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psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
July 19, 2023 - learning organization recognized for its commitment to quality and safety across multiple locations in … hospital practice: factors associated with turnover, outcomes, and patient safety. … September 18, 2024
Remote patient monitoring improves patient falls and reduces harm. … studies: identifying what contributes to successful interventions to promote hand hygiene in patient … October 21, 2020
Reducing the risk of diagnostic error in the COVID-19 era.
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psnet.ahrq.gov/issue/medication-errors-routines-and-differences-between-perioperative-and-non-perioperative-nurses
June 27, 2018 - errors; this concern was echoed by nurses working in other settings. … January 23, 2017
Healthcare-associated infections in Veterans Affairs acute-care and … Exploring organizational context and structure as predictors of medication errors and patient falls … 2011
Physician and nurse well-being and preferred interventions to address burnout in … hospital practice: factors associated with turnover, outcomes, and patient safety.
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psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
November 16, 2016 - Commentary
Chemotherapy in home care: one team's performance improvement journey … Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors … a paediatric hospital. … June 21, 2023
The development and implementation of checklists in obstetrics. … Strategies to improve the patient safety outcome indicator: preventing or reducing falls
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psnet.ahrq.gov/issue/safety-clinical-and-non-clinical-decision-makers-telephone-triage-narrative-review
July 05, 2017 - This narrative review of safety in telephone triage found that the lowest error rates occurred in systems … in perinatal settings. … October 1, 2013
Safety in teletriage by nurses and physicians in the United States and … May 1, 2024
Patient falls in the operating room setting: an analysis of reported safety … March 19, 2019
Improving hospital infant safe sleep compliance by using safety prevention
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digital.ahrq.gov/ahrq-funded-projects/ed-disability-diagnostic-tool-hit-feasibility-study
January 01, 2023 - Report ( PDF , 218.58 KB) Disclaimer
Disclaimer
The findings and conclusions in … No statement in this report should be construed as an official position of AHRQ or of the U.S. … These patients are disproportionately admitted to the hospital without cause, with a significant proportion … experiencing negative health outcomes related to the hospitalization, such as infections, disorientation, and falls … are unreliable and invalid in the ED.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital … failures in care, adverse events, and mortality … 30-Day
Mortality Rate, which began in July 2014). … Recommended Practice: Engage in Action Planning
• All participants participate in action planning based … • Blood cultures performed in the emergency department prior to initial antibiotic receipt in
hospital
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psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines
November 29, 2017 - Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in … April 3, 2019
The impact of the built environment on patient falls in hospital rooms: … June 16, 2021
Patient safety in the cardiac operating room: human factors and teamwork … FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in … October 22, 2014
Optimizing Pediatric Patient Safety in the Emergency Care Setting.
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psnet.ahrq.gov/issue/sources-and-types-discrepancies-between-electronic-medical-records-and-actual-outpatient
July 19, 2023 - This study highlights the discrepancies that may occur when conducting medication reconciliation in … The majority of discrepancies noted by investigators were attributed to medications still listed in the … hospital practice: factors associated with turnover, outcomes, and patient safety. … May 19, 2021
Cultural diversity: what role does it play in patient safety? … Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls
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psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities
November 08, 2017 - Healthcare-associated infections (HAIs) challenge safety in long-term care . … (s)
Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in … 2017
2015 Rosenthal Symposium: Protecting Patients: Advances and Future Directions in … 2022
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Related Resources
The Nursing Home Expert Panel’s Falls … August 12, 2020
Northeastern University Hospital Surge Capacity Planning Model: Bed,
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psnet.ahrq.gov/issue/prospective-review-adverse-events-during-interhospital-transfers-neonates-dedicated-neonatal
March 03, 2011 - March 3, 2011
Prescription of long-acting opioids and mortality in patients with chronic … Implementation of an integrated computerized prescriber order-entry system for chemotherapy in … April 26, 2023
Multifactorial interventions to reduce duration and variability in … delays to identification of serious injury after falls in hospital inpatients. … Part 2: safety in patient retrieval systems.
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psnet.ahrq.gov/issue/how-medication-prescribing-ceased-systematic-review
June 14, 2019 - Clinicians often must have patients discontinue taking inappropriate or potentially harmful medications, in … in 38 countries (PRICOV-19). … November 16, 2011
Families as partners in hospital error and adverse event surveillance … Care
March 27, 2024
Perspective
Patient Safety in … 31, 2024
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - the hospital. … 1991, the WHO and UNICEF launched the “Baby-Friendly Hospital Initiative” and
encouraged hospitals … looking at the second case through the lens of preventing medical errors, this likely falls in the category … In-hospital formula feeding and breastfeeding duration. Pediatrics.
2020;146(1):e20201221. … In-hospital formula feeding and breastfeeding duration. Pediatrics. 2020 Jul
1;146(1).
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www.ahrq.gov/research/shuttered/acfselection/appendixb.html
July 01, 2018 - Research and Quality
540 Gaither Road
Rockville, MD 20850
Denver Health & Hospital … Emergency Medicine, George Washington University
Department of Emergency Medicine, Inova Fairfax Hospital … 3300 Gallows Road
Falls Church, VA 22042
John L. … Appendix B-2: Patient Selection Tool Advisory Panel Members
Denver Health & Hospital … 3300 Gallows Road
Falls Church, VA 22042
John L.
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psnet.ahrq.gov/issue/time-out-analysis
October 19, 2022 - August 11, 2021
Delayed diagnosis of serious paediatric conditions in 13 regional emergency … August 13, 2010
The impact of adding a 2-way video monitoring system on falls and costs … April 24, 2024
Factor structure and construct validity of a hospital survey on patient … June 9, 2021
Just culture: the foundation of staff safety in the perioperative environment … July 29, 2009
AORN Guidance Statement: Safe Medication Practices in Perioperative Settings
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - admitted to the hospital in the United States 35 million times per year.(1) The discharge
period—when … Impaired mobility from deconditioning increases the risk of falls,
as well as preventing the patient … care providers to "pull patients back in" to care in the post-hospital environment are among the
most … Fast Facts on US hospitals. Chicago, IL: American Hospital Association; January 2015. … Deficits in communication and
information transfer between hospital-based and primary care physicians
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psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy
July 14, 2010 - underutilized in ambulatory practice. … July 14, 2010
Management of test results in family medicine offices. … April 12, 2011
Reduced postdischarge incidents after implementation of a hospital-to-home … frequencies in the primary health care setting. … November 14, 2011
Primary care–relevant interventions to prevent falling in older adults
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/biliary-tract-one-page.docx
November 01, 2019 - Diagnosis
· Cholangitis: right upper quadrant (RUQ) pain (80%), fever (80%), jaundice (50%)
· In … tree but are of low virulence and do not require empiric coverage in this population … · Patients with severe infection, hospital-acquired infection, or prior extensive biliary tract manipulation … relevant multispecialty consultation, including infectious diseases, should be considered for cases falling … Spectrum of pathogens in acute cholangitis in patients with and without biliary endoprosthesis.
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psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety
October 23, 2019 - May 1, 2017
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … March 4, 2024
Overall Hospital Quality Star Ratings. … July 10, 2019
Fall Prevention in Hospitals Training Program. … October 4, 2017
Advances in Patient Safety: From Research to Implementation. … May 13, 2015
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See More About The Topic
Hospitals
Health Care
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psnet.ahrq.gov/issue/safety-quality-and-informatics-leadership-program
May 01, 2015 - July 16, 2018
Fall Prevention in Hospitals Training Program. … October 4, 2017
Towards safer transitions: a curriculum to teach and assess hospital-to-hospice … acute hospital settings—limited evidence of effectiveness. … November 17, 2010
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See More About The Topic
Hospitals
Quality … and Safety Professionals
Hospital Medicine
Epidemiology of Errors and Adverse Events
Education
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psnet.ahrq.gov/issue/teamstepps-core-curriculum
August 01, 2012 - The curriculum offers training for participants to implement TeamSTEPPS ® in their organizations. … May 1, 2017
Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … July 12, 2018
Pressure Injury Prevention in Hospitals Training Program. … October 18, 2017
Fall Prevention in Hospitals Training Program. … February 10, 2015
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See More About The Topic
Hospitals
Health