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psnet.ahrq.gov/issue/better-approach-medical-malpractice-claims-university-michigan-experience
March 19, 2008 - This legal discussion shares one hospital system's approach to addressing error and apology in a proactive … May 24, 2006
Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge … October 20, 2015
Patient engagement in patient safety: barriers and facilitators. … July 23, 2010
How to avoid falling victim to a hospital mistake. … October 12, 2009
Hospitals own up to errors.
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psnet.ahrq.gov/issue/aviation-pediatric-surgery
January 12, 2022 - in medicine . … This article discusses the use of checklists to systematize anesthesia and reduce risk in pediatric … January 19, 2011
Inappropriate hospital admission as a risk factor for the subsequent … December 11, 2024
Wake Up Safe in the USA & international patient safety. … August 7, 2024
Patient falls in the operating room: why is this still a problem in 2024
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psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking
May 19, 2021 - Study
Speaking up as an extension of socio-cultural dynamics in hospital settings … Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences … This survey of healthcare staff working at seven sites across one hospital network in Australia found … Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences … March 18, 2020
Falling through the cracks: the invisible hospital cleaning workforce.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide
AHRQ Safety Program for Reducing … CAUTI in Hospitals
Toolkit for Reducing Catheter-Associated Urinary Tract
Infections in Hospital … your hospital
unit. … with UTI
Indwelling urinary catheter use has not been found to be effective in reducing falls or reducing … In: Preventing Hospital Infections: Real-World
Problems, Realistic Solutions.
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www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
September 01, 2015 - Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide
AHRQ Safety Program for Reducing … CAUTI in Hospitals
Toolkit for Reducing Catheter-Associated Urinary Tract
Infections in Hospital … your hospital
unit. … with UTI
Indwelling urinary catheter use has not been found to be effective in reducing falls or reducing … In: Preventing Hospital Infections: Real-World
Problems, Realistic Solutions.
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psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - In fact, Dall et al., 2009, found that there
were economic benefits to hospitals with better staffing … One classic study showed lower
inpatient mortality rates for a variety of surgical patients in hospitals … Beginning in 1983, the program sought to identify hospitals which had lower turnover
rates and above … Effect of changes in hospital nursing resources on
improvements in patient safety and quality of care … Correlates and predictors of missed nursing care in
hospitals.
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psnet.ahrq.gov/issue/depth-analysis-medication-errors-hospitalized-patients-hiv
July 15, 2010 - critical-access hospitals in Florida. … hospitals. … January 12, 2022
Families as partners in hospital error and adverse event surveillance … November 26, 2014
An inpatient fall prevention initiative in a tertiary care hospital … of a Canadian hospital: a prospective study.
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pso.ahrq.gov/common-formats/npsd-chartbooks
April 01, 2025 - SHARE:
More topics in this section
Data … Network of Patient Safety Databases (NPSD) Chartbooks
NPSD data is also reflected in … Chartbooks , designed to characterize the nature of patient safety events in hospital settings on a … Topic Specific Chartbooks: 2024 NPSD Medication Chartbook (PDF, 4 MB) 2023 NPSD Falls Chartbook (PDF
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psnet.ahrq.gov/issue/peer-support-promote-surgeon-well-being-apsa-program-experience
February 10, 2021 - While only 15 referrals were made in the first year, the program appears feasible to develop and sustain … February 10, 2021
Physicians' needs in coping with emotional stressors: the case for … multistate hospital network--13 academic medical centers, April-June 2020. … June 16, 2021
Developing a patient safety culture in primary dental care. … August 26, 2020
Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal
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psnet.ahrq.gov/node/74161/psn-pdf
December 08, 2021 - Nursing strategies to safeguard COVID-19 patients from
harm in the intensive care unit. … Nursing strategies to safeguard COVID-19 patients from harm in the
intensive care unit. … article discusses how the COVID-19 pandemic has impacted nursing care, highlighting implications on
hospital-acquired … infections, patient safety events (such as falls and medication errors), and patient mental
health.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overview.html
November 01, 2017 - pressure ulcers, pressure ulcers that are not healing appropriately, avoidable hospitalizations, and falls—and … studies in the clinical literature. … In other cases a new meeting or huddle may be needed. … Preventable Hospital and Emergency Department Visits . … Falls Prevention
Return to On-Time Home Page
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hcup-us.ahrq.gov/reports/infographics/StatBrief255causes_Hosp_Stays_TraumBrainInj2017.jsp
July 01, 2020 - Causes of Hospital Stays for Traumatic Brain Injury in 2017 … Market Structure (HMS) Files
Supplemental Variables for Revisit Analyses
American Hospital Association … Stays for Traumatic Brain Injury in 2017
Causes of Hospital Stays for Traumatic Brain Injury … in 2017
(Picture of AHRQ Logo)
Falls: 52%
Motor Vehicle Accidents: 24%
Assaults: 5% … Stays for Traumatic Brain Injury in 2017.
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psnet.ahrq.gov/issue/staying-safe-while-getting-well
February 05, 2014 - Patients can help minimize the potential for adverse events while in the hospital. … March 20, 2024
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals. … January 10, 2024
Patient Safety Innovations
Preventing Falls … But are hospitals getting any safer?
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psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
November 21, 2018 - compliance—a key factor associated with the spread of HAI.( 10 ) Bronson Methodist Hospital in Kalamazoo … Because most studies in this area have involved multifaceted-interventions to reduce falls ( 17-19 ), … Systematic review of studies on compliance with hand hygiene guidelines in hospital care. … The impact of healthcare environmental design on patient falls. … Health Care
August 1, 2009
View More
See More About The Topic
Hospitals
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psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
February 11, 2015 - Hospitals. … February 11, 2015
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced … May 25, 2022
Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events … October 29, 2008
Home Health Agencies Failed To Report Over Half of Falls With Major … November 8, 2023
Patient Safety Organizations: Hospital Participation, Value, and Challenges
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psnet.ahrq.gov/issue/scottish-patient-safety-alliance
July 29, 2015 - September 28, 2023
Hospital Compare. … April 24, 2013
Minnesota Hospital Association Statewide Project: SAFE from FALLS. … Hospital Care. … October 12, 2011
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries … September 20, 2011
View More
See More About The Topic
Hospitals
Health
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psnet.ahrq.gov/issue/procedures-should-promote-patient-safety
March 01, 2007 - Hospital peer review. 2006;31(8):113-6. … This article discusses the importance of developing practical procedures in hospital care and how to … Related Resources
Patient Safety Innovations
Preventing Falls … hospital safety: a systematic review and meta-analysis of hospital adverse events. … best practices in US hospitals.
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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
View More
See More About The Topic
Hospitals
Physicians
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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/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.