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psnet.ahrq.gov/issue/assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims
August 11, 2021 - Using Medicare fee-for-services claims, this study sought to describe hospital characteristics associated … The authors suggest interventions to decrease overuse and overtreatment could be targeted based on hospital … at US Children's Hospitals, 2016-2019. … March 9, 2022
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … older adults with a history of falls: a qualitative study.
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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/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - skilled nursing facilities, inpatient rehabilitation facilities, or long-term acute care hospitals, … Patient falls are an ongoing patient safety concern, yet mitigating falls among inpatients remains challenging … patients in the hospital setting. 1 , 2 Communication failures are a common root cause of sentinel … Patient falls are an ongoing patient safety concern, yet mitigating falls among inpatients remains challenging … in the rate of falls and injuries.
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psnet.ahrq.gov/issue/north-carolina-center-hospital-quality-and-patient-safety
February 15, 2023 - that support patient safety efforts in North Carolina hospitals. … hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. … August 25, 2021
Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital … Related Resources
Patient Safety Innovations
Preventing Falls … March 6, 2005
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See More About The Topic
Hospitals
Health Care
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psnet.ahrq.gov/issue/safety-organizing-scale-development-and-validation-behavioral-measure-safety-culture-hospital
December 16, 2011 - hospital nursing units. … dubbed the Safety Organizing Scale (SOS), were associated with fewer reported medication errors and falls … hospital nursing units. … score for US hospitals. … . hospitals.
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psnet.ahrq.gov/issue/magnet-support-patient-safety
November 01, 2012 - Citation Text:
Magnet in Support of Patient Safety. Lewis L, ed. … The Magnet Hospital Program recognizes hospitals with a track record of maintaining an excellent work … May 11, 2011
How Does Hospital Quality Management Drive Quality? … May 18, 2016
Special Issue on Falls. … December 17, 2009
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Hospitals
Nurses
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psnet.ahrq.gov/issue/patient-safety-strategies-psychiatry-and-how-they-construct-notion-preventable-harm-scoping
November 10, 2021 - These strategies primarily target reductions in suicide, self-harm, violence, and falls. … December 23, 2020
Evolving factors in hospital safety: a systematic review and meta-analysis … of hospital adverse events. … hospitals: avoiding environmental hazards. … Health Care (Psychiatry and Clinical Psychology)
Psychological and Social Complications
Patient Falls
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psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative
October 07, 2020 - hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals … Common challenges included issues with monitoring, treatment, evaluation, and/or documentation, patient falls … environment: a study of 484 COVID-19-related event reports across 94 hospitals
September 1, 2021 … 5 teaching hospitals. … in the Emergency Department.
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psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
August 17, 2022 - Book/Report
Hospital Reporting Program: Annual Summary. … Citation Text:
Hospital Reporting Program: Annual Summary. … Related Resources From the Same Author(s)
The Nursing Home Expert Panel’s Falls … August 25, 2021
Factors related to serious safety events in a children's hospital patient … February 9, 2011
Adverse Events in Hospitals: Overview of Key Issues.
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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/hospital-acquired-conditions-reduction-program-racial-and-ethnic-diversity-and-magnet
June 08, 2022 - Medicare’s Hospital-Acquired Condition (HAC) Reduction Program financially incentivizes hospitals to … reduce HAC rates and earlier research has shown hospitals in more diverse areas have higher odds of … This study compares HAC reduction in Magnet and non-Magnet hospitals and examines potential racial … infections in United States hospitals. … delays to identification of serious injury after falls in hospital inpatients.
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psnet.ahrq.gov/issue/most-crucial-half-hour-hospital-shift-change
August 17, 2016 - bedside shift reports as a strategy to improve communication among nursing staff and engage patients in … May 18, 2016
Hospitals find a way to say, 'I'm sorry.' … May 31, 2023
Patient Safety Innovations
Preventing Falls … Hospitals seek to collect better data and prevent errors. … June 30, 2010
Hospitals combat errors at the 'hand-off.'
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psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent
November 13, 2019 - This narrative review synthesized 122 studies examining the role of hospital board oversight in fostering … September 11, 2019
Weekend specialist intensity and admission mortality in acute hospital … September 19, 2016
The impact of anti-infective drug shortages on hospitals in the United … March 20, 2013
Minnesota Hospital Association Statewide Project: SAFE from FALLS. … October 19, 2012
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries
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psnet.ahrq.gov/issue/improving-safety-and-eliminating-redundant-tests-cutting-costs-us-hospitals
May 27, 2011 - U.S. hospitals. … Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. … Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. … May 5, 2010
Cost-benefit analysis of a hospital pharmacy bar code solution. … August 2, 2015
Cost of inpatient falls and cost-benefit analysis of implementation of
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psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention
April 13, 2022 - Study
Older folks in hospitals: the contributing factors and recommendations for … Older folks in hospitals: the contributing factors and recommendations for incident prevention. … to falls , medication management , and clinical care were the most common adverse events among patients … Older folks in hospitals: the contributing factors and recommendations for incident prevention. … hospital: a cross-sectional survey.
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psnet.ahrq.gov/issue/nurses-and-patients-appraisals-show-patient-safety-hospitals-remains-concern
October 16, 2012 - Factors in the hospital work environment can affect nurses' ability to provide safe care. … June 2, 2021
Nurse staffing and education and hospital mortality in nine European countries … survival after in-hospital cardiac arrests. … December 21, 2017
Effect of changes in hospital nursing resources on improvements in … October 4, 2011
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Related Resources
Patient falls while
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
January 26, 2022 - This guide provides instructions to help hospitals implement initiatives to improve safe prescribing … March 6, 2019
Teamwork in the time of COVID-19. … hospital patients: a retrospective patient record review study in the Netherlands. … August 17, 2016
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … January 28, 2015
The Patient Safety Initiative at America’s Public Hospitals: The Year
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psnet.ahrq.gov/issue/learning-best
February 22, 2023 - February 22, 2023
Clinical impact and economic burden of hospital-acquired conditions … September 1, 2021
Speaking up about patient safety in psychiatric hospitals - a cross-sectional … June 17, 2014
Reducing falls and fall-related injuries in mental health: a 1-year multihospital … falls collaborative. … July 1, 2013
Supporting a psychiatric hospital culture of safety.
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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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See More About The Topic
General Hospitals
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psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
November 27, 2018 - Citation Text:
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. … November 21, 2018
Guide to Patient and Family Engagement in Hospital Quality and Safety … January 27, 2016
Toolkit for Reducing CAUTI in Hospitals. … December 9, 2015
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … October 31, 2014
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See More About The Topic
Hospitals
Physicians