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psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
June 16, 2012 - care in the United States, culminating in the release of this three-volume report. … Each report respectively addresses and creates a vision for the future of hospital-based emergency care … The volumes are entitled Hospital-Based Emergency Care: At the Breaking Point ; Emergency Medical Services … June 7, 2023
Hospitals in two states denied an abortion to a miscarrying patient. … Hospitals and Emergency Departments, 2008.
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psnet.ahrq.gov/issue/reversing-rise-maternal-mortality
January 18, 2017 - Reversing The Rise In Maternal Mortality. … Reversing The Rise In Maternal Mortality. … July 29, 2020
Why do hospital prescribers continue antibiotics when it is safe to stop … Medication reconciliation accuracy and patient understanding of intended medication changes on hospital … October 11, 2017
Realist synthesis of intentional rounding in hospital wards: exploring
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psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
March 02, 2012 - This review highlights common safety gaps in home cancer care . … hospitals: an integrative review. … March 2, 2012
Hospital implementation of computerized provider order entry systems: results … hospital practice: factors associated with turnover, outcomes, and patient safety. … January 15, 2014
Achieving rapid door-to-balloon times: how top hospitals improve complex
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psnet.ahrq.gov/issue/situational-awareness-what-it-means-clinicians-its-recognition-and-importance-patient-safety
July 10, 2017 - Situational awareness—what it means for clinicians, its recognition and importance in … October 19, 2022
Families as partners in hospital error and adverse event surveillance … April 17, 2019
Diagnostic Error in Medicine. … October 9, 2013
Fall prevention in hospitals: an integrative review. … March 2, 2012
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Hospitals
Physicians
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psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
May 06, 2009 - May 28, 2014
Errors in otolaryngology revisited. … November 26, 2014
An inpatient fall prevention initiative in a tertiary care hospital … May 6, 2009
Characteristics of medication errors and adverse drug events in hospitals … participating in the California Pediatric Patient Safety Initiative. … November 12, 2008
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Specialty Hospitals
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psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department
March 04, 2015 - Patient Safety Event Reporting in a Large Radiology Department. … This commentary describes how one hospital radiology department implemented a Web-based reporting system … August 2, 2015
Incidence and trends of sepsis in US hospitals using clinical vs claims … October 12, 2011
Fall prevention in acute care hospitals: a randomized trial. … July 14, 2010
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General Hospitals
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psnet.ahrq.gov/issue/role-intraoperative-cholangiography-avoiding-bile-duct-injury
December 13, 2023 - Role of intraoperative cholangiography in avoiding bile duct injury. … Resources From the Same Author(s)
Risk-adjusted cumulative sum for early detection of hospitals … Washington State hospitals. … multistate hospital network--13 academic medical centers, April-June 2020. … care in high-stakes clinical setting of cardiac surgery.
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psnet.ahrq.gov/issue/effect-pharmacist-adverse-drug-events-and-medication-errors-outpatients-cardiovascular
July 31, 2013 - Study
Effect of a pharmacist on adverse drug events and medication errors in outpatients … August 20, 2018
Families as partners in hospital error and adverse event surveillance … multistate hospital network--13 academic medical centers, April-June 2020. … October 19, 2022
Effect of a rapid response team on the incidence of in-hospital mortality … October 30, 2019
Community pharmacy medication review, death and re-admission after hospital
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psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-putting-patients-risk
August 04, 2021 - Excessive work hours of physicians in training in El Salvador: putting patients at risk. … August 4, 2021
Hospital medication errors: a cross sectional study. … hospital practice: factors associated with turnover, outcomes, and patient safety. … July 15, 2013
Changes in hospital mortality associated with residency work-hour regulations … July 5, 2008
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Hospitals
Physicians
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psnet.ahrq.gov/issue/twenty-fourseven-mixed-method-systematic-review-shift-literature
March 10, 2021 - September 29, 2017
Causes of medication administration errors in hospitals: a systematic … September 19, 2016
Suicide in the medical setting. … September 19, 2016
What is known about adverse events in older medical hospital inpatients … November 7, 2012
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Hospitals
Health … Care Executives and Administrators
General Internal Medicine
Hospital Medicine
Psychological
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
September 09, 2014 - John Hospital & Medical Center, both in Detroit, Michigan. … We think it’s part of being in the hospital. … and auxiliary acute hospitals. … This is seen in acute care setting but also in the long-term acute care hospitals and nursing homes in … We know, of course, that having catheter in could lead to falls, but having a catheter out can also theoretically
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
November 01, 2015 - John Hospital & Medical Center, both in Detroit, Michigan. … We think it's part of being in the hospital. … and auxiliary acute hospitals. … This is seen in acute care setting but also in the long-term acute care hospitals and nursing homes in … We know, of course, that having catheter in could lead to falls, but having a catheter out can also theoretically
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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
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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
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - The system at Harvard Vanguard had 15 offices; we did deliveries in 5 hospitals and had 4 more for just … And EHR certainly falls into that. … They were in the best position in terms of having hospitals that they were actively affiliated with at … Nobody who's going to die should die in a tertiary care hospital unless it's their neighborhood hospital … Hospital consolidation: "safety in numbers" strategy prevails in preparation for a value-based marketplace
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - In addition, travel nurses represent, on average, about 3–4% of hospitals’ overall nurse staffing. 8 … In August 2021, agency nurses accounted for 8–10% of hospital staffing. 8 However, this high utilization … falls, and medication errors on the basis of nurse experience, as well as on agency and travel nurse … hospital units. … hospital governance.
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psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
June 16, 2021 - In hospital and long-term care settings, pressure ulcers are considered preventable complications, but … hospital practice: factors associated with turnover, outcomes, and patient safety. … Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. … July 20, 2022
6-PACK programme to decrease fall injuries in acute hospitals: cluster … May 9, 2012
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Hospitals
Health Care
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psnet.ahrq.gov/issue/mobile-situ-obstetric-emergency-simulation-and-teamwork-training-improve-maternal-fetal
July 09, 2008 - maternal–fetal safety in hospitals. … in hospitals. … The program has been utilized successfully at multiple rural and community hospitals in Oregon. … in hospitals. … July 9, 2008
Families as partners in hospital error and adverse event surveillance.
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psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia
May 06, 2009 - a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition … from the hospital to home. … Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital … a paediatric hospital. … March 22, 2006
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Children's Hospitals
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psnet.ahrq.gov/issue/pediatric-obesity-and-safety-inpatient-settings-systematic-literature-review
November 12, 2014 - November 12, 2014
Families as partners in hospital error and adverse event surveillance … hospital practice: factors associated with turnover, outcomes, and patient safety. … Veterans Affairs hospitals. … in 93 pediatric hospitals. … May 14, 2014
How can we keep patients with dementia safe in our acute hospitals?
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psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
September 01, 2025 - Based on a national sample of hospitals, this study explored the impact of hospital visitation restrictions … Results indicate that hospitals with closed visitations experienced larger performance deficits across … The COVID-19 pandemic has disrupted many aspects of health care delivery, including how hospitals prevent … common hospital-acquired conditions such as pressure injuries. … Based on retrospective data, the authors of this study did not identify a longitudinal increase in hospital-acquired