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3181. Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors. | PSNet
      psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia-information
      June 23, 2009 - April 15, 2020 Adverse drug events in ambulatory care. … September 28, 2016 Electronic triggers to identify delays in follow-up of mammography … : harnessing the power of big data in health care. … June 3, 2013 Patient safety and quality in the pediatric intensive care unit. … April 11, 2007 View More See More About The Topic Hospitals Quality

3182. How do physicians conduct medication reviews? | PSNet
      psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
      September 02, 2010 - Comprehensive medication review by pharmacists has been shown to decrease medication errors at the time of hospital … January 12, 2022 Determinants of patient–oncologist prognostic discordance in advanced … View More Related Resources Improving medication reconciliation in … 3, 2011 Are opioid dependence and methadone maintenance treatment (MMT) documented in … February 18, 2011 Patient report on information given, consultation time and safety in

3183. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. | PSNet
      psnet.ahrq.gov/issue/electronic-prescribing-improving-efficiency-and-accuracy-prescribing-ambulatory-care-setting
      March 16, 2022 - Review Electronic prescribing: improving the efficiency and accuracy of prescribing in … Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting … Exploring the impact of electronic prescribing in ambulatory care , this review describes benefits such … January 12, 2022 Failure to engage hospitalized elderly patients and their families in … June 16, 2019 Report on the Safe Use of Pick Lists in Ambulatory Care Settings.

3184. Provider and patient perceptions of an external medication history function. | PSNet
      psnet.ahrq.gov/issue/provider-and-patient-perceptions-external-medication-history-function
      July 16, 2015 - Engaging patients in their care might make health information technology more useful for them. … ) Preventability of voluntarily reported or trigger tool–identified medication errors in … complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital … September 19, 2016 The preventive surgical site infection bundle in colorectal surgery … in outpatient settings: clinical practice guideline.

3185. Computerized clinical decision support for medication prescribing and utilization in pediatrics. | PSNet
      psnet.ahrq.gov/issue/computerized-clinical-decision-support-medication-prescribing-and-utilization-pediatrics
      July 16, 2015 - Computerized clinical decision support for medication prescribing and utilization in … Computerized clinical decision support for medication prescribing and utilization in pediatrics. … Computerized clinical decision support for medication prescribing and utilization in pediatrics. … Frequency and severity of parenteral nutrition medication errors at a large children's hospital … pharmacy in HCIT era.

3186. Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices. | PSNet
      psnet.ahrq.gov/issue/survey-evaluation-national-patient-safety-agencys-root-cause-analysis-training-programme
      March 11, 2009 - Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in … Quality and Safety in Health Care. 2009;18(4). doi:10.1136/qshc.2008.027896. … Quality and Safety in Health Care . 2009; 18 (4) . … Quality and Safety in Health Care. 2009;18(4). doi:10.1136/qshc.2008.027896. … July 29, 2020 Families as partners in hospital error and adverse event surveillance.

3187. Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. | PSNet
      psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
      May 20, 2020 - clinical trials to identify effective interventions to reduce ADE related to high-risk medications in … hospitals. … 23, 2019 Predictive power of the "trigger tool" for the detection of adverse events in … March 9, 2022 The impact of nursing practice environments on patient safety culture in … January 31, 2024 Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug

3188. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? | PSNet
      psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution
      March 01, 2023 - Review The poor state of health care quality in the U.S.: is malpractice liability … The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part … March 1, 2023 A trigger tool to detect harm in pediatric inpatient settings. … December 7, 2016 Association between hospital acquired harm outcomes and membership in … October 6, 2016 A new frontier in patient safety.

3189. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. | PSNet
      psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-trainees-obstetrics-and-gynecology-usa
      February 15, 2023 - in the USA. … Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. … which result in catastrophic payouts. … Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. … hospital.

3190. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837659/psn-pdf
      July 08, 2022 - a community hospital for sepsis due to pyelonephritis and bacteremia. … Nurses are at the forefront of patient care in the acute care hospital setting and play a critical role … Levels of Sedation The ASA has identified four levels of sedation (Table 2).8 Typical sedation for MRI falls … Opioid utilization and opioid-related adverse events in nonsurgical patients in US hospitals.  … Minnesota Hospital Association. Road Map to a Medication Safety Program. Accessed May 4, 2022.

3191. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet
      psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
      June 01, 2014 - the mid- to late-1990s, primarily in children's hospitals.( 14 ) The Center for Advancing Health, also … involvement in driving down harm in hospitals, patients and patient groups found themselves being actively … The principles of family-centered care have now gained wide acceptance, and in some hospitals patients … Patient safety was born and came of age in hospitals, where issues are relatively easily defined and … Important topics like health care disparities, personal technology, and much of what falls under the

3192. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852700/psn-pdf
      August 30, 2023 - In Conversation with... … In Conversation with.. … increases in pressure ulcers and falls. … For example, a recent study using 2018 data showed that preventable harms were very common in 11 hospitals … performance measures are associated with measuring and reporting specific harms, such as an infection, falls

3193. Language Barrier | PSNet
      psnet.ahrq.gov/web-mm/language-barrier
      February 28, 2024 - a hospital interpreter. … All clinics, hospitals, and pharmacies should have policies and procedures in place and … Hospitals. … racial, ethnic, and payer groups for pediatric safety events in US hospitals. … collection and use of race/ethnicity and language data in 93 pediatric hospitals.

3194. Toxic Tachycardia | PSNet
      psnet.ahrq.gov/web-mm/toxic-tachycardia
      March 01, 2005 - In the hospital setting, thyrotoxic storm may be precipitated by a number of events. … Because of these changes in TSH in the hospital setting, only ambulatory measurements should be relied … In: Wachter RM, Goldman L, Hollander H, eds. Hospital Medicine. … June 24, 2020 Information flow during pediatric trauma care transitions: things falling … Missed TB May 1, 2004 View More See More About The Topic Hospitals

3195. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867653/psn-pdf
      February 26, 2025 - At smaller hospitals getting six people together for 3-hour meetings can be difficult. … more sustainable ways.2 One last example is New York Health and Hospitals, which has done fantastic … We have individuals going out into individual homes, where some serious events occur, like patient falls … IHI helps hospitals prepare for new CMS measures to make care safer. … http://www.ahrq.gov https://www.ahrq.gov/patient-safety/settings/hospital/candor/index.html

3196. May I Have Another?—Medication Error | PSNet
      psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
      March 01, 2009 - The Case A 40-year-old man was admitted to the hospital after having a seizure. … He did volunteer that he typically had difficulty falling asleep, often taking a single dose of diphenhydramine … The patient brought the medication to the hospital; review of the label confirmed that the prescription … Patient Safety March 1, 2009 Families as partners in hospital error and adverse … Lethal Cap March 1, 2004 View More See More About The Topic Hospitals

3197. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33852/psn-pdf
      January 01, 2017 - Patient Engagement in Safety January 1, 2017 Stern RJ, Sarkar U. Patient Engagement in Safety. … safety both in soliciting safety concerns and activating patients in their care. … In another recent intervention, hospital volunteers reached out to patients to proactively solicit their … experiences had no impact on a global measure of safety including outcomes like urinary tract infections and falls … in health care.

3198. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49508/psn-pdf
      January 01, 2007 - She was admitted to the hospital for intravenous hydration and observation. … a hospital interpreter. … All clinics, hospitals, and pharmacies should have policies and procedures in place and know what to … Interpretation and Translation Services in Health Care: A Survey of US Public and Private Teaching Hospitals … Washington, DC: National Public Health and Hospital Institute; 1995:1-49 6.

3199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49585/psn-pdf
      May 01, 2009 - hospitals or long-term care facilities. … Delirium in the Hospital In the inpatient setting, any change in mental status should be considered … In fact, the diagnosis of delirium carries a mortality risk equivalent to that of sepsis or an in-hospital … hospital care. … In: Comprehensive Accreditation Manual for Hospitals. The Joint Commission; 2008: PC-25-26.

3200. Mistaken Identity | PSNet
      psnet.ahrq.gov/web-mm/mistaken-identity
      December 18, 2014 - hospital settings. … ., in a neonate), additional steps to ensure correct patient identity are warranted. … Wristbands for hospital patients improves patient safety. Safer Practice Notice 11. 2005:1-6. … Managing patients with identical names in the same ward. … Position October 1, 2003 View More See More About The Topic Hospitals