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  1. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. | PSNet

    psnet.ahrq.gov/issue/are-informed-policies-place-promote-safe-and-usable-ehrs-cross-industry-comparison
    September 19, 2018 - Study Are informed policies in place to promote safe and usable EHRs? … in-hospital adverse drug events. … August 3, 2017 The effect of health information technology on quality in U.S. hospitals … Blumenthal, MD, MPP July 1, 2012 Use of electronic health records in US hospitals … July 30, 2008 View More See More About The Topic Hospitals Physicians

  2. Prevalence of medication transfer errors in nephrology patients and potential risk factors. | PSNet

    psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-factors
    January 26, 2022 - This study sought to identify risk factors for error in nephrology patients in the ambulatory care setting … bar-code-assisted medication administration in hospitals. … lists reported by patients in personal health records: a prospective cohort study in a hospital setting … January 7, 2015 Medication-related hospital readmissions within 30 days of discharge: … Hazards in delivery of surgical instruments.

  3. Standardizing concentrations of adult drug infusions in Indiana. | PSNet

    psnet.ahrq.gov/issue/standardizing-concentrations-adult-drug-infusions-indiana
    August 01, 2018 - Standardizing concentrations of adult drug infusions in Indiana. … Standardizing concentrations of adult drug infusions in Indiana. … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … January 16, 2008 View More See More About The Topic Hospitals Quality

  4. Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice. | PSNet

    psnet.ahrq.gov/issue/does-simulation-training-acute-care-nurses-improve-patient-safety-outcomes-systematic-review
    January 12, 2022 - Simulation   is an active learning methodology being used in hospitals to improve patient care.  … hospital practice: factors associated with turnover, outcomes, and patient safety. … September 23, 2009 Families as partners in hospital error and adverse event surveillance … in undergraduate nursing students: a systematic review. … October 31, 2012 View More See More About The Topic Hospitals Educators

  5. Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. | PSNet

    psnet.ahrq.gov/issue/organizational-and-safety-culture-canadian-intensive-care-units-relationship-size-intensive
    November 21, 2016 - Study Organizational and safety culture in Canadian intensive care units: relationship … Organizational and safety culture in Canadian intensive care units: relationship to size of intensive … Organizational and safety culture in Canadian intensive care units: relationship to size of intensive … Canadian hospitals: results of a multicentre observational study. … October 31, 2011 Adverse events after transition from ICU to hospital ward: a multicenter

  6. ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome. | PSNet

    psnet.ahrq.gov/issue/icu-admittance-rapid-response-team-versus-conventional-admittance-characteristics-and-outcome
    January 28, 2010 - In this study, rapid response teams admitted more than half of patients transferred from the wards … Download Citation Related Resources From the Same Author(s) Reducing in-hospital … cardiac arrests and hospital mortality by introducing a medical emergency team. … May 31, 2023 We are not there yet: a qualitative system probing study of a hospital … 2011 Impact of computerized physician order entry on medication prescription errors in

  7. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. | PSNet

    psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study
    June 13, 2011 - Study Drug error in anaesthetic practice: a review of 896 reports from the Australian … April 6, 2011 Families as partners in hospital error and adverse event surveillance. … with hospital mortality. … November 2, 2010 Survey of medication documentation at hospital discharge: implications … June 13, 2011 6-PACK programme to decrease fall injuries in acute hospitals: cluster

  8. "To err is human" but disclosure must be taught: a simulation-based assessment study. | PSNet

    psnet.ahrq.gov/issue/err-human-disclosure-must-be-taught-simulation-based-assessment-study
    August 04, 2021 - hospital practice: factors associated with turnover, outcomes, and patient safety. … July 19, 2023 Human factors and simulation in emergency medicine. … a multistate hospital network--13 academic medical centers, April-June 2020. … April 24, 2018 Using in situ simulation to improve in-hospital cardiopulmonary resuscitation … March 4, 2009 View More See More About The Topic Hospitals Health Care

  9. No harm found when nurse anesthetists work without supervision by physicians. | PSNet

    psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians
    August 04, 2021 - Certified registered nurse anesthetists (CRNAs) provide anesthesia for 30 million patients per year in … the United States, and are allowed to practice without physician supervision in 14 states. … other studies in different settings. … November 9, 2022 Risk-adjusted survival for adults following in-hospital cardiac arrest … a paediatric hospital.

  10. AHRQ QI List of Indicators (pdf file)

    qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
    October 01, 2023 - Long-Term Complications Admission Rate • PQI 05 - Chronic Obstructive Pulmonary Disease (COPD) or Asthma in … Tract Infection Admission Rate • PQI 14 - Uncontrolled Diabetes Admission Rate • PQI 15 - Asthma in … Indicators Patient Safety Indicators (PSls) Hospital-Level Indicators … • PSI 02 - Death Rate in … Pneumothorax Rate • PSI 07 - Central Venous Catheter-Related Blood Stream Infection Rate • PSI 08 - In-Hospital

  11. An integrative review: fatigue among nurses in acute care settings. | PSNet

    psnet.ahrq.gov/issue/integrative-review-fatigue-among-nurses-acute-care-settings
    June 01, 2022 - An integrative review: fatigue among nurses in acute care settings. … a multistate hospital network--13 academic medical centers, April-June 2020. … March 26, 2015 Performance-based payment incentives increase burden and blame for hospital … February 10, 2015 Nurse staffing and education and hospital mortality in nine European … April 9, 2008 View More See More About The Topic Hospitals Nurses

  12. Is oral chemotherapy prescription safe for patients? A cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-prescription-safe-patients-cross-sectional-survey
    May 18, 2022 - with failures in communication during the event. … July 2, 2019 Prevalence of adverse events in the hospitals of five Latin American countries … and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. … strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment. … January 2, 2009 View More See More About The Topic Hospitals Physicians

  13. Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management. | PSNet

    psnet.ahrq.gov/issue/evaluation-electronic-health-record-implementation-pharmacist-interventions-related-oral
    January 25, 2023 - the Same Author(s) Determination of unnecessary blood transfusion by comprehensive 15-hospital … hospital practice: factors associated with turnover, outcomes, and patient safety. … February 20, 2019 Validity of AHRQ patient safety indicators derived from ICD-10 hospital … December 18, 2014 Racial and ethnic bias in the diagnosis of alcohol use disorder in … July 2, 2008 View More See More About The Topic Hospitals Pharmacists

  14. Safety perceptions of health care leaders in 2 Canadian academic acute care centers. | PSNet

    psnet.ahrq.gov/issue/safety-perceptions-health-care-leaders-2-canadian-academic-acute-care-centers
    March 14, 2022 - October 4, 2023 Medication-related hospital readmissions within 30 days of discharge: … effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital … in patients with polypharmacy. … October 4, 2011 Anticoagulant medication errors in hospitals and primary care: a cross-sectional … August 20, 2018 View More See More About The Topic Hospitals Facility

  15. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. | PSNet

    psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
    October 26, 2022 - Three hospitals in one health system implemented a voluntary error reporting system for clinicians … the Children's Hospitals' Solutions for Patient Safety Collaborative. … Acute Hospital Care Units April 26, 2023 Factors associated with missed nursing … September 27, 2017 Interruptions in clinical nursing practice. … September 24, 2016 View More See More About The Topic Hospitals Facility

  16. A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. | PSNet

    psnet.ahrq.gov/issue/scoping-review-legibility-hand-written-prescriptions-and-drug-orders-writing-wall
    January 12, 2022 - June 21, 2016 How do hospital boards govern for quality improvement? … A mixed methods study of 15 organisations in England. … September 23, 2015 Prospects for comparing European hospitals in terms of quality and … Computerized Provider Order Entry March 15, 2025 Factors influencing in-hospital … Overdose April 1, 2003 View More See More About The Topic Hospitals

  17. Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. | PSNet

    psnet.ahrq.gov/issue/are-opioid-infusions-used-inappropriately-end-life-results-qualitysafety-project
    November 16, 2022 - Potentially inappropriate opioid infusion use can result in adverse patient outcomes . … November 16, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … a multistate hospital network--13 academic medical centers, April-June 2020. … of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals … November 23, 2016 View More See More About The Topic Researchers Hospitals

  18. AHRQ's Patient Safety Culture Survey Yields Meaningful Results at Palo Alto Medical Foundation | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/cquips0603.html
    October 01, 2014 - Medical Foundation, a multi-specialty medical group located near San Francisco, is now using AHRQ's Hospital … The first survey was administered in September 2005 to 1,180 staff members in nine locations. … The Hospital Survey on Patient Safety Culture can be accessed online at www.ahrq.gov/professionals … /quality-patient-safety/patientsafetyculture/hospital/index.html . … Studies Impact Case Study Identifier: CQuIPS-06-03 AHRQ Product(s): Hospital

  19. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
    January 06, 2018 - March 13, 2013 Prevalence of adverse events in pediatric intensive care units in the … hospital practice: factors associated with turnover, outcomes, and patient safety. … December 8, 2021 Pressure Injury Prevention in Hospitals Training Program. … March 23, 2012 View More See More About The Topic Hospitals Health … Care Providers Quality and Safety Professionals General Internal Medicine Hospital Medicine

  20. The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

    psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
    October 20, 2021 - Citation Related Resources From the Same Author(s) Medication errors at hospital … December 8, 2021 Medication safety in mental health hospitals: a mixed-methods analysis … in the NHS. … July 22, 2009 View More See More About The Topic Hospitals Quality … and Safety Professionals Hospital Medicine Radiology Medical/Surgical Nursing View More
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