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psnet.ahrq.gov/issue/closing-safety-loop-evaluation-national-patient-safety-agencys-guidance-regarding-wristband
April 14, 2011 - : evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital … for wristband identification in 2005. … February 6, 2014
Interdisciplinary teamwork in hospitals: a review and practical recommendations … December 29, 2014
An exploratory study of knowledge brokering in hospital settings: facilitating … December 3, 2008
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Hospitals
Health
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psnet.ahrq.gov/issue/use-electronic-information-system-identify-adverse-events-resulting-emergency-department
March 13, 2015 - March 13, 2015
Medication-related emergency department visits and hospital admissions … in pediatric patients: a qualitative systematic review. … and adverse events in older patients admitted to hospital: a retrospective cohort study. … a Canadian tertiary hospital. … View More
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Emergency Departments
Specialty Hospitals
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psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation
June 07, 2023 - July 19, 2023
The cost of serious fall-related injuries at three midwestern hospitals … environment: a study of 484 COVID-19-related event reports across 94 hospitals
September 1, 2021 … of care between hospital discharge and primary care follow-up. … February 23, 2011
A 5-year analysis of rapid response system activation at an in-hospital … June 17, 2009
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Hospitals
Health Care
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psnet.ahrq.gov/issue/omitted-and-unjustified-medications-discharge-summary
May 18, 2022 - multistate hospital network--13 academic medical centers, April-June 2020. … July 14, 2010
Patient whiteboards as a communication tool in the hospital setting: A … August 19, 2009
Errors and omissions in hospital prescriptions: a survey of prescription … writing in a hospital. … April 8, 2009
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General Hospitals
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psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
June 29, 2011 - January 22, 2016
Changes in cancer detection and false-positive recall in mammography … a multistate hospital network--13 academic medical centers, April-June 2020. … differences in patient safety between Medicaid and privately insured hospital patients. … September 18, 2024
Perceptions of hospital electronic health record (EHR) training, support … September 11, 2024
Relationships between medications used in a mental health hospital
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psnet.ahrq.gov/issue/cost-effectiveness-electronic-medication-ordering-and-administration-system-reducing-adverse
June 01, 2012 - multistate hospital network--13 academic medical centers, April-June 2020. … internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals … an outpatient hospital pharmacy. … Massachusetts Hospitals. … August 15, 2007
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Hospitals
Hospital
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psnet.ahrq.gov/issue/deploying-six-sigma-health-care-system-work-progress
March 04, 2011 - Citation
Related Resources From the Same Author(s)
Steering patients to safer hospitals … The effect of a tiered hospital network on hospital admissions. … March 4, 2011
Hospital responses to the Leapfrog Group in local markets. … March 19, 2019
Differences in safety climate among hospital anesthesia departments and … December 19, 2018
Engaging hospital patients in the medication reconciliation process
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psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
October 31, 2018 - Study
Improving medication management through the redesign of the hospital code cart … Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. … Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. … hospital practice: factors associated with turnover, outcomes, and patient safety. … June 25, 2018
Human factors and simulation in emergency medicine.
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psnet.ahrq.gov/issue/interdisciplinary-icu-cardiac-arrest-debriefing-improves-survival-outcomes
September 02, 2020 - Citation
Related Resources From the Same Author(s)
Cold debriefings after in-hospital … September 2, 2020
Survival from in-hospital cardiac arrest during nights and weekends … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital. … situ simulation to improve in-hospital cardiopulmonary resuscitation.
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psnet.ahrq.gov/web-mm/poor-prognosis
March 15, 2016 - community hospitals suggest that cancer explains only 5% to 6.5% ( 12,13 ) of nodules. … Lamont, MD, MS Assistant Professor of Medicine Harvard Medical School Massachusetts General Hospital … Related Resources
Patient Safety Innovations
Preventing Falls … 2023
WebM&M Cases
Preventable Transfer to the Hospital … Dropped Lung
May 1, 2003
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Hospitals
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psnet.ahrq.gov/issue/polypharmacy-and-potentially-inappropriate-medication-people-dementia-nationwide-study
March 06, 2012 - older adults with a history of falls: a qualitative study. … in care homes: a retrospective analysis. … living in nursing homes: a systematic review. … September 27, 2016
The effect of medication reconciliation in elderly patients at hospital … long-term care facilities in Germany.
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psnet.ahrq.gov/issue/use-paediatric-early-warning-systems-great-britain-has-there-been-change-practice-last-7
September 23, 2020 - Although only a minority of British children's hospitals had a formal rapid response team , this survey … a multistate hospital network--13 academic medical centers, April-June 2020. … November 21, 2016
Cost-benefit analysis of a medical emergency team in a children's hospital … outside the ICU in a children’s hospital. … December 1, 2008
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Children's Hospitals
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psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
October 31, 2017 - The authors found that a departmental reporting system implemented in the pharmacy of a rural hospital … multistate hospital network--13 academic medical centers, April-June 2020. … reconciliation interventions between six hospitals: a mixed method study. … Small and rural hospitals—unique challenges, unique solutions. … June 25, 2010
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Hospitals
Pharmacists
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psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated-increased-cost-length
September 07, 2016 - Researchers identified a set of 138 hospital-acquired conditions, which they found to be present in 16% … of inpatient admissions, much higher than the 1% of admissions in which standard hospital-acquired conditions … US hospitals. … to heart failure readmissions: a cross-sectional study of US hospitals. … November 3, 2015
Compensation of chief executive officers at nonprofit US hospitals.
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psnet.ahrq.gov/issue/correlation-between-hospital-finances-and-quality-and-safety-patient-care
January 12, 2022 - hospitals. … May 4, 2022
Changes in hospital-acquired conditions and mortality associated with the … October 21, 2020
Changes in hospital safety following penalties in the US Hospital Acquired … July 24, 2019
Hospital characteristics associated with penalties in the Centers for Medicare … March 4, 2011
Does the patient's payer matter in hospital patient safety?
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/usptf-annual-report-congress-2018%20(1).pdf
January 01, 2018 - Massachusetts General
Hospital. … She is also a psychologist in the
Department of Psychiatry at New York Presbyterian Hospital/
Columbia … at Increased Risk for Falls
The USPSTF recommends exercise interventions to prevent falls in community-dwelling … falls. … risk for falls.
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www.ahrq.gov/ncepcr/tools/public-reporting/guide2.html
June 01, 2017 - in health care, including in hospitals, can be described as "doing the right thing, at the right time … This report provides information on how well all the hospitals in [community/state] care for patients … Some hospitals are better than others. … Hospitals vary in how well they protect patients from these risks. … while in the hospital.
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psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores
November 16, 2022 - The Hospital-Acquired Condition (HAC) Reduction Program (HACRP) assesses penalties on hospitals with … When considering all hospitals, repeated HACRP penalties resulted in improved HAC scores. … October 19, 2012
Uncertain diagnoses in a children's hospital: patient characteristics … March 20, 2024
Assessing the excess costs of the in-hospital adverse events covered by … May 17, 2023
Changes in hospital-acquired conditions and mortality associated with the
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psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal
March 14, 2012 - Review
Informal learning from error in hospitals: what do we learn, how do we learn … Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning … This commentary examines opportunities to learn from errors in hospitals and outlines recommendations … bar-code-assisted medication administration in hospitals. … January 22, 2014
Drug administration errors in hospital inpatients: a systematic review
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psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents-empirical-evidence
May 18, 2022 - September 25, 2011
How dangerous is a day in hospital? … October 16, 2012
Adverse event rates as measures of hospital performance. … a multistate hospital network--13 academic medical centers, April-June 2020. … June 19, 2024
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications … : a medical record review across nine Swiss hospitals.