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psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs
August 01, 2012 - hospital settings in the United Kingdom. … Hospitals Were Reported to State Adverse Event Reporting Systems. … August 1, 2012
Adverse Events in Hospitals: Public Disclosure of Information About Events … delays to identification of serious injury after falls in hospital inpatients. … May 13, 2009
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Hospitals
Physicians
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psnet.ahrq.gov/issue/how-we-cut-drug-errors
August 19, 2020 - At one hospital, IT and changed culture saves lives. Modern healthcare. 2006;36(34):38. … hospital settings: a systematic review of the international literature. … May 22, 2024
Talking about falls: a qualitative exploration of spoken communication of … patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention. … Keys to safer hospitals.
June 17, 2010
Fixing America's hospitals.
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psnet.ahrq.gov/issue/program-encourages-reporting-accidents-waiting-happen-good-catch-awards
February 13, 2013 - Minnesota Hospital Association. … Minnesota Hospital Association. … A COVID-19 Resource for Hospital and Health System Leaders. … July 23, 2024
Patient Safety Innovations
Preventing Falls … September 9, 2010
Fixing America's hospitals.
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psnet.ahrq.gov/issue/harvard-medical-practice-study-trigger-system-performance-deceased-patients
March 02, 2022 - March 14, 2012
Informal learning from error in hospitals: what do we learn, how do we … October 16, 2013
Families as partners in hospital error and adverse event surveillance … three hospitals. … April 17, 2019
In-hospital sequelae of injurious falls in 24 medical/surgical units in … four hospitals in the United States.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - She immediately complained of hip pain and was transferred to an acute care hospital. … Because of concerns for an acute infection, she was transferred to an acute care hospital. … *
*
Case: Safety of Long-Term Care (4)
At the hospital, a full examination revealed a very deep … focused on pressure ulcers, adverse drug events (ADEs), and falls
Data regarding incidence of adverse … Comparing the safety culture of nursing homes and hospitals. J Appl Gerontol. 2011;30:22-43.
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - Glintborg and colleagues found that patients admitted to a hospital in Denmark failed to report 27% of … the elderly can be enhanced not only upon hospital admission but also in ambulatory care and pharmacy … The focus of medication reconciliation in the hospital has reduced medication errors; however, more emphasis … [go to PubMed] 4. 2009 Hospitals' National Patient Safety Goals. … older people in primary care and its association with hospital admission: longitudinal study.
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psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patient-safety
May 29, 2024 - October 19, 2022
A longitudinal study of a multifaceted intervention to reduce newborn falls … while preserving rooming-in on a mother-baby unit. … Acute Care Hospitals 2022. … acute-care hospitals: 2022 Update. … December 27, 2018
Hospital-acquired infections under pay-for-performance systems: an
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psnet.ahrq.gov/issue/score-your-safety-culture
March 04, 2015 - Improving patients' perceptions of safety in hospitals. … December 12, 2012
Preventing newborn falls and drops. … January 27, 2021
Your Safety in our Hands in Hospital. … April 26, 2012
ISMP Medication Safety Self Assessment for Hospitals. … October 21, 2011
Patient Safety in Canada: An Update.
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psnet.ahrq.gov/issue/engaging-partners-patient-safety-experience-librarians
June 01, 2016 - Citation Text:
Engaging as partners in patient safety: the experience of librarians. … 27, 2024
Patient Safety Innovations
Preventing Falls … November 14, 2011
Quality and Safety in Medicine. … February 16, 2011
The Patient Safety Initiative at America’s Public Hospitals: The Year … July 1, 2009
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Hospitals
Health Care
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psnet.ahrq.gov/issue/nurses-transforming-care
November 26, 2014 - January 28, 2015
Improving Diagnosis in Radiology—Progress and Proposals. … October 29, 2014
How Does Hospital Quality Management Drive Quality? … April 27, 2019
Special Issue on Falls. … June 9, 2009
On the scene at Children's Hospitals and Clinics of Minnesota. … January 14, 2009
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Hospitals
Nurses
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psnet.ahrq.gov/issue/patient-safety-culture-factors-influence-clinician-involvement-patient-safety-behaviours
April 16, 2014 - February 23, 2018
Prioritizing patient safety interventions in small and rural hospitals … September 27, 2010
Implementing patient safety initiatives in rural hospitals. … February 11, 2009
Association of rapid response teams with hospital mortality in Medicare … November 9, 2011
Insights into the climate of safety towards the prevention of falls … among hospital staff.
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psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
June 01, 2019 - two 'early adopter' hospitals. … score for US hospitals. … February 11, 2013
Using root cause analysis to reduce falls with injury in the psychiatric … July 20, 2011
Analysis of unintended events in hospitals: inter-rater reliability of … Executives and Administrators
Safety Scientists
General Internal Medicine
Hospital Medicine
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psnet.ahrq.gov/issue/center-health-care-human-factors
July 09, 2019 - 2019
Lives Lost, Lives Saved: An Updated Comparative Analysis of Avoidable Deaths at Hospitals … July 21, 2010
Workplace empowerment and magnet hospital characteristics as predictors … What prevents the delivery of effective, high quality, and safe healthcare in England? … April 12, 2017
Preventing Falls With Injury. … August 26, 2015
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Hospitals
Health
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psnet.ahrq.gov/node/73389/psn-pdf
June 16, 2021 - Estimating the economic cost of nurse sensitive adverse
events amongst patients in medical and surgical … Estimating the economic cost of nurse sensitive adverse events
amongst patients in medical and surgical … medical-and-surgical
Some adverse events are sensitive to aspects of nursing care, including pressure injuries, falls … , hospital-
acquired urinary tract infections, and medication administration errors. … This retrospective study, based on
patient discharge data from three Irish hospitals, characterized
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psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
June 12, 2019 - March 11, 2020
Preventing falls and fall-related injuries in health care facilities. … Metacognition and the diagnostic process in pathology. … July 28, 2010
Finding blunders in thyroid testing: experience in newborns. … July 30, 2008
Hospitals move to cut dangerous lab errors. … August 9, 2007
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Hospitals
Patients
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psnet.ahrq.gov/node/49720/psn-pdf
December 01, 2014 - In hospitals without timely access to on-site neurological
expertise, telemedicine has been leveraged … As in this case, inpatients may be located in diverse areas of
the hospital including general medical … Immediate neurological evaluation may be limited during nights and weekends in some hospitals. … to the ED than for those whose symptoms begin in the hospital. … Remote evaluation of acute ischemic stroke in rural community
hospitals in Georgia.
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psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
February 11, 2015 - May 10, 2017
Safety in Medication Use. … Related Resources
Patient Safety Innovations
Preventing Falls … June 14, 2017
Patient Safety in Dialysis Access. … six hospitals. … Safety Agenda
August 1, 2005
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Hospitals
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psnet.ahrq.gov/issue/nurse-patient-ratios-patient-safety-strategy-systematic-review
March 20, 2013 - March 16, 2013
Sitters as a patient safety strategy to reduce hospital falls: a systematic … : do patients know something that hospitals do not? … structural characteristics in VA and nonfederal hospitals. … May 25, 2010
10 Patient Safety Tips for Hospitals. … June 22, 2009
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Hospitals
Health Care
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psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology
March 18, 2010 - July 24, 2013
Medication assessment: one determinant of falls risk. … January 7, 2015
Breakdowns in the medication reconciliation process. … of drugs in anaesthesia: prospective randomised clinical evaluation. … hospitals participating in the California Pediatric Patient Safety Initiative. … Safety
September 1, 2008
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Hospitals
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psnet.ahrq.gov/issue/patient-safety-huddle
March 27, 2005 - Related Resources From the Same Author(s)
National Center for Patient Safety Falls … a VA hospital: design and outcomes. … October 7, 2020
Health IT Patient Safety Supplemental Items for Hospitals. … 2018
SOPS Health Information Technology Patient Safety Supplemental Item Set for the Hospital … May 13, 2015
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Hospitals
Facility