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psnet.ahrq.gov/issue/creating-safety-culture-childrens-and-womens-health-centre-british-columbia
June 03, 2020 - The authors describe their application of several safety culture improvement strategies at their hospital … January 19, 2022
Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital … patient harm and hospital mortality across a hospital system. … October 27, 2010
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Children's Hospitals … Specialty Hospitals
Health Care Executives and Administrators
Organizational Behaviorists
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psnet.ahrq.gov/issue/epidemiology-prescribing-errors-potential-impact-computerized-prescriber-order-entry
May 04, 2010 - January 23, 2017
Patient and hospital characteristics associated with delayed diagnosis … the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to … October 21, 2020
ASHP national survey of pharmacy practice in hospital settings: prescribing … stewardship program in detection and intervention. … Surprise Wire
August 21, 2005
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Hospitals
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psnet.ahrq.gov/issue/disclosing-medical-mistakes-communication-management-plan-physicians
November 16, 2022 - January 12, 2022
Reflection on adverse event disclosure in the postsurgical hospital … hospital practice: factors associated with turnover, outcomes, and patient safety. … October 15, 2014
Unintended medication discrepancies at the time of hospital admission … April 18, 2016
Evaluation of interventions to improve inpatient hospital documentation … December 18, 2014
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Hospitals
Physicians
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psnet.ahrq.gov/issue/outcomes-classroom-based-team-training-interventions-multiprofessional-hospital-staff
April 24, 2018 - hospital error and adverse event surveillance. … January 4, 2017
6-PACK programme to decrease fall injuries in acute hospitals: cluster … hospital. … hospital mortality. … January 7, 2009
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Hospitals
Health
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psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
September 16, 2020 - Study
Classic
High nursing staff turnover in nursing homes … High nursing staff turnover in nursing homes offers important quality information. … High nursing staff turnover in nursing homes offers important quality information. … July 1, 2020
Correlation between hospital rating agencies' data: an analysis and recommendation … May 27, 2020
Assessment of nursing home reporting of major injury falls for quality measurement
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psnet.ahrq.gov/issue/perceptions-pediatric-hospital-safety-culture-united-states-analysis-2016-hospital-survey
January 19, 2022 - Study
Perceptions of pediatric hospital safety culture in the United States: an analysis … Perceptions of Pediatric Hospital Safety Culture in the United States: An Analysis of the 2016 Hospital … Perceptions of Pediatric Hospital Safety Culture in the United States: An Analysis of the 2016 Hospital … August 20, 2018
Electronic prescribing systems in hospitals to improve medication safety … children's hospitals.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript 9
Challenges in the ED … Reducing CAUTI in Hospitals
Obstacles to Change
Nurses are aware of the next step in the process … • We traditionally thought that a catheter was helpful in preventing falls because patients didn’t … catheter doesn’t eliminate the urge to urinate, and
tubing can actually contribute to tripping and falling … Hospitals Transcript 40
AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript
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www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript 9
Challenges in the ED … Reducing CAUTI in Hospitals
Obstacles to Change
Nurses are aware of the next step in the process … • We traditionally thought that a catheter was helpful in preventing falls because patients didn’t … catheter doesn’t eliminate the urge to urinate, and
tubing can actually contribute to tripping and falling … Hospitals Transcript 40
AHRQ Safety Program for Reducing CAUTI in Hospitals Transcript
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psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
March 14, 2023 - June 10, 2018
Survey shows room for improvement with three new best practices for hospitals … November 13, 2018
Families as partners in hospital error and adverse event surveillance … March 27, 2018
Estimating hospital-related deaths due to medical error: a perspective … November 1, 2012
What pilots can teach hospitals about patient safety. … August 5, 2008
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Hospitals
Facility
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psnet.ahrq.gov/issue/crisis-within-crisis
May 05, 2021 - July 6, 2022
Nearly all hospital pharmacists say drug shortages are negatively impacting … September 10, 2014
The secondary use of data to support medication safety in the hospital … general hospital. … June 7, 2023
Hospitals in two states denied an abortion to a miscarrying patient. … May 31, 2023
Why do so many Black women die in pregnancy?
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psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
January 06, 2017 - March 3, 2019
Racial disparities in pain management of children with appendicitis in … complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital … performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital … July 18, 2016
ASHP national survey of pharmacy practice in hospital settings: prescribing … Pharmacists
Quality and Safety Professionals
Mental Health Care (Psychiatry and Clinical Psychology)
Hospital
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psnet.ahrq.gov/issue/restoring-trust-va-health-care
June 21, 2016 - Commentary
Restoring trust in VA health care. … June 21, 2016
Hospital board and management practices are strongly related to hospital … July 15, 2020
Association between patient outcomes and accreditation in US hospitals: … June 5, 2019
Southern Baptist Hospital of Florida v. Charles. … September 29, 2017
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Hospitals
Ambulatory
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psnet.ahrq.gov/issue/developing-process-support-tools-patient-safety-finding-balance-between-validity-and
January 20, 2010 - January 20, 2010
Sustaining reductions in catheter related bloodstream infections in … June 16, 2019
Safer Hospital Care: Strategies for Continuous Innovation, Second Edition … July 25, 2012
Fall prevention in hospitals: an integrative review. … April 15, 2009
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Hospitals
Quality … and Safety Professionals
General Internal Medicine
Hospital Medicine
Quality Improvement Strategies
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psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
July 19, 2017 - January 12, 2022
Patient safety culture transformation in a children's hospital: an interprofessional … in secondary care: a qualitative study. … Acute Hospital Care Units
April 26, 2023
Leaving a discontinued FentaNYL infusion … a paediatric hospital. … September 24, 2014
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Hospitals
Nurses
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psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
March 13, 2024 - Implementation of prescription drug monitoring programs associated with reductions in … November 7, 2012
Fall prevention in hospitals: an integrative review. … February 29, 2012
Adoption of National Quality Forum safe practices by magnet hospitals … 30, 2011
Cascade iatrogenesis: factors leading to the development of adverse events in … September 23, 2009
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Hospitals
Nurses
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psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
December 07, 2016 - January 14, 2011
Patient safety monitoring in acute care in a decentralized national … among various hospital-based healthcare professionals and trainees in a simulated patient room. … February 6, 2019
Hospitals slow to adopt patient apology policies. … September 29, 2017
Day passes for vulnerable patients of psychiatric hospitals can have … April 6, 2016
Library-hospital pairing empowers patients, improves safety.
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psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
October 19, 2022 - their hospital. … October 19, 2022
Safety concerns of hospital-based new-to-practice registered nurses … hospital practice: factors associated with turnover, outcomes, and patient safety. … March 11, 2011
Preventing medication errors in hospitals through a systems approach and … January 27, 2009
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Hospitals
Physicians
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psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
February 24, 2016 - Related Resources From the Same Author(s)
Selected medication safety risks to manage in … March 7, 2018
Is an indication-based prescribing system in our future? … May 7, 2018
Hospitals installed more sinks to stop infections. … November 3, 2015
Fixing America's hospitals. … October 7, 2008
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Hospitals
Health
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
June 01, 2017 - Talking about it in meetings, talking about it in our daily huddles, being able to lead that
discussion … Now, the most senior
leader, the president of the hospital, the CEO, is probably not daily, but it's … Our frontline leaders definitely are rounding in their areas daily. … for me to snack on, and it became urban legend at our hospital over time and is now the
size of a … We look at falls, skin breakdown, CLABSI prevention, and
CAUTI prevention.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
January 01, 2017 - Postoperative deep vein thromboses, patient falls, and adverse drug events also yield significant additional … Hospitals around the country are focused on improving efficiency and reducing unnecessary costs. … reduction in ICU days, and a 6.3-day reduction in the total LOS in the hospital. … they spend in the ICU and in the hospital altogether. … length of stay in the ICU and the hospital through specific interventions.