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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
October 01, 2017 - Sample Production Agenda for the In-Person Training
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Table of Contents … Sample Production Agenda for the In-Person Training
Appendix E. … Hospital Practice Insights: Challenges and Solutions
Production Agenda: Pressure Injury … Prevention Program Training
Hospital Name
Date and Time for Training
Time
Min. … If the hospital is using an assessment scale other than the Braden or Norton Scale, ask the Team Leader
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psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
February 10, 2021 - February 10, 2021
Improving handoffs in the emergency department. … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020
Bias at warp speed: how AI may contribute to the disparities gap in … September 1, 2016
Primary care pediatricians' interest in diagnostic error reduction. … July 23, 2010
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association-postoperative-infections
November 25, 2020 - Public reporting of quality measures is now widely used as a means of spurring hospitals to invest in … November 25, 2020
Ranking hospitals based on preventable hospital death rates: a systematic … April 22, 2017
Magnitude and modifiers of the weekend effect in hospital admissions: … May 27, 2020
Primary care–relevant interventions to prevent falling in older adults: … June 15, 2022
Weekend specialist intensity and admission mortality in acute hospital
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psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - widespread reports of loss of control of patient health information data, it might be expected that many hospitals … Weekend admission to hospital has a higher risk of death in the elective setting than in the emergency … setting: a retrospective database study of national health service hospitals in England. … June 21, 2017
Root cause analysis of reported patient falls in ORs in the Veterans Health … Thyself
September 1, 2004
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Hospitals
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psnet.ahrq.gov/issue/magnitude-and-modifiers-weekend-effect-hospital-admissions-systematic-review-and-meta
November 25, 2020 - weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation … August 20, 2018
Ranking hospitals based on preventable hospital death rates: a systematic … April 3, 2019
Reviewing deaths in British and US hospitals: a study of two scales for … August 2, 2011
Primary care–relevant interventions to prevent falling in older adults … March 13, 2015
Interdisciplinary teamwork in hospitals: a review and practical recommendations
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psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
April 27, 2019 - Veterans Affairs hospitals. … 2015
Physician and nurse well-being and preferred interventions to address burnout in … hospital practice: factors associated with turnover, outcomes, and patient safety. … March 28, 2011
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Hospitals
Nurses … General Internal Medicine
Hospital Medicine
Surgery
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psnet.ahrq.gov/issue/impact-duty-hour-limits-resident-training-otolaryngology
November 16, 2015 - 24 hospitals. … May 3, 2017
Medication reconciliation at hospital discharge: evaluating discrepancies … October 15, 2008
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Related Resources
Associations between in-hospital … May 15, 2019
Sleep and alertness in a duty-hour flexibility trial in internal medicine … July 10, 2008
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Hospitals
Physicians
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psnet.ahrq.gov/issue/medical-emergency-team-and-rapid-response-system-finding-treating-and-preventing-hypoglycemia
September 23, 2020 - the Same Author(s)
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … November 16, 2022
Hospital readmission and parent perceptions of their child's hospital … March 9, 2022
Decision making in trauma settings: simulation to improve diagnostic skills … July 15, 2013
Pharmacist involvement in a rapid-response team at a community hospital
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psnet.ahrq.gov/issue/beyond-patient-safety-flatland
September 04, 2024 - February 14, 2024
Post-implementation optimization of medication alerts in hospital computerized … January 16, 2019
The fate of medicine in the time of AI. … January 9, 2019
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Related Resources
Falling through the … cracks: the invisible hospital cleaning workforce. … May 4, 2022
Error and cognitive bias in diagnostic radiology.
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psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
August 20, 2018 - Study
Association of hospital participation in a surgical outcomes monitoring program … Association of hospital participation in a surgical outcomes monitoring program with inpatient complications … Association of hospital participation in a surgical outcomes monitoring program with inpatient complications … estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals … in the United States.
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psnet.ahrq.gov/issue/relationship-between-computerized-physician-order-entry-and-pediatric-adverse-drug-events
July 13, 2009 - This study discovered that hospitals with computerized provider order entry (CPOE) systems had fewer … May 11, 2014
Predicting computerized physician order entry system adoption in US hospitals … June 7, 2023
Improving medication safety in a paediatric hospital: a mixed-methods evaluation … April 12, 2023
Decrease in hospital-wide mortality rate after implementation of a commercially … June 16, 2009
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Children's Hospitals
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psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - June 5, 2019
Variability in the measurement of hospital-wide mortality rates. … September 20, 2011
Patient safety climate in hospitals: act locally on variation across … January 3, 2017
Identification of in-hospital complications from claims data. … Related Resources
Patient Safety Innovations
Preventing Falls … Lethal Cap
March 1, 2004
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Hospitals
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psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-handoff-process
June 25, 2018 - August 4, 2021
Families as partners in hospital error and adverse event surveillance. … December 23, 2020
Information flow during pediatric trauma care transitions: things falling … patient harm and hospital mortality across a hospital system. … October 31, 2014
Decreasing handoff-related care failures in children's hospitals. … View More
See More About The Topic
Intensive Care Units
Children's Hospitals
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psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era-80-hour-resident
March 17, 2021 - After implementation of regulations limiting resident work hours, one teaching hospital found a reduced … July 29, 2020
Families as partners in hospital error and adverse event surveillance. … April 24, 2018
Reducing medication errors for adults in hospital settings. … April 11, 2011
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Related Resources
Associations between in-hospital … August 4, 2010
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See More About The Topic
General Hospitals
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psnet.ahrq.gov/issue/safe-chemotherapy-administration-using-failure-mode-and-effects-analysis-computerized
October 19, 2022 - Commentary
Safe chemotherapy administration: using failure mode and effects analysis in … Safe chemotherapy administration: Using failure mode and effects analysis in computerized prescriber … October 19, 2022
Changes in prevalence of health care-associated infections in U.S. hospitals … May 27, 2011
Preventing medication errors in hospitals through a systems approach and … September 28, 2010
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See More About The Topic
Hospitals
Physicians
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psnet.ahrq.gov/issue/safety-and-diagnostic-accuracy-tumor-biopsies-children-cancer
September 23, 2020 - a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … October 19, 2022
Families as partners in hospital error and adverse event surveillance … cancer unit in a resource-limited setting. … September 14, 2011
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See More About The Topic
Children's Hospitals
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psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance
August 04, 2021 - restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital … restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital … restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital … a multistate hospital network--13 academic medical centers, April-June 2020. … September 14, 2005
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General Hospitals
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psnet.ahrq.gov/issue/acog-committee-opinion-327-do-not-use-abbreviations
February 15, 2006 - February 14, 2018
Disclosure of adverse events in pediatrics. … January 11, 2017
Quality and Safety in Women's Health Care. Second Edition. … a VA hospital: design and outcomes. … July 15, 2020
Implementing, Studying, and Reporting Health System Improvement in the … Improving the quality of insulin prescribing for people with diabetes being discharged from hospital
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psnet.ahrq.gov/issue/effect-hospital-electronic-health-record-adoption-nurse-assessed-quality-care-and-patient
March 28, 2012 - to heart failure readmissions: a cross-sectional study of US hospitals. … January 24, 2024
Electronic prescribing systems in hospitals to improve medication safety … December 21, 2022
Information flow during pediatric trauma care transitions: things falling … hospital settings. … August 26, 2009
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See More About The Topic
Hospitals
Nurses
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psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - Per hospital policy, a 24-hour sitter was placed with the patient. … the US, approximately 1,500 suicides (5%) occur in hospitals.( 2 ) A recent review of 76 cases in the … How does the general acute hospital system deal with such an atypical patient? … Supervision of suicidal patients in adult inpatient units in general hospitals. … 27, 2023
Patient Safety Innovations
Preventing Falls