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2061. Standardizing hand-off processes. | PSNet
      psnet.ahrq.gov/issue/standardizing-hand-processes
      June 03, 2020 - detecting weaknesses in their current processes. … June 3, 2020 Families as partners in hospital error and adverse event surveillance. … Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in … fall prevention in a nursing home. … of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals

2062. Sustainability Tool - Sustainability Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
      June 01, 2017 - Use this tool to ensure you have appropriate resources and strategies in place to sustain improvement … Are information systems in place to support the effort going forward?   … Are there opportunities for varied geographic participation (e.g., among units within a hospital; among … hospitals within a consortium; participation in regional vs. national initiative)?   … Are varied roles for participation in the project provided?

2063. Costly issues of an uncommunicative OR. | PSNet
      psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
      July 29, 2020 - Materials management in health care. 2006;15(3):30-3. … Materials management in health care . 2006; 15 (3) :30-3 . … This article discusses initiatives for better communication and teamwork in the operating room in order … Materials management in health care. 2006;15(3):30-3. … April 17, 2024 Empowering telemetry technicians and enhancing communication to improve in-hospital

2064. Human factors and ergonomics as a patient safety practice. | PSNet
      psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety-practice
      March 25, 2015 - January 20, 2021 Information flow during pediatric trauma care transitions: things falling … Acute Hospital Care Units April 26, 2023 Commissioning simulations to test … September 19, 2013 The architecture of safety: hospital design. … August 26, 2011 Preventing medication errors in hospitals through a systems approach … January 12, 2011 View More See More About The Topic Hospitals Health

2065. A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept extraction. | PSNet
      psnet.ahrq.gov/issue/taxonomy-advancing-systematic-error-analysis-multi-site-electronic-health-record-based
      March 24, 2019 - December 15, 2021 Primary care–relevant interventions to prevent falling in older adults … 2024 Barriers and facilitators to implementing interventions for reducing avoidable hospital … transitions from mental health hospitals to the community: a prioritisation nominal group technique. … to 20 hospitals in England during implementation of the 7-day services national health policy. … 2022 Association of electronic health record use above meaningful use thresholds with hospital

2066. Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-among-older-persons-meta-analysis-observational-studies
      May 27, 2020 - patient safety and reducing medical errors in hospital settings: a narrative review. … June 22, 2009 Reduction in hospital-wide clinical laboratory specimen identification … March 3, 2019 Prevalence of potentially inappropriate prescribing in older people in … primary care and its association with hospital admission: longitudinal study. … September 9, 2011 Primary care–relevant interventions to prevent falling in older adults

2067. Increasing patient safety and surgical team communication by using a count/time out board. | PSNet
      psnet.ahrq.gov/issue/increasing-patient-safety-and-surgical-team-communication-using-counttime-out-board
      February 22, 2012 - : A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial … October 20, 2010 Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based … review of root cause analyses of falls leading to adverse events. … October 19, 2022 Families as partners in hospital error and adverse event surveillance … August 3, 2022 10 years in, why time out still matters.

2068. The slow, troubling death of the autopsy. | PSNet
      psnet.ahrq.gov/issue/slow-troubling-death-autopsy
      August 19, 2020 - This commentary highlights the lost opportunities for hospital and clinician learning from mistakes due … hospital and following discharge: a systematic review and meta-analysis. … February 17, 2021 Home Health Agencies Failed To Report Over Half of Falls With Major … Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in … August 11, 2021 Machine learning is booming in medicine.

2069. Report Organization | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal1.html
      January 01, 2013 - with at least 10 hospitals in each of 10 States. … , which in turn partnered with hospitals and units that they recruited into the program. … For example, Delaware had only nine acute care hospitals in the State, and States in later cohorts had … This proved to be a valuable strategy as many of the States that are in the AHA/HRET Hospital Engagement … In addition, AHRQ directed HRET to encourage participating hospital associations to coordinate their

2070. Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system. | PSNet
      psnet.ahrq.gov/issue/implementation-integrated-computerized-prescriber-order-entry-system-chemotherapy-multisite
      August 30, 2023 - Author(s) Barriers and facilitators to implementing interventions for reducing avoidable hospital … December 30, 2014 Primary care–relevant interventions to prevent falling in older adults … transitions from mental health hospitals to the community: a prioritisation nominal group technique. … to 20 hospitals in England during implementation of the 7-day services national health policy. … November 25, 2020 Reviewing deaths in British and US hospitals: a study of two scales

2071. Making Healthcare Safer IV Rapid Review: Prevention in Adults of Infection With Transmission of Multidrug-Resistant Organisms (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-rapid-research.pdf
      April 01, 2024 - care hospitals or nursing home settings, the data primarily comes from hospital lab data and medical … Ray et al., 201751 Randomized controlled trial 15 acute care hospitals (one additional hospital … hospital- acquired C. difficile infection at intervention hospitals before vs after protocol implementation … Changes in Prevalence of Health Care- Associated Infections in U.S. Hospitals. … reservoirs of Legionella in hospitals?

2072. Miyasaka K et al. 1997 "Interactive communication in high-technology home care: videophones for pediatric ventilatory care." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miyasaka-k-et-al-1997
      January 01, 1997 - hospital visits by patients (from 24 to 5), and hospital admission days (from 22 to 10), with a fivefold … increase in phone calls (from 11 to 58) in group I. … The current initial cost is substantial but rapidly falling. … videophone system for respiratory care consultations from a pediatric ICU at the national Children's Hospital … (from 5 to 0), unscheduled hospital visits by patients (from 24 to 5), and hospital admission days (

2073. Canadian Anesthesia Incident Reporting System. | PSNet
      psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
      December 04, 2019 - Reporting mistakes in anesthesiology practice can motivate and inform error reduction work. … March 8, 2017 The Case for Investing in Patient Safety in Canada. … September 21, 2016 Hospital Harm Project. … November 30, 2016 Never Events for Hospital Care in Canada: Safer Care for Patients. … August 7, 2024 Patient falls in the operating room: why is this still a problem in 2024

2074. To protect against drug errors, ask questions. | PSNet
      psnet.ahrq.gov/issue/protect-against-drug-errors-ask-questions
      December 09, 2015 - September 16, 2020 A Guide to Patient Safety in the Medical Practice. … February 7, 2019 Hospital internet site content on patient safety and medical errors. … December 16, 2020 Patient safety incidents describing patient falls in critical care … in North West England between 2009 and 2017. … Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital

2075. Alarm Interventions During Medical Telemetry Monitoring: A Failure Mode & Effects Analysis. | PSNet
      psnet.ahrq.gov/issue/alarm-interventions-during-medical-telemetry-monitoring-failure-mode-effects-analysis
      March 18, 2010 - Related Resources From the Same Author(s) Medication assessment: one determinant of falls … March 18, 2010 Patients taking their own medications while in the hospital. … View More Related Resources Interview In … Perspective Surveillance Monitoring to Improve Patient Safety in … Acute Hospital Care Units April 26, 2023 Perspectives on Safety

2076. Differences in donor heart acceptance by race and gender of patients on the transplant waiting list. | PSNet
      psnet.ahrq.gov/issue/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list
      January 12, 2022 - multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … medication management systems on in-patients. … a panel of hospitals. … May 12, 2021 View More See More About The Topic Hospitals Cardiology

2077. Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study | PSNet
      psnet.ahrq.gov/issue/implementing-survey-patients-provide-safety-experience-feedback-following-care-transition
      January 08, 2020 - The survey data were perceived to be useful to physicians and hospital staff to identify potential safety … October 5, 2016 Care home safety incidents and safeguarding reports relating to hospital … May 31, 2023 Implementing, Studying, and Reporting Health System Improvement in … Improving the quality of insulin prescribing for people with diabetes being discharged from hospital … August 2, 2010 View More See More About The Topic General Hospitals

2078. Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module. | PSNet
      psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
      May 29, 2019 - April 29, 2018 Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … hospital settings. … December 21, 2017 The effect of hospital electronic health record adoption on nurse-assessed … pharmacy in HCIT era. … January 7, 2011 View More See More About The Topic Hospitals Nurses

2079. Paediatric adverse drug reactions reported in Sweden from 1987 to 2001. | PSNet
      psnet.ahrq.gov/issue/paediatric-adverse-drug-reactions-reported-sweden-1987-2001
      June 17, 2014 - Paediatric adverse drug reactions reported in Sweden from 1987 to 2001. … June 17, 2014 The impact of the built environment on patient falls in hospital rooms: … Swedish healthcare in a 13-year perspective. … hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. … September 2, 2016 Out-of-hospital medication errors among young children in the United

2080. A roadmap to advance patient safety in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
      June 09, 2021 - A roadmap to advance patient safety in ambulatory care. … A roadmap to advance patient safety in ambulatory care. … September 13, 2023 Information flow during pediatric trauma care transitions: things falling … units of a community teaching hospital after electronic health record implementation: sociotechnical … Hospital Care.