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effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1412.pdf
December 01, 2014 - If the onus
of improving patient adherence falls on the provider, staffing needs might increase due … The ED’s physical layout may pose a risk of falls for elderly patients, narrow and thin
mattresses … 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, Silver Spring, … admission,
and hospital length of stay.
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psnet.ahrq.gov/issue/non-english-speakers-find-ers-hard-reach
January 18, 2023 - April 29, 2009
Avoidable mistakes rise despite hospital efforts. … July 23, 2010
Medication errors: the year in review. … April 26, 2023
Hospitals look to computers to predict patient emergencies before they … care in a pediatric emergency department. … August 3, 2011
Fixing America's hospitals.
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psnet.ahrq.gov/issue/quality-and-patient-safety
December 24, 2008 - of patient safety resources collected by AHRQ, including a new section summarizing their involvement in … December 24, 2008
AHRQ Health Information Technology Research: 2018 Year in Review. … May 1, 2017
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … June 28, 2018
Fall Prevention in Hospitals Training Program. … October 4, 2017
Advances in Patient Safety: From Research to Implementation.
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psnet.ahrq.gov/issue/shift-safety
May 22, 2019 - May 22, 2019
Never Events for Hospital Care in Canada: Safer Care for Patients. … September 23, 2020
The Case for Investing in Patient Safety in Canada. … June 28, 2018
Fall Prevention in Hospitals Training Program. … November 9, 2016
Association for Professionals in Infection Control and Epidemiology. … March 17, 2011
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Hospitals
Health
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psnet.ahrq.gov/issue/patient-safety-curriculum-2nd-edition
July 12, 2017 - curriculum introduces participants to patient safety concepts and explains how they can be applied in … Human factors engineering , workforce safety, and simulation are new areas of focus in the materials … September 16, 2020
Hospital Preparedness for a COVID-19 Surge: Assessment Tool. … October 24, 2018
Pressure Injury Prevention in Hospitals Training Program. … October 18, 2017
Fall Prevention in Hospitals Training Program.
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psnet.ahrq.gov/issue/flying-blind
January 18, 2023 - January 30, 2008
Avoidable mistakes rise despite hospital efforts. … July 23, 2010
Medication errors: the year in review. … March 19, 2008
Measuring shared mental models in healthcare. … November 14, 2018
Making Hospitals Safe for People With Diabetes. … July 8, 2016
Plan aims to cut hospital deaths.
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psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
July 08, 2008 - December 22, 2010
Unintentional discontinuation of chronic medications for seniors in … October 19, 2022
Judgment errors in surgical care. … August 24, 2011
Medication reconciliation in a community, nonteaching hospital. … June 13, 2011
Hospital admission medication reconciliation in medically complex children … October 22, 2008
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Specialty Hospitals
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psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
January 12, 2022 - Commentary
In the wake of hospital inquiries: impact on staff and safety. … In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3. … The authors present several high-profile systems failures in Australian hospitals and how they affected … In the wake of hospital inquiries: impact on staff and safety. Med J Aust. 2007;186(2):80-3. … August 9, 2006
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Hospitals
Health
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psnet.ahrq.gov/issue/mortality-rate-after-nonelective-hospital-admission
January 22, 2016 - Analysis of more than 29 million hospital discharges revealed higher mortality in patients admitted on … Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals … September 27, 2016
Interdisciplinary teamwork in hospitals: a review and practical recommendations … February 23, 2015
Do variations in hospital mortality patterns after weekend admission … September 29, 2009
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Hospitals
Health
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psnet.ahrq.gov/issue/radio-frequency-identification-applications-hospital-environments
March 24, 2021 - Commentary
Radio frequency identification applications in hospital environments. … Radio frequency identification applications in hospital environments. … The authors discuss the potential benefits of radio frequency identification (RFID) in hospitals along … Radio frequency identification applications in hospital environments. … January 25, 2010
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Hospitals
Quality
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psnet.ahrq.gov/issue/potential-drug-interactions-hospitalized-cancer-patients
June 07, 2016 - Study
Potential for drug interactions in hospitalized cancer patients. … Potential for drug interactions in hospitalized cancer patients. … Potential for drug interactions in hospitalized cancer patients. … August 10, 2010
Medication safety in the ambulatory chemotherapy setting. … September 21, 2009
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Hospitals
Physicians
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - adverse
events including falls, central nervous system depression and respiratory depression.3 Due … In addition to the harm to this patient, this night nurse put the hospital at legal risk by failing to … Hospitals must ensure that new graduates and nurses with less experience have adequate supervision and … supervisors to provide oversight.10 Programs
that provide strong orientation and onboarding, not only to the hospital … most community hospitals there are few physicians or pharmacy staff available to the inpatient units
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www.ahrq.gov/news/newsroom/case-studies/cquips0704.html
October 01, 2014 - Search All Impact Case Studies
June 2007
Campbell University School of Pharmacy uses AHRQ's Hospital … He also includes information from the Hospital Survey on Patient Safety Culture in his management class … Although the survey was geared toward hospitals, most of the questions are relevant even for the community … The 2007 report contains comparative results on 108,621 hospital staff respondents from 382 participating … hospitals that administered the Hospital Survey on Patient Safety Culture.
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hcup-us.ahrq.gov/db/nation/neds/nedsdde.jsp
March 01, 2024 - Weight to hospitals in the universe
2006+
Hospital
Hospital
I10_DXn
ICD-10-CM Diagnosis … Q4)
INJURY_FALL
Injury by falling
2009-2015 Q3
Core
Q1 and Q3 Supplemental ED, Q1 … N_HOSP_U
Number of universe hospitals in the stratum
2006+
Hospital
Hospital … the sample for the stratum
2006+
Hospital
Hospital
S_HOSP_U
Number of hospitals in … ED visits from this hospital in the NEDS
2006+
Hospital
Hospital
TOTCHG_ED
Total
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or31.pdf
October 08, 2012 - average
• After declining in 1900s, AI/AN death
rates rose in mid-1980s
• Large racial disparities … in injury deaths
• Motor vehicle crashes account for majority
of unintentional injury deaths … IDEA-NW Project
Northwest Portland Area Indian Health Board 10/7/2012 5
• Cancer registries
• Hospital … 17.0%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
Motor vehicle
crashes
Accidental
poisoning
Falls … Coalition 5-year Tribal
Injury Prevention Action Plan
• Focus on motor vehicle safety & elder falls
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www.ahrq.gov/cpi/about/nac/naa-snac.html
January 01, 2025 - The Department of Health and Human Services (HHS) hosted the HHS Convening to Advance Patient Safety in … In March 2023, members of the National Advisory Council discussed and voted on creating a subcommittee … Overview The 16-member subcommittee met four times in fall 2023 to discuss the following topics: The … SVP and Chief Physician Executive American Hospital Association Terry Fairbanks, M.D., M.S. … VP of Innovation America’s Essential Hospitals Israel Rocha, Jr., M.P.A., B.A.
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psnet.ahrq.gov/node/865872/psn-pdf
May 15, 2024 - Speaking up and taking action: psychological safety and
joint problem-solving orientation in safety … Speaking up and taking action: psychological safety and
joint problem-solving orientation in safety … speaking-and-taking-action-psychological-safety-and-joint-problem-solving-
orientation-safety
When staff feel psychologically safe, they are more likely to engage in … https://psnet.ahrq.gov/issue/physician-and-nurse-well-being-and-preferred-interventions-address-burnout-hospital-practice
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psnet.ahrq.gov/issue/surviving-bad-diagnosis
January 19, 2022 - January 19, 2022
Adverse Events in Rehabilitation Hospitals: National Incidence Among … February 15, 2017
Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals … February 11, 2015
Patient Safety Organizations: Hospital Participation, Value, and Challenges … June 22, 2016
Designing and Delivering Whole-Person Transitional Care: Hospital Guide … April 26, 2006
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Hospitals
Patients
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2019update.csv
June 02, 2025 - 9103359 82 24 3 1 1 1 103 4147 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 0 INS00491515 111 40 22 1 1 1 363 11852 0 0 0 0 0 0 0 0 0 0 0 0 0
HSI00000406 … 0 INS00642888 66 13 8 2 1 1 184 9747 0 0 0 0 0 0 1 0 0 0 0 0 0
HSI00000958 Sanford Health Sioux Falls … 84 11 10 3 1752 82510 134.03 0 0 1 0 1 0 0 0 1 1 1 0
HSI00000994 Sky Lakes Medical Center Klamath Falls … 1 477 16634 72.76 0 0 0 0 1 0 0 0 0 1 0 0
HSI00001143 United Regional Health Care System Wichita Falls
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2019update.xlsx
June 02, 2025 - 9103359 82 24 3 1 1 1 103 4147 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 0 INS00491515 111 40 22 1 1 1 363 11852 0 0 0 0 0 0 0 0 0 0 0 0 0
HSI00000406 … 0 INS00642888 66 13 8 2 1 1 184 9747 0 0 0 0 0 0 1 0 0 0 0 0 0
HSI00000958 Sanford Health Sioux Falls … 84 11 10 3 1752 82510 134.03 0 0 1 0 1 0 0 0 1 1 1 0
HSI00000994 Sky Lakes Medical Center Klamath Falls … 1 477 16634 72.76 0 0 0 0 1 0 0 0 0 1 0 0
HSI00001143 United Regional Health Care System Wichita Falls