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psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
January 02, 2017 - two hospitals. … October 19, 2022
Families as partners in hospital error and adverse event surveillance … two hospitals. … May 24, 2015
Variation in the rates of adverse events between hospitals and hospital … March 10, 2010
Falls in English and Welsh hospitals: a national observational study based
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psnet.ahrq.gov/node/36648/psn-pdf
January 18, 2011 - The Safety Organizing Scale: development and validation
of a behavioral measure of safety culture in … hospital
nursing units. … The Safety Organizing Scale: development and validation of a behavioral measure of
safety culture in … hospital nursing units. … dubbed the Safety Organizing Scale
(SOS), were associated with fewer reported medication errors and falls
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psnet.ahrq.gov/node/837598/psn-pdf
June 29, 2022 - Visitor behaviors can influence the risk of patient harm:
an analysis of patient safety reports from 92 hospitals … Visitor behaviors can influence the risk of patient harm: an analysis of
patient safety reports from 92 hospitals … found that behavior from families and caregivers visiting a patient increased the risk of patient harm in … 36% of cases and decreased the risk of harm in the remaining 64% of cases. … Certain visitor behaviors
(such as moving the patient) increased patient harm, including falls and medication-related
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psnet.ahrq.gov/issue/organizational-perspectives-nurse-executives-15-hospitals-impact-and-effectiveness-rapid
August 03, 2022 - Study
Organizational perspectives of nurse executives in 15 hospitals on the impact … Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid … Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid … July 18, 2018
Remote patient monitoring improves patient falls and reduces harm. … September 4, 2013
Rapid response team in a rural hospital.
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psnet.ahrq.gov/issue/failure-rescue-and-30-day-hospital-mortality-hospitals-and-without-crew-resource-management
January 26, 2022 - Study
Failure to rescue and 30-day in-hospital mortality in hospitals with and without … Failure to rescue and 30‐day in‐hospital mortality in hospitals with and without crew‐resource‐management … Failure to rescue and 30‐day in‐hospital mortality in hospitals with and without crew‐resource‐management … Exploring organizational context and structure as predictors of medication errors and patient falls … September 12, 2016
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Hospitals
Hospital
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psnet.ahrq.gov/issue/how-hospital-leaders-contribute-patient-safety-through-development-trust
January 22, 2014 - Hospital units: an exploratory study. … April 20, 2022
Interventions for preventing falls in acute- and chronic-care hospitals … December 2, 2020
Nursing skill mix in European hospitals: cross-sectional study of the … October 1, 2014
Talking behind their backs: negative gossip and burnout in hospitals. … English hospitals.
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psnet.ahrq.gov/node/41367/psn-pdf
May 09, 2012 - https://psnet.ahrq.gov/issue/harm-free-care
This initiative seeks to reduce four key sources of harm in … hospitals: pressure ulcers, falls, catheter-
associated urinary tract infections, and vascular thrombotic
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psnet.ahrq.gov/issue/losing-laura
June 06, 2018 - May 23, 2018
The other opioid crisis: hospital shortages lead to patient pain, medical … November 20, 2019
The untold story of a cyberattack, a hospital and a dying woman. … February 20, 2019
Adverse Events in Long-Term-Care Hospitals: National Incidence Among … Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024
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psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92
September 01, 2021 - Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals … Certain visitor behaviors (such as moving the patient) increased patient harm, including falls and medication-related … April 7, 2021
What can we learn from in-depth analysis of human errors resulting in diagnostic … Improvement Conference Innovation Summary
July 23, 2024
Assessing the impact of hospital … 1, 2021
Root cause analysis to identify contributing factors for the development of hospital
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psnet.ahrq.gov/issue/stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission
June 21, 2023 - June 6, 2022
Bedrails are used in hospitals and at home to minimize falls despite the potential … June 21, 2023
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians … August 17, 2022
The last person you'd expect to die in childbirth. … August 7, 2024
The Sunday story: when hospitals don't say sorry. … December 20, 2023
Hospitals in two states denied an abortion to a miscarrying patient
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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/improving-patient-safety-long-term-care-facilities-training-modules
August 17, 2022 - Citation Text:
Improving Patient Safety in Long-Term Care Facilities: Training Modules. … Diagnostic Safety in the Emergency Department. … August 1, 2012
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals … February 20, 2019
Adverse Events in Long-Term-Care Hospitals: National Incidence Among
-
psnet.ahrq.gov/node/73665/psn-pdf
September 01, 2021 - Challenges and potential solutions for patient safety in an
infectious-agent-isolation environment: … a study of 484
COVID-19-related event reports across 94 hospitals
September 1, 2021
Taylor M, Reynolds … Challenges and potential solutions for patient safety in an infectious-
agent-isolation environment: … a study of 484 COVID-19-related event reports across 94 hospitals. … The most common safety events included pressure injuries or other skin integrity events, falls,
and
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psnet.ahrq.gov/node/73920/psn-pdf
October 06, 2021 - hospitalized patients following
motor vehicle crashes: a qualitative study of reports from
Pennsylvania hospitals … hospitalized patients following motor vehicle crashes: a qualitative
study of reports from Pennsylvania hospitals … Using data reported to the Pennsylvania
Patient Safety Reporting System (PA-PSRS), researchers in this … Common challenges included issues
with monitoring, treatment, evaluation, and/or documentation, patient falls
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psnet.ahrq.gov/issue/accuracy-interpretation-preparticipation-screening-electrocardiograms
May 18, 2022 - July 26, 2023
Patient education to prevent falls among older hospital inpatients: a randomized … June 10, 2020
In-hospital sequelae of injurious falls in 24 medical/surgical units in … four hospitals in the United States. … in patients with coronary artery disease in a large, academic, multispecialty clinic practice. … Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital
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psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
November 26, 2014 - The uptake of computerized provider order entry (CPOE) in community hospitals has been slow due to … August 2, 2015
The costs of adverse drug events in community hospitals. … September 5, 2018
Cost of inpatient falls and cost-benefit analysis of implementation … Developing a programme for medication reconciliation at the time of admission into hospital … Executives and Administrators
Information Professionals
General Internal Medicine
Hospital
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psnet.ahrq.gov/issue/medical-error-what-do-we-know-what-do-we-do
May 06, 2016 - May 6, 2016
Putting Patients First: Best Practices in Patient-Centered Care. … Related Resources
Patient Safety Innovations
Preventing Falls … February 28, 2018
Hospital nurses' work environment characteristics and patient safety … December 15, 2017
Partnering to prevent falls: using a multimodal multidisciplinary team … April 30, 2008
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See More About The Topic
Hospitals
Health
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psnet.ahrq.gov/issue/systems-approach-sharp-end
April 21, 2021 - Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024 … Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital … June 12, 2019
Safer Hospital Care: Strategies for Continuous Innovation, Second Edition … August 26, 2011
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See More About The Topic
Hospitals
Health
-
psnet.ahrq.gov/issue/patient-safety-psychiatric-inpatient-care-literature-review
September 27, 2017 - This review analyzes the literature on psychiatric care in hospitals and highlights general safety concepts … June 23, 2021
Speaking up about patient safety in psychiatric hospitals - a cross-sectional … September 19, 2016
Inpatient suicide and suicide attempts in Veterans Affairs hospitals … March 18, 2015
Using root cause analysis to reduce falls with injury in the psychiatric … Health Care Executives and Administrators
General Internal Medicine
Hospital Medicine
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psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
November 15, 2023 - Audibility of patient clinical alarms to hospital nursing personnel. … the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. … in hospitals. … January 30, 2013
Effects of an intervention to increase bed alarm use to prevent falls … February 15, 2011
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See More About The Topic
Hospitals
Risk