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psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
August 17, 2022 - Book/Report
Hospital Reporting Program: Annual Summary. … Citation Text:
Hospital Reporting Program: Annual Summary. … Related Resources From the Same Author(s)
The Nursing Home Expert Panel’s Falls … August 25, 2021
Factors related to serious safety events in a children's hospital patient … February 9, 2011
Adverse Events in Hospitals: Overview of Key Issues.
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psnet.ahrq.gov/issue/most-crucial-half-hour-hospital-shift-change
August 17, 2016 - bedside shift reports as a strategy to improve communication among nursing staff and engage patients in … May 18, 2016
Hospitals find a way to say, 'I'm sorry.' … May 31, 2023
Patient Safety Innovations
Preventing Falls … Hospitals seek to collect better data and prevent errors. … June 30, 2010
Hospitals combat errors at the 'hand-off.'
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psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
January 26, 2022 - This guide provides instructions to help hospitals implement initiatives to improve safe prescribing … March 6, 2019
Teamwork in the time of COVID-19. … hospital patients: a retrospective patient record review study in the Netherlands. … August 17, 2016
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … January 28, 2015
The Patient Safety Initiative at America’s Public Hospitals: The Year
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psnet.ahrq.gov/issue/learning-best
February 22, 2023 - February 22, 2023
Clinical impact and economic burden of hospital-acquired conditions … September 1, 2021
Speaking up about patient safety in psychiatric hospitals - a cross-sectional … June 17, 2014
Reducing falls and fall-related injuries in mental health: a 1-year multihospital … falls collaborative. … July 1, 2013
Supporting a psychiatric hospital culture of safety.
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digital.ahrq.gov/sites/default/files/docs/citation/p50hs019917-gustafson-final-report-2017.pdf
January 01, 2017 - Challenges to aging in place include isolation,
loneliness, falling, managing medications, and transportation … Challenges on aging in place include isolation and
loneliness, falling, managing medications, driving … • Falls: 143 distinct people reported falling a total of 293 times in the past 6 months. … the hospital or a long-term care facility. … We found that, as participants’ overnight stays in hospitals and
long-term care increased, ET had a
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psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics
November 21, 2021 - October 19, 2022
Families as partners in hospital error and adverse event surveillance … a multistate hospital network--13 academic medical centers, April-June 2020. … Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024 … November 21, 2016
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See More About The Topic
General Hospitals
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psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
November 27, 2018 - Citation Text:
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. … November 21, 2018
Guide to Patient and Family Engagement in Hospital Quality and Safety … January 27, 2016
Toolkit for Reducing CAUTI in Hospitals. … December 9, 2015
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … October 31, 2014
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See More About The Topic
Hospitals
Physicians
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psnet.ahrq.gov/node/36648/psn-pdf
January 18, 2011 - The Safety Organizing Scale: development and validation
of a behavioral measure of safety culture in … hospital
nursing units. … The Safety Organizing Scale: development and validation of a behavioral measure of
safety culture in … hospital nursing units. … dubbed the Safety Organizing Scale
(SOS), were associated with fewer reported medication errors and falls
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psnet.ahrq.gov/node/837598/psn-pdf
June 29, 2022 - Visitor behaviors can influence the risk of patient harm:
an analysis of patient safety reports from 92 hospitals … Visitor behaviors can influence the risk of patient harm: an analysis of
patient safety reports from 92 hospitals … found that behavior from families and caregivers visiting a patient increased the risk of patient harm in … 36% of cases and decreased the risk of harm in the remaining 64% of cases. … Certain visitor behaviors
(such as moving the patient) increased patient harm, including falls and medication-related
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psnet.ahrq.gov/node/41367/psn-pdf
May 09, 2012 - https://psnet.ahrq.gov/issue/harm-free-care
This initiative seeks to reduce four key sources of harm in … hospitals: pressure ulcers, falls, catheter-
associated urinary tract infections, and vascular thrombotic
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psnet.ahrq.gov/issue/losing-laura
June 06, 2018 - May 23, 2018
The other opioid crisis: hospital shortages lead to patient pain, medical … November 20, 2019
The untold story of a cyberattack, a hospital and a dying woman. … February 20, 2019
Adverse Events in Long-Term-Care Hospitals: National Incidence Among … Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
January 01, 2012 - the hospital … would typically turn to the hospitals for. … For example, urban hospitals probably see more
severe patients than do rural hospitals, because patients … For example, in one panelist’s experience, it is
extremely difficult to get psychiatric hospitals to … hospital.
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psnet.ahrq.gov/issue/stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission
June 21, 2023 - June 6, 2022
Bedrails are used in hospitals and at home to minimize falls despite the potential … June 21, 2023
Cyberattack led to harrowing lapses at Ascension hospitals, clinicians … August 17, 2022
The last person you'd expect to die in childbirth. … August 7, 2024
The Sunday story: when hospitals don't say sorry. … December 20, 2023
Hospitals in two states denied an abortion to a miscarrying patient
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psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
March 24, 2019 - older adults with a history of falls: a qualitative study. … August 10, 2022
View More
Related Resources
Patient falls while … July 5, 2023
Nurse staffing, nursing assistants and hospital mortality: retrospective … hospital nurses. … June 1, 2011
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See More About The Topic
Hospitals
Nurses
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psnet.ahrq.gov/issue/improving-patient-safety-long-term-care-facilities-training-modules
August 17, 2022 - Citation Text:
Improving Patient Safety in Long-Term Care Facilities: Training Modules. … Diagnostic Safety in the Emergency Department. … August 1, 2012
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals … February 20, 2019
Adverse Events in Long-Term-Care Hospitals: National Incidence Among
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psnet.ahrq.gov/node/73665/psn-pdf
September 01, 2021 - Challenges and potential solutions for patient safety in an
infectious-agent-isolation environment: … a study of 484
COVID-19-related event reports across 94 hospitals
September 1, 2021
Taylor M, Reynolds … Challenges and potential solutions for patient safety in an infectious-
agent-isolation environment: … a study of 484 COVID-19-related event reports across 94 hospitals. … The most common safety events included pressure injuries or other skin integrity events, falls,
and
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psnet.ahrq.gov/node/73920/psn-pdf
October 06, 2021 - hospitalized patients following
motor vehicle crashes: a qualitative study of reports from
Pennsylvania hospitals … hospitalized patients following motor vehicle crashes: a qualitative
study of reports from Pennsylvania hospitals … Using data reported to the Pennsylvania
Patient Safety Reporting System (PA-PSRS), researchers in this … Common challenges included issues
with monitoring, treatment, evaluation, and/or documentation, patient falls
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psnet.ahrq.gov/issue/accuracy-interpretation-preparticipation-screening-electrocardiograms
May 18, 2022 - July 26, 2023
Patient education to prevent falls among older hospital inpatients: a randomized … June 10, 2020
In-hospital sequelae of injurious falls in 24 medical/surgical units in … four hospitals in the United States. … in patients with coronary artery disease in a large, academic, multispecialty clinic practice. … Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital
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psnet.ahrq.gov/issue/medical-error-what-do-we-know-what-do-we-do
May 06, 2016 - May 6, 2016
Putting Patients First: Best Practices in Patient-Centered Care. … Related Resources
Patient Safety Innovations
Preventing Falls … February 28, 2018
Hospital nurses' work environment characteristics and patient safety … December 15, 2017
Partnering to prevent falls: using a multimodal multidisciplinary team … April 30, 2008
View More
See More About The Topic
Hospitals
Health
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psnet.ahrq.gov/issue/systems-approach-sharp-end
April 21, 2021 - Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024 … Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital … June 12, 2019
Safer Hospital Care: Strategies for Continuous Innovation, Second Edition … August 26, 2011
View More
See More About The Topic
Hospitals
Health