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psnet.ahrq.gov/issue/providing-good-and-comfortable-care-building-bond-trust-nurses-views-regarding-their-role
February 14, 2024 - patients' perception of safety in the intensive care unit. … Hazards in delivery of surgical instruments. … lists reported by patients in personal health records: a prospective cohort study in a hospital setting … June 14, 2017
Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing … October 26, 2011
Worries and concerns experienced by nurse specialists during inter-hospital
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psnet.ahrq.gov/issue/eight-years-decreased-methicillin-resistant-staphylococcus-aureus-health-care-associated
March 23, 2012 - This retrospective study demonstrated declines in methicillin-resistant Staphylococcus aureus health … These findings underscore the success of patient safety practices in reducing health care–associated … long-term care hospitals and their relationship to Joint Commission accreditation. … December 21, 2017
VA hospitals flooded with complaints about care. … February 15, 2017
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Specialty Hospitals
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psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
July 01, 2016 - Impact of teamwork and communication training interventions on safety culture and patient safety in … January 26, 2022
Analysis of risk factors for patient safety events occurring in the … December 20, 2023
Engaging hospital patients in the medication reconciliation process … hospital practice: factors associated with turnover, outcomes, and patient safety. … July 19, 2023
6-PACK programme to decrease fall injuries in acute hospitals: cluster
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psnet.ahrq.gov/issue/recovery-covid-19-related-disruptions-cancer-detection
November 16, 2022 - This study reports the difference between observed and expected cancer rates in 2020 and 2021 in the … recovered in 2021 (-0.2% difference). … February 3, 2011
Doing the right things and doing them the right way: association between hospital … Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital … at US Children's Hospitals, 2016-2019.
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psnet.ahrq.gov/issue/impact-providing-patients-access-electronic-health-records-quality-and-safety-care-systematic
July 27, 2022 - Meta-analysis found that sharing EHRs with patients is effective in reducing HbA1c levels; the included … the Same Author(s)
Patients' willingness and ability to identify and respond to errors in … March 23, 2022
Effectiveness and safety of pulse oximetry in remote patient monitoring … care units and hospital emergency services. … June 24, 2020
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Researchers
Hospitals
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psnet.ahrq.gov/issue/near-miss-transcription-errors-comparison-reporting-rates-between-novel-error-reporting
January 31, 2018 - between a hospital's formal reporting system and a passive error identification mechanism embedded in … March 17, 2021
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … June 5, 2013
Diet order entry by registered dietitians results in a reduction in error … September 13, 2006
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Hospitals
Quality … and Safety Professionals
Hospital Medicine
Transcription Errors
Near Miss
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psnet.ahrq.gov/issue/computerized-decision-support-reduce-potentially-inappropriate-prescribing-older-emergency
December 17, 2010 - The challenges of implementing effective medication decision support systems are discussed in an AHRQ … Resources From the Same Author(s)
Computerized decision support for medication dosing in … December 17, 2010
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … 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/effect-emergency-department-process-improvement-package-suicide-prevention-ed-safe-2-cluster
March 09, 2022 - The QI approach was successful in reducing death by suicide and suicide-related acute care during the … care units and hospital emergency services. … Developing a programme for medication reconciliation at the time of admission into hospital … April 24, 2024
WebM&M Cases
Walking Out of a Hospital … Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee.
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psnet.ahrq.gov/issue/quantification-hawthorne-effect-hand-hygiene-compliance-monitoring-using-electronic
July 29, 2020 - Study
Classic
Quantification of the Hawthorne effect in … Hygiene Heroes: implementation of an infection prevention and control campaign for patient and family hospital … December 2, 2020
Changes in burnout and satisfaction with work-life integration in physicians … June 1, 2022
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Hospital- and system-wide … See More About The Topic
Physicians
Nurses
Health Care Executives and Administrators
Hospital
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psnet.ahrq.gov/issue/randomised-controlled-trial-assess-effect-just-time-training-procedural-performance-proof
May 31, 2017 - Study
Randomised controlled trial to assess the effect of a Just-in-Time training … hospital practice: factors associated with turnover, outcomes, and patient safety. … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020
Families as partners in hospital error and adverse event surveillance … in a high risk emergency department.
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psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
July 22, 2020 - Strategies included creation of a designated area for patients awaiting hospital admission, detailed … This resulted in a decrease in the percentage of handovers more than 60 minutes after arrival from 9% … August 3, 2011
Changes in medication safety indicators in England throughout the covid … health services research to reduce emergency department boarding and hospital crowding. … November 16, 2022
WebM&M Cases
EMS Perils from Hospital
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psnet.ahrq.gov/issue/use-and-impact-virtual-primary-care-quality-and-safety-publics-perspectives-during-covid-19
July 08, 2020 - care units and hospital emergency services. … December 2, 2020
Learning from complaints in healthcare: a realist review of academic … September 1, 2021
Patient safety in dermatology: a ten-year update. … examination tool during the Covid-19 emergency: the experience of the onco-haematology center of Tor Vergata Hospital … in Rome.
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psnet.ahrq.gov/issue/symptom-checker-adult-patients-visiting-interdisciplinary-emergency-care-center-and-safety
April 21, 2021 - In this study, 2,543 patients presenting to an ED in Switzerland were asked to self-triage using an … A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. … department boarding and hospital crowding. … Veterans Affairs hospitals. … May 29, 2024
Stranded in the ER, seniors await hospital care and suffer avoidable harm
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psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
June 16, 2011 - in Michigan participated in a statewide safety initiative, including instituting five evidence-based … A related editorial lauds the success of the intervention and calls for all U.S. hospitals to adopt similar … June 16, 2011
Sustaining reductions in catheter related bloodstream infections in Michigan … June 1, 2022
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Related Resources
What US hospitals are … September 20, 2011
Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired
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psnet.ahrq.gov/issue/national-analysis-ed-presentations-early-pregnancy-and-complications-implications-post-roe
September 07, 2016 - decision and how new restrictions have resulted in physician uncertainty and delays in care in states … September 7, 2016
Families as partners in hospital error and adverse event surveillance … June 10, 2020
Chronic hospital nurse understaffing meets COVID-19: an observational study … September 9, 2020
Microsystems in health care: Part 2. … June 7, 2023
Hospitals in two states denied an abortion to a miscarrying patient.
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psnet.ahrq.gov/issue/missed-nursing-care-critical-care-unit-and-during-covid-19-pandemic-comparative-cross
July 21, 2021 - Study
Missed nursing care in the critical care unit, before and during the COVID- … in fall 2019. … care units and hospital emergency services. … care units and hospital emergency services. … December 2, 2020
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Hospitals
Nurse
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psnet.ahrq.gov/issue/use-heuristics-during-clinical-decision-process-family-care-physicians-real-conditions
March 09, 2022 - Use of heuristics during the clinical decision process from family care physicians in … critical care units and hospital emergency services. … November 10, 2021
Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based … 22, 2020
The work of nurses to provide good and safe services to children receiving hospital-at-home … : a qualitative interview study from the perspectives of hospital nurses and physicians.
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psnet.ahrq.gov/issue/containing-covid-19-emergency-department-role-improved-case-detection-and-segregation-suspect
May 05, 2021 - Study
Containing COVID-19 in the emergency department: the role of improved case … department of one large, hospital in Singapore. … May 18, 2022
Families as partners in hospital error and adverse event surveillance. … February 23, 2022
Inpatient telemedicine and new models of care during COVID-19: hospital … care site using Failure Modes and Effect Analysis with in situ simulation.
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psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
September 01, 2006 - VA has installed bar-coded medication administration (BCMA) in nearly all hospitals, and most clinicians … Care in U.S. hospitals--the Hospital Quality Alliance program. N Engl J Med. 2005;353:265-274. … RW: In a practical sense, let's say I'm in a VA hospital in Des Moines and I'm newly hired to run the … U.S. hospitals. … June 21, 2016
Association between patient outcomes and accreditation in US hospitals:
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - On hospital day 8, the
leukocyte count increased again, her respiratory status worsened, and she died … HIT,
which probably had developed following exposure to heparin during the first admission to the hospital … In our hospital (UCSF Medical Center), the electronic pharmacy profile
(WORx, Mediware Information Systems … Unfortunately, in most hospitals, heparins (typically UFH) are stocked in more locations than simply … Hospital liable for allergic reaction to heparin used in injection flush.