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2881. Methods (continued, 3) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3b.html
      July 01, 2018 - Hospitals also may implement other specific efforts to increase family participation during the hospital … managing the transition from hospital to community were half as likely to be readmitted to hospitals … discussed several hospital-level strategies that hospitals could implement. 204 Although most of these … , medication safety, preventing falls, communicating with providers, clean hands). … hospital systems as well as individual hospitals.

2882. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
      June 02, 2025 - the hospital or emergency room AND/OR Take 5 or more medicines AND/OR Have a chronic condition. 5 … with the list in the EHR. … He did have a few falls from his bike and has started using a stationary bike instead. … angioplasty Discharged from hospital 4 days ago Unremarkable medical history prior to MI EHR lists: … Santiago was discharged from the hospital 4 days ago after a myocardial infarction and the placement

2883. Project Report - Lean Sigma (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/nurse_empower-slides/How-CUSP-Enables-Nurse-Empowerment-Nov-15-2011-508.ppt
      January 01, 2011 - frequently Permits daily focus on unit outcomes and lets recovery begin immediately from defects (i.e., falls … Slide * SICU Huddle Board * Slide * Surgical Unit Huddle Board Slide * Lessons for Your Hospital … * CLABSI Supplemental Call Series Joanne Timmel, MSN, RN, NE-BC Nurse Manager The John Hopkins Hospital … Issues became more rational rather than moral. * Slide * CUSP: How it Empowers Nurses in the Hospital … solve” problem rather than listen Being afraid of airing dirty laundry * Slide * Lessons for Your Hospital

2884. Learning from Errors in Ambulatory Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
      February 01, 2004 - , falls, equipment, and administration. … 5 percent of errors directly precipitated a hospital admission. … In one of the few studies documenting the epidemiology of medication errors in a children’s hospital … Problem type: Execution) “After discussing with an ER doc a 19-day-old patient being admitted to the hospital … (Problem type: Communication) Falls “Pt. got tetanus shot. Claimed to be OK after.

2885. 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.

2886. 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

2887. Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? | PSNet
      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 View More See More About The Topic Children's Hospitals

2888. Internal reporting system to improve a pharmacy's medication distribution process. | PSNet
      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 View More See More About The Topic Hospitals Pharmacists

2889. Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. | PSNet
      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.

2890. Correlation between hospital finances and quality and safety of patient care. | PSNet
      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?

2891. Impact of repeated reimbursement penalties on hospital total quality scores. | PSNet
      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

2892. Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review. | PSNet
      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

2893. Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. | PSNet
      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.

2894. "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. | PSNet
      psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences
      November 29, 2017 - hospitals in six European countries. … a tertiary hospital. … hospitals and federally qualified health centers. … October 4, 2023 The barriers and enhancers to trust in a just culture in hospital settings … Inpatient Harm January 5, 2021 View More See More About The Topic Hospitals

2895. A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/randomized-clinical-trial-compare-use-safety-net-enclosures-standard-restraints-agitated
      September 07, 2022 - July 29, 2020 Effect of medication reconciliation at hospital admission on 30-day returns … to hospital: a randomized clinical trial. … June 16, 2019 Safety in numbers? Try connectivity. … February 14, 2007 View More See More About The Topic Hospitals General … Internal Medicine Hospital Medicine Restraints Medical Device Design

2896. Predictors of adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals. | PSNet
      psnet.ahrq.gov/issue/predictors-adverse-events-and-medical-errors-among-adult-inpatients-psychiatric-units-acute
      November 06, 2019 - adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals … complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital … February 15, 2023 Incidence and method of suicide in hospitals in the United States. … September 27, 2017 Medication safety in a psychiatric hospital. … 2017 Clinical outcomes and mortality associated with weekend admission to psychiatric hospital

2897. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. | PSNet
      psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high
      August 30, 2017 - Pharmacists are increasingly leading hospital medication reconciliation programs. … a multistate hospital network--13 academic medical centers, April-June 2020. … August 19, 2015 Medication error reporting in rural critical access hospitals in the … rural hospitals. … October 28, 2010 View More See More About The Topic Hospitals Pharmacists

2898. Effect of computer order entry on prevention of serious medication errors in hospitalized children. | PSNet
      psnet.ahrq.gov/issue/effect-computer-order-entry-prevention-serious-medication-errors-hospitalized-children
      May 27, 2011 - July 29, 2020 Families as partners in hospital error and adverse event surveillance. … June 17, 2020 Pediatric medication safety in adult community hospital settings: a glimpse … February 22, 2017 Interventions for reducing medication errors in children in hospital … October 28, 2015 Decrease in hospital-wide mortality rate after implementation of a commercially … May 26, 2011 View More See More About The Topic Hospitals Pediatrics

2899. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet
      psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
      May 19, 2021 - hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. … March 12, 2025 Hospital rating organizations' quality and patient safety scores: analysis … February 22, 2023 Association of hospital public quality reporting with electronic health … May 12, 2010 Adverse Events in Hospitals: Public Disclosure of Information About Events … Health Care Executives and Administrators Quality and Safety Professionals Hospital Medicine

2900. Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. | PSNet
      psnet.ahrq.gov/issue/assessment-fidelity-interventions-improve-hand-hygiene-healthcare-workers-systematic-review
      June 02, 2019 - July 13, 2016 6-PACK programme to decrease fall injuries in acute hospitals: cluster … February 14, 2017 Strategies for improving patient safety culture in hospitals: a systematic … a just culture in hospital settings: a systematic review. … August 17, 2022 Ranking hospitals based on preventable hospital death rates: a systematic … of patients with communication disabilities in hospital.