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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - Nevertheless, even in such hospitals, it can be used as a general guide in developing institutional policies … The mother and fetus in this case suffered a tragic outcome at a hospital that appeared to lack a structured … In developing protocols, hospitals must consider many factors, including the nature of the complaints … abdominal pain for 5 hours after eating a greasy meal.
28-year-old G2P1 at 25 weeks’ gestation slips and falls … in conditions targeted by the Hospital Readmissions Reduction Program.
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psnet.ahrq.gov/node/72586/psn-pdf
December 23, 2020 - intuitive sense when we think about the sheer number of demands on our
health care teams, but often falls … who move through the system, which in turn supports hospital finances. … At the same time, hospitals
themselves, including staff, patient beds, and medical equipment, are limited … and die sooner.23 To make
matters worse, many hospitals are experiencing staffing shortages and high … possible
solutions, but they must be implemented at a system-wide level to ensure no vulnerable patient falls
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psnet.ahrq.gov/issue/computerized-decision-support-medication-dosing-renal-insufficiency-randomized-controlled
September 30, 2009 - Study
Computerized decision support for medication dosing in renal insufficiency: … Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled … Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled … October 19, 2022
Families as partners in hospital error and adverse event surveillance … hospital practice: factors associated with turnover, outcomes, and patient safety.
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psnet.ahrq.gov/issue/using-electronic-health-records-identify-adverse-drug-events-ambulatory-care-systematic
May 04, 2012 - Review
Using electronic health records to identify adverse drug events in ambulatory … Using Electronic Health Records to Identify Adverse Drug Events in Ambulatory Care: A Systematic Review … that most studies use electronic health records as a data source to identify adverse drug events in … Safety
March 29, 2023
Electronic health record-based prediction models for in-hospital … January 19, 2012
Preventing medication errors in hospitals through a systems approach
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psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period
July 29, 2020 - Study
Nurse decision making in the prearrest period. … Nurse decision making in the prearrest period. … Nurse decision making in the prearrest period. … July 29, 2020
Families as partners in hospital error and adverse event surveillance. … June 17, 2009
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Hospitals
Nurses
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psnet.ahrq.gov/issue/visual-illusions-radiology-untrue-perceptions-medical-images-and-their-implications
July 06, 2022 - Commentary
Visual illusions in radiology: untrue perceptions in medical images and … Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic … Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic … Metacognition and the diagnostic process in pathology. … February 2, 2022
Medication-related hospital readmissions within 30 days of discharge
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psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety
October 19, 2022 - Related Resources From the Same Author(s)
Optimizing Pediatric Patient Safety in … October 19, 2022
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … January 18, 2023
Transformational improvement in quality care and health systems: the … January 30, 2013
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Hospitals
Health
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psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-emergency-medical-services
August 03, 2017 - Review
Evidence-based guidelines for fatigue risk management in emergency medical … Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. … Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. … January 12, 2022
Families as partners in hospital error and adverse event surveillance … March 14, 2018
Safety in EMS.
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psnet.ahrq.gov/issue/structured-handover-general-surgery-audit-current-practice
August 08, 2018 - Structured Handover in General Surgery: An Audit of Current Practice. … Structured Handover in General Surgery: An Audit of Current Practice. … December 16, 2015
Reduction in medication errors in hospitals due to adoption of computerized … August 19, 2020
Families as partners in hospital error and adverse event surveillance … August 9, 2013
Safety in Anaesthesia.
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psnet.ahrq.gov/issue/defining-and-classifying-terminology-medication-harm-call-consensus
June 22, 2022 - January 12, 2022
Pharmacists reducing medication risk in medical outpatient clinics: … April 22, 2020
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
Predictive combinations of monitor alarms preceding in-hospital code … November 7, 2018
Classification of patient-safety incidents in primary care.
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psnet.ahrq.gov/issue/evidence-review-conducted-agency-healthcare-research-and-quality-safety-program-improving
June 21, 2015 - The authors acknowledge the need for local tailoring in implementing these recommendations. … September 9, 2020
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … 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. … June 20, 2011
The host hospital 24-hour underreferral rate: an automated measure of call-center
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psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain-fentanyl-and
September 18, 2024 - November 16, 2022
Family safety reporting in medically complex children: parent, staff … a multistate hospital network--13 academic medical centers, April-June 2020. … Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital … in outpatient settings: clinical practice guideline. … August 5, 2020
A war on two fronts: cancer care in the time of COVID-19.
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psnet.ahrq.gov/issue/reducing-inappropriate-diagnostic-practice-through-education-and-decision-support
December 13, 2013 - January 12, 2022
Latent safety threats and countermeasures in the operating theater: … a national in situ simulation-based observational study. … A vignette study of doctors in three NHS emergency departments in England. … acute hospital settings—limited evidence of effectiveness. … deteriorating hospital patients.
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psnet.ahrq.gov/issue/improving-patient-safety-effects-safety-program-performance-and-culture-department-radiology
May 12, 2010 - Improving patient safety: effects of a safety program on performance and culture in … Improving patient safety: effects of a safety program on performance and culture in a department of radiology … December 14, 2016
Diagnostic errors in pediatric radiology. … diagnostic error characterization and departmental quality assurance: 1-year experience from a children's hospital … April 6, 2011
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Children's Hospitals
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psnet.ahrq.gov/issue/promoting-patient-safety-through-prospective-risk-identification-example-peri-operative-care
September 23, 2020 - a multistate hospital network--13 academic medical centers, April-June 2020. … December 23, 2012
Families as partners in hospital error and adverse event surveillance … the operating room setting in a tertiary academic center. … September 27, 2016
Safety in Anaesthesia. … against the NHS in England 1995-2007.
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psnet.ahrq.gov/issue/human-factors-and-simulation-emergency-medicine
November 16, 2022 - Commentary
Human factors and simulation in emergency medicine. … Human Factors and Simulation in Emergency Medicine. … Human Factors and Simulation in Emergency Medicine. … a multistate hospital network--13 academic medical centers, April-June 2020. … April 27, 2022
Families as partners in hospital error and adverse event surveillance.
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psnet.ahrq.gov/issue/patient-safety-systems-primary-health-care-diabetes-story-missed-opportunities
March 28, 2011 - Review
Patient safety systems in the primary health care of diabetes—a story of missed … Patient safety systems in the primary health care of diabetes—a story of missed opportunities? … This study found little research on safety improvement methods in the primary care of diabetes. … Patient safety systems in the primary health care of diabetes—a story of missed opportunities? … October 19, 2022
Families as partners in hospital error and adverse event surveillance
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psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry
February 14, 2024 - A laboratory experiment and field study in cardiac rehabilitation. … hospitals. … August 4, 2021
Adverse drug events caused by three high-risk drug-drug interactions in … August 10, 2022
Risky procedures by nurses in hospitals: problems and (contemplated) … July 26, 2011
Comparing errors in ED computer-assisted vs conventional pediatric drug
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psnet.ahrq.gov/issue/systematic-review-behavioural-marker-systems-healthcare-what-do-we-know-about-their
January 23, 2019 - Review
A systematic review of behavioural marker systems in healthcare: what do we … A systematic review of behavioural marker systems in healthcare: what do we know about their attributes … January 23, 2019
A systematic review of teamwork in the intensive care unit: what do … 2013
Outcomes of classroom-based team training interventions for multiprofessional hospital … January 19, 2011
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Hospitals
Risk
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psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error
August 19, 2020 - the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a … stewardship program in detection and intervention. … June 25, 2018
Safety incidents in the primary care office setting. … March 28, 2011
Errors in clinical reasoning: causes and remedial strategies. … June 24, 2009
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See More About The Topic
Hospitals
Educators