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psnet.ahrq.gov/issue/ahrq-announces-interest-health-services-research-reduce-emergency-department-boarding-and
November 12, 2008 - reduce emergency department boarding and hospital crowding. … and hospital crowding. … health services research to reduce emergency department boarding and hospital crowding. … Safety Risks and Harms in Ambulatory Health Care Settings. … September 27, 2023
WebM&M Cases
Walking Out of a Hospital
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psnet.ahrq.gov/issue/peer-support-nurses-second-victims-resilience-burnout-and-job-satisfaction
March 03, 2019 - This study describes the nurse utilization of the Resilience in Stressful Events (RISE) peer support … 3, 2021
Implementing the RISE second victim support programme at the Johns Hopkins Hospital … January 26, 2022
Perceptions of nurses who are second victims in a hospital setting. … care units and hospital emergency services. … October 31, 2011
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Hospitals
Nurse
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psnet.ahrq.gov/issue/developing-framework-nursing-handover-emergency-department-individualised-and-systematic
October 06, 2016 - In this mixed-methods study of nursing handoffs in the emergency department, 96% of participants felt … October 12, 2016
Families as partners in hospital error and adverse event surveillance … April 24, 2018
Measuring hospital-acquired complications associated with low-value care … April 22, 2015
Review article: improving the hospital clinical handover between paramedics … and emergency department staff in the deteriorating patient.
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psnet.ahrq.gov/issue/corridor-care-emergency-department-managing-patient-care-non-clinical-areas-safely-and
May 19, 2021 - Commentary
'Corridor care' in the emergency department: managing patient care in … ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently … ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently … of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals … getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital
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psnet.ahrq.gov/issue/charter-professionalism-health-care-organizations
May 25, 2016 - 2016
Physician and nurse well-being and preferred interventions to address burnout in … hospital practice: factors associated with turnover, outcomes, and patient safety. … July 19, 2023
Families as partners in hospital error and adverse event surveillance. … April 10, 2019
The dilemma of patient safety work: perceptions of hospital middle managers … June 27, 2018
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Hospitals
Health Care
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psnet.ahrq.gov/issue/using-portable-digital-technology-clinical-care-and-critical-incidents-new-model
June 29, 2011 - The model has been successfully introduced in several Australian hospitals. … an Australian hospital. … COVID-19 pandemic on cancer survival in the UK: a modelling study. … a Japanese hospital. … September 21, 2005
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Hospitals
Health
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psnet.ahrq.gov/issue/idea-safety-training-improve-critical-thinking-individuals-and-teams
May 25, 2016 - September 1, 2016
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … December 6, 2018
Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals. … February 28, 2011
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Hospitals
Health
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psnet.ahrq.gov/issue/inpatient-housestaff-discontinuity-care-and-patient-adverse-events
July 02, 2008 - Safe handoffs have become even more essential in the era of resident duty hour restrictions . … a multistate hospital network--13 academic medical centers, April-June 2020. … June 21, 2023
Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022
Prevalence and causes of diagnostic errors in hospitalized patients … December 7, 2009
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Hospitals
Educators
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psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health-administration-facilities
April 26, 2006 - January 24, 2024
Deficiencies in Quality Management Processes and Delays in the Communication … Truman Memorial Veterans' Hospital in Columbia, Missouri. … August 2, 2012
Fall prevention in hospitals: an integrative review. … June 16, 2011
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Hospitals
Nurse Managers … Quality and Safety Professionals
General Internal Medicine
Hospital Medicine
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psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study
February 24, 2010 - September 27, 2016
The dilemma of patient safety work: perceptions of hospital middle … September 24, 2016
Overnight stay in the emergency department and mortality in older … November 29, 2023
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … 12, 2022
The work of nurses to provide good and safe services to children receiving hospital-at-home … : a qualitative interview study from the perspectives of hospital nurses and physicians.
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psnet.ahrq.gov/issue/fixed-dose-combination-antihypertensives-and-risk-medication-errors
September 28, 2016 - children (PIPc) in primary care using a modified Delphi technique. … August 14, 2024
Prevalence of potentially inappropriate prescribing in older people in … primary care and its association with hospital admission: longitudinal study. … March 16, 2011
Preventing medication errors in hospitals through a systems approach and … January 12, 2011
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Hospitals
Physicians
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psnet.ahrq.gov/issue/fumbled-handoffs-one-dropped-ball-after-another
April 10, 2024 - 2024
Effect of pharmacist counseling intervention on health care utilization following hospital … May 8, 2017
A prospective study of patient safety in the operating room. … Effect of a pharmacist intervention on clinically important medication errors after hospital … : dissatisfaction with test result management systems in primary care. … July 1, 2011
Patient safety concerns arising from test results that return after hospital
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psnet.ahrq.gov/issue/seeking-answers-hearing-silence
October 09, 2024 - Lack of transparency regarding errors in patient care contributes to harm, mistrust, and inclination … September 18, 2024
Overnight stay in the emergency department and mortality in older … July 5, 2023
Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. … 25, 2018
Thematic analysis of women's perspectives on the meaning of safety during hospital-based … November 21, 2016
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Hospitals
Physicians
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psnet.ahrq.gov/issue/tell-truth-ethical-and-practical-issues-disclosing-medical-mistakes-patients
April 19, 2011 - Classic
To tell the truth: ethical and practical issues in … 2021
Effect of pharmacist counseling intervention on health care utilization following hospital … August 14, 2019
Apology and unintended harm in global health. … May 17, 2017
Inpatient Notes: mistakes in the hospital—communicating, apologizing, and … November 18, 2016
Reflection on adverse event disclosure in the postsurgical hospital
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psnet.ahrq.gov/issue/scoring-no-goal-further-adventures-transparency
August 02, 2015 - Commentary
Scoring no goal—further adventures in transparency. … Scoring No Goal--Further Adventures in Transparency. … Scoring No Goal--Further Adventures in Transparency. … hospital practice: factors associated with turnover, outcomes, and patient safety. … December 5, 2012
Mortality among patients in VA hospitals in the first 2 years following
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psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety
February 14, 2024 - bar-code-assisted medication administration in hospitals. … Hazards in delivery of surgical instruments. … June 26, 2019
Exploring strategies for reducing hospital errors. … June 17, 2014
Safety in EMS. … December 21, 2011
Association between hospital-reported Leapfrog Safe Practices scores
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psnet.ahrq.gov/issue/interdisciplinary-team-training-identifies-discrepancies-institutional-policies-and-practices
November 26, 2012 - Study
Interdisciplinary team training identifies discrepancies in institutional policies … Interdisciplinary team training identifies discrepancies in institutional policies and practices. … Interdisciplinary team training identifies discrepancies in institutional policies and practices. … February 17, 2011
Use of electronic health records in US hospitals. … a community hospital.
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psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
April 03, 2019 - This commentary describes the development of a toolkit to help hospitals create and implement support … Resources From the Same Author(s)
The impact of adverse events on clinicians: what's in … January 10, 2017
To tell the truth: ethical and practical issues in disclosing medical … June 29, 2011
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Hospitals
Health Care … Executives and Administrators
General Internal Medicine
Hospital Medicine
Psychological and
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psnet.ahrq.gov/issue/measuring-handoff-quality-labor-and-delivery-development-validation-and-application
January 03, 2017 - Study
Measuring handoff quality in labor and delivery: development, validation, and … November 26, 2008
Changes in prevalence of health care-associated infections in U.S. … hospitals. … It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital … April 1, 2010
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Hospitals
Health Care
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psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke
June 08, 2010 - Review
Implicit bias in stroke care: a recurring old problem in the rising incidence … Misdiagnosis , variation in treatment of stroke and gaps in secondary prevention in young patients … June 25, 2018
Cold debriefings after in-hospital cardiac arrest in an international pediatric … January 30, 2019
Slow progress on meeting hospital safety standards: learning from the … March 22, 2023
In-hospital mortality associated with the misdiagnosis or unidentified