-
psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
June 14, 2023 - or hospital networks. … Most incidents were medication -related, followed by patient falls, and incidents related to venous … in hospitals. … June 19, 2024
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications … May 25, 2011
View More
See More About The Topic
Hospitals
Hospital
-
psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
January 01, 2016 - At the hospital, a full examination revealed a very deep pressure ulcer in her sacrum (stage IV full … in hospitals.( 6 ) However, comparing adverse events across health care settings is difficult at best … With each transfer her condition worsened until her death in the hospital. … Adverse Events in Hospitals: Overview of Key Issues. Report no. OEI-06-07-00470. December 2008. … awaiting long-term care in hospital.
-
psnet.ahrq.gov/node/841144/psn-pdf
December 07, 2022 - Using community detection techniques to identify themes
in COVID-19-related patient safety event reports … Using community detection techniques to identify themes in
COVID-19-related patient safety event reports … new categories and
themes in patient safety reporting. … eight clinically relevant themes, including testing delays, diagnostic errors,
pressure ulcers, and falls … https://psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports-71-hospitals
-
psnet.ahrq.gov/issue/interruptions-clinical-nursing-practice
September 26, 2018 - Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset … Clostridioides difficile infection rates among US hospitals
March 10, 2021
Patient … Improving Diagnostic Safety and Quality
April 26, 2023
Do falls … the hospital setting: a prospective observational study. … February 15, 2017
Nursing care quality and adverse events in US hospitals.
-
psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-process
February 13, 2013 - June 12, 2013
Hospital adoption of information technologies and improved patient safety … : a study of 98 hospitals in Florida. … August 7, 2024
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … bar-code-assisted medication administration in hospitals. … January 23, 2019
Safety enhancements every hospital must consider in wake of another
-
psnet.ahrq.gov/issue/strategic-approach-managing-conflict-hospitals-responding-joint-commission-leadership
December 01, 2007 - Commentary
A strategic approach for managing conflict in hospitals: responding to … A strategic approach for managing conflict in hospitals: responding to the Joint Commission leadership … A strategic approach for managing conflict in hospitals: responding to the Joint Commission leadership … July 15, 2020
WebM&M Cases
Hospital-Acquired Diabetic … April 24, 2013
Minnesota Hospital Association Statewide Project: SAFE from FALLS.
-
psnet.ahrq.gov/issue/checklists-improve-patient-safety
July 31, 2013 - includes 10 checklists that integrate best practices into care processes to prevent variations in … 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 … July 9, 2012
Adequacy of hospital discharge summaries in documenting tests with pending
-
psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks
November 26, 2013 - offers two levels of examination of a hypothetical patient suicide: one that outlines points of failure in … July 22, 2020
America's Hospitals: Improving Quality and Safety—The Joint Commission's … April 24, 2024
WebM&M Cases
Walking Out of a Hospital … 27, 2023
Patient Safety Innovations
Preventing Falls … December 23, 2016
Inpatient suicide and suicide attempts in Veterans Affairs hospitals
-
psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care
December 30, 2014 - April 27, 2019
In-hospital sequelae of injurious falls in 24 medical/surgical units in … four hospitals in the United States. … January 30, 2019
Incidence and method of suicide in hospitals in the United States. … October 31, 2018
Adverse drug events and medication problems in "Hospital at Home" patients … US hospitals.
-
psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
November 21, 2012 - Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in … Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the … November 21, 2012
Root cause analysis of reported patient falls in ORs in the Veterans … January 17, 2019
Root cause analysis of reported patient falls in ORs in the Veterans … of Veterans Affairs hospitals.
-
psnet.ahrq.gov/issue/high-reliability-health-care
May 06, 2015 - Citation Text:
High Reliability in Health Care. … help organizations work toward high reliability , including the ORO 2.0 assessment tool to enable hospital … May 6, 2015
Preventing Falls With Injury. … August 17, 2011
View More
See More About The Topic
Hospitals
Health … Care Executives and Administrators
Hospital Medicine
Quality Improvement Strategies
Culture
-
psnet.ahrq.gov/issue/saving-patient-ryan-can-advanced-electronic-medical-records-make-patient-care-safer
February 11, 2014 - Researchers found that hospitals with advanced electronic health records experienced fewer adverse events … , mostly notably medication errors , falls , and procedural complications. … adverse hospital events and burnout? … March 15, 2023
The effects of hospital-physician financial integration on adverse incident … March 8, 2023
Resource-based view on safety culture's influence on hospital performance
-
psnet.ahrq.gov/node/45453/psn-pdf
November 02, 2016 - Creating highly reliable health care: how reliability-
enhancing work practices affect patient safety in … hospitals. … employees mechanisms to recommend
organizational change, is associated with fewer medication errors and falls
-
psnet.ahrq.gov/issue/improvement-patient-safety-may-precede-policy-changes-trends-patient-safety-indicators-united
November 01, 2017 - May 4, 2012
Relationship between patient safety and hospital surgical volume. … May 13, 2020
Assessment of nursing home reporting of major injury falls for quality measurement … January 29, 2020
Are teaching hospitals treated fairly in the Hospital-Acquired Condition … April 16, 2014
HealthGrades Sixth Annual Patient Safety in American Hospitals Study. … August 27, 2013
View More
See More About The Topic
Hospitals
Policy
-
psnet.ahrq.gov/issue/inpatient-computerized-provider-order-entry-findings-ahrq-health-it-portfolio
May 24, 2015 - December 9, 2009
Hospital Survey on Patient Safety Culture: 2009 Comparative Database … February 27, 2013
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … July 28, 2013
Use of electronic health records in US hospitals. … , MPH
September 1, 2008
View More
See More About The Topic
Hospitals … Health Care Executives and Administrators
Information Professionals
General Internal Medicine
Hospital
-
psnet.ahrq.gov/issue/findings-and-lessons-enabling-patient-centered-care-through-health-it-grant-initiative
October 05, 2015 - Copy Citation
Related Resources From the Same Author(s)
Preventing Falls … in Hospitals: A Toolkit for Improving Quality of Care. … Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings … November 20, 2013
Origin of Adverse Drug Events in US Hospitals, 2011. … May 3, 2006
View More
See More About The Topic
Hospitals
Health Care
-
psnet.ahrq.gov/issue/identification-patient-safety-threats-post-intensive-care-clinic
November 21, 2021 - December 20, 2020
Families as partners in hospital error and adverse event surveillance … United States teaching hospitals. … July 13, 2010
Incidence and trends of sepsis in US hospitals using clinical vs claims … March 23, 2022
Patient safety incidents describing patient falls in critical care in … July 5, 2013
Association of ICU or hospital admission with unintentional discontinuation
-
psnet.ahrq.gov/issue/health-care-equity
May 16, 2018 - May 31, 2023
Risk Management in Obstetrics and Gynaecology. … September 25, 2013
Teamwork in Healthcare. … September 23, 2015
Preventing Falls in Hospitals: A Toolkit for Improving Quality of … October 5, 2015
Designing for Safety in the ICU. … March 4, 2020
View More
See More About The Topic
Hospitals
Ambulatory
-
psnet.ahrq.gov/issue/multicentre-study-develop-medication-safety-package-decreasing-inpatient-harm-omission-time
May 18, 2022 - hospitals. … a multistate hospital network--13 academic medical centers, April-June 2020. … public and private hospitals: a retrospective clinical audit. … June 16, 2019
In-hospital sequelae of injurious falls in 24 medical/surgical units in … four hospitals in the United States.
-
psnet.ahrq.gov/issue/staffing-matters-every-shift
January 20, 2021 - Highlighting the importance of measuring and ensuring adequate staffing levels in hospitals, this commentary … acute care hospitals. … December 12, 2012
Learning during crisis: the impact of COVID-19 on hospital-acquired … March 26, 2015
Influence of unit-level staffing on medication errors and falls in military … hospitals.