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2001. Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists. | PSNet
      psnet.ahrq.gov/issue/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and
      September 23, 2020 - However, wide variation in infection rates remained between individual NICUs, and hospitals with higher … a multistate hospital network--13 academic medical centers, April-June 2020. … November 16, 2022 Families as partners in hospital error and adverse event surveillance … hospital practice: factors associated with turnover, outcomes, and patient safety. … July 19, 2023 View More Related Resources What US hospitals are

2002. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. | PSNet
      psnet.ahrq.gov/issue/bad-behavior-healthcare-insidious-threat-patients-staff-and-organizations
      October 16, 2019 - Commentary Bad behavior in healthcare: an insidious threat to patients, staff, and … Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. … March 18, 2020 Leading a highly visible hospital through a serious reportable event. … September 24, 2010 View More See More About The Topic Hospitals Hospital … Medicine Nurse Care Hospital Pharmacy Psychological and Social Complications View More

2003. Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. | PSNet
      psnet.ahrq.gov/issue/flow-accuracy-iv-smart-pumps-outside-patient-rooms-during-covid-19
      October 12, 2022 - The COVID-19 pandemic has led to many changes in health care delivery. … March 30, 2011 Fall prevention with the Smart Socks System reduces hospital fall rates … smart pump-electronic health record interoperability on patient safety and finances at a community hospital … an urban teaching hospital. … May 20, 2020 View More See More About The Topic Hospitals Intensive

2004. Active-shooter response at a health care facility. | PSNet
      psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
      January 18, 2012 - Physical and verbal violence are a recognized problem in the health care workplace. … January 12, 2022 Organizational learning in hospitals: a realist review. … December 13, 2017 Do hospitals support second victims? … Collective insights from patient safety leaders in Maryland. … July 19, 2017 View More See More About The Topic Hospitals Facility

2005. Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription. | PSNet
      psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition-and-dictation
      December 21, 2022 - Study Error rates in breast imaging reports: comparison of automatic speech recognition … reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital … Acute Hospital Care Units April 26, 2023 Perspectives on Safety … acute care hospitals: a randomized trial. … July 14, 2010 View More See More About The Topic General Hospitals

2006. Improving Healthcare Through AHRQ's Digital Healthcare Research Program: 2022 Year in Review | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-reports/2022-year-review
      January 01, 2022 - Improving Healthcare Through AHRQ's Digital Healthcare Research Program: 2022 Year in Review … Executive Summary "At the Digital Healthcare Research Program, our work is driven by a vision in … Completed Research A Clinical Decision Support Tool for Preventing Falls … Needs Emerging Research A Patient-Facing App to Improve Care Transitions from Hospital … Different Electronic Health Records Emerging Research Safer Inter-Hospital Transfers

2007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44693/psn-pdf
      June 15, 2016 - This website highlights design considerations for health care facilities that can help reduce noise, falls … , and hospital-acquired infections. … https://psnet.ahrq.gov/issue/safety-0 https://psnet.ahrq.gov/issue/transforming-hospitals-designing-safety-and-quality … https://psnet.ahrq.gov/issue/architecture-safety-hospital-design https://psnet.ahrq.gov/issue/architecture-safety-hospital-design … https://psnet.ahrq.gov/issue/single-room-hospital-accommodation-associated-differences-healthcare-associated-infection

2008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39355/psn-pdf
      June 27, 2011 - psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature Early efforts in … patient safety have focused on error reduction in hospitalized patients, and the ambulatory setting … However, patients enrolled in hospice, nursing homes, and homecare settings are underrepresented in … included adverse drug events and line-related problems as well as the expected focus on wounds and falls … psnet.ahrq.gov//#adverseevent https://psnet.ahrq.gov//#adversedrugevent https://psnet.ahrq.gov/issue/patient-who-falls-its-always-trade

2009. Pharmacist linkage in care transitions: from academic medical center to community. | PSNet
      psnet.ahrq.gov/issue/pharmacist-linkage-care-transitions-academic-medical-center-community
      November 16, 2022 - A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital … fall prevention in a nursing home. … service designed to improve medication safety for patients with monitored dosage systems following hospital … May 6, 2020 Community pharmacy medication review, death and re-admission after hospital … September 25, 2008 View More See More About The Topic Hospitals Outpatient

2010. Clinical handover in the trauma setting: a qualitative study of paramedics and trauma team members. | PSNet
      psnet.ahrq.gov/issue/clinical-handover-trauma-setting-qualitative-study-paramedics-and-trauma-team-members
      January 28, 2010 - multistate hospital network--13 academic medical centers, April-June 2020. … hospitals. … January 12, 2022 Consumer perceptions of safety in hospitals. … November 16, 2022 High delayed and missed injury rate after inter-hospital transfer … April 22, 2015 Review article: improving the hospital clinical handover between paramedics

2011. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. | PSNet
      psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
      October 19, 2022 - Impact of computerized prescriber order entry on the incidence of adverse drug events in … their hospital setting. … December 27, 2014 Families as partners in hospital error and adverse event surveillance … , MPH September 1, 2008 View More See More About The Topic Hospitals … Pediatrics Hospital Pharmacy Medication Errors/Preventable Adverse Drug Events Epidemiology

2012. Disparities in patient safety voluntary event reporting: a scoping review. | PSNet
      psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
      November 16, 2022 - Disparities in patient safety voluntary event reporting: a scoping review. … in children's hospitals. … July 3, 2016 Using a pediatric trigger tool to estimate total harm burden hospital-acquired … enhancing patient safety and reducing medical errors in hospital settings: a narrative review. … August 23, 2017 View More See More About The Topic Hospitals Institutional

2013. Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. | PSNet
      psnet.ahrq.gov/issue/pharmacist-led-program-improve-transitions-acute-care-skilled-nursing-facility-care
      December 09, 2020 - This retrospective study evaluated the frequency of missed doses of high-risk medications after hospital-to-SNF … of a medication order process including pharmacist-led medication reconciliation, the average delay in … fall prevention in a nursing home. … September 2, 2020 Longitudinal medication reconciliation at hospital admission, discharge … September 1, 2007 View More See More About The Topic Hospitals

2014. Improving patient safety culture in primary care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-culture-primary-care-systematic-review
      June 17, 2015 - Safety culture in primary care differs from hospital settings. … October 5, 2011 Changes in adverse event rates in hospitals over time: a longitudinal … patient safety in hospitals: a retrospective patient record review study. … hospital patients: a retrospective patient record review study in the Netherlands. … February 10, 2012 Primary care–relevant interventions to prevent falling in older adults

2015. Sterile water should not be given "freely." | PSNet
      psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely
      March 18, 2010 - July 24, 2013 Medication assessment: one determinant of falls risk. … June 27, 2018 Errors originating in hospital and health-system outpatient pharmacies. … March 27, 2018 Distractions in the operating room. … 18, 2013 View More See More About The Topic Health Care Providers Hospital

2016. Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. | PSNet
      psnet.ahrq.gov/issue/epidemiology-and-risk-factors-coronavirus-infection-health-care-workers-living-rapid-review
      March 02, 2011 - Related Resources From the Same Author(s) Primary care–relevant interventions to prevent falling … September 20, 2011 Inpatient suicide in a general hospital. … to 20 hospitals in England during implementation of the 7-day services national health policy. … care or hospital outpatient settings has COVID-19 disease. … reports from 71 hospitals in Pennsylvania.

2017. Copying and pasting of examinations within the electronic medical record. | PSNet
      psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
      June 12, 2013 - January 12, 2022 Duty hours in emergency medicine: balancing patient safety, resident … July 29, 2020 Do professionalism lapses in medical school predict problems in residency … Evidence and limitations of task switching and multitasking in emergency medicine. … October 8, 2016 Never events in UK general practice: A survey of the views of general … December 21, 2009 Risk of medication errors at hospital discharge and barriers to problem

2018. Medical errors and patient safety in palliative care: a review of current literature. | PSNet
      psnet.ahrq.gov/issue/medical-errors-and-patient-safety-palliative-care-review-current-literature
      December 04, 2016 - Review Medical errors and patient safety in palliative care: a review of current … Medical errors and patient safety in palliative care: a review of current literature. … definitions of medical errors in this setting. … July 10, 2019 A multicomponent fall prevention strategy reduces falls at an academic … Related Resources Patient Safety Innovations Preventing Falls

2019. Bar-code technology for medication administration: medication errors and nurse satisfaction. | PSNet
      psnet.ahrq.gov/issue/bar-code-technology-medication-administration-medication-errors-and-nurse-satisfaction
      July 29, 2020 - Adopting National Quality Forum medication safe practices: progress and barriers to hospital … September 24, 2010 Effects of teamwork training on adverse outcomes and process of care in … A network collaboration implementing technology to improve medication dispensing and administration in … critical access hospitals. … October 1, 2008 View More See More About The Topic General Hospitals

2020. Using a quantitative risk register to promote learning from a patient safety reporting system. | PSNet
      psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
      September 24, 2010 - Incident reporting systems are a popular method for hospitals to detect patient safety hazards , but … July 29, 2020 Effect of hospital follow-up appointment on clinical event outcomes and … View More Related Resources Interview In … Safety Network November 1, 2015 Interview In … May 27, 2015 View More See More About The Topic Hospitals Health Care