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361. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. | PSNet
     psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
     June 22, 2011 - hospital practice: factors associated with turnover, outcomes, and patient safety. … Related Resources Patient Safety Innovations Preventing Falls … February 10, 2021 Nursing care quality and adverse events in US hospitals. … September 26, 2016 Partnering to prevent falls: using a multimodal multidisciplinary … August 14, 2013 Falls prevention at Mayo Clinic Rochester: a path to quality care.

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846763/psn-pdf
     March 29, 2023 - Why hospitals still make serious medical errors—and how they are trying to reduce them. … https://psnet.ahrq.gov/issue/why-hospitals-still-make-serious-medical-errors-and-how-they-are-trying- … This article discusses the potential that improved technology use has in reducing medication errors, … falls, surgical errors, and high-risk hospital-acquired infections. … two-decades-err-human-progress-still-chasm https://psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates

363. Checklists to prevent diagnostic errors: a pilot randomized controlled trial. | PSNet
     psnet.ahrq.gov/issue/checklists-prevent-diagnostic-errors-pilot-randomized-controlled-trial
     October 12, 2016 - October 16, 2012 Utilization of the Seniors Falls Investigation Methodology to identify … system-wide causes of falls in community-dwelling seniors. … 21, 2016 A comprehensive method to develop a checklist to increase safety of intra-hospital … March 21, 2009 Hospitals win safety award for simple changes.  … Roller Coaster July 1, 2004 View More See More About The Topic Hospitals

364. Patient Safety in Frail Older Patients | PSNet
     psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
     November 26, 2019 - If you try and treat those common risk factors, then you will mitigate those harms in hospitals. … Our prior approach to falls was, “if we keep them in bed they won’t fall.” … We don’t want patients falling and breaking a bone while in the hospital under nurse supervision. … If a patient who is hospitalized for something, and is already quite debilitated, falls in the hospital … HW : SCL Health is made up of eight hospitals and over one hundred ambulatory sites in Colorado and Montana

365. The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety. | PSNet
     psnet.ahrq.gov/issue/veterans-affairs-national-quality-scholars-program-model-interprofessional-education-quality
     May 02, 2012 - The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in … October 19, 2022 Cost of inpatient falls and cost-benefit analysis of implementation … February 1, 2023 Evaluation of a patient-centered fall-prevention tool kit to reduce falls … September 23, 2020 Root cause analysis of reported patient falls in ORs in the Veterans … June 22, 2009 View More See More About The Topic Hospitals Nurse Managers

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46910/psn-pdf
     January 23, 2019 - A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame. … Kingdom, the NHS Safety Thermometer, which measured incidence of pressure ulcers, harm from falls, … preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review https://psnet.ahrq.gov/primer/falls … https://psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals https://psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism

367. Frontline hospital workers and the worker safety/patient safety nexus. | PSNet
     psnet.ahrq.gov/issue/frontline-hospital-workers-and-worker-safetypatient-safety-nexus
     July 05, 2017 - Frontline hospital workers and the worker safety/patient safety nexus. … August 21, 2013 Families as partners in hospital error and adverse event surveillance … June 21, 2017 Root cause analysis of reported patient falls in ORs in the Veterans Health … June 30, 2013 Minnesota Hospital Association Statewide Project: SAFE from FALLS. … July 21, 2010 View More See More About The Topic Hospitals Health Care

368. In Conversation With…Kaveh G. Shojania, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
     September 01, 2011 - most commonly reported incident is falls. … Falls are a classic example of something that there's almost no point in reporting. … Falls are a common enough problem at every hospital that you should stop doing incident reports. … Other hospitals in North America would just have a hotline, and other hospitals have made a paper-based … In conclusion, incident reporting systems are nearly universal in hospitals, and nurses and other hospital

369. In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. | PSNet
     psnet.ahrq.gov/issue/situ-simulation-adoption-new-technology-improve-sepsis-care-rural-emergency-departments
     November 10, 2021 - Study In situ simulation for adoption of new technology to improve sepsis care in … Telehealth is increasingly used to connect rural hospitals with specialists in other areas and can … This study found that in situ simulation training in rural emergency departments resulted in small increases … review of root cause analyses of falls leading to adverse events. … to identification of serious injury after falls in hospital inpatients.

370. Root cause analysis for hospital-acquired pressure injury. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
     July 07, 2021 - Root cause analysis for hospital-acquired pressure injury. … Root cause analysis for hospital-acquired pressure injury. … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … March 6, 2019 Root cause analysis of reported patient falls in ORs in the Veterans Health … September 27, 2010 View More See More About The Topic Hospitals Nurses

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849137/psn-pdf
     May 17, 2023 - But are hospitals getting any safer? May 17, 2023 Weintraub K. USA Today. May 3, 2023. … The semi-annual Leapfrog Hospital Safety Grades are recognized across the industry as a tool for highlighting … successes and tracking gaps in safety to focus improvement efforts. … article shares one organization’s work to improve core safety activities related to medication safety, falls … https://psnet.ahrq.gov/issue/hospital-safety-grade https://psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients

372. The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. | PSNet
     psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
     March 03, 2019 - Nurses at an American hospital were trained in mindful thinking in an effort to reduce MAE. … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … medication administration in hospitals. … September 22, 2017 Errors in the administration of intravenous medications in hospital … March 11, 2011 Examining medication errors in a tertiary hospital.

373. Core Elements of Hospital Diagnostic Excellence (DxEx). | PSNet
     psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex
     April 26, 2023 - Multi-use Website Core Elements of Hospital Diagnostic Excellence (DxEx). … Citation Text: Core Elements of Hospital Diagnostic Excellence (DxEx). … March 7, 2018 Pressure Injury Prevention in Hospitals Training Program. … October 18, 2017 Preventing Falls With Injury. … January 15, 2014 View More See More About The Topic Hospitals Medicine

374. For children admitted to hospital, what interventions improve medication safety on ward rounds? | PSNet
     psnet.ahrq.gov/issue/children-admitted-hospital-what-interventions-improve-medication-safety-ward-rounds
     July 29, 2020 - February 2, 2022 Sitters as a patient safety strategy to reduce hospital falls: a systematic … March 23, 2022 Potentially inappropriate medications and their effect on falls during … March 23, 2022 Factors related to serious safety events in a children's hospital patient … October 14, 2020 Clinical deterioration and hospital‐acquired complications in adult … August 26, 2020 View More See More About The Topic Researchers Hospitals

375. Improving Patient Safety in Long-Term Care Facilities: Training Modules (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
     June 01, 2012 - Substantial improvements have taken place in hospitals, in particular, yet progress on this front has … a resident’s health) that happen in both hospitals and long-term nursing centers. … . › Understand the risk factors for falls. › Understand which residents are at high risk of falling … What are his risk factors for falling? … falling. › How falls can be prevented. › How nursing assistants and licensed nurses can work together

376. Sentinel events, serious reportable events, and root cause analysis. | PSNet
     psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
     February 26, 2014 - health hospitals: a multi-centre study. … October 30, 2024 Effects of an intervention to increase bed alarm use to prevent falls … May 29, 2019 Root cause analysis of reported patient falls in ORs in the Veterans Health … October 24, 2018 The impact of major intraoperative adverse events on hospital readmissions … Anesthesia February 1, 2003 View More See More About The Topic Hospitals

377. Nurses and patients: natural partners to advance patient safety | PSNet
     psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
     July 11, 2018 - Resources Perspective The Ongoing Journey to Prevent Patient Falls … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls December 18, 2024 … June 9, 2011 Nurses' role in communication and patient safety. … July 8, 2009 What pilots can teach hospitals about patient safety. … August 5, 2008 View More See More About The Topic General Hospitals

378. Nurses' role in detecting deterioration in ward patients: systematic literature review. | PSNet
     psnet.ahrq.gov/issue/nurses-role-detecting-deterioration-ward-patients-systematic-literature-review
     March 27, 2018 - Review Nurses' role in detecting deterioration in ward patients: systematic literature … Citation Text: Nurses' role in detecting deterioration in ward patients: systematic literature review … March 6, 2005 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … January 7, 2015 Hidden mistakes in hospitals. … March 10, 2010 View More See More About The Topic Hospitals Nurses

379. Pediatric trainee perspectives on the decision to disclose medical errors. | PSNet
     psnet.ahrq.gov/issue/pediatric-trainee-perspectives-decision-disclose-medical-errors
     April 27, 2022 - delays to identification of serious injury after falls in hospital inpatients. … English hospital organizations? … review of root cause analyses of falls leading to adverse events. … acute care hospitals. … July 18, 2016 View More See More About The Topic Hospitals Health Care

380. Medical malpractice: why is it so hard for doctors to apologize? | PSNet
     psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
     August 24, 2011 - August 24, 2011 Assessment of nursing home reporting of major injury falls for quality … May 1, 2015 Hospital Medication Errors Commonplace. … August 3, 2012 A night in the hospital, from both ends of the stethoscope. … July 19, 2010 How to avoid falling victim to a hospital mistake. … 2005 View More See More About The Topic Outpatient Surgery Hospitals