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  1. Safety with nebulized medications requires an interdisciplinary team approach. | PSNet

    psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
    December 27, 2018 - March 14, 2023 Selected medication safety risks to manage in 2016 that might otherwise … February 24, 2016 Smart pumps in practice: survey results reveal widespread use, but … bar-code-assisted medication administration in hospitals. … January 23, 2019 Safety enhancements every hospital must consider in wake of another … March 18, 2010 View More See More About The Topic Hospitals Health

  2. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. | PSNet

    psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
    June 30, 2011 - April 12, 2023 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … September 20, 2011 To do no harm - and the most good - with AI in health care. … June 16, 2009 Perspective Organizational Change in the … Experience May 1, 2005 View More See More About The Topic Specialty Hospitals

  3. Prevention of fatal opioid overdose. | PSNet

    psnet.ahrq.gov/issue/prevention-fatal-opioid-overdose
    October 03, 2018 - Same Author(s) Potentially inappropriate opioid prescribing, overdose, and mortality in … 23, 2019 Are opioid dependence and methadone maintenance treatment (MMT) documented in … July 29, 2020 Doing the right things and doing them the right way: association between hospital … a multistate hospital network--13 academic medical centers, April-June 2020. … Medications) September 1, 2014 View More See More About The Topic Hospitals

  4. Evaluation of parenteral nutrition errors in an era of drug shortages. | PSNet

    psnet.ahrq.gov/issue/evaluation-parenteral-nutrition-errors-era-drug-shortages
    October 02, 2013 - Evaluation of Parenteral Nutrition Errors in an Era of Drug Shortages. … Evaluation of Parenteral Nutrition Errors in an Era of Drug Shortages. … a multistate hospital network--13 academic medical centers, April-June 2020. … October 2, 2024 Implementation of a "second victim" program in a pediatric hospital. … April 27, 2010 View More See More About The Topic Hospitals Pharmacists

  5. ASPEN parenteral nutrition safety consensus recommendations. | PSNet

    psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations
    June 12, 2018 - 23, 2017 Predictive power of the "trigger tool" for the detection of adverse events in … January 12, 2022 Nurses' perceptions and demands regarding COVID-19 care delivery in … critical care units and hospital emergency services. … August 14, 2019 ASHP guidelines on preventing medication errors in hospitals. … February 13, 2008 View More See More About The Topic Hospitals Health

  6. Adverse event protocol for interventional pain medicine: the importance of an organized response. | PSNet

    psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response
    January 12, 2022 - January 12, 2022 The MedSafer study-electronic decision support for deprescribing in … 2023 A blinded, prospective study of error detection during physician chart rounds in … October 14, 2020 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … August 28, 2017 Health information exchange in emergency medicine.

  7. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet

    psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
    June 07, 2017 - to refine dosage recommendations, policy development, alert review, and data usage to reduce alerts in … hospital practice: factors associated with turnover, outcomes, and patient safety. … January 12, 2022 Changes in medical errors after implementation of a handoff program. … December 21, 2014 The MedSafer study-electronic decision support for deprescribing in … August 31, 2016 View More See More About The Topic Hospitals Physicians

  8. Communication errors in radiology—pitfalls and how to avoid them. | PSNet

    psnet.ahrq.gov/issue/communication-errors-radiology-pitfalls-and-how-avoid-them
    September 24, 2017 - April 13, 2017 Visual illusions in radiology: untrue perceptions in medical images and … a multistate hospital network--13 academic medical centers, April-June 2020. … April 4, 2018 Key principles in quality and safety in radiology. … June 24, 2010 Error rate greatest in hospital radiology. … January 31, 2006 View More See More About The Topic Hospitals Health

  9. 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

  10. Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. | PSNet

    psnet.ahrq.gov/issue/impact-covid-19-pandemic-experiences-hospitalized-patients-scoping-review
    September 21, 2022 - July 8, 2020 Characteristics of critical incident reporting systems in primary care: … critical care units and hospital emergency services. … exploratory sequential multi-method study in primary care. … June 9, 2021 Mental health of staff working in intensive care during COVID-19. … September 23, 2020 View More See More About The Topic Hospitals Facility

  11. Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. | PSNet

    psnet.ahrq.gov/issue/impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health
    December 09, 2020 - use at 60 United States hospitals: a descriptive study. … of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals … October 14, 2020 Medication-related interventions delivered both in hospital and following … June 24, 2020 View More See More About The Topic Researchers Hospitals … Quality and Safety Professionals Hospital Medicine Nurse Care View More

  12. The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/medsafer-study-electronic-decision-support-deprescribing-hospitalized-older-adults-cluster
    July 31, 2019 - In this cluster randomized trial, older adults (≥65 years) taking at least five medications at hospital … Despite an increase in deprescribing in both groups, there was no difference in adverse drug events or … a multistate hospital network--13 academic medical centers, April-June 2020. … October 4, 2023 Drug-drug interactions and prescription appropriateness at hospital discharge … October 1, 2008 View More See More About The Topic Hospitals

  13. Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events. | PSNet

    psnet.ahrq.gov/issue/out-sight-out-mind-prospective-observational-study-estimate-duration-hawthorne-effect-hand
    September 09, 2020 - hospitals: a descriptive study. … December 12, 2021 Evolving factors in hospital safety: a systematic review and meta-analysis … of hospital adverse events. … September 29, 2021 Incidence of Adverse Events in Indian Health Service Hospitals. … June 25, 2014 View More See More About The Topic Hospitals Quality

  14. Medication-related emergency department visits in pediatrics: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study
    October 16, 2013 - Children with a medication-related ED visit were much more likely to be admitted to the hospital and … Resources From the Same Author(s) Medication-related emergency department visits and hospital … and adverse events in older patients admitted to hospital: a retrospective cohort study. … hospital practice: factors associated with turnover, outcomes, and patient safety. … View More See More About The Topic Emergency Departments Children's Hospitals

  15. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. | PSNet

    psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections
    February 22, 2017 - Health care–associated infections remain one of the most common preventable adverse events in hospitals … Although the overall incidence of hospital-acquired MRSA infections has been decreasing nationwide, … August 4, 2021 Incidence and trends of sepsis in US hospitals using clinical vs claims … a multistate hospital network--13 academic medical centers, April-June 2020. … April 1, 2010 Implementing patient safety initiatives in rural hospitals.

  16. Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations. | PSNet

    psnet.ahrq.gov/issue/using-computerized-provider-order-entry-and-clinical-decision-support-improve-referring
    August 20, 2018 - US hospitals using clinical vs claims data, 2009--2014. … July 29, 2020 Adequacy of hospital discharge summaries in documenting tests with pending … two 'early adopter' hospitals. … March 10, 2011 Use of electronic health records in US hospitals. … August 18, 2010 Systematically improving physician assignment during in-hospital transitions

  17. Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. | PSNet

    psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions
    May 04, 2022 - Older adults are at high risk for 30-day unplanned hospital readmission . … older people prior to a potentially preventable drug-related hospital admission. … November 30, 2022 Assessment of requests for medication-related follow-up after hospital … discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective … June 12, 2020 View More See More About The Topic Hospitals

  18. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet

    psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
    January 31, 2024 - the hospital. … 1991, the WHO and UNICEF launched the “Baby-Friendly Hospital Initiative” and encouraged hospitals to … looking at the second case through the lens of preventing medical errors, this likely falls in the category … In-hospital formula feeding and breastfeeding duration. … In-hospital formula feeding and breastfeeding duration.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49568/psn-pdf
    September 01, 2008 - However, this proportion falls rapidly over the first few weeks of life, and by 6 months less than 40% … Table 2 highlights one hospital system's strategy for managing hyperbilirubinemia. … With a team effort on the part of knowledgeable health care providers, both in the hospital and in the … Take-Home Points Ensure adequate lactation education of hospital staff. … Hospital practices that increase breastfeeding duration: results from a population-based study.

  20. Measurement | Agency for Healthcare Research and Quality

    www.ahrq.gov/teamstepps-program/curriculum/implement/pre/measure.html
    January 01, 2024 - physician, nurse, pharmacist), and sometimes the grouping is based on the level the object or action falls … in ratings. … If data are for the entire hospital but you only implemented TeamSTEPPS in a specific unit, you’re not … If delays in administering medications are caused by a shortage of staff in the in-house pharmacy, improved … organization’s safety culture by using one of the safety culture surveys AHRQ has developed for hospitals
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