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381. Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization (PSO). | PSNet
     psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
     December 24, 2008 - May 11, 2016 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … May 9, 2012 Medication-Related Adverse Outcomes in U.S. … Hospitals and Emergency Departments, 2008. … April 27, 2011 Health-Care-Associated Infections in Hospitals: An Overview of State Reporting … June 7, 2008 View More See More About The Topic Hospitals Health Care

382. Changes in hospital adverse events and patient outcomes associated with private equity acquisition. | PSNet
     psnet.ahrq.gov/issue/changes-hospital-adverse-events-and-patient-outcomes-associated-private-equity-acquisition
     July 12, 2023 - Study Changes in hospital adverse events and patient outcomes associated with private … Findings indicate a significant increase in in-hospital falls and healthcare-associated infections … There was no change in 30-day mortality after hospital discharge, but in-hospital mortality decreased … survival after in-hospital cardiac arrests. … April 20, 2011 View More See More About The Topic Hospitals Hospital

383. Hospital internet site content on patient safety and medical errors. | PSNet
     psnet.ahrq.gov/issue/hospital-internet-site-content-patient-safety-and-medical-errors
     August 17, 2022 - Citation Text: Hospital internet site content on patient safety and medical errors. … August 17, 2022 Patient safety incidents describing patient falls in critical care in … December 6, 2017 Outcomes in two Massachusetts hospital systems give reason for optimism … October 26, 2010 Medication safety infrastructure in critical-access hospitals in Florida … July 15, 2010 Fixing America's hospitals.

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43499/psn-pdf
     September 03, 2014 - Older folks in hospitals: the contributing factors and recommendations for incident prevention. … Older folks in hospitals: the contributing factors and recommendations for incident prevention. … https://psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident- … prevention This retrospective review of incident reports at a tertiary care hospital revealed that … errors related to falls, medication management, and clinical care were the most common adverse events

385. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/index.html
     September 01, 2021 - CUSP Toolkit to Reduce CAUTI and Other HAIs In Long-Term Care Facilities   includes customizable training … Falls Management Program: A Quality Improvement Initiative for Nursing Facilities is an interdisciplinary … in nursing home and other long-term care facilities to help them detect and communicate changes in a … resident's condition and prevent and manage falls. … TeamSTEPPS ® Long-Term Care Version is a core curriculum initially developed for use in hospitals and

386. Homecare safety virtual quality improvement collaboratives | PSNet
     psnet.ahrq.gov/issue/homecare-safety-virtual-quality-improvement-collaboratives
     January 24, 2024 - to improve healthcare quality and mitigate and prevent harm from homecare safety incidents such as falls … December 4, 2015 The Canadian Adverse Events Study: the incidence of adverse events among hospital … April 22, 2011 Adverse events among children in Canadian hospitals: the Canadian Paediatric … hospital patients: a retrospective patient record review study in the Netherlands. … See More About The Topic Researchers Home Care Educators Home Nursing Patient Falls

387. Health economic evaluation of an infection prevention and control program: are quality and patient safety programs worth the investment? | PSNet
     psnet.ahrq.gov/issue/health-economic-evaluation-infection-prevention-and-control-program-are-quality-and-patient
     June 02, 2021 - support the business case for safety at the system level, other studies have found that individual hospitals … hospital practice: factors associated with turnover, outcomes, and patient safety. … January 2, 2013 Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care. … November 11, 2009 View More See More About The Topic Hospitals Health

388. Lessons learned: use of event reporting by nurses to improve patient safety and quality. | PSNet
     psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality
     May 19, 2013 - Nurses at a pediatric magnet hospital designed a quality improvement project that used voluntary error … September 20, 2023 Evaluation of a patient-centered fall-prevention tool kit to reduce falls … December 2, 2020 Cost of inpatient falls and cost-benefit analysis of implementation … February 13, 2013 Fall prevention in hospitals: an integrative review. … January 5, 2011 View More See More About The Topic Children's Hospitals

389. Implementing a patient safety and quality program across two merged pediatric institutions. | PSNet
     psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions
     June 03, 2013 - June 28, 2017 The expanding role of antimicrobial stewardship programs in hospitals in … August 23, 2023 Patient Safety Innovations Preventing Falls … Patient Safety Innovations Enhancing Support for Patients’ Social Needs to Reduce Hospital … November 21, 2016 Applying root cause analysis to improve patient safety: decreasing falls … in postpartum women.

390. The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. | PSNet
     psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
     August 01, 2012 - This toolkit provides resources to help hospitals to augment safety. … hospitals, and materials targeted to inform leadership of the program. … November 23, 2016 Patient Safety in Ambulatory Settings. … August 12, 2016 Toolkit for Reducing CAUTI in Hospitals. … October 7, 2015 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care

391. Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? | PSNet
     psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
     December 14, 2022 - interunit/department/team transfers and the majority (69%) of incidents were related to pressure injuries, falls … December 14, 2022 Do falls and other safety issues occur more often during handovers … November 24, 2021 How do hospital inpatients conceptualise patient safety? … September 15, 2021 Medication safety in mental health hospitals: a mixed-methods analysis … January 4, 2012 View More See More About The Topic Hospitals Quality

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860380/psn-pdf
     January 10, 2024 - Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record … review across nine Swiss hospitals. … Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record … This retrospective study examined the performance of 16 PSIs across nine hospitals in Switzerland (where … The authors attributed low positive predictive value (PPV) in three of the PSIs (pressure injury, falls

393. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. | PSNet
     psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
     January 02, 2017 - Study Inpatient suicide and suicide attempts in Veterans Affairs hospitals. … Inpatient suicide and suicide attempts in Veterans Affairs hospitals. … Inpatient suicide and suicide attempts in Veterans Affairs hospitals. … September 19, 2016 Inpatient suicide in a general hospital. … September 19, 2016 Using root cause analysis to reduce falls with injury in the psychiatric

394. Innovations | PSNet
     psnet.ahrq.gov/innovations
     February 26, 2025 - patients in the hospital setting. 1 , 2 Communication failures are a common root cause of sentinel … Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical … adverse outcome (in-hospital patient clinical deterioration), Kaiser Permanente Northern California … in hospitals are common and debilitating adverse events that persist despite decades of effort to minimize … A team at Brigham and Women’s Hospital in Boston, Massachusetts, sought to develop a standardized fall

395. The nurse's experience of decision-making processes in missed nursing care: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care-qualitative-study
     May 11, 2022 - This qualitative study conducted focus groups with 28 registered nurses working in different hospital … hospital: a cross-sectional survey. … May 11, 2022 Medication dose calculation errors and other numeracy mishaps in hospitals … November 10, 2021 Clinical deterioration and hospital‐acquired complications in adult … September 7, 2011 View More See More About The Topic Hospitals Nurse

396. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. | PSNet
     psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
     June 02, 2021 - Hospital-acquired pressure ulcers are considered a never event and can result in loss of payment … They found that such strategies were not operationalized in a uniform manner across the hospitals and … Related Resources Patient Safety Innovations Preventing Falls … ulcers in a system of community hospitals. … March 7, 2018 Fall prevention in hospitals: an integrative review.

397. Medical mistakes no longer billable: bold steps taken by state to reduce hospital errors. | PSNet
     psnet.ahrq.gov/issue/medical-mistakes-no-longer-billable-bold-steps-taken-state-reduce-hospital-errors
     August 06, 2008 - Massachusetts government and state insurers have outlined policies whereby they will not reimburse hospitals … August 6, 2008 Most surgery in wrong spot done on spine: 11 such cases found in state … June 10, 2015 Man falls off surgical table; St. Joseph's Hospital sued. … Safety Health Plan Patient Safety Initiatives July 10, 2024 Hospitals … Donaldson, MD, MSc May 1, 2007 Hospitals save money, but safety is questioned

398. Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals. | PSNet
     psnet.ahrq.gov/issue/using-workforce-practices-drive-quality-improvement-guide-hospitals
     March 22, 2017 - March 22, 2017 Hand Hygiene Project: Best Practices from Hospitals Participating in the … May 6, 2015 Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final … May 24, 2015 Preventing Patient Falls: A Systematic Approach From the Joint Commission … October 27, 2016 View More Related Resources Preventing violence in … September 24, 2016 Interdisciplinary teamwork in hospitals: a review and practical recommendations

399. Patient Safety Tools: Improving Safety at the Point of Care. | PSNet
     psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
     September 08, 2021 - Facebook Twitter Linkedin Copy URL November 14, 2011 Produced in … conjunction with its  Partnerships in Implementing Patient Safety (PIPS) grant program, AHRQ has released … 17 freely available toolkits to help hospitals and health care providers reduce medical errors. … September 8, 2021 Toolkit To Improve Antibiotic Use in Acute Care Hospitals December … April 6, 2016 Preventing Falls With Injury.

400. Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/clinicians-perceptions-opioid-error-contributing-factors-inpatient-palliative-care-services
     June 01, 2016 - care after leaving hospital: what works for whom and why? … The impact of safety culture, quality of care, missed care and nurse staffing on patient falls … acute-care hospitals. … 27, 2024 Patient Safety Innovations Preventing Falls … April 4, 2011 View More See More About The Topic Hospitals Health Care