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psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using
June 29, 2022 - AHRQ's Hospital Survey on Patient Safety Culture (SOPS) is widely used to measure hospital staff's … opinion on safety culture in their organization. … January 12, 2022
Families as partners in hospital error and adverse event surveillance … hospital settings: a study of staff experiences of speaking up across seven hospitals. … March 21, 2018
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Hospitals
Hospital
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www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
January 01, 2024 - rate of falls in nursing
homes is twice as high as that in the community.15 Approximately 1.4 million … Around 10-20% of nursing home falls cause serious injuries; 2-6% of the
falls result in fractures.17 … Part A covers inpatient care, including hospital care,
initial care in skilled nursing facilities, hospice … In addition, patients
who experienced falls or fractures in the year 2007 were also excluded in the … Associations Between Drug Burden Index and Falls in Older People
in Residential Aged Care.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docx
April 01, 2025 - at Johns Hopkins Hospital. … pneumonia infections among 112 ICUs
· A 10 percent reduction in hospital mortality in a Michigan hospital … compared to 350 hospitals in surrounding states
· A 40 percent reduction in CLABSI across more than … 1,000 hospitals
· A 33 percent reduction in SSIs
Furthermore, these studies also found other benefits … , including $1.1 million annual cost savings for the average hospital and improvements in safety climate
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psnet.ahrq.gov/issue/wrong-foot-and-other-tales-surgical-error
January 18, 2023 - March 22, 2014
Whistle-blowing nurse is acquitted in Texas. … DeBakey VA Medical Center in Houston, Texas. … January 17, 2019
Five hospitals release data on inspections. … June 8, 2011
How to avoid falling victim to a hospital mistake. … September 24, 2008
Most surgery in wrong spot done on spine: 11 such cases found in state
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psnet.ahrq.gov/issue/three-australian-whistleblowing-sagas-lessons-internal-and-external-regulation
August 17, 2005 - July 29, 2020
Voluntary incident reporting by anaesthetic trainees in an Australian hospital … October 27, 2021
Improving handoffs in the emergency department. … Health Plan Patient Safety Initiatives
July 10, 2024
Statement of The Hospital … June 25, 2010
Adverse Events in Hospitals: Overview of Key Issues. … September 13, 2006
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Hospitals
Quality
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psnet.ahrq.gov/issue/get-medications-right-institute
March 12, 2016 - A comprehensive systems-focused approach must be employed in the hospital and at home to ensure reliable … February 12, 2020
National Center for Patient Safety Falls Toolkit 2004. … a VA hospital: design and outcomes. … 2016
Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based … June 11, 2014
Aware in Care.
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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - For example, a study that looked at hospitals
across the country found that patients with limited English … to a lack of timely language assistance include performing an x-ray on the wrong part of the
body, falls … Language proficiency and adverse events in US hospitals: a
pilot study. … A reengineered hospital discharge program to decrease
rehospitalization: A randomized trial. … https://www.ahrq.gov/health-literacy/systems/hospital/lepguide/index.html.
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2020-rev.csv
January 01, 2020 - Hospital Glens Falls NY 1 0 18156853 132 28 30 56 30 1 1 0 1 361 9049 0 0 0 0 0 0 1 0 0 0 0 0 1 299559366 … 0 1 211 7199 0 0 0 0 0 0 0 0 0 0 0 0 3 257649533 860617842
HSI00000730 New York City Health and Hospitals … 4 25 1 1 0 1 231 8135 1.62 0 0 0 1 0 0 0 0 0 0 0 3 172883207 1287884345
HSI00000947 Salem Health Hospitals … 5 3 1 1670 71101 0 0 0 0 0 1 0 0 1 1 0 1 H5386 5419 1 2623731677 12295444529
HSI00000981 Shriners Hospitals … 1 1 2608 116509 307.68 0 1 0 1 0 0 1 0 0 0 0 1 4318174089 22040865391
HSI00001082 The Methodist Hospitals
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2020-rev.xlsx
January 01, 2020 - Hospital Glens Falls NY 1 0 18156853 132 28 30 56 30 1 1 0 1 361 9049 0 0 0 0 0 0 1 0 0 0 0 0 1 299559366 … 0 1 211 7199 0 0 0 0 0 0 0 0 0 0 0 0 3 257649533 860617842
HSI00000730 New York City Health and Hospitals … 4 25 1 1 0 1 231 8135 1.62 0 0 0 1 0 0 0 0 0 0 0 3 172883207 1287884345
HSI00000947 Salem Health Hospitals … 5 3 1 1670 71101 0 0 0 0 0 1 0 0 1 1 0 1 H5386 5419 1 2623731677 12295444529
HSI00000981 Shriners Hospitals … 1 1 2608 116509 307.68 0 1 0 1 0 0 1 0 0 0 0 1 4318174089 22040865391
HSI00001082 The Methodist Hospitals
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hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit2_1.jsp
January 01, 2009 - Market Structure (HMS) Files
Supplemental Variables for Revisit Analyses
American Hospital Association … 1997 to 110 stays per 10,000 population in 2009. … The rate of stays for circulatory conditions decreased by 13 percent over the 12-year period, falling … from 217 stays per 10,000 population in 1997 to 189 stays per 10,000 population in 2009. … Some of these conditions experienced variation in the rates in the intervening years.
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digital.ahrq.gov/location/usa-ma-cambridge
January 01, 2023 - Cambridge
Evaluation of Stage 3 Meaningful Use Objectives: Analysis in … Pennsylvania and Utah
Description
This project evaluated select Stage 3 Meaningful Use criteria in … Interoperability domains and developed recommendations to improve them and increase their value to hospitals … Conducting Measurement Activities for Health Information Technology Initiative
Description
In … Principal Investigator(s)
Hurd, Donna
Using Health Information Technology in
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psnet.ahrq.gov/issue/effects-intervention-reduce-hospitalizations-nursing-homes-randomized-implementation-trial
March 04, 2015 - multimodal quality improvement intervention at long-term care facilities and found no difference in … These results emphasize the challenge of improving safety outcomes in real-world clinical settings. … March 4, 2015
Improving patient safety in intensive care units in Michigan. … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital.
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psnet.ahrq.gov/issue/errors-prevented-and-associated-bar-code-medication-administration-systems
October 16, 2019 - 24 hospitals. … December 30, 2014
Medication errors associated with code situations in U.S. hospitals … Development of the Leapfrog Group's bar code medication administration standard to address hospital … September 23, 2020
Preventing medication errors at small and rural hospitals. … bar-code-assisted medication administration in hospitals.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdf
March 01, 2021 - the characteristics of the 320 hospitals included in
the 2021 SOPS Hospital 1.0 Database by bed size … all
hospitals in the database. … here:
If your hospital’s score is 65%, your score falls here:
2021 SOPS Hospital 1.0 Database Report … 54
If your hospital’s score is 55 percent positive, it falls above the 75th percentile (but below … If your hospital’s score is 65 percent positive, it falls above the 90th percentile, meaning your
hospital
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www.ahrq.gov/sites/default/files/wysiwyg/2021-Compendium-TechDoc.pdf
January 01, 2021 - Children’s hospitals are identified if the hospital facility type was listed as children in HCRIS.xv … Investor-owned hospitals are those in which the control or
ownership status of the hospital is listed … general acute care hospital beds in the system are
in children’s hospitals. … If the hospitals in a system report a mix of hospital- and system-level counts, we
use whichever is … For example, if a system had two hospitals, and one hospital reported not
offering an MA product in
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psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
August 28, 2024 - March 16, 2022
Incidence and outcomes of non-ventilator-associated hospital-acquired … pneumonia in 284 US hospitals using electronic surveillance criteria. … January 12, 2022
Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers? … July 31, 2012
The Patient Safety Initiative at America’s Public Hospitals: The Year One
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psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework
March 09, 2022 - care units and hospital emergency services. … Medication reconciliation for patients after their discharge from intensive care unit to the hospital … in hospitals: a qualitative study. … January 24, 2018
Hospital safety climate and safety behavior: a social exchange perspective … April 26, 2017
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Hospitals
Facility
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
May 01, 2014 - anaphylaxis
Drug interactions: coumadin, glipizide
If on fluoroquinolones tendon rupture
Dehydration falls … instances, should be used for ALL referrals to medical care providers, including transfer to ED or hospital … Description of current problem
Vital signs
Usual cognitive function
Recent/current health status (including falls … )
Falls, minor injury: require on-site first aid treatment (dressing, ice pack, pain medication)
Falls … This is the point where the form itself is reviewed and discussed
Note that falls are included to facilitate
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psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-medical-center
November 21, 2016 - hospital practice: factors associated with turnover, outcomes, and patient safety. … October 26, 2022
Information flow during pediatric trauma care transitions: things falling … Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital … Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital … View More
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Emergency Departments
Children's Hospitals
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www.ahrq.gov/sites/default/files/wysiwyg/2020-Compendium-TechDoc.pdf
January 01, 2020 - Children’s hospitals are identified if the hospital facility type was listed as children in HCRIS.xvi … Investor-owned hospitals are those in which the control or
ownership status of the hospital is listed … general acute care
hospital beds in the system are in children’s hospitals. … If the hospitals in a system report a mix of hospital- and system-level counts, we
use whichever is … equity models; medical group or physician ownership of hospitals;
hospital participation in foundation