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psnet.ahrq.gov/issue/fighting-mrsa-infections-hospital-care-how-organizational-factors-matter
July 10, 2008 - Fighting MRSA Infections in Hospital Care: How Organizational Factors Matter. … July 10, 2008
Meta-analysis of medication administration errors in African hospitals. … August 2, 2023
Nurses' and patients' appraisals show patient safety in hospitals remains … March 2, 2022
Effects of nurse staffing and nurse education on patient deaths in hospitals … May 31, 2011
Patient education to prevent falls among older hospital inpatients: a randomized
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psnet.ahrq.gov/issue/decade-preventing-harm
July 10, 2008 - This report describes a quality improvement intervention to reduce preventable harm in a 15-hospital … The health system sought to prevent pressure ulcers , adverse drug events , falls with injury , health … November 26, 2014
Malnourishment 'epidemic' plagues hospitals? Really? … October 1, 2014
The long road to ensuring patient safety in NHS hospitals. … Care Providers
Health Care Executives and Administrators
Hospital Medicine
Epidemiology of
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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - a national approach to appointing risk managers in hospitals. … In fact, the economic incentives in hospitals still work against risk management to some extent because … For instance, there are millions of falls reported in this database, but relatively few classic adverse … This is very public, very visible, and if you are running a hospital you can get tremendous heat. … If you want to study falls on a national basis for instance, after you have 500 or 1000 falls you probably
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psnet.ahrq.gov/issue/eliminating-catheter-associated-urinary-tract-infections
July 17, 2013 - May 6, 2015
Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final … October 19, 2016
Hand Hygiene Project: Best Practices from Hospitals Participating in … May 24, 2015
Preventing Patient Falls: A Systematic Approach From the Joint Commission … January 9, 2024
Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2022 … acute-care hospitals: 2022 Update.
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psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
June 20, 2014 - This toolkit provides information to help hospitals implement Project RED , including how to determine … February 12, 2019
Designing and Delivering Whole-Person Transitional Care: Hospital Guide … August 17, 2016
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … January 16, 2013
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Hospitals
Health … Care Providers
Health Care Executives and Administrators
General Internal Medicine
Hospital
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psnet.ahrq.gov/issue/reducing-medication-prescribing-errors-teaching-hospital
August 02, 2010 - Study
Reducing medication prescribing errors in a teaching hospital. … Reducing medication prescribing errors in a teaching hospital. … Reducing medication prescribing errors in a teaching hospital. … hospitals. … hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital
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psnet.ahrq.gov/issue/rude-providers-jeopardize-patient-safety-so-stop-it
October 11, 2017 - October 11, 2016
Hospitals lagging in PSO contracts. … October 23, 2019
Health systems and hospitals in pursuit of high reliability. … October 1, 2014
After a medical error, patients could become hospital insiders. … Related Resources
Patient Safety Innovations
Preventing Falls … September 1, 2018
A road map for advancing the practice of respect in health care: the
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psnet.ahrq.gov/issue/how-can-we-keep-patients-dementia-safe-our-acute-hospitals-review-challenges-and-solutions
February 04, 2015 - Review
How can we keep patients with dementia safe in our acute hospitals? … How can we keep patients with dementia safe in our acute hospitals? … This review examines risks related to caring for patients with dementia in a hospital setting and includes … How can we keep patients with dementia safe in our acute hospitals? … January 12, 2012
What is known about adverse events in older medical hospital inpatients
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psnet.ahrq.gov/node/73469/psn-pdf
July 07, 2021 - barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-
meta-synthesis
Handovers between providers occur regularly during hospital … Recognition of these factors can
improve successful implementation of handover procedures in hospitals … psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
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psnet.ahrq.gov/node/72730/psn-pdf
February 10, 2021 - safety,
healing, and satisfaction in an adult inpatient
environment. … Safety, Healing, and Satisfaction in an Adult Inpatient
Environment. … In this single-site study, researchers
found that new hospital design elements (single patient acuity-adaptable … to nature, etc.) improved patient satisfaction but did not impact patient outcomes such as
length, falls … https://psnet.ahrq.gov/issue/transforming-hospitals-designing-safety-and-quality
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psnet.ahrq.gov/node/838077/psn-pdf
September 14, 2022 - Healthcare-associated adverse events in alternate level of
care patients awaiting long-term care in … hospital. … hospital. … pending transfer to long-term care
(LTC) settings at two Canadian hospitals. … alternate
level of care” (ALC) for an average of 56 days before transfer to LTC and adverse events such as falls
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psnet.ahrq.gov/issue/national-patient-safety-goals
May 30, 2012 - of the major methods by which The Joint Commission establishes standards for ensuring patient safety in … In order to ensure health care facilities focus on preventing major sources of patient harm, The Joint … Major focus areas include promoting surgical safety, achieving health equity, and preventing hospital-acquired … infections , medication errors, inpatient suicide , and specific clinical harms such as falls and … May 30, 2012
The evidence base for US Joint Commission hospital accreditation standards
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psnet.ahrq.gov/issue/analysis-unintended-events-hospitals-inter-rater-reliability-constructing-causal-trees-and
April 30, 2014 - Study
Analysis of unintended events in hospitals: inter-rater reliability of constructing … Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and … in hospitals. … Culture' in Dutch hospitals. … February 11, 2013
Using root cause analysis to reduce falls with injury in the psychiatric
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psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
July 07, 2021 - August 12, 2020
Operational failures and interruptions in hospital nursing. … September 24, 2016
Assessment of nursing home reporting of major injury falls for quality … Belgian hospitals were low but generally higher than in US hospitals, 2016-18. … June 19, 2024
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications … December 21, 2018
HealthGrades Sixth Annual Patient Safety in American Hospitals Study
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psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0
March 28, 2018 - Citation Text:
American Hospital Association-McKesson Quest for Quality Prize. … February 12, 2020
A longitudinal study of a multifaceted intervention to reduce newborn falls … while preserving rooming-in on a mother-baby unit. … estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals … April 11, 2007
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Hospitals
Quality
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psnet.ahrq.gov/issue/user-centered-collaborative-design-and-development-inpatient-safety-dashboard
July 24, 2017 - an AHRQ-funded project to develop an interactive web-based dashboard to communicate patient data in … November 15, 2018
Prevalence and causes of diagnostic errors in hospitalized patients … July 29, 2020
Cost of inpatient falls and cost-benefit analysis of implementation of … February 1, 2023
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … March 1, 2017
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Hospitals
Facility
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psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
December 06, 2017 - April 22, 2011
Families as partners in hospital error and adverse event surveillance. … November 25, 2015
Improving medication administration safety in a community hospital … March 27, 2013
Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care. … February 1, 2012
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See More About The Topic
Hospitals
Health
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psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during
September 03, 2011 - September 3, 2011
Effects of an intervention to increase bed alarm use to prevent falls … December 12, 2012
Effect of nonpayment for preventable infections in U.S. hospitals. … April 5, 2013
Is it possible to identify risks for injurious falls in hospitalized patients … March 3, 2019
What causes medication administration errors in a mental health hospital … October 6, 2016
Supporting a psychiatric hospital culture of safety.
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psnet.ahrq.gov/node/43524/psn-pdf
October 29, 2014 - Validating administrative data for the detection of adverse
events in older hospitalized patients. … Validating administrative data for the detection of adverse events in
older hospitalized patients. … administrative data for hospital-related complications
such as pressure ulcers, falls, and adverse … drug events accurately reflect the presence of these events in
the medical record. … preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/findings-and-lessons-improving-quality-through-clinician-use-health-it-grant-initiative
November 21, 2016 - February 27, 2013
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … May 1, 2017
AHRQ Health Information Technology Research: 2018 Year in Review. … October 23, 2019
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit … March 20, 2019
Health IT Patient Safety Supplemental Items for Hospitals. … July 17, 2013
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See More About The Topic
Hospitals
Health Care