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2181. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet
      psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
      June 15, 2024 - If the hospital Mr. … Focusing on these aspects enables hospitals to elevate safety and quality of care, particularly during … Communication issues contributing to medication incidents: mixed-method analysis of hospitals' incident … April 27, 2022 WebM&M Cases A Tale of Two Falls … July 8, 2008 View More See More About The Topic Hospitals Hospital

2182. Linking patient safety culture to quality ratings in the nursing home setting. | PSNet
      psnet.ahrq.gov/issue/linking-patient-safety-culture-quality-ratings-nursing-home-setting
      June 29, 2022 - Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. … Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. … analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals … fall prevention in a nursing home. … July 15, 2020 Measuring safety climate in elderly homes.

2183. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/treat-release.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits … Table 4 (continued)   Seen by (Within 24 Hours Prior to Transfer): Prior ED Visit Prior Hospital

2184. Using name overlap analysis to understand medication name search safety. | PSNet
      psnet.ahrq.gov/issue/using-name-overlap-analysis-understand-medication-name-search-safety
      August 31, 2022 - January 7, 2015 Changes in medical errors after implementation of a handoff program. … Color-coded prefilled medication syringes decrease time to delivery and dosing error in … May 3, 2023 View More Related Resources Reduction in preventable … time-critical dose omissions: impact of electronic medication management systems on in-patients. … October 1, 2008 View More See More About The Topic Hospitals Hospital

2185. Are physicians safely prescribing opioids for chronic noncancer pain? A systematic review of current evidence. | PSNet
      psnet.ahrq.gov/issue/are-physicians-safely-prescribing-opioids-chronic-noncancer-pain-systematic-review-current
      November 07, 2018 - November 7, 2018 Overnight stay in the emergency department and mortality in older patients … Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in … severe adverse events in the adult medical intensive care unit: a seven-year prospective study. … July 18, 2018 Mortality due to hospital-acquired infection after cardiac surgery. … December 2, 2015 View More See More About The Topic Hospitals Health

2186. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. | PSNet
      psnet.ahrq.gov/issue/patient-safety-factors-and-perceived-consequences-nursing-errors-nursing-staff-home-care
      May 18, 2022 - Factors for and perceived consequences of nursing errors by nursing staff in home care services. … March 3, 2021 Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital … fall prevention in a nursing home. … validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals … in home care related to patient safety: a cross-sectional survey.

2187. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. | PSNet
      psnet.ahrq.gov/issue/lawrence-d-dorr-surgical-techniques-technologies-award-running-two-rooms-does-not-compromise
      July 29, 2020 - Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in … Techniques & Technologies Award: "Running Two Rooms" Does Not Compromise Outcomes or Patient Safety in … The practice of scheduling concurrent surgeries—separate procedures performed at overlapping times in … July 29, 2020 Families as partners in hospital error and adverse event surveillance. … a multistate hospital network--13 academic medical centers, April-June 2020.

2188. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. | PSNet
      psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment
      May 24, 2023 - Study Clinicians' perspectives on proactive patient safety behaviors in the perioperative … Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. … Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. … April 12, 2023 Composite measures for profiling hospitals on bariatric surgery performance … October 26, 2022 Crisis recovery in surgery: error management and problem solving in

2189. Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. | PSNet
      psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and
      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. … September 23, 2020 Families as partners in hospital error and adverse event surveillance … May 18, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … intensive care units in 50 countries.

2190. Update: Patient Engagement in Safety | PSNet
      psnet.ahrq.gov/perspective/update-patient-engagement-safety
      January 01, 2017 - In a population-based study in Iowa, 20% of participants shared that they or someone close to them had … While this intervention did not reduce safety incidents like pressure ulcers or falls , it did identify … In addition to these research interventions, AHRQ released a patient and family engagement guide in … Beyond health IT, a survey of hospital incident managers found that, although they valued the patient … Safety January 1, 2017 View More See More About The Topic Hospitals

2191. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49513/psn-pdf
      July 01, 2006 - Even in the absence of formal guidelines, most hospitals have recognized the risk of intrahospital transport … Finally, even hospitals with reasonably robust policies rarely have systems in place to ensure that … In this case, the hospital did have a system for assessing and communicating the clinical stability of … this study, the authors reported high levels of variability among hospitals in the responsibilities … Are these destinations in the main hospital, adjacent buildings, across the street?

2192. Chsp-Compendium-2018-Updated-2021
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2018-updated-2021.csv
      January 01, 2021 - 81 11 10 6 5 4 4 2 1 403 16573 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 HSI00000068 Avera Health Sioux Falls … 16 16 1 1 1 1 103 4045 0 0 0 0 0 0 0 0 0 0 0 0 0 HSI00000107 Benefis Healthcare System Great Falls … Hospital Glens Falls NY 1 0 18156853 130 44 28 53 29 1 1 0 1 507 11567 0 0 0 0 0 0 0 1 1 0 0 0 0 … 11766 10.58 0 0 0 0 1 1 0 0 1 1 1 0 0 HSI00000405 Good Samaritan Hospital Vincennes IN 1 0 18381345 … Memorial Medical Center Niagara Falls NY 1 0 18407987 53 19 15 13 14 1 1 1 1 133 5064 11.92 0 0 0 0

2193. Chsp-Compendium-2018-Updated-2021 (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2018-updated-2021.xlsx
      January 01, 2021 - 81 11 10 6 5 4 4 2 1 403 16573 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 HSI00000068 Avera Health Sioux Falls … 16 16 1 1 1 1 103 4045 0 0 0 0 0 0 0 0 0 0 0 0 0 HSI00000107 Benefis Healthcare System Great Falls … Hospital Glens Falls NY 1 0 18156853 130 44 28 53 29 1 1 0 1 507 11567 0 0 0 0 0 0 0 1 1 0 0 0 0 … 11766 10.58 0 0 0 0 1 1 0 0 1 1 1 0 0 HSI00000405 Good Samaritan Hospital Vincennes IN 1 0 18381345 … Memorial Medical Center Niagara Falls NY 1 0 18407987 53 19 15 13 14 1 1 1 1 133 5064 11.92 0 0 0 0

2194. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. | PSNet
      psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients
      September 11, 2019 - Study Work system barriers and facilitators in inpatient care transitions of pediatric … the Same Author(s) Information flow during pediatric trauma care transitions: things falling … functions and outcomes in two handoff processes. … December 18, 2013 Using an inpatient portal to engage families in pediatric hospital … June 23, 2021 High delayed and missed injury rate after inter-hospital transfer of severely

2195. Promoting collaboration and transparency in patient safety. | PSNet
      psnet.ahrq.gov/issue/promoting-collaboration-and-transparency-patient-safety
      June 21, 2016 - Commentary Promoting collaboration and transparency in patient safety. … Promoting collaboration and transparency in patient safety. … Promoting collaboration and transparency in patient safety. … February 5, 2014 Minnesota Hospital Association Statewide Project: SAFE from FALLS. … 12, 2012 Electronic patient identification for sample labeling reduces wrong blood in

2196. Resident Physicians as Safety Champions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
      October 01, 2015 - and reduce hospital-acquired infections and other safety events. … RPs play a pivotal role in patient management and safety in U.S. teaching hospitals. … The two main unit types in the hospital are ICUs and non-ICUs. … The structure of ICUs differs depending on the hospital. … wound care nurses and physical therapists would discourage UC use to reduce the risk for immobility and falls

2197. Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting. | PSNet
      psnet.ahrq.gov/issue/identifying-potential-medication-discrepancies-during-medication-reconciliation-post-acute
      June 17, 2020 - Identifying potential medication discrepancies during medication reconciliation in … that medication discrepancies were highly prevalent between the patients' home medication lists , hospital … Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls … July 1, 2020 The effect of medication reconciliation in elderly patients at hospital … June 13, 2011 Medication discrepancies upon hospital to skilled nursing facility transitions

2198. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet
      psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
      February 26, 2025 - Mentorship: An external expert in care transitions may help a hospital and its BOOST team more effectively … more than 200 hospitals across the U.S. and Canada. … Understanding why there are deficiencies in your current process : Hospitals should complete a root … Deficits in communication and information transfer between hospital-based and primary care physicians … May 31, 2023 Patient Safety Innovations Preventing Falls

2199. Common errors in computer electrocardiogram interpretation. | PSNet
      psnet.ahrq.gov/issue/common-errors-computer-electrocardiogram-interpretation
      May 08, 2024 - Study Common errors in computer electrocardiogram interpretation. … Common errors in computer electrocardiogram interpretation. Int J Cardiol. 2006;106(2):232-7. … July 1, 2020 Association of the Hospital Readmissions Reduction Program implementation … with readmission and mortality outcomes in heart failure. … November 20, 2024 Reducing falls in hospitalized children and adolescents with cancer

2200. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49594/psn-pdf
      December 01, 2009 - "(3) In this case, the hospital team provided excellent diagnosis and treatment planning. … In one study, 21% were readmitted within 2 weeks compared to 3% in a matched control group.(7) Hospitals … should develop strategies to prevent AMA discharges just as they develop strategies to prevent falls … became the crucial go-between for the hospital staff.(12) Sometimes adjustments in the hospital regimen … Hospitals should plan in advance how to deal with that risk.