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psnet.ahrq.gov/node/39908/psn-pdf
October 06, 2010 - Use of temporary nurses and nurse and patient safety
outcomes in acute care hospital units. … Use of temporary nurses and nurse and patient safety outcomes in acute care
hospital units. … Temporary nurses are frequently used by hospitals to cover unexpected staffing shortages. … However, both patient falls and injuries among nurses increased
with higher levels of temporary staffing … https://psnet.ahrq.gov/issue/supplemental-nurse-staffing-hospitals-and-quality-care
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psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse-events-or-end
June 30, 2021 - Building on results of a recent study of hospitals in the Netherlands, this commentary discusses the … implementation of a hospital safety programme. … June 17, 2014
Medication-related emergency department visits and hospital admissions … June 6, 2012
Adverse-event-reporting practices by US hospitals: results of a national … April 21, 2010
Falls in English and Welsh hospitals: a national observational study based
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psnet.ahrq.gov/issue/sign-safety
April 15, 2020 - Through a coordinated effort to set goals and devise plans to improve safety in hospitals, the Sign up … to Safety campaign aims to prevent 6000 patient deaths in the next 3 years in National Health Service … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … February 14, 2023
Hospital Compare. … Providers
Health Care Executives and Administrators
Hospital Medicine
Latent Errors
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psnet.ahrq.gov/issue/relevance-agency-healthcare-research-and-quality-patient-safety-indicators-childrens
July 14, 2010 - Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital … Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls … , ethnic, and payer groups for pediatric safety events in US hospitals. … : dispelling the myth of the "safest" hospital. … February 1, 2012
Medicaid markets and pediatric patient safety in hospitals.
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - In conclusion, incident reporting systems are nearly universal in hospitals, and nurses and other hospital … most commonly reported incident is falls. … Falls are a classic example of something that there's almost no point in reporting. … Falls are a common enough problem at every hospital that you should stop doing incident reports. … Other hospitals in North America would just have a hotline, and other hospitals have made a paper-based
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psnet.ahrq.gov/issue/virtual-patients-designed-training-against-medical-error-exploring-impact-decision-making
May 15, 2024 - June 3, 2020
Utilization of the Seniors Falls Investigation Methodology to identify system-wide … causes of falls in community-dwelling seniors. … hospitals. … preventing medication errors in the pediatric units. … February 26, 2020
Controversies in diagnosis: contemporary debates in the diagnostic
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psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
February 03, 2021 - A system safety approach to assessing risks in the sepsis treatment process. … A system safety approach to assessing risks in the sepsis treatment process. … October 27, 2021
Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care. … April 30, 2008
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Hospitals
Intensive
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psnet.ahrq.gov/issue/management-drug-shortages-perioperative-setting
August 13, 2008 - Newspaper/Magazine Article
Management of drug shortages in the perioperative setting … Citation Text:
Management of drug shortages in the perioperative setting. … June 12, 2013
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … June 29, 2016
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Hospitals
Pharmacists … Risk Managers
Surgery
Hospital Pharmacy
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psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety
September 01, 2021 - use of call lights, increased their satisfaction with care, and reduced falls. … Related Resources
Patient Safety Innovations
Preventing Falls … August 26, 2011
Patient self-medication--a change in hospital practice. … April 14, 2010
Daytime sleepiness, sleep habits and occupational accidents among hospital … February 22, 2010
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Hospitals
Nurses
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psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
February 17, 2021 - Patients transferred from hospitals to skilled nursing facilities (SNFs) are vulnerable to adverse … hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. … awaiting long-term care in hospital. … September 14, 2022
Potentially inappropriate medications and their effect on falls during … hospital admission.
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psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
April 24, 2018 - Hospitals succeeding in reducing medication-related acute kidney injury were more likely to have additional … hospital error and adverse event surveillance. … February 15, 2023
Cost of inpatient falls and cost-benefit analysis of implementation … a multistate hospital network--13 academic medical centers, April-June 2020. … October 14, 2020
ASHP national survey of pharmacy practice in hospital settings: prescribing
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psnet.ahrq.gov/issue/reports-hospital-and-asc-performance
October 02, 2024 - Book/Report
Reports on Hospital and ASC Performance. … Citation Text:
Reports On Hospital And Asc Performance. … Copy URL
Cite
Citation
Citation Text:
Reports On Hospital … RIS
Download Citation
Related Resources
New Analysis Shows Hospitals … October 2, 2024
Patient falls in the operating room: why is this still a problem in 2024
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psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings
October 31, 2014 - to the US Department of Health and Human Services regarding rates of adverse drug events , patient falls … January 13, 2021
Adverse Events in Rehabilitation Hospitals: National Incidence Among … February 18, 2009
Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009
Adverse Events in Hospitals: Overview of Key Issues. … Care Executives and Administrators
Policy Makers
Hospital Medicine
Epidemiology of Errors and
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-3
January 12, 2022 - May 15, 2013
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … August 18, 2021
Potentially inappropriate medications and their effect on falls during … hospital admission. … March 23, 2022
Opioids and falls risk in older adults: a narrative review. … June 16, 2019
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Hospitals
Long-Term
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psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
November 13, 2024 - score for US hospitals. … March 27, 2024
Inpatient EHR user experience and hospital EHR safety performance. … September 7, 2022
Progress in interoperability: measuring US hospitals' engagement in … March 13, 2013
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries … September 20, 2011
Medicare nonpayment, hospital falls, and unintended consequences.
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psnet.ahrq.gov/issue/master-science-medical-and-healthcare-simulation
November 01, 2023 - Citation Text:
Master of Science in Medical and Healthcare Simulation. … Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital … October 15, 2018
Fall Prevention in Hospitals Training Program. … Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls … March 27, 2005
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Hospitals
Educators
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psnet.ahrq.gov/issue/do-patient-engagement-it-functionalities-influence-patient-safety-outcomes-study-us-hospitals
October 21, 2020 - A study of US hospitals. … A study of US hospitals. … September 15, 2021
Do falls and other safety issues occur more often during handovers … February 8, 2017
The effect of health information technology on quality in U.S. hospitals … December 21, 2011
Use of electronic health records in US hospitals.
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psnet.ahrq.gov/node/41886/psn-pdf
April 17, 2013 - Inpatient fall prevention: use of in-room Webcams. … Inpatient fall prevention: use of in-room Webcams. … inpatient-fall-prevention-use-room-webcams
The use of Webcams and virtual bed rail alarms were correlated with decreased patient falls … in this study. … /inpatient-fall-prevention-use-room-webcams
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/health-outcomes-associated-potentially-inappropriate-medication-use-older-adults
June 29, 2011 - November 16, 2022
Effects of an intervention to increase bed alarm use to prevent falls … December 12, 2012
Is it possible to identify risks for injurious falls in hospitalized … hospital practice: factors associated with turnover, outcomes, and patient safety. … multistate hospital network--13 academic medical centers, April-June 2020. … hospitals: a descriptive study.
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psnet.ahrq.gov/issue/ahrq-national-healthcare-safety-dashboard
December 04, 2024 - Medicare adverse events, CMS hospital reporting programs, and hospital patient safety culture surveys … November 8, 2023
Home Health Agencies Failed To Report Over Half of Falls With Major … DeBakey VA Medical Center in Houston, Texas. … December 22, 2014
Adverse Events in Hospitals: Public Disclosure of Information About … January 20, 2010
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Hospitals
Medical