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psnet.ahrq.gov/issue/enhancing-pediatric-safety-using-simulation-assess-radiology-resident-preparedness
July 08, 2009 - care units and hospital emergency services. … Developing a programme for medication reconciliation at the time of admission into hospital … in 38 countries (PRICOV-19). … an outpatient hospital pharmacy. … December 30, 2014
Medication errors in the management of anaphylaxis in a pediatric emergency
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psnet.ahrq.gov/issue/patient-identification-and-tube-labelling-call-harmonisation
April 29, 2020 - Specimen labeling errors can result in patient misidentification and harm. … critical care units and hospital emergency services. … Developing a programme for medication reconciliation at the time of admission into hospital … December 14, 2016
Inappropriate hospital admission as a risk factor for the subsequent … December 30, 2014
Preparing your hospital for compliance with The Joint Commission's
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psnet.ahrq.gov/issue/error-disclosure-and-family-members-reactions-does-type-error-really-matter
March 08, 2023 - In this study, Italian physicians were videotaped in a simulated scenario of error disclosure to a … July 28, 2010
Hospital nurse staffing and patient mortality, emotional exhaustion, and … September 11, 2019
Mary Lanning Memorial Hospital: communication is key. … November 21, 2016
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Hospitals
Family … Members and Caregivers
Hospital Medicine
Epidemiology of Errors and Adverse Events
Patient
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psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit
September 02, 2020 - Making care better in the pediatric intensive care unit. … The authors discuss the development of bundles to reduce hospital-acquired infections and standardize … Citation
Related Resources From the Same Author(s)
Cold debriefings after in-hospital … use in opioid-naïve patients. … August 27, 2008
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Children's Hospitals
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psnet.ahrq.gov/issue/patient-identification-errors-detective-laboratory
March 09, 2022 - Although electronic test ordering resulted in fewer patient identification errors in a clinical laboratory … January 12, 2022
Inappropriate hospital admission as a risk factor for the subsequent … Developing a programme for medication reconciliation at the time of admission into hospital … critical care units and hospital emergency services. … February 18, 2011
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Hospitals
Ambulatory
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psnet.ahrq.gov/issue/beyond-prescription-medication-monitoring-and-adverse-drug-events-older-adults
August 04, 2021 - Commentary
Beyond the prescription: medication monitoring and adverse drug events in … Beyond the prescription: medication monitoring and adverse drug events in older adults. … April 28, 2021
Adverse events in long-term care residents transitioning from hospital … December 31, 2014
Impact of vendor computerized physician order entry in community hospitals … August 8, 2018
Preparing your hospital for compliance with The Joint Commission's National
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psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care
July 16, 2015 - Identification and Characterization of Adverse Drug Events in Primary Care. … Adverse drug events are prevalent in outpatient care . … July 31, 2019
Families as partners in hospital error and adverse event surveillance. … Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals … Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital
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psnet.ahrq.gov/issue/understanding-cognitive-work-nursing-acute-care-environment
July 20, 2022 - Understanding the cognitive work of nursing in the acute care environment. … Understanding the cognitive work of nursing in the acute care environment. … , 2022
Nurses' harm prevention practices during admission of an older person to the hospital … July 21, 2021
Fall prevention implementation strategies in use at 60 United States hospitals … September 24, 2016
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Hospitals
Nurses
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psnet.ahrq.gov/issue/safety-home-healthcare-sector-development-new-household-safety-checklist
July 29, 2020 - multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … in home care related to patient safety: a cross-sectional survey. … during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital … January 21, 2019
Adverse drug events and medication problems in "Hospital at Home" patients
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psnet.ahrq.gov/issue/resident-duty-hour-reform-associated-increased-morbidity-following-hip-fracture
October 19, 2022 - with changes in mortality , the association appeared to be accelerated in the teaching setting. … December 4, 2014
Postoperative opioid prescribing and the pain scores on Hospital Consumer … December 21, 2014
The impact of resident duty hour reform on hospital readmission rates … July 21, 2010
Prolonged hospital stay and the resident duty hour rules of 2003. … May 20, 2009
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Hospitals
Health Care
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psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography
March 04, 2015 - patient photographs in their interpretation of portable chest radiographs. … November 4, 2015
Families as partners in hospital error and adverse event surveillance … hospital practice: factors associated with turnover, outcomes, and patient safety. … : evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital … April 29, 2009
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Hospitals
Health
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psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors
October 11, 2023 - September 18, 2024
Patient safety, satisfaction, and quality of hospital care: cross … sectional surveys of nurses and patients in 12 countries in Europe and the United States. … July 29, 2020
Nurse staffing and education and hospital mortality in nine European countries … November 21, 2021
Clinical deterioration as a nurse sensitive indicator in the out-of-hospital … from the hospital to the nursing home: a pilot quality improvement project.
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psnet.ahrq.gov/issue/impact-and-culture-change-after-implementation-preprocedural-checklist-interventional
May 05, 2021 - Impact and culture change after the implementation of a preprocedural checklist in … checklist was successfully implemented and well received by interventional radiology staff at a Canadian hospital … hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital … patient photographs in their interpretation of portable chest radiographs. … X-ray Flip
February 1, 2004
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Hospitals
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psnet.ahrq.gov/issue/healthcare-resilience-meta-narrative-systematic-review-and-synthesis-reviews
June 10, 2020 - Correlation between 24-hour predischarge opioid use and amount of opioids prescribed at hospital … April 16, 2018
Diagnostic errors in paediatric cardiac intensive care. … clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital … December 13, 2023
Patient safety in dermatology: a ten-year update. … September 16, 2020
Hospital- and system-wide interventions for health care-associated
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psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database
March 20, 2019 - A centralized transfusion service maintains transfusion records for 16 hospitals in the Pittsburgh area … November 26, 2008
Hospital leadership and quality improvement: rhetoric versus reality … trusts in England 1995-2005. … October 22, 2014
Hospital-based transfusion error tracking from 2005 to 2010: identifying … July 1, 2009
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Hospitals
Health Care
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psnet.ahrq.gov/issue/medication-administration-variances-and-after-implementation-computerized-physician-order
July 19, 2023 - Medication administration variances before and after implementation of computerized physician order entry in … hospital practice: factors associated with turnover, outcomes, and patient safety. … acute care hospitals. … April 22, 2015
Impact of a hospital-wide hand hygiene initiative on healthcare-associated … 30, 2014
Implementing the RISE second victim support programme at the Johns Hopkins Hospital
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psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
May 11, 2014 - January 26, 2022
Surgical fire in the United States: 2000-2020. … service designed to improve medication safety for patients with monitored dosage systems following hospital … Medication Safety
March 31, 2022
Effects of individual nurse and hospital … May 22, 2013
Fall prevention in hospitals: an integrative review. … February 11, 2009
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Hospitals
Physicians
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psnet.ahrq.gov/issue/dispensing-error-rates-pharmacy-systematic-review-and-meta-analysis
June 10, 2020 - a global pooled prevalence of medication dispensing errors of 1.6% (range, 0-33%) across community, hospital … March 7, 2018
Families as partners in hospital error and adverse event surveillance. … December 6, 2017
Error traps in pediatric patient blood management in the perioperative … Dangerous Dapsone
June 1, 2004
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Hospitals … Outpatient Pharmacy
Hospital Pharmacy
Community Pharmacy
Dispensing Errors
View
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psnet.ahrq.gov/issue/influence-burnout-patient-safety-systematic-review-and-meta-analysis
August 16, 2023 - August 16, 2023
Recommendations for the safety of hospitalised patients in the context … April 14, 2021
Errors in the administration of intravenous medication in Brazilian hospitals … hospital settings: a scoping review. … : a repeated cross-sectional intervention study at two hospital sites. … October 23, 2019
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General Hospitals
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psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
September 01, 2016 - March 13, 2015
Medication-related emergency department visits and hospital admissions … : a prospective chart review in the Netherlands. … November 9, 2011
Anticoagulant medication errors in hospitals and primary care: a cross-sectional … hospital procedural units. … maternal morbidity and mortality in the United States.