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2361. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35572/psn-pdf
      February 03, 2011 - AHRQ-funded study examined the status and evolution of patient safety systems through a survey of acute care hospitals … in Missouri and Utah. … More than 100 hospitals completed the survey in 2002 and again in 2004. … Findings demonstrated only modest improvements in certain areas with variability noted in others. … An accompanying editorial (link below) provides an overview of the factors and challenges involved in

2362. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864865/psn-pdf
      March 20, 2024 - March 20, 2024 Sacramento, CA: Hospital Quality Institute; 2024. … patient safety organization data explores the role of workforce demands during the crisis to affect falls

2363. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48067/psn-pdf
      June 12, 2019 - Maternal sleepiness and risk of infant drops in the postpartum period. … Maternal Sleepiness and Risk of Infant Drops in the Postpartum Period. … maternal-sleepiness-and-risk-infant-drops-postpartum-period https://psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators

2364. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73967/psn-pdf
      October 13, 2021 - physical-environment-often-unconsidered-patient-safety-tool https://psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review

2365. 15 Crosscutting Potential High Impact June 2012 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/15_crosscutting_potential_high_impact_june_2012.pdf
      January 01, 2012 - If the onus of improving patient adherence falls on the provider, staffing levels might change, because … lighting, soft colors, and noise abatement features, handrails, flooring that is less likely to cause falls … hospital also states that the care team at the center includes (in addition to physicians) a geriatric … hospital claims that unit staff receive training in both geriatrics and communication with elderly … available resources. 47 However, this design poses many risks to the elderly population, including falls

2366. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
      January 01, 2013 - Michigan: “Bladder Bundle” Study Period: 2007 to 2010 163 units in 71 participating Michigan hospitals … Nurse-led catheter discontinuation protocol * CAUTI in Michigan CAUTI ↓ by ~25% in Michigan hospitals … (95% CI: 13 to 37%↓ ) CAUTI ↓ by ~6% in non-Michigan hospitals (95% CI: 4 to 8%↓) ( … the Broader Patient Safety Context Recognizing that hospitals (nursing staff) are engaged in numerous … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient

2367. What 'patient-centered' should mean: confessions of an extremist. | PSNet
      psnet.ahrq.gov/issue/what-patient-centered-should-mean-confessions-extremist
      August 04, 2021 - August 4, 2021 Transforming concepts in patient safety: a progress report. … May 5, 2016 Measuring patient safety in real time: an essential method for effectively … November 18, 2015 Disseminating innovations in health care. … Related Resources Patient Safety Innovations Preventing Falls … February 10, 2015 Lack of patient knowledge regarding hospital medications.

2368. Timing the Distribution of a Healthcare Quality Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/distribute/timing/index.html
      March 01, 2016 - Quality Report Information is more likely to be useful if consumers have it during the period in … known as "open enrollment," during which they can compare their options (if any) and choose to enroll in … Medicare beneficiaries also participate in an open enrollment process each fall. … After viewing the data, consumers made choices well aligned with their priorities. 1 In situations … interact with various components of the healthcare system—including primary care providers, specialists, hospitals

2369. Wristband Standardization Initiative. | PSNet
      psnet.ahrq.gov/issue/wristband-standardization-initiative
      January 08, 2020 - Texas Hospital Association. … Texas Hospital Association. … A COVID-19 Resource for Hospital and Health System Leaders. … Related Resources Patient Safety Innovations Preventing Falls … December 3, 2008 View More See More About The Topic Hospitals Health

2370. Advanced practice nursing students' identification of patient safety issues in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/advanced-practice-nursing-students-identification-patient-safety-issues-ambulatory-care
      March 02, 2012 - Study Advanced practice nursing students' identification of patient safety issues in … Advanced practice nursing students' identification of patient safety issues in ambulatory care. … 9, 2011 Association of registered nurse and nursing support staffing with inpatient hospital … in the primary health care setting. … March 24, 2011 Primary care–relevant interventions to prevent falling in older adults

2371. WebAIRS Anesthesia Incident Reporting System. | PSNet
      psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
      November 10, 2011 - September 11, 2009 Examining the Increase in Drug Shortages. … October 24, 2018 Australian hospital leaders on the provision of safe care: implications … January 28, 2015 Windows into Safety and Quality in Health Care 2008. … January 8, 2025 Patient falls in the operating room: why is this still a problem in 2024 … learned and considerations to promote further improvement in patient safety.

2372. Chsp-Compendium-2023 (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2023.xlsx
      January 01, 2023 - Hospital Glens Falls NY 1 0 18156853 99 22 33 42 22 20 1 1 0 0 0 0 1 391 10963 0 0 0 0 0 0 1 0 0 0 … 0 0 1 199 6993 0 0 0 0 0 0 0 0 0 0 0 0 3 303195425 1080651275 HSI00000730 New York City Health and Hospitals … 1 1 0 0 0 0 1 301 10393 1.85 0 0 0 1 0 0 0 0 0 0 0 3 311533242 1856836924 HSI00000947 Salem Health Hospitals … 158 6 5 3 3 1 0 1 1601 76955 0 0 0 0 0 1 0 0 1 1 1 1 1 3073544685 15875368151 HSI00000981 Shriners Hospitals … 1 0 0 1 2653 139362 329.8 0 1 0 1 0 0 1 0 0 0 0 1 6281664751 35106111880 HSI00001082 The Methodist Hospitals

2373. Chsp-Compendium-2023
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2023.csv
      January 01, 2023 - Hospital Glens Falls NY 1 0 18156853 99 22 33 42 22 20 1 1 0 0 0 0 1 391 10963 0 0 0 0 0 0 1 0 0 0 … 0 0 1 199 6993 0 0 0 0 0 0 0 0 0 0 0 0 3 303195425 1080651275 HSI00000730 New York City Health and Hospitals … 1 1 0 0 0 0 1 301 10393 1.85 0 0 0 1 0 0 0 0 0 0 0 3 311533242 1856836924 HSI00000947 Salem Health Hospitals … 158 6 5 3 3 1 0 1 1601 76955 0 0 0 0 0 1 0 0 1 1 1 1 1 3073544685 15875368151 HSI00000981 Shriners Hospitals … 1 0 0 1 2653 139362 329.8 0 1 0 1 0 0 1 0 0 0 0 1 6281664751 35106111880 HSI00001082 The Methodist Hospitals

2374. Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13f.html
      December 01, 2012 - Pressure Ulcer 6,180 6,029 3,239 5,537 6,191 3,067 3,636 6,965 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2375. Table 13C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
      December 01, 2012 - Pressure Ulcer 3,031 3,001 1,416 3,073 2,914 1,211 1,591 3,369 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2376. The State of the Science on Safe Medication Administration. | PSNet
      psnet.ahrq.gov/issue/state-science-safe-medication-administration
      June 22, 2009 - The University of Pennsylvania School of Nursing, the Hospital of the University of Pennsylvania, the … July 14, 2009 Will the COVID-19 pandemic transform infection prevention and control in … maternity care in the United States. … December 18, 2017 Special Issue on Falls. … January 23, 2008 Quantifying nursing workflow in medication administration.

2377. Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. | PSNet
      psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults
      July 06, 2022 - Study Self-reported gaps in care coordination and preventable adverse outcomes among … Self‐reported gaps in care coordination and preventable adverse outcomes among older adults receiving … visits or hospital admissions). … care coordination reported in a national study of older US adults. … Strategies to improve the patient safety outcome indicator: preventing or reducing falls

2378. Crosscutting-Horizon-Scan-High-Impact-1406 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1406.pdf
      June 01, 2014 - same illness, an decreases in ED falls by seniors, (Holy Cross Hospital, Silver Spring, MD; St. … to eight elderly patients a month were falling in the regular emergency room…none have fallen in the … One study reported no difference in time to return after 30 and 180 days or in average length of hospital … The first senior-specific ED in the United States was opened at Holy Cross Hospital in 2008.74 St. … In: Society of Hospital Medicine Annual Meeting; 2012 Apr 1-4; San Diego (CA).

2379. Challenges and opportunities for improving patient safety through human factors and systems engineering. | PSNet
      psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems
      September 11, 2019 - the Same Author(s) Information flow during pediatric trauma care transitions: things falling … and outcomes in two handoff processes. … February 10, 2015 Preparing your hospital for compliance with The Joint Commission's … July 16, 2014 Spreading human factors expertise in healthcare: untangling the knots in … and messages in a noisy environment.

2380. Patient safety and quality improvement: reducing risk of harm. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
      November 15, 2011 - in this setting, including structured communication tools and analysis of failures to develop safer … a children's hospital. … February 1, 2023 Usability of a human factors-based clinical decision support in the … August 20, 2018 Mandating limits on workload, duty, and speed in radiology. … September 9, 2011 Primary care–relevant interventions to prevent falling in older adults