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In Conversation With... Cindy Brach | PSNet

psnet.ahrq.gov/perspective/conversation-cindy-brach

December 27, 2019 - If you’re looking at rates of infection in a hospital over a period of time, moving the needle on those … to a lack of timely language assistance include performing an x-ray on the wrong part of the body, falls … Language proficiency and adverse events in US hospitals: a pilot study. … A reengineered hospital discharge program to decrease rehospitalization: A randomized trial. … https://www.ahrq.gov/health-literacy/systems/hospital/lepguide/index.html .

Overriding Considerations | PSNet

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March 09, 2009 - 1 in 40, the chance of their both being carriers is 1 in 900 and 1 in 1600, respectively. … Hence, the overall risks mentioned above of 1 in 3600 and 1 in 6400, respectively. … Fewer than 20% of all hospitals nationally have computerized physician order entry, especially in the … March 13, 2015 Medication-related emergency department visits and hospital admissions … March 17, 2010 Empowering telemetry technicians and enhancing communication to improve in-hospital

In Conversation with...Geri Amori, PhD | PSNet

psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd

December 01, 2010 - I had a very personal experience in 2008: in one year I was "family" to three friends in three hospitals … GA: The hospital in Boston was the best. The nurses and staff there talked to me. … I got the cold shoulder in another hospital. … In fact, in one of the hospitals I said, "Your ice machine is right around the corner here. … research team reported the incidence of medical errors in the state of New York, based on the hospital

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer | PSNet

psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer

February 26, 2025 - hospitals mainly through inpatient settings. … a hospital that does not require hospital admission. 14 Starting in 2017, the BWH Patient Safety Collaborative … The hospital espouses an equity-informed high-reliability organizational framework; therefore, hospital … In fact, the success of the ASN has instilled a culture of innovation within the local hospital system … May 31, 2023 Patient Safety Innovations Preventing Falls

Too Hot For Comfort | PSNet

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May 19, 2015 - Use in Patients with Pain A Cochrane review of the use of warming therapy in rheumatoid arthritis … Heather Cleland, MBBS Director, Victorian Adult Burns Service The Alfred Hospital Melbourne, Australia … Jason Wasiak, BN, MPH Senior Research Fellow, Victorian Adult Burns Service The Alfred Hospital … Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals … Central Line Clot May 1, 2003 View More See More About The Topic Hospitals

Unintended consequences of online consultations: a qualitative study in UK primary care. | PSNet

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November 16, 2022 - Study Unintended consequences of online consultations: a qualitative study in UK … Unintended consequences of online consultations: a qualitative study in UK primary care. … Unintended consequences of online consultations: a qualitative study in UK primary care. … May 12, 2021 Fall prevention implementation strategies in use at 60 United States hospitals … December 20, 2023 Completion of recommended tests and referrals in telehealth vs in-person

The impact of nursing practice environments on patient safety culture in primary health care: a scoping review. | PSNet

psnet.ahrq.gov/issue/impact-nursing-practice-environments-patient-safety-culture-primary-health-care-scoping

March 09, 2022 - Review The impact of nursing practice environments on patient safety culture in primary … The impact of nursing practice environments on patient safety culture in primary health care: a scoping … This scoping review explored the role of the nursing work environment on safety culture in primary care … October 13, 2018 Determining medication errors in an adult intensive care unit. … Related Resources When agency fails: an analysis of the association between hospital

Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/evaluating-relationship-between-health-information-technology-and-safer-prescribing-long-term

March 16, 2022 - Evaluating the relationship between health information technology and safer-prescribing in … Evaluating the relationship between health information technology and safer-prescribing in the long-term … Health information technology (HIT) can promote patient safety in many settings. … national in situ simulation-based observational study. … health hospitals: a multi-centre study.

Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. | PSNet

psnet.ahrq.gov/issue/economic-evaluation-pharmacist-led-medication-reviews-residential-aged-care-facilities

September 21, 2022 - Review Economic evaluation of pharmacist-led medication reviews in residential aged … Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. … This review explores the impact of pharmacists on reducing inappropriate polypharmacy in aged care … Economic evaluation of pharmacist-led medication reviews in residential aged care facilities. … a hospital setting?

Assessing biases in medical decisions via clinician and AI chatbot responses to patient vignettes. | PSNet

psnet.ahrq.gov/issue/assessing-biases-medical-decisions-clinician-and-ai-chatbot-responses-patient-vignettes

August 14, 2024 - Study Assessing biases in medical decisions via clinician and AI chatbot responses … Assessing biases in medical decisions via clinician and AI chatbot responses to patient vignettes. … can exacerbate existing disparities because of underlying biases in AI tools. … In this observational study, researchers evaluated biases in clinician versus AI chatbox responses to … April 8, 2020 Hospital-wide cardiac arrest in situ simulation to identify and mitigate

Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. | PSNet

psnet.ahrq.gov/issue/does-standardisation-improve-post-operative-anaesthesia-handoffs-meta-analyses-provider

June 29, 2022 - Postoperative outcomes moved in a generally positive direction when compared with non-standardized … June 29, 2022 Safety gaps in medical team communication: closing the loop on quality … improvement efforts in the cardiac catheterization lab. … , 2022 A partially structured postoperative handoff protocol improves communication in … 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (

Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes? | PSNet

psnet.ahrq.gov/issue/does-incorporating-medications-surveyors-interpretive-guidelines-reduce-use-potentially

December 15, 2011 - the use of potentially inappropriate medications in nursing homes? … Inappropriate Medications in Nursing Homes? … minimizing the use of inappropriate medications in nursing homes. … Inappropriate Medications in Nursing Homes? … children (PIPc) in primary care using a modified Delphi technique.

Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department. | PSNet

psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical-errors

October 21, 2020 - , physician-reported incidents rose from 81 events in 2009 to 561 events in 2012. … potential errors in blood collection. … a community hospital. … January 6, 2016 What's in your kit? A safety checkup may be in order. … of handover across care boundaries in emergency care.

Does racism impact healthcare quality? Perspectives of Black and Hispanic/Latino patients. | PSNet

psnet.ahrq.gov/issue/does-racism-impact-healthcare-quality-perspectives-black-and-hispaniclatino-patients

October 19, 2022 - This study shows Black and Hispanic/Latino patients who experience racism in healthcare, report worse … views on the quality of their care and lower trust in their clinicians. … 2022 Renal medication-related clinical decision support (CDS) alerts and overrides in … , 2022 Association between language use and ICU transfer and serious adverse events in … March 13, 2019 Disrespectful behavior in healthcare...have we made any progress in the

Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors. | PSNet

psnet.ahrq.gov/issue/pediatric-anesthesiology-fellows-perception-quality-attending-supervision-and-medical-errors

September 07, 2016 - January 7, 2015 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … September 20, 2011 Improving handoffs in the emergency department. … failures in communication during the event. … Stigmatizing language and the transmission of bias in the medical record.

Communication and birth experiences among Black birthing people who experienced preterm birth. | PSNet

psnet.ahrq.gov/issue/communication-and-birth-experiences-among-black-birthing-people-who-experienced-preterm-birth

September 23, 2020 - a multistate hospital network--13 academic medical centers, April-June 2020. … August 4, 2021 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022 Changes in medical errors after implementation of a handoff program. … with failures in communication during the event. … safety: an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands

COVID-19: an emerging threat to antibiotic stewardship in the emergency department. | PSNet

psnet.ahrq.gov/issue/covid-19-emerging-threat-antibiotic-stewardship-emergency-department

October 21, 2020 - Commentary COVID-19: an emerging threat to antibiotic stewardship in the emergency … COVID-19: an emerging threat to antibiotic stewardship in the emergency department. … Antimicrobial stewardship is one strategy to improve antibiotic use to reduce hospital-acquired infections … COVID-19: an emerging threat to antibiotic stewardship in the emergency department. … systems in the intensive care unit.

Overestimation of clinical diagnostic performance caused by low necropsy rates. | PSNet

psnet.ahrq.gov/issue/overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates

February 09, 2011 - Assessing how well clinicians or diagnostic tests perform in detecting a given condition depends on knowing … Download Citation Related Resources From the Same Author(s) Changes in … January 6, 2018 Families as partners in hospital error and adverse event surveillance … October 23, 2012 Missed diagnoses by urologists resulting in malpractice payment. … February 24, 2011 Diagnostic pitfalls in paediatric ischaemic stroke.

Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/sepsis-alert-systems-mortality-and-adherence-emergency-departments-systematic-review-and-meta

September 06, 2017 - Review Sepsis alert systems, mortality, and adherence in emergency departments: a … Sepsis alert systems, mortality, and adherence in emergency departments: a systematic review and meta-analysis … This systematic review included 22 studies and examined the use of sepsis alert systems in the Emergency … January 23, 2017 Changes in cancer detection and false-positive recall in mammography … March 4, 2020 Effects of individual nurse and hospital characteristics on patient adverse

Impact of interactions between drugs and laboratory test results on diagnostic test interpretation—a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-interactions-between-drugs-and-laboratory-test-results-diagnostic-test-interpretation

March 06, 2019 - This review article describes drug–laboratory test interactions, in which medications can affect test … January 12, 2022 Families as partners in hospital error and adverse event surveillance … November 12, 2014 Pediatric medication safety in the emergency department. … tube errors in complete blood count results. … March 31, 2010 Patient safety and error reduction in surgical pathology.

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