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Patient safety in the era of the 80-hour workweek. | PSNet

psnet.ahrq.gov/issue/patient-safety-era-80-hour-workweek

March 09, 2019 - Patient safety in the era of the 80-hour workweek. … teaching versus non-teaching hospitals before and after the reform. … November 16, 2022 Families as partners in hospital error and adverse event surveillance … a multistate hospital network--13 academic medical centers, April-June 2020. … July 5, 2008 View More See More About The Topic Hospitals Risk Managers

Outpatient opioid prescriptions for children and opioid-related adverse events. | PSNet

psnet.ahrq.gov/issue/outpatient-opioid-prescriptions-children-and-opioid-related-adverse-events

July 31, 2017 - In the last decade, children have experienced a dramatic rise in hospitalizations and intensive … The authors conclude that 1 in every 2611 prescriptions resulted in an emergency department visit or … November 16, 2022 Families as partners in hospital error and adverse event surveillance … a community hospital health system. … March 15, 2017 Patient safety incidents involving sick children in primary care in England

Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students. | PSNet

psnet.ahrq.gov/issue/driven-distraction-prospective-controlled-study-simulated-ward-round-experience-improve

March 14, 2022 - a multistate hospital network--13 academic medical centers, April-June 2020. … real clinical environments in healthcare: a systematic review. … a regional hospital. … June 22, 2009 View More See More About The Topic Hospitals Safety Scientists … Educators Hospital Medicine Interruptions and distractions View More

Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers. | PSNet

psnet.ahrq.gov/issue/factors-associated-use-cognitive-aids-operating-room-crises-cross-sectional-study-us

February 07, 2018 - operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers. … US hospitals and ambulatory surgical centers. … in real-world settings is variable. … US hospitals and ambulatory surgical centers. … January 9, 2013 View More See More About The Topic Hospitals Ambulatory

He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. | PSNet

psnet.ahrq.gov/issue/he-thought-lady-door-was-lady-window-qualitative-study-patient-identification-practices

June 14, 2017 - Study He thought the "lady in the door" was the "lady in the window": a qualitative … a multistate hospital network--13 academic medical centers, April-June 2020. … December 21, 2014 Hospital do-not-resuscitate orders: why they have failed and how to … December 22, 2010 View More See More About The Topic Hospitals Health … Care Providers Quality and Safety Professionals General Internal Medicine Hospital Medicine

Using a network organisational architecture to support the development of Learning Healthcare Systems. | PSNet

psnet.ahrq.gov/issue/using-network-organisational-architecture-support-development-learning-healthcare-systems

December 02, 2014 - engaged in shared decision-making to choose evidence-based, high-quality care. … a paediatric hospital. … August 25, 2021 Private patient rooms and hospital-acquired methicillin-resistant Staphylococcus … aureus: hospital-level analysis of administrative data from the United States. … July 10, 2008 View More See More About The Topic Hospitals Facility

Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. | PSNet

psnet.ahrq.gov/issue/recommendations-safety-hospitalised-patients-context-covid-19-pandemic-scoping-review

April 14, 2021 - Review Recommendations for the safety of hospitalised patients in the context of … In early 2020, hospitals, organizations, and expert panels released recommendations to maintain patient … acute hospital settings: a scoping review. … October 28, 2020 Hospital- and system-wide interventions for health care-associated infections … May 13, 2020 View More See More About The Topic Researchers Hospitals

Measuring safety in older adult care homes: a scoping review of the international literature. | PSNet

psnet.ahrq.gov/issue/measuring-safety-older-adult-care-homes-scoping-review-international-literature

June 30, 2021 - acute hospital settings: a scoping review. … hospitals. … July 13, 2022 Medication errors and processes to reduce them in care homes in the United … September 27, 2016 Clinical handover incident reporting in one UK general hospital. … from acute care hospitals to residential aged care facilities.

Outcomes of daytime procedures performed by attending surgeons after night work. | PSNet

psnet.ahrq.gov/issue/outcomes-daytime-procedures-performed-attending-surgeons-after-night-work

December 18, 2014 - December 18, 2014 Disposal of paper records containing personal information in hospitals … a multistate hospital network--13 academic medical centers, April-June 2020. … a tertiary care hospital. … September 9, 2015 Association of hospital participation in a quality reporting program … care in high-stakes clinical setting of cardiac surgery.

Review of computerized physician handoff tools for improving the quality of patient care. | PSNet

psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care

September 07, 2011 - The available evidence (including a recently published study that was not included in this review) … March 19, 2018 Measuring safety of healthcare: an exercise in futility? … a multistate hospital network--13 academic medical centers, April-June 2020. … October 1, 2003 View More See More About The Topic Hospitals … Health Care Providers Quality and Safety Professionals General Internal Medicine Hospital

Characterization of interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit patient transfers. | PSNet

psnet.ahrq.gov/issue/characterization-interventions-reduce-frequency-critical-medication-doses-missed-or-delayed

November 16, 2016 - November 16, 2016 Developing a reliable and valid patient measure of safety in hospitals … hospital settings: a systematic review. … January 12, 2022 A multi-hospital before–after observational study using a point-prevalence … medication management systems on in-patients. … Acute Hospital Care Units April 26, 2023 WebM&M Cases

Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. | PSNet

psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating

October 23, 2019 - Possible solutions included improved standardization of care, proactive planning, and culture change hospital-wide … July 6, 2022 Families as partners in hospital error and adverse event surveillance. … May 29, 2024 Stranded in the ER, seniors await hospital care and suffer avoidable harm … May 15, 2024 'Corridor care' in the emergency department: managing patient care in non-clinical … November 16, 2022 High delayed and missed injury rate after inter-hospital transfer

The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. | PSNet

psnet.ahrq.gov/issue/burden-peri-operative-work-night-perceived-anaesthesiologists-international-survey

May 08, 2024 - A simulation study in 2017 showed anesthesia residents performed worse when sleep-deprived after … In this quantitative study of more than 5,000 European anesthesiologists, participants reported that … January 12, 2022 Families as partners in hospital error and adverse event surveillance … April 24, 2018 Adverse events after transition from ICU to hospital ward: a multicenter … May 20, 2020 Relationship between in-hospital adverse events and hospital performance

A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes. | PSNet

psnet.ahrq.gov/issue/systematic-review-effects-resident-duty-hour-restrictions-surgery-impact-resident-wellness

March 19, 2018 - Classic A systematic review of the effects of resident duty hour restrictions in … getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital … a multistate hospital network--13 academic medical centers, April-June 2020. … April 25, 2016 Patient safety in the era of the 80-hour workweek. … December 20, 2006 View More See More About The Topic Hospitals Facility

Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/effects-teamwork-training-adverse-outcomes-and-process-care-labor-and-delivery-randomized

January 10, 2017 - The intervention did not result in improvement in patient (maternal or fetal) clinical outcomes or in … to implement the intervention, a relatively short follow-up period, and baseline variation between hospitals … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital procedural units. … to improve maternal–fetal safety in hospitals.

Medication Safety Events Related to Diagnostic Imaging | PSNet

psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging

January 26, 2022 - a community hospital for sepsis due to pyelonephritis and bacteremia. … Nurses are at the forefront of patient care in the acute care hospital setting and play a critical role … Levels of Sedation The ASA has identified four levels of sedation (Table 2). 8 Typical sedation for MRI falls … Opioid utilization and opioid-related adverse events in nonsurgical patients in US hospitals. … Ochsner J . 2013;13(2):214-223. [ Free full text ] Minnesota Hospital Association.

Accountability in Patient Safety | PSNet

psnet.ahrq.gov/perspective/accountability-patient-safety

January 01, 2018 - Accountability in Patient Safety. PSNet [internet]. … A recent survey of physicians, nurses, medical students, and hospital patients found that both health … hospitals, they introduced a model of a shared moral community, co-created by individuals and organizations … a just culture in hospital settings: a systematic review. … Safety January 1, 2015 View More See More About The Topic Hospitals

Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. | PSNet

psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and

June 24, 2020 - Related Resources From the Same Author(s) A systems approach to analyzing and preventing hospital … February 23, 2022 Association between unmet nonmedication needs after hospital discharge … An examination of learning from one's own failures in the context of heart surgeons. … June 5, 2024 Fast tracking in cardiac surgery: is it safe? … May 11, 2022 A systems approach to analyzing and preventing hospital adverse events.

The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/ask-me-explain-campaign-90-day-intervention-promote-patient-and-family-involvement-care

November 16, 2022 - in a Pediatric Emergency Department. … Poor discharge communication in the emergency department has been linked to safety concerns in prior … a multistate hospital network--13 academic medical centers, April-June 2020. … October 19, 2022 Families as partners in hospital error and adverse event surveillance … November 23, 2016 Guide to Patient and Family Engagement in Hospital Quality and Safety

Surgeon and surgical trainee experiences after adverse patient events. | PSNet

psnet.ahrq.gov/issue/surgeon-and-surgical-trainee-experiences-after-adverse-patient-events

January 09, 2019 - Adverse events in surgery can lead to catastrophic patient harm, so understanding the support needs … 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 … May 19, 2021 Improving handoffs in the emergency department. … 5 teaching hospitals.

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