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3001. Information-gathering patterns associated with higher rates of diagnostic error. | PSNet
      psnet.ahrq.gov/issue/information-gathering-patterns-associated-higher-rates-diagnostic-error
      June 27, 2018 - June 27, 2018 Errors, incidents and accidents in anaesthetic practice. … March 9, 2022 Evaluation of the association between Hospital Survey on Patient Safety … a children's hospital. … May 8, 2024 Do safety culture scores in nursing homes depend on job role and ownership … in outpatient settings: clinical practice guideline.

3002. Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. | PSNet
      psnet.ahrq.gov/issue/accuracy-send-out-test-ordering-college-american-pathologists-q-probes-study-ordering
      November 12, 2008 - Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in … Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in … Errors in ordering send-out tests (tests performed at specialized regional laboratories) were common, … care units and hospital emergency services. … Developing a programme for medication reconciliation at the time of admission into hospital

3003. A national patient safety curriculum in pediatric emergency medicine. | PSNet
      psnet.ahrq.gov/issue/national-patient-safety-curriculum-pediatric-emergency-medicine
      January 12, 2022 - Study A national patient safety curriculum in pediatric emergency medicine. … A National Patient Safety Curriculum in Pediatric Emergency Medicine. … A National Patient Safety Curriculum in Pediatric Emergency Medicine. … October 19, 2022 Inpatient suicide in a general hospital. … Healthcare professional views on hospital to home care transitions.

3004. Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. | PSNet
      psnet.ahrq.gov/issue/patient-safety-over-power-hierarchy-scoping-review-healthcare-professionals-speaking-skills
      November 11, 2009 - , reward or coercive power, personal resources) or the non-verbal (i.e., emotional) skills required in … June 8, 2022 Suicide in the medical setting. … September 18, 2024 Preventability and causes of readmissions in a national cohort of … hospitals: a systematic review. … June 10, 2020 View More See More About The Topic Researchers Hospitals

3005. Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. | PSNet
      psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates
      October 19, 2022 - Study Association of diagnostic stewardship for blood cultures in critically ill … Association of diagnostic stewardship for blood cultures in critically ill children with culture rates … Association of diagnostic stewardship for blood cultures in critically ill children with culture rates … April 21, 2015 Sustaining reductions in catheter related bloodstream infections in Michigan … View More See More About The Topic Intensive Care Units Children's Hospitals

3006. Understanding diagnostic errors in medicine: a lesson from aviation. | PSNet
      psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
      December 30, 2014 - Understanding diagnostic errors in medicine: a lesson from aviation. … are also met with limitations in translating it from aviation. … diagnostic errors in primary care. … precaution practices in hospitals: a qualitative study. … Truman Memorial Veterans' Hospital in Columbia, Missouri.

3007. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. | PSNet
      psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency
      December 16, 2020 - Study Types of diagnostic errors reported by paediatric emergency providers in a … Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency … survey of 1,594 emergency medicine physicians, missed diagnostic opportunities most frequently occur in … Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency … at US Children's Hospitals, 2016-2019.

3008. Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review. | PSNet
      psnet.ahrq.gov/issue/individual-characteristics-promote-or-prevent-psychological-safety-and-error-reporting
      September 14, 2022 - Individual characteristics that promote or prevent psychological safety and error reporting in … Individual characteristics that promote or prevent psychological safety and error reporting in healthcare … Psychological safety promotes speaking up and error reporting in the workplace, and many system and … October 12, 2022 The barriers and enhancers to trust in a just culture in hospital settings … June 10, 2020 View More See More About The Topic Hospitals Ambulatory

3009. Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. | PSNet
      psnet.ahrq.gov/issue/patient-safety-external-beam-radiotherapy-guidelines-risk-assessment-and-analysis-adverse
      March 15, 2017 - Study Patient safety in external beam radiotherapy—guidelines on risk assessment … Patient safety in external beam radiotherapy - guidelines on risk assessment and analysis of adverse … Patient safety in external beam radiotherapy - guidelines on risk assessment and analysis of adverse … acute care hospitals. … September 9, 2010 View More See More About The Topic Hospitals Risk

3010. Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. | PSNet
      psnet.ahrq.gov/issue/impact-stewardship-interventions-antiretroviral-medication-errors-urban-medical-center-three
      February 10, 2016 - Study Impact of stewardship interventions on antiretroviral medication errors in … Impact of Stewardship Interventions on Antiretroviral Medication Errors in an Urban Medical Center: A … At baseline, nearly half of patients prescribed antiretroviral treatment for HIV at a university hospital … June 13, 2011 Year in review: medication mishaps in the elderly. … August 22, 2009 View More See More About The Topic Hospitals Facility

3011. Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. | PSNet
      psnet.ahrq.gov/issue/assessment-patient-medication-adherence-medical-record-accuracy-and-medication-blood
      April 15, 2019 - Maintaining accurate medication lists in the medical record and ensuring patient medication adherence … Related Resources From the Same Author(s) Epidemiology of adverse events in … March 10, 2021 Racial/ethnic inequities in pregnancy-related morbidity and mortality. … hospitals: a system-based approach. … Using consumer-based kiosk technology to improve and standardize medication reconciliation in

3012. Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training | PSNet
      psnet.ahrq.gov/issue/creating-framework-integrate-residency-program-and-medical-center-approaches-quality
      November 11, 2020 - January 30, 2019 Families as partners in hospital error and adverse event surveillance … November 20, 2015 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. … March 10, 2019 How to incorporate quality improvement and patient safety projects in … November 11, 2009 View More See More About The Topic Hospitals Health

3013. Spotlight: Mistaken Attribution, Diagnostic Misstep | PSNet
      psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
      July 01, 2011 - psychiatric units were medication errors (17.2 per 100 discharges), adverse drug events (4.1), and falls … Analysis of 12 years' worth of root cause analysis reports from all VA hospitals in the US identified … hospital with a free-standing psychiatric facility. … Behavioral health staff in free-standing psychiatric hospitals may have limited access to physicians … Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards

3014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49820/psn-pdf
      February 01, 2018 - https://psnet.ahrq.gov/web-mm/returning-home-safely The Case A 72-year-old man was admitted to the hospital … The patient did not need to be readmitted to the hospital and was able to stay at home, but the PCP … the United States, nearly 2 million older adults complete a hospital stay and transfer to one of more … deployed in hospitals, it is associated with patients' improved preparedness for discharge and reduced … a hospital and primary care clinic) activated a safety net for the patient's convalescence at home.

3015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49816/psn-pdf
      January 01, 2018 - The Case A 56-year-old woman with a history of alcohol dependence was admitted to the hospital after … falling while intoxicated. … On admission to the hospital, her naltrexone had been held in anticipation of the fact that she would … in 2004. … Appropriately, naltrexone was held at the time of hospital admission to facilitate pain management with

3016. Code Status vs. Care Status | PSNet
      psnet.ahrq.gov/web-mm/code-status-vs-care-status
      September 30, 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

3017. Medical error: the second victim. | PSNet
      psnet.ahrq.gov/issue/medical-error-second-victim-0
      February 17, 2017 - 3, 2014 Case studies of patient safety research classics to build research capacity in … clinical errors: associations with socio-demographic, professional, burnout, and mental health factors in … View More Related Resources Developing a patient safety culture in … January 15, 2014 Teamwork and team training in the ICU: where do the similarities with … Emergency Departments Physicians Facility and Group Administrators General Internal Medicine Hospital

3018. Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. | PSNet
      psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
      September 15, 2021 - This article discusses an analysis of a large nursing home system and gaps in its workforce safety … September 15, 2021 Dramatic drop in cancer diagnoses amid COVID pandemic is cause for … May 27, 2020 The use of anatomical side markers in general radiology: a systematic review … July 22, 2020 Bias at warp speed: how AI may contribute to the disparities gap in the … Nursing Homes February 24, 2022 Patients went into the hospital for care.

3019. Assessing and monitoring override medications in automated dispensing devices. | PSNet
      psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
      May 06, 2009 - Study Assessing and monitoring override medications in automated dispensing devices … Assessing and monitoring override medications in automated dispensing devices. … , present examples of the changes that resulted, and offer steps for other organizations interested in … Assessing and monitoring override medications in automated dispensing devices. … hospital.

3020. Theorizing about systems: an ecological task for patient safety research. | PSNet
      psnet.ahrq.gov/issue/theorizing-about-systems-ecological-task-patient-safety-research
      August 20, 2008 - July 29, 2020 Effects of teamwork training on adverse outcomes and process of care in … January 12, 2011 To do no harm - and the most good - with AI in health care. … May 15, 2024 Medication-related hospital readmissions within 30 days of discharge: prevalence … patient safety in the NHS: learning lessons from other parts of the public sector? … June 29, 2011 Safety in home care: a broadened perspective of patient safety.