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2801. Why admitting to mistakes can help doctors (and patients). | PSNet
      psnet.ahrq.gov/issue/why-admitting-mistakes-can-help-doctors-and-patients
      September 13, 2023 - The CANDOR system is highlighted in this presentation by one of the originators of the concept as a … October 25, 2023 The hospital ran out of her child's cancer drug. … DeBakey VA Medical Center in Houston, Texas. … September 28, 2022 Disrespectful behavior in healthcare: has it improved? … October 21, 2021 View More See More About The Topic Hospitals Long-Term

2802. Think you can't make medication errors? | PSNet
      psnet.ahrq.gov/issue/think-you-cant-make-medication-errors
      March 01, 2023 - July 22, 2020 Why hospitals want patients to ask doctors, 'Have you washed your hands … 23, 2013 Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals … March 15, 2022 Disrespectful behavior in healthcare: has it improved? … April 5, 2017 Selected medication safety risks to manage in 2016 that might otherwise … We ALL have a role in prevention! August 21, 2013 Q: What scares doctors?

2803. Antifatness in the surgical setting. | PSNet
      psnet.ahrq.gov/issue/antifatness-surgical-setting
      October 12, 2022 - Newspaper/Magazine Article Antifatness in the surgical setting. … Citation Text: Antifatness in the surgical setting. Andreou A. Scientific American. … June 8, 2022 For children admitted to hospital, what interventions improve medication … April 14, 2021 Coronavirus strains hospitals, cancer patients face treatment delays, … April 8, 2020 In just a flash, simple surgery can turn deadly.

2804. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
      January 01, 2024 - Aim 3: Hospital leaders think mandatory reporting discourages adverse event reporting in their hospitals … Adjustments to the sample included under-sampling reported falls to insure inclusion of all rarer types … A larger percentage of these incidents were falls involving fracture, but not death of the patient, … The hospitals were selected from hospital association lists or from the AHA Guide to Hospitals 2001- … hospital status (five hospitals - pediatrics, cancer, eye and ear, hospice), closure (two hospitals

2805. Potentiality of algorithms and artificial intelligence adoption to improve medication management in primary care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/potentiality-algorithms-and-artificial-intelligence-adoption-improve-medication-management
      July 27, 2022 - Potentiality of algorithms and artificial intelligence adoption to improve medication management in … This review focuses on AI used to reduce medication errors in the primary care setting. … February 9, 2022 Inappropriate hospital admission as a risk factor for the subsequent … September 13, 2023 Do falls and other safety issues occur more often during handovers … September 11, 2013 Receptionist input to quality and safety in repeat prescribing in

2806. Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. | PSNet
      psnet.ahrq.gov/issue/inviting-patients-identify-diagnostic-concerns-through-structured-evaluation-their-online
      March 03, 2021 - This study asked patients who may be “at-risk” for diagnostic error about perceived concerns in their … 2020 A program to provide clinicians with feedback on their diagnostic performance in … error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in … older adults with a history of falls: a qualitative study. … November 25, 2020 Information transfer at hospital discharge: a systematic review.

2807. Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
      December 01, 2012 - 1,290 1,542   Max 9,705 9,543 3,880 11,437 19,518 10,881 9,572 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … a given quarter; people on managed care plans; and people in the States of Arizona, Maine, Washington … Eligibility for Medicare defined as inclusion in Medicare Denominator File. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare.

2808. Delayed time to defibrillation after in-hospital cardiac arrest. | PSNet
      psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospital-cardiac-arrest
      June 08, 2010 - Study Classic Delayed time to defibrillation after in-hospital … Delayed time to defibrillation after in-hospital cardiac arrest. … the in-hospital arrest. … Delayed time to defibrillation after in-hospital cardiac arrest. … June 8, 2010 Survival from in-hospital cardiac arrest during nights and weekends.

2809. Support from hospital to home for elders: a randomized trial. | PSNet
      psnet.ahrq.gov/issue/support-hospital-home-elders-randomized-trial
      November 30, 2016 - Support from hospital to home for elders: a randomized trial. … after discharge are a continued patient safety problem, as evidenced by the fact that more than 2500 hospitals … This randomized controlled trial, conducted in an urban safety net hospital, found that such an approach … October 16, 2012 The effect of medication reconciliation in elderly patients at hospital … Another Fall April 1, 2003 View More See More About The Topic Hospitals

2810. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. | PSNet
      psnet.ahrq.gov/issue/responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff
      April 27, 2010 - The role of hospital boards in safety and quality improvement was discussed in an AHRQ WebM&M perspective … April 27, 2010 Improving patient safety in intensive care units in Michigan. … October 14, 2015 Fall prevention in hospitals: an integrative review. … February 16, 2011 The Patient Safety Initiative at America’s Public Hospitals: The Year … November 11, 2009 View More See More About The Topic Hospitals Health

2811. Medication reconciliation improvement utilizing process redesign and clinical decision support. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-improvement-utilizing-process-redesign-and-clinical-decision
      November 16, 2022 - hospital. … pneumonia in 284 US hospitals using electronic surveillance criteria. … a children's hospital. … October 28, 2015 Decrease in hospital-wide mortality rate after implementation of a commercially … April 13, 2011 Hospital admission medication reconciliation in medically complex children

2812. Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. | PSNet
      psnet.ahrq.gov/issue/frequency-and-severity-parenteral-nutrition-medication-errors-large-childrens-hospital-after
      April 11, 2011 - Frequency and severity of parenteral nutrition medication errors at a large children's hospital … Frequency and Severity of Parenteral Nutrition Medication Errors at a Large Children's Hospital After … Frequency and Severity of Parenteral Nutrition Medication Errors at a Large Children's Hospital After … December 22, 2018 Hospital admission medication reconciliation in medically complex children … June 16, 2009 View More See More About The Topic Children's Hospitals

2813. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. | PSNet
      psnet.ahrq.gov/issue/effects-educational-patient-safety-campaign-patients-safety-behaviours-and-adverse-events
      November 05, 2013 - the hospital setting: a prospective observational study. … December 16, 2013 Hospital discharge documentation and risk of rehospitalisation. … November 2, 2010 Lack of patient knowledge regarding hospital medications. … August 21, 2007 View More See More About The Topic Hospitals Health … Care Providers Patients General Internal Medicine Hospital Medicine View More

2814. CUSP Helps University of Wisconsin Hospital and Clinics Reduce Healthcare-Associated Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201413.html
      August 01, 2014 - CUSP Helps University of Wisconsin Hospital and Clinics Reduce Healthcare-Associated Infections Search … after implementing AHRQ's Comprehensive Unit-based Safety Program (CUSP), the University of Wisconsin Hospital … and Clinics (UWHC) was awarded the 2013 Partnership in Prevention award for its achievement in significantly … HAIs are one of the most common complications of hospital care. … It has since been introduced throughout the hospital, and "we have applied it to other infections," says

2815. Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate. | PSNet
      psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations
      May 11, 2016 - March 18, 2020 Case outcomes in a communication-and-resolution program in New York hospitals … hospitals: stakeholders, contributory factors, and leverage points. … February 22, 2023 Combined impact of Medicare's hospital pay for performance programs … June 5, 2019 Readmissions, observation, and the Hospital Readmissions Reduction Program … conditions in rural and nonrural US hospitals.

2816. A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. | PSNet
      psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-programmatic-change-duty
      July 19, 2023 - August 4, 2021 Families as partners in hospital error and adverse event surveillance. … multistate hospital network--13 academic medical centers, April-June 2020. … March 19, 2019 Incidence and trends of sepsis in US hospitals using clinical vs claims … March 13, 2019 Changes in hospital mortality associated with residency work-hour regulations … October 1, 2008 View More See More About The Topic General Hospitals

2817. El Camino Hospital: using health information technology to promote patient safety. | PSNet
      psnet.ahrq.gov/issue/el-camino-hospital-using-health-information-technology-promote-patient-safety
      March 06, 2013 - Award Recipient El Camino Hospital: using health information technology to promote … El Camino Hospital: Using Health Information Technology to Promote Patient Safety. … El Camino Hospital: Using Health Information Technology to Promote Patient Safety. … July 14, 2021 Frequency of medication administration timing error in hospitals: a systematic … critical access hospitals.

2818. High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool. | PSNet
      psnet.ahrq.gov/issue/high-alert-medication-stratification-tool-revised-exploratory-study-objective-standardized
      September 23, 2020 - a multistate hospital network--13 academic medical centers, April-June 2020. … October 25, 2017 Identifying high-alert medications in a university hospital by applying … December 12, 2014 An in-depth analysis of medication errors in hospitalized patients … May 18, 2011 Medication safety program reduces adverse drug events in a community hospital … June 16, 2009 View More See More About The Topic Hospitals Health Care

2819. Safe use of electronic health records and health information technology systems: trust but verify. | PSNet
      psnet.ahrq.gov/issue/safe-use-electronic-health-records-and-health-information-technology-systems-trust-verify
      August 02, 2015 - Health information technology (IT) safety is the greatest concern of health care leaders in this study … November 16, 2022 Medication-related clinical decision support in computerized provider … September 20, 2011 Association of diagnostic stewardship for blood cultures in critically … in the medication reconciliation process using tablet computers. … February 27, 2009 View More See More About The Topic Hospitals Health

2820. Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. | PSNet
      psnet.ahrq.gov/issue/failure-recognize-newly-identified-aortic-dilations-health-care-system-advanced-electronic
      August 04, 2021 - a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020 Effects of weekend admission and hospital teaching status on in-hospital … March 14, 2022 Families as partners in hospital error and adverse event surveillance. … Lessons learned from implementation of a computerized application for pending tests at hospital … August 3, 2010 View More See More About The Topic General Hospitals