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'I think this medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications and safety. | PSNet

psnet.ahrq.gov/issue/i-think-medicine-actually-killed-my-wife-patient-and-family-perspectives-shared-decision

October 05, 2022 - of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals … -19 pandemic on cancer survival in the UK: a modelling study. … May 12, 2021 Medication-related harm in older adults following hospital discharge: development … Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital … in the United States.

Racial bias in pulse oximetry measurement. | PSNet

psnet.ahrq.gov/issue/racial-bias-pulse-oximetry-measurement

January 19, 2022 - Racial bias in pulse oximetry measurement. … blood gas in Black and white patients before and during the COVID-19 pandemic. … Racial bias in pulse oximetry measurement. … September 27, 2017 Hospital readmission and parent perceptions of their child's hospital … December 29, 2014 Effect of nonpayment for preventable infections in U.S. hospitals.

Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions. | PSNet

psnet.ahrq.gov/issue/delayed-recognition-deterioration-patients-general-wards-mostly-caused-human-related

December 21, 2017 - Study Delayed recognition of deterioration of patients in general wards is mostly … From the Same Author(s) Patients' and providers' perceptions of the preventability of hospital … readmission: a prospective, observational study in four European countries. … bar-code-assisted medication administration in hospitals. … patients' perception of safety in the intensive care unit.

Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care. | PSNet

psnet.ahrq.gov/issue/multiprofessional-team-simulation-training-based-obstetric-model-can-improve-teamwork-other

January 12, 2022 - Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in … was adapted for three surgical wards at a teaching hospital. … Hazards in delivery of surgical instruments. … February 14, 2024 Risky procedures by nurses in hospitals: problems and (contemplated … lists reported by patients in personal health records: a prospective cohort study in a hospital setting

Implementing receiver-driven handoffs to the emergency department to reduce miscommunication. | PSNet

psnet.ahrq.gov/issue/implementing-receiver-driven-handoffs-emergency-department-reduce-miscommunication

December 05, 2018 - Implementation of the tool resulted in a 23% relative reduction in miscommunication and in increased … November 16, 2022 Families as partners in hospital error and adverse event surveillance … August 14, 2019 Association of patient and family reports of hospital safety climate … with language proficiency in the US. … July 21, 2021 High delayed and missed injury rate after inter-hospital transfer of severely

Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/application-trigger-tools-detecting-adverse-drug-events-older-people-systematic-review-and

June 15, 2022 - Adverse drug events (ADE) are common in older adults. … This systematic review identified 12 trigger tools for detecting ADE in older adults. … March 5, 2025 Electronic health record-based prediction models for in-hospital adverse … February 16, 2011 View More See More About The Topic Hospitals Geriatrics … Hospital Pharmacy Medication Errors/Preventable Adverse Drug Events Computerized Adverse Event

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). | PSNet

psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and

December 23, 2020 - second victim peer support program on perceptions of second victim experiences and supportive resources in … second victim peer support program on perceptions of second victim experiences and supportive resources in … The term “ second victim ” refers to a healthcare professional who was involved in a medical error and … An American children’s hospital implemented a peer support program for “second victims” in 2019. … September 19, 2016 View More See More About The Topic Hospitals Intensive

Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled

March 09, 2022 - Of note, an accompanying editorial (link provided below) discusses these study findings in the context … March 9, 2022 Inappropriate hospital admission as a risk factor for the subsequent development … January 15, 2025 Factors influencing witnesses' perception of patient safety during pre-hospital … February 14, 2024 Surgery is in itself a risk factor for the patient. … June 14, 2023 Decreased incidence of cesarean surgical site infection rate with hospital-wide

Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older people. | PSNet

psnet.ahrq.gov/issue/computerized-prescribing-alerts-and-group-academic-detailing-reduce-use-potentially

July 10, 2008 - tools such as academic detailing are needed, as the process had no benefit in this study. … its prevalence in outpatient settings and elderly veterans . … March 29, 2010 Effect of nonpayment for preventable infections in U.S. hospitals. … multistate hospital network--13 academic medical centers, April-June 2020. … February 11, 2009 View More See More About The Topic Hospitals Ambulatory

Not sick enough to worry? "Influenza-like" symptoms and work-related behavior among healthcare workers and other professionals: results of a global survey. | PSNet

psnet.ahrq.gov/issue/not-sick-enough-worry-influenza-symptoms-and-work-related-behavior-among-healthcare-workers

August 03, 2022 - Related Resources From the Same Author(s) Implementation of hand hygiene in … August 4, 2021 Why psychiatry is different--challenges and difficulties in managing a … nosocomial outbreak of coronavirus disease (COVID-19) in hospital care. … July 29, 2020 The effect of contact precautions on frequency of hospital adverse events … February 24, 2022 Inpatient telemedicine and new models of care during COVID-19: hospital

Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City. | PSNet

psnet.ahrq.gov/issue/restructuring-general-surgery-residency-program-epicenter-coronavirus-disease-2019-pandemic

September 02, 2020 - Commentary Restructuring of a general surgery residency program in an epicenter of … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 … a statewide collaborative and changes in hospital safety culture. … February 2, 2022 Quality and safety in hospital pediatrics during COVID-19: a national … May 6, 2020 View More See More About The Topic Hospitals Intensive

Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. | PSNet

psnet.ahrq.gov/issue/patient-safety-cardiac-operating-room-human-factors-and-teamwork-scientific-statement

October 19, 2022 - Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork. … the operating room (OR) and provides detailed recommendations for hospitals to implement to improve … Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork. … a multistate hospital network--13 academic medical centers, April-June 2020. … June 1, 2022 Families as partners in hospital error and adverse event surveillance.

National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. | PSNet

psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta

February 03, 2021 - Global Trigger tool in inpatient and geriatric settings). … The meta-analysis of included studies estimated one adverse event prevented for every 59 hospital admissions … adverse event rates in the Irish healthcare system. … May 26, 2021 Clinical deterioration and hospital‐acquired complications in adult patients … August 26, 2020 View More See More About The Topic Researchers Hospitals

Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students. | PSNet

psnet.ahrq.gov/issue/innovative-patient-safety-curriculum-using-ipad-game-passed-improved-patient-safety-concepts

November 16, 2022 - Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in … Incorporating interactive learning platforms may provide an effective mechanism for engaging students in … In this pre–post study, students were initially surveyed on baseline understanding of patient safety … February 9, 2011 Families as partners in hospital error and adverse event surveillance … October 21, 2009 View More See More About The Topic Hospitals Educators

How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. | PSNet

psnet.ahrq.gov/issue/how-does-audit-and-feedback-influence-intentions-health-professionals-improve-practice

February 14, 2024 - A laboratory experiment and field study in cardiac rehabilitation. … January 20, 2021 Using in situ simulation to improve in-hospital cardiopulmonary resuscitation … June 10, 2015 Trends in central line–associated bloodstream infections in a trauma-surgical … December 21, 2014 Physician implicit review to identify preventable errors during in-hospital … January 20, 2010 View More See More About The Topic Hospitals Health

National Patient Safety Foundation agenda for research and development in patient safety. | PSNet

psnet.ahrq.gov/issue/national-patient-safety-foundation-agenda-research-and-development-patient-safety

June 16, 2011 - The National Patient Safety Foundation agenda for research and development in patient safety. … safety climate among hospital anesthesia departments and the effect of a realistic simulation-based … UK hospitals: mixed method evaluation. … a multistate hospital network--13 academic medical centers, April-June 2020. … March 6, 2019 Reversing the rise in maternal mortality.

Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative exploration of patient and provider perspectives. | PSNet

psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk

November 20, 2015 - results to patients in primary care in the UK: a qualitative exploration of patient and provider perspectives … Routine failures in the process for blood testing and the communication of results to patients in primary … to 20 hospitals in England during implementation of the 7-day services national health policy. … November 25, 2020 Electronic prescribing systems in hospitals to improve medication safety … June 8, 2011 Magnitude and modifiers of the weekend effect in hospital admissions: a

A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. | PSNet

psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system

July 14, 2010 - , 2011 Effect of standardized handoff curriculum on improved clinician preparedness in … August 20, 2018 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital

The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study. | PSNet

psnet.ahrq.gov/issue/effects-electronic-nursing-handover-patient-safety-general-non-covid-19-and-covid-19

February 26, 2020 - Study The effects of electronic nursing handover on patient safety in the general … preventing medication errors in the pediatric units. … February 3, 2010 The analysis of hospital readmission rates after the implementation … of Hospital Readmissions Reduction Program. … February 16, 2022 Inpatient telemedicine and new models of care during COVID-19: hospital

The relationship between organizational culture and family satisfaction in critical care. | PSNet

psnet.ahrq.gov/issue/relationship-between-organizational-culture-and-family-satisfaction-critical-care

April 25, 2012 - Study The relationship between organizational culture and family satisfaction in … The relationship between organizational culture and family satisfaction in critical care. … This study, conducted in 23 Canadian intensive care units (ICUs), sought to examine the relationship … The relationship between organizational culture and family satisfaction in critical care. … Canadian hospitals: results of a multicentre observational study.

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