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3181. Adopt strategies to manage look-alike and/or sound-alike medication name mix-ups. | PSNet
      psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
      June 24, 2020 - June 30, 2021 Selected medication safety risks to manage in 2016 that might otherwise … December 16, 2020 Wrong drug and wrong dose dispensing errors identified in pharmacist … May 4, 2010 View More See More About The Topic Hospitals Outpatient … Pharmacy Risk Managers Quality and Safety Professionals Hospital Pharmacy View More

3182. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. | PSNet
      psnet.ahrq.gov/issue/transdisciplinary-team-acting-evidence-through-analyses-moot-malpractice-cases
      November 03, 2021 - September 20, 2023 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022 Reducing medication errors for adults in hospital settings. … November 13, 2024 Recovery from COVID-19-related disruptions in cancer detection. … July 28, 2010 Worries and concerns experienced by nurse specialists during inter-hospital … May 25, 2010 A model of recovering medical errors in the coronary care unit.

3183. The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/ohio-maternal-safety-quality-improvement-project-initial-results-statewide-perinatal
      September 23, 2020 - Among 29 participating hospitals between July 2020 and September 2021, the researchers identified sustained … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital procedural units. … March 29, 2023 Using potentially preventable severe maternal morbidity to monitor hospital … August 10, 2022 Distinguishing high-performing from low-performing hospitals for severe

3184. A comprehensive obstetric patient safety program reduces liability claims and payments. | PSNet
      psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and-payments
      June 22, 2017 - A comprehensive obstetric patient safety program at an academic hospital—which involved teamwork training … January 10, 2011 Improving America's Hospitals: The Joint Commission's Report on Quality … December 1, 2010 Hospital responses to the Leapfrog Group in local markets. … April 1, 2010 View More See More About The Topic Hospitals Health Care … Executives and Administrators Hospital Medicine Latent Errors Institutional Patient Safety

3185. A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/poison-information-centre-can-provide-important-assessment-and-guidance-regarding-medication
      May 11, 2022 - qualifying risk assessment and potentially reduce hospital admissions. … January 8, 2025 Effect of an in-hospital multifaceted clinical pharmacist intervention … April 12, 2019 Assessing nourishment problems at a hospital: what can we learn from them … March 25, 2015 We are not there yet: a qualitative system probing study of a hospital … March 15, 2023 Reflections on implementing a hospital-wide provider-based electronic

3186. Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-witnesses-perception-patient-safety-during-pre-hospital-health-care
      March 09, 2022 - Study Factors influencing witnesses' perception of patient safety during pre-hospital … Factors influencing witnesses’ perception of patient safety during pre-hospital health care from emergency … Factors influencing witnesses’ perception of patient safety during pre-hospital health care from emergency … March 9, 2022 Factors influencing the perception of feeling safe in pre-hospital emergency … March 5, 2025 Surgery is in itself a risk factor for the patient.

3187. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/transfer.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits … Resident Name and Advance Directive Status # ED Visits Within: ED Discharge Diagnosis # Hospital … Admits Within: Hospital Discharge Diagnosis   Age DNR,DNH, MOLST, or POLST Order in … Days 31-90 Days For Most Recent ED Visit 0-7 Days 8-30 Days 31-90 Days For Most Recent Hospital … High-Risk Diagnoses Associated With Transfer Risk   Age DNR,DNH, MOLST, or POLST Order in

3188. Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/effect-mobile-app-prehospital-medication-errors-during-simulated-pediatric-resuscitation
      October 06, 2021 - pediatric out-of-hospital cardiac arrest scenarios . … Related Resources From the Same Author(s) Effect of medication reconciliation at hospital … admission on 30-day returns to hospital: a randomized clinical trial. … dosing errors in emergency medical services. … May 3, 2023 A novel study of situational awareness among out-of-hospital providers during

3189. Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care. | PSNet
      psnet.ahrq.gov/issue/patients-and-doctors-views-and-experiences-patient-safety-trajectory-breast-cancer-care
      December 08, 2021 - hospital practice: factors associated with turnover, outcomes, and patient safety. … January 12, 2022 Perceived causes of prescribing errors by junior doctors in hospital … September 2, 2020 Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … older people prior to a potentially preventable drug-related hospital admission. … hematology day hospitals.

3190. High rate of implementation of proposed actions for improvement with the Healthcare Failure Mode Effect Analysis method: evaluation of 117 analyses. | PSNet
      psnet.ahrq.gov/issue/high-rate-implementation-proposed-actions-improvement-healthcare-failure-mode-effect-analysis
      December 09, 2020 - This study of 117 FMEAs from 3 hospitals in Sweden found that the recommended safety interventions were … December 9, 2020 Reporting of sentinel events in Swedish hospitals: a comparison of severe … Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital … December 31, 2012 View More See More About The Topic Hospitals Health … Care Executives and Administrators Hospital Medicine Epidemiology of Errors and Adverse Events

3191. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. | PSNet
      psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event
      September 14, 2022 - factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals … factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals … factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals … May 18, 2022 Exploring the causes of adverse events in hospitals and potential prevention … March 18, 2010 View More See More About The Topic Hospitals Hospital

3192. Communicating patient safety information through video and oral formats-a comparison. | PSNet
      psnet.ahrq.gov/issue/communicating-patient-safety-information-through-video-and-oral-formats-comparison
      November 16, 2022 - care during a hospital stay. … among various hospital-based healthcare professionals and trainees in a simulated patient room. … significantly lower odds of 30-day inpatient mortality: a national cross-sectional study of acute-care hospitals … March 11, 2013 View More See More About The Topic Hospitals Quality … and Safety Professionals Hospital Medicine Nurse Care Epidemiology of Errors and Adverse Events

3193. Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.   | PSNet
      psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals-orders-physicians-and
      February 14, 2024 - Study Risky procedures by nurses in hospitals: problems and (contemplated) refusals … Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians … Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians … Dutch hospitals. … July 26, 2011 Variation in the rates of adverse events between hospitals and hospital

3194. The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. | PSNet
      psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized
      April 27, 2022 - effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital … August 10, 2022 Differences in medication reconciliation interventions between six hospitals … June 29, 2022 Medication-related hospital readmissions within 30 days of discharge: prevalence … October 6, 2016 View More See More About The Topic Hospital Pharmacists … Hospitals Quality and Safety Professionals Information Professionals Anesthesiology

3195. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. | PSNet
      psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical
      July 14, 2021 - 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 … May 11, 2022 Don't go to the hospital alone: ensuring safe, highly reliable patient visitation … January 12, 2022 Quality and safety in hospital pediatrics during COVID-19: a national … April 8, 2020 View More See More About The Topic Hospitals Health Care

3196. Nurses' perceptions of patient safety climate in intensive care units: a cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/nurses-perceptions-patient-safety-climate-intensive-care-units-cross-sectional-study
      April 14, 2021 - of safety culture within their individual unit than for the hospital as a whole. … The study used the AHRQ Hospital Survey on Patient Safety Culture . … a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward. … to 20 hospitals in England during implementation of the 7-day services national health policy. … September 30, 2010 Worries and concerns experienced by nurse specialists during inter-hospital

3197. Graduate Programs in Healthcare Quality and Patient Safety. | PSNet
      psnet.ahrq.gov/issue/graduate-programs-healthcare-quality-and-patient-safety
      September 21, 2005 - Citation Text: Graduate Programs in Healthcare Quality and Patient Safety. … Center for Education in the Health Sciences, Northwestern University, Chicago, IL. … Center for Education in the Health Sciences, Northwestern University, Chicago, IL. … to Engage in Patient Safety. … August 20, 2018 Fall Prevention in Hospitals Training Program.

3198. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults1.html
      September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction … Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in … Older Adults Introduction Unique Challenges in Approaching Diagnostic Safety in Older Adults Implications … Between 2010 and 2020, the population of adults over the age of 65 saw the largest and fastest growth in … Common geriatric syndromes such as frailty, dementia, delirium, falls, and incontinence may complicate

3199. Strategic Alliance For Error Reduction in California Healthcare (SAFER). | PSNet
      psnet.ahrq.gov/issue/strategic-alliance-error-reduction-california-healthcare-safer
      July 01, 2022 - Multi-use Website Strategic Alliance For Error Reduction in California Healthcare … Citation Text: Strategic Alliance For Error Reduction in California Healthcare (SAFER). … The Strategic Alliance For Error Reduction in California Healthcare (SAFER) was organized by the Medical … Directors of the University of California system in 1999. … February 5, 2018 Fall Prevention in Hospitals Training Program.

3200. Module 2: How To Manage Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides2.html
      October 01, 2017 - Module 2: How To Manage Change Slide Presentation Slide 1: How To Manage Change ADD Hospital … Process Change process strategies can be applied to other quality improvement (QI) efforts: Hospital … falls. … Slide 8: Successful Implementation Team A strong link to hospital leadership. … This information helps you define resources this hospital has for quality improvement.