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  1. Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. | PSNet

    psnet.ahrq.gov/issue/using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio
    May 07, 2014 - May 7, 2014 AHRQ Health Information Technology Research: 2018 Year in Review. … May 1, 2017 Saving Lives and Saving Money: Hospital-Acquired Conditions Update. … Harms: Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings … May 7, 2014 Managing Patients' Medicines after Discharge from Hospital. … September 15, 2011 Primary care–relevant interventions to prevent falling in older adults

  2. Florida Advisory Council Meeting

    hcup-us.ahrq.gov/datainnovations/clinicaldata/AdvisoryCouncilmeeting12032009_rev.jsp
    April 01, 2011 - started a year late Hospital Recruitment A total of 22 hospitals participated in the pilot project … Miami Children's Hospital Hospitals in the AHRQ Project Pediatric Hospitals All Children's … does not show data labels, so values are reported by the range of percentages within which each bar falls … Personnel Involved in this Proj All hospitals participated in the Agency/3M kick-off meeting. … 45 hours Hospital 4: 100 hours Hospital 5: 132 hours Staff Issues Encountered by Hospitals

  3. JCAHO to launch global patient safety center: the initial focus will be on reviewing and publicizing research findings. | PSNet

    psnet.ahrq.gov/issue/jcaho-launch-global-patient-safety-center-initial-focus-will-be-reviewing-and-publicizing
    December 22, 2010 - Robeznieks A Copy Citation Related Resources From the Same Author(s) Safety in … December 22, 2010 100K Lives falling short. … August 17, 2022 Dermatology faces a reckoning: lack of darker skin in textbooks and journals … August 5, 2020 Medical bias: from pain pills to COVID-19, racial discrimination in health … May 9, 2018 Designing and Delivering Whole-Person Transitional Care: Hospital Guide to

  4. The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. | PSNet

    psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
    October 14, 2015 - October 14, 2015 Detection of missed fractures of hand and forearm in whole-body CT in … September 28, 2022 Organizational safety climate and job enjoyment in hospital surgical … hospital settings. … a specialty cardiac hospital. … August 31, 2011 View More See More About The Topic Hospitals Nurses

  5. Communication failures contributing to patient injury in anaesthesia malpractice claims. | PSNet

    psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims
    August 04, 2021 - mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and … fall prevention in a nursing home. … a panel of hospitals. … safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals … in the USA.

  6. Coworker abuse in healthcare: voices of mistreated workers. | PSNet

    psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistreated-workers
    March 22, 2023 - February 16, 2022 Falling through the cracks: the invisible hospital cleaning workforce … October 26, 2022 Medication errors and processes to reduce them in care homes in the … hospitals: stakeholders, contributory factors, and leverage points. … U.S. hospitals. … September 29, 2017 View More See More About The Topic Hospitals Health

  7. Deprescribing as a Patient Safety Strategy | PSNet

    psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
    December 15, 2024 - Utilizing EHR-enabled CDSSs has been shown to be effective in reducing the prescribing of PIMs in hospital … admissions, reduced falls, and improved mental status. … The pharmacist’s role in successful deprescribing through hospital medication reconciliation. … older adults with a history of falls: a qualitative study. … June 13, 2011 View More See More About The Topic Hospitals Long-Term

  8. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. | PSNet

    psnet.ahrq.gov/issue/systematic-review-evidence-misdiagnosis-dementia-and-its-impact-accessing-dementia-care
    December 02, 2020 - critical care units and hospital emergency services. … August 23, 2017 Inappropriate hospital admission as a risk factor for the subsequent … Medication reconciliation for patients after their discharge from intensive care unit to the hospital … Developing a programme for medication reconciliation at the time of admission into hospital … July 27, 2016 Primary care–relevant interventions to prevent falling in older adults:

  9. Missing clinical and behavioral health data in a large electronic health record (EHR) system. | PSNet

    psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
    July 19, 2023 - hospital practice: factors associated with turnover, outcomes, and patient safety. … July 29, 2020 Effect of nonpayment for preventable infections in U.S. hospitals. … We need to talk: an observational study of the impact of electronic medical record implementation on hospital … March 4, 2011 View More See More About The Topic Hospitals Ambulatory … Care Quality and Safety Professionals Information Professionals Hospital Medicine View

  10. AHRQ Timeline | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/timeline/index.html
    March 01, 2025 - Hospital staff in Michigan intensive care units cut by more than 70 percent the rate of pneumonia in … year in hospital neonatal intensive care units (NICUs) participating in an AHRQ patient safety program … The improvements in hospital-acquired conditions from 2010 to 2013 were due in part to provisions of … hospital-acquired conditions, such as adverse drug events and injuries from falls, helped prevent an … A hospital in St.

  11. Presentation: Program Overview

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
    January 01, 2017 - Safe Cost effective Associated with decreased ICU and hospital LOS 1. … No significant difference in duration of mechanical ventilation, mortality, ICU/hospital LOS, or discharge … 9 patients had 14 adverse events (<1% of activities) Falls to knees without injury (5) Systolic blood … Safety Adverse events ranged from agitation to transient physiological events to dislodgements and to falls … (none of the falls were considered serious) Adverse events ranged from 2.3 to 8.7 per 100 patients3-

  12. AHRQ focuses on ambulatory patient safety. | PSNet

    psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety
    January 31, 2024 - January 22, 2016 Mortality rate after nonelective hospital admission. … June 1, 2011 Overnight stay in the emergency department and mortality in older patients … December 16, 2020 Changes in medication safety indicators in England throughout the covid … September 29, 2017 Restoring trust in VA health care. … March 5, 2013 Primary care–relevant interventions to prevent falling in older adults:

  13. Relationship of adverse events and support to RN burnout. | PSNet

    psnet.ahrq.gov/issue/relationship-adverse-events-and-support-rn-burnout
    February 08, 2023 - acute care hospitals. … medication error interception in the emergency department. … the hospital setting: a prospective observational study. … when patients are in jeopardy. … January 18, 2011 View More See More About The Topic Hospitals Nurses

  14. Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey. | PSNet

    psnet.ahrq.gov/issue/call-shift-fatigue-and-use-countermeasures-and-avoidance-strategies-certified-registered
    March 15, 2023 - October 26, 2011 Implementing universal suicide risk screening in a pediatric hospital … March 21, 2018 Association between unmet nonmedication needs after hospital discharge … July 2, 2009 Exploring the intersection of structural racism and ageism in healthcare … September 7, 2016 Nurses' shift length and overtime working in 12 European countries: … March 26, 2015 The working hours of hospital staff nurses and patient safety.

  15. An act of performance: exploring residents' decision-making processes to seek help. | PSNet

    psnet.ahrq.gov/issue/act-performance-exploring-residents-decision-making-processes-seek-help
    October 13, 2021 - fall prevention in a nursing home. … in mental health and hospital care. … in hospitals. … failures in communication during the event. … October 1, 2007 View More See More About The Topic Hospitals

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45933/psn-pdf
    March 08, 2017 - Bad hospital design is making us sicker. March 8, 2017 Khullar D. New York Times. … https://psnet.ahrq.gov/issue/bad-hospital-design-making-us-sicker Implementing design changes in care … This newspaper article reports on how efforts to address hospital design concerns can augment infection … https://psnet.ahrq.gov/issue/bad-hospital-design-making-us-sicker https://psnet.ahrq.gov/perspective/ … ://psnet.ahrq.gov/issue/guidelines-design-and-construction https://psnet.ahrq.gov/issue/single-room-hospital-accommodation-associated-differences-healthcare-associated-infection

  17. Canada continues to lag behind other OECD countries on measures of patient safety | PSNet

    psnet.ahrq.gov/issue/canada-continues-lag-behind-other-oecd-countries-measures-patient-safety
    March 26, 2014 - March 26, 2014 Patient Safety in Canada: An Update. … August 29, 2007 The Case for Investing in Patient Safety in Canada. … March 8, 2017 Hospital Harm Project. … October 31, 2023 HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada … December 6, 2023 Home Health Agencies Failed To Report Over Half of Falls With Major

  18. The Role of Human Factors in Home Health Care: Workshop Summary. | PSNet

    psnet.ahrq.gov/issue/role-human-factors-home-health-care-workshop-summary
    August 03, 2011 - Committee on the Role of Human Factors in Home Healthcare, National Research Council. … July 8, 2016 Improving Diagnosis in Health Care. … develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health … November 15, 2023 Home Health Agencies Failed To Report Over Half of Falls With Major … December 23, 2020 Adverse drug events and medication problems in "Hospital at Home" patients

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33769/psn-pdf
    June 01, 2014 - Among the organization's goals were publicly available hospital ratings, transparency in state medical … the mid- to late-1990s, primarily in children's hospitals.(14) The Center for Advancing Health, also … involvement in driving down harm in hospitals, patients and patient groups found themselves being actively … Compare), in some states (hospital-acquired infection and sentinel events), and by private entities … Important topics like health care disparities, personal technology, and much of what falls under the

  20. Pro/con debate: color-coded medication labels. | PSNet

    psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
    December 23, 2008 - December 23, 2008 Clinical Uncertainty in Primary Care: The Challenge of Collaborative … Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in … fall prevention in a nursing home. … September 21, 2022 Anesthesiologist group says hospitals can prevent fatal errors like … February 13, 2019 Safety enhancements every hospital must consider in wake of another
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