preventable infections in U.S. hospitals. … hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective

2667. Identification of serious and reportable events in home care: a Delphi survey to develop consensus. | PSNet
      psnet.ahrq.gov/issue/identification-serious-and-reportable-events-home-care-delphi-survey-develop-consensus
      November 27, 2013 - Study Identification of serious and reportable events in home care: a Delphi survey … considered serious (in terms of the level of patient harm) and preventable. … April 6, 2011 A multi-hospital before–after observational study using a point-prevalence … October 16, 2024 Effect of digital tools to promote hospital quality and safety on adverse … "Hospital at Home" patients.

2668. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. | PSNet
      psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and
      May 04, 2022 - safety program) to identify contributing factors and explore the strength of recommended actions in … had higher completion rates than other hospital departments. … February 12, 2020 A systems approach to analyzing and preventing hospital adverse events … May 25, 2022 Medication safety in mental health hospitals: a mixed-methods analysis of … December 14, 2016 View More See More About The Topic Hospitals Ambulatory

2669. Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. | PSNet
      psnet.ahrq.gov/issue/older-patients-perceptions-unnecessary-tests-and-referrals-national-survey-medicare
      May 25, 2011 - pulmonary embolism in the United States: evidence of overdiagnosis. … December 29, 2014 Changes in medication safety indicators in England throughout the covid … January 11, 2023 The effect of contact precautions on frequency of hospital adverse events … diagnostic errors in primary care. … Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital

2670. Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies. | PSNet
      psnet.ahrq.gov/issue/associations-between-patient-factors-and-adverse-events-home-care-setting-secondary-data
      November 27, 2013 - hospital discharge planning and improve patient safety. … A past PSNet perspective discussed safety issues associated with care transitions after hospital discharge … November 27, 2013 The Canadian Adverse Events Study: the incidence of adverse events among hospital … hospitals. … multistate hospital network--13 academic medical centers, April-June 2020.

2671. Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. | PSNet
      psnet.ahrq.gov/issue/automated-identification-antibiotic-overdoses-and-adverse-drug-events-analysis-prescribing
      May 08, 2017 - In many cases, antibiotic overdoses reached patients and led to symptoms. … May 8, 2017 Alert burden in pediatric hospitals: a cross-sectional analysis of six academic … Acute Hospital Care Units April 26, 2023 Perspectives on Safety … October 29, 2014 View More See More About The Topic Hospitals Health … Care Executives and Administrators Information Professionals Hospital Medicine Medication Errors

2672. Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. | PSNet
      psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide
      June 22, 2022 - a multistate hospital network--13 academic medical centers, April-June 2020. … safety threats in adult tracheostomy care. … January 15, 2025 Perceptions of hospital electronic health record (EHR) training, support … September 18, 2024 High reliability in a safety net hospital leading to operational excellence … September 27, 2017 View More See More About The Topic Hospitals Nurse

2673. How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. | PSNet
      psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient
      December 21, 2014 - June 10, 2010 Association of hospital participation in a surgical outcomes monitoring … a multistate hospital network--13 academic medical centers, April-June 2020. … July 6, 2022 Changes in hospital-acquired conditions and mortality associated with the … hospital-acquired condition reduction program. … March 17, 2010 Application of AHRQ patient safety indicators to English hospital data

2674. Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. | PSNet
      psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic
      October 19, 2022 - Study Differences in safety climate among hospital anesthesia departments and the … Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based … recent research has demonstrated that safety culture measurements may vary across units within a hospital … hospitals. … Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based

2675. Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection. | PSNet
      psnet.ahrq.gov/issue/monitoring-harm-associated-use-anticoagulants-pediatric-populations-through-trigger-based
      November 11, 2015 - Study Monitoring the harm associated with use of anticoagulants in pediatric populations … Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based … This retrospective study examined the safety of anticoagulant therapy in hospitalized children. … October 12, 2022 Determination of unnecessary blood transfusion by comprehensive 15-hospital … March 17, 2010 View More See More About The Topic Hospitals Facility

2676. Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study. | PSNet
      psnet.ahrq.gov/issue/using-claims-data-based-sentinel-system-improve-compliance-clinical-guidelines-results
      October 19, 2022 - Findings in the intervention group included fewer hospitalizations as well as lower charges and paid … January 3, 2017 Health information exchange in emergency medicine. … January 25, 2016 Hospital ward adaptation during the COVID-19 pandemic: a national survey … a multistate hospital network--13 academic medical centers, April-June 2020. … Antibiotic Use June 1, 2003 View More See More About The Topic Hospitals

2677. An epistemology of patient safety research: a framework for study design and interpretation. | PSNet
      psnet.ahrq.gov/issue/epistemology-patient-safety-research-framework-study-design-and-interpretation
      February 23, 2011 - four UK hospitals: mixed method evaluation. … February 23, 2011 Reviewing deaths in British and US hospitals: a study of two scales … a multistate hospital network--13 academic medical centers, April-June 2020. … and quality data in acute hospitals: results from the National Reporting and Learning System. … hospitals: a descriptive study.

2678. Disclosing adverse events in clinical practice: the delicate act of being open. | PSNet
      psnet.ahrq.gov/issue/disclosing-adverse-events-clinical-practice-delicate-act-being-open
      April 14, 2021 - Review Disclosing adverse events in clinical practice: the delicate act of being … Disclosing adverse events in clinical practice: the delicate act of being open. … Disclosing adverse events in clinical practice: the delicate act of being open. … a multistate hospital network--13 academic medical centers, April-June 2020. … November 13, 2019 View More See More About The Topic Hospitals Risk

2679. Improving emergency medicine clinician awareness of prehospital-administered medications. | PSNet
      psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
      October 19, 2022 - This study reports on the implementation of an electronic health record (EHR) tool that added pre-hospital … November 16, 2022 Families as partners in hospital error and adverse event surveillance … April 12, 2023 A multi-hospital before–after observational study using a point-prevalence … June 27, 2018 Changes in medication safety indicators in England throughout the covid … November 16, 2022 WebM&M Cases EMS Perils from Hospital

2680. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. | PSNet
      psnet.ahrq.gov/issue/2019-novel-coronavirus-covid-19-pandemic-built-environment-considerations-reduce-transmission
      January 12, 2022 - March 14, 2022 Medication-related hospital readmissions within 30 days of discharge: … lists reported by patients in personal health records: a prospective cohort study in a hospital setting … bar-code-assisted medication administration in hospitals. … or hospital outpatient settings has COVID-19 disease. … preparedness of an alternative care hospital during COVID-19 pandemic.