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2761. Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. | PSNet
      psnet.ahrq.gov/issue/older-patients-understanding-emergency-department-discharge-information-and-its-relationship
      October 10, 2012 - This study of geriatric patients discharged from a teaching hospital emergency department (ED) found … An AHRQ WebM&M perspective discusses the broader issue of patient safety in the emergency department … 4, 2021 Cascade iatrogenesis: factors leading to the development of adverse events in … in the Elderly and Potentially Harmful Drug–Disease Interactions in the Elderly quality measures. … October 10, 2012 Teamwork errors in trauma resuscitation.

2762. Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-people-dementia-care-homes-retrospective-analysis
      April 20, 2022 - Study Potentially inappropriate prescribing in older people with dementia in care … Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis … Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis … care units and hospital emergency services. … in a high reliability organization.

2763. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. | PSNet
      psnet.ahrq.gov/issue/racial-and-ethnic-bias-diagnosis-alcohol-use-disorder-veterans
      September 23, 2020 - Study Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans … Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. … Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. … a multistate hospital network--13 academic medical centers, April-June 2020. … October 19, 2022 Families as partners in hospital error and adverse event surveillance

2764. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. | PSNet
      psnet.ahrq.gov/issue/reduction-preventable-time-critical-dose-omissions-impact-electronic-medication-management
      February 03, 2016 - on in-patients. … on in-patients. … critical access hospitals. … January 7, 2009 View More See More About The Topic Hospitals Medical … /Surgical Nursing Hospital Pharmacy Administration Errors Missed Care View More

2765. Measuring patient safety climate: a review of surveys. | PSNet
      psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys
      June 14, 2011 - August 4, 2021 Improving handoffs in the emergency department. … a multistate hospital network--13 academic medical centers, April-June 2020. … safety in academic medical centers. … hospital nursing units. … January 20, 2010 Teamwork in the operating room: frontline perspectives among hospitals

2766. Real time patient safety audits: improving safety every day. | PSNet
      psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
      April 14, 2021 - to stimulate immediate changes in performance. … and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. … March 1, 2023 Human factors in anaesthesia: a narrative review. … February 2, 2011 Organisational culture: variation across hospitals and connection to … October 26, 2011 An inpatient fall prevention initiative in a tertiary care hospital.

2767. Quality and safety practices among academic obstetrics and gynecology departments. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-practices-among-academic-obstetrics-and-gynecology-departments
      October 19, 2022 - a multistate hospital network--13 academic medical centers, April-June 2020. … April 5, 2017 Critical diagnoses (critical values) in anatomic pathology. … March 29, 2023 Examination of maternal near-miss experiences in the hospital setting … among Black women in the United States. … December 14, 2022 Distinguishing high-performing from low-performing hospitals for severe

2768. Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013. | PSNet
      psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers-united-states-2000
      May 18, 2022 - vaccination schedules, and changes in reporting practices. … January 12, 2022 Families as partners in hospital error and adverse event surveillance … and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. … March 1, 2023 Human factors in anaesthesia: a narrative review. … Not So Easy July 1, 2006 View More See More About The Topic Hospitals

2769. The American College of Surgeons' closed claims study: new insights for improving care. | PSNet
      psnet.ahrq.gov/issue/american-college-surgeons-closed-claims-study-new-insights-improving-care
      March 02, 2011 - more frequently in the preoperative and postoperative periods than intraoperatively. … multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … August 29, 2012 Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital … December 22, 2010 Patient harm in general surgery--a prospective study.

2770. Diagnostic accuracy of pediatric teledermatology using parent-submitted photographs: a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/diagnostic-accuracy-pediatric-teledermatology-using-parent-submitted-photographs-randomized
      November 16, 2022 - a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … July 29, 2020 Families as partners in hospital error and adverse event surveillance. … August 30, 2023 Patient safety in dermatology: a ten-year update. … acutely ill children in ambulatory care.

2771. Nurses' perception of medication administration errors and factors associated with their reporting in the neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/nurses-perception-medication-administration-errors-and-factors-associated-their-reporting
      December 14, 2022 - Nurses' perception of medication administration errors and factors associated with their reporting in … July 5, 2023 Families as partners in hospital error and adverse event surveillance. … care unit in Thailand. … July 10, 2008 Fatal drug mix-up exposes hospital flaws. … View More See More About The Topic Intensive Care Units Children's Hospitals

2772. The effect of a clinical decision support for pending laboratory results at emergency department discharge. | PSNet
      psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge
      April 24, 2018 - hospital error and adverse event surveillance. … April 24, 2018 Changes in medical errors after implementation of a handoff program. … August 20, 2018 Incidence and trends of sepsis in US hospitals using clinical vs claims … March 25, 2015 Management of test results in family medicine offices. … April 12, 2011 Patient safety concerns arising from test results that return after hospital

2773. The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop. | PSNet
      psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national
      March 04, 2011 - the Same Author(s) The impact of computerized provider order entry on medication errors in … January 12, 2022 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020 Prevalence and causes of diagnostic errors in hospitalized patients … , MD, PhD May 1, 2017 View More See More About The Topic Hospitals

2774. Higher accuracy of complex medication reconciliation through improved design of electronic tools. | PSNet
      psnet.ahrq.gov/issue/higher-accuracy-complex-medication-reconciliation-through-improved-design-electronic-tools
      April 05, 2017 - This head-to-head comparison of two different medication reconciliation tools in electronic health … in nine quality improvement initiatives. … September 24, 2016 Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital … October 13, 2010 View More See More About The Topic Hospitals Facility

2775. Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability. | PSNet
      psnet.ahrq.gov/issue/transcription-errors-blood-glucose-values-and-insulin-errors-intensive-care-unit-secondary
      December 02, 2020 - Study Transcription errors of blood glucose values and insulin errors in an intensive … 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. … June 28, 2023 Racial bias in pulse oximetry measurement.

2776. The attributes of medical event reporting systems. | PSNet
      psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems
      February 14, 2024 - February 14, 2024 Specialty-based, voluntary incident reporting in neonatal intensive … hospitals. … Hazards in delivery of surgical instruments. … Related Resources Determination of unnecessary blood transfusion by comprehensive 15-hospital … June 3, 2014 Hospital-based transfusion error tracking from 2005 to 2010: identifying

2777. The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. | PSNet
      psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-resident-duty-hour-new-standards-history
      November 21, 2021 - Discussing the 2011  resident duty-hour standards , this commentary describes how hospitals can safely … December 4, 2015 Changes in hospital mortality associated with residency work-hour regulations … November 15, 2011 Impact of reduction in working hours for doctors in training on postgraduate … February 3, 2011 Duty hours in emergency medicine: balancing patient safety, resident … United States teaching hospitals.

2778. Does increased schedule flexibility lead to change? A national survey of program directors on 2017 work hours requirements. | PSNet
      psnet.ahrq.gov/issue/does-increased-schedule-flexibility-lead-change-national-survey-program-directors-2017-work
      October 12, 2022 - Download Citation Related Resources From the Same Author(s) Training in … July 29, 2020 Why do hospital prescribers continue antibiotics when it is safe to stop … July 15, 2020 Associations between in-hospital mortality, health care utilization, and … Internal medicine trainees' views of training adequacy and duty hours restrictions in … October 1, 2007 View More See More About The Topic Hospitals

2779. Surgical safety does not happen by accident: learning from perioperative near miss case studies. | PSNet
      psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies
      August 04, 2021 - May 18, 2022 Families as partners in hospital error and adverse event surveillance. … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … March 8, 2023 Crisis recovery in surgery: error management and problem solving in safety-critical … : lessons learned and considerations to promote further improvement in patient safety.

2780. A descriptive study of nurse-reported missed care in neonatal intensive care units. | PSNet
      psnet.ahrq.gov/issue/descriptive-study-nurse-reported-missed-care-neonatal-intensive-care-units
      January 27, 2019 - patient situations, and increases in patient volume . … multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020 Families as partners in hospital error and adverse event surveillance … hospital practice: factors associated with turnover, outcomes, and patient safety. … January 27, 2019 Missed nursing care in pediatrics.