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psnet.ahrq.gov/node/865677/psn-pdf
April 24, 2024 - inpatients
Inpatient falls are a persistent patient safety challenge. … This study evaluated the impact of video monitoring
(VM) plus in-person sitters on falls among high-risk … patients at one academic hospital system. … https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm … https://psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
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psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
December 24, 2008 - May 11, 2016
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … May 9, 2012
Medication-Related Adverse Outcomes in U.S. … Hospitals and Emergency Departments, 2008. … April 27, 2011
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting … June 7, 2008
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Hospitals
Health Care
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psnet.ahrq.gov/issue/homecare-safety-virtual-quality-improvement-collaboratives
January 24, 2024 - to improve healthcare quality and mitigate and prevent harm from homecare safety incidents such as falls … December 4, 2015
The Canadian Adverse Events Study: the incidence of adverse events among hospital … April 22, 2011
Adverse events among children in Canadian hospitals: the Canadian Paediatric … hospital patients: a retrospective patient record review study in the Netherlands. … See More About The Topic
Researchers
Home Care
Educators
Home Nursing
Patient Falls
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psnet.ahrq.gov/issue/pediatric-trainee-perspectives-decision-disclose-medical-errors
April 27, 2022 - delays to identification of serious injury after falls in hospital inpatients. … English hospital organizations? … review of root cause analyses of falls leading to adverse events. … acute care hospitals. … July 18, 2016
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Hospitals
Health Care
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psnet.ahrq.gov/issue/frontline-hospital-workers-and-worker-safetypatient-safety-nexus
July 05, 2017 - Frontline hospital workers and the worker safety/patient safety nexus. … August 21, 2013
Families as partners in hospital error and adverse event surveillance … June 21, 2017
Root cause analysis of reported patient falls in ORs in the Veterans Health … June 30, 2013
Minnesota Hospital Association Statewide Project: SAFE from FALLS. … July 21, 2010
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Hospitals
Health Care
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psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics
November 21, 2021 - October 19, 2022
Families as partners in hospital error and adverse event surveillance … a multistate hospital network--13 academic medical centers, April-June 2020. … Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024 … November 21, 2016
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General Hospitals
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psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
February 26, 2014 - health hospitals: a multi-centre study. … October 30, 2024
Effects of an intervention to increase bed alarm use to prevent falls … May 29, 2019
Root cause analysis of reported patient falls in ORs in the Veterans Health … October 24, 2018
The impact of major intraoperative adverse events on hospital readmissions … Anesthesia
February 1, 2003
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Hospitals
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psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-assessment-hospitals
September 26, 2017 - Findings from the ISMP Medication Safety Self-Assessment for hospitals. … This article reports the results of the first national survey of mediation safety readiness in hospitals … Findings from the ISMP Medication Safety Self-Assessment for hospitals. … Related Resources
Patient Safety Innovations
Preventing Falls … Patient Safety Innovations
Enhancing Support for Patients’ Social Needs to Reduce Hospital
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psnet.ahrq.gov/issue/patient-safety-ed
August 11, 2010 - Hospitals & health networks. 2006;80(5):6 p. following 48, 2. … Share
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June 17, 2014
Hospitals … Hospitals & health networks. 2006;80(5):6 p. following 48, 2. … March 27, 2018
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … October 19, 2011
Fixing America's hospitals.
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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - reuse entirely.( 9 ) Considering the risks for errors associated with dialyzer reuse programs and the falling … Patient Falls and Medication Errors
In addition to errors with the dialyzer or dialysis solution, a … Falls and fall-related injuries in older dialysis patients. … September 18, 2024
Organizational perspectives of nurse executives in 15 hospitals on … June 8, 2016
Changes in prevalence of health care-associated infections in U.S. hospitals
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psnet.ahrq.gov/issue/hospital-internet-site-content-patient-safety-and-medical-errors
August 17, 2022 - Citation Text:
Hospital internet site content on patient safety and medical errors. … August 17, 2022
Patient safety incidents describing patient falls in critical care in … December 6, 2017
Outcomes in two Massachusetts hospital systems give reason for optimism … October 26, 2010
Medication safety infrastructure in critical-access hospitals in Florida … July 15, 2010
Fixing America's hospitals.
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psnet.ahrq.gov/issue/changes-hospital-adverse-events-and-patient-outcomes-associated-private-equity-acquisition
July 12, 2023 - Study
Changes in hospital adverse events and patient outcomes associated with private … Findings indicate a significant increase in in-hospital falls and healthcare-associated infections … There was no change in 30-day mortality after hospital discharge, but in-hospital mortality decreased … survival after in-hospital cardiac arrests. … April 20, 2011
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Hospitals
Hospital
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psnet.ahrq.gov/node/43026/psn-pdf
March 05, 2014 - from the field to guide adjustments on a new set of
common formats for surveillance of adverse events in … hospitals, such as venous thromboembolism and
falls. … electronic-alerts-prevent-venous-thromboembolism-among-hospitalized-patients
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/periodic-issue/periodic-issue-307
September 29, 2021 - This systematic review identified 694 studies of safety culture in hospitals. … Study
Hospital inpatient falls across clinical departments. … Patient falls resulting in injury are considered a never event. … In this analysis of falls within one hospital, rates and trends varied across six clinical departments … This systematic review identified 694 studies of safety culture in hospitals.
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psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
March 24, 2019 - older adults with a history of falls: a qualitative study. … August 10, 2022
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Related Resources
Patient falls while … July 5, 2023
Nurse staffing, nursing assistants and hospital mortality: retrospective … hospital nurses. … June 1, 2011
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Hospitals
Nurses
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psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
July 07, 2021 - Root cause analysis for hospital-acquired pressure injury. … Root cause analysis for hospital-acquired pressure injury. … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … March 6, 2019
Root cause analysis of reported patient falls in ORs in the Veterans Health … September 27, 2010
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Hospitals
Nurses
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psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
July 11, 2018 - Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024 … June 9, 2011
Nurses' role in communication and patient safety. … July 8, 2009
What pilots can teach hospitals about patient safety. … August 5, 2008
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General Hospitals
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psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
September 08, 2021 - Facebook
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November 14, 2011
Produced in … conjunction with its Partnerships in Implementing Patient Safety (PIPS) grant program, AHRQ has released … 17 freely available toolkits to help hospitals and health care providers reduce medical errors. … September 8, 2021
Toolkit To Improve Antibiotic Use in Acute Care Hospitals
December … April 6, 2016
Preventing Falls With Injury.
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psnet.ahrq.gov/issue/using-workforce-practices-drive-quality-improvement-guide-hospitals
March 22, 2017 - March 22, 2017
Hand Hygiene Project: Best Practices from Hospitals Participating in the … May 6, 2015
Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final … May 24, 2015
Preventing Patient Falls: A Systematic Approach From the Joint Commission … October 27, 2016
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Related Resources
Preventing violence in … September 24, 2016
Interdisciplinary teamwork in hospitals: a review and practical recommendations
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psnet.ahrq.gov/issue/validity-16-ahrq-patient-safety-indicators-identify-hospital-complications-medical-record
November 29, 2023 - This retrospective study examined the performance of 16 PSIs across nine hospitals in Switzerland (where … The authors attributed low positive predictive value (PPV) in three of the PSIs (pressure injury, falls … awaiting long-term care in hospital. … September 14, 2022
HealthGrades Sixth Annual Patient Safety in American Hospitals Study … March 12, 2011
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Hospitals
Hospital