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psnet.ahrq.gov/node/39908/psn-pdf
October 06, 2010 - Use of temporary nurses and nurse and patient safety
outcomes in acute care hospital units. … Use of temporary nurses and nurse and patient safety outcomes in acute care
hospital units. … Temporary nurses are frequently used by hospitals to cover unexpected staffing shortages. … However, both patient falls and injuries among nurses increased
with higher levels of temporary staffing … https://psnet.ahrq.gov/issue/supplemental-nurse-staffing-hospitals-and-quality-care
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psnet.ahrq.gov/issue/sign-safety
April 15, 2020 - Through a coordinated effort to set goals and devise plans to improve safety in hospitals, the Sign up … to Safety campaign aims to prevent 6000 patient deaths in the next 3 years in National Health Service … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … February 14, 2023
Hospital Compare. … Providers
Health Care Executives and Administrators
Hospital Medicine
Latent Errors
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psnet.ahrq.gov/issue/relevance-agency-healthcare-research-and-quality-patient-safety-indicators-childrens
July 14, 2010 - Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital … Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls … , ethnic, and payer groups for pediatric safety events in US hospitals. … : dispelling the myth of the "safest" hospital. … February 1, 2012
Medicaid markets and pediatric patient safety in hospitals.
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psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - In conclusion, incident reporting systems are nearly universal in hospitals, and nurses and other hospital … 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
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psnet.ahrq.gov/issue/virtual-patients-designed-training-against-medical-error-exploring-impact-decision-making
May 15, 2024 - June 3, 2020
Utilization of the Seniors Falls Investigation Methodology to identify system-wide … causes of falls in community-dwelling seniors. … hospitals. … preventing medication errors in the pediatric units. … February 26, 2020
Controversies in diagnosis: contemporary debates in the diagnostic
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psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
February 03, 2021 - A system safety approach to assessing risks in the sepsis treatment process. … A system safety approach to assessing risks in the sepsis treatment process. … October 27, 2021
Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care. … April 30, 2008
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Hospitals
Intensive
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psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety
September 01, 2021 - use of call lights, increased their satisfaction with care, and reduced falls. … Related Resources
Patient Safety Innovations
Preventing Falls … August 26, 2011
Patient self-medication--a change in hospital practice. … April 14, 2010
Daytime sleepiness, sleep habits and occupational accidents among hospital … February 22, 2010
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Hospitals
Nurses
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psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
February 17, 2021 - Patients transferred from hospitals to skilled nursing facilities (SNFs) are vulnerable to adverse … hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. … awaiting long-term care in hospital. … September 14, 2022
Potentially inappropriate medications and their effect on falls during … hospital admission.
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psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings
October 31, 2014 - to the US Department of Health and Human Services regarding rates of adverse drug events , patient falls … January 13, 2021
Adverse Events in Rehabilitation Hospitals: National Incidence Among … February 18, 2009
Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009
Adverse Events in Hospitals: Overview of Key Issues. … Care Executives and Administrators
Policy Makers
Hospital Medicine
Epidemiology of Errors and
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-3
January 12, 2022 - May 15, 2013
Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid … August 18, 2021
Potentially inappropriate medications and their effect on falls during … hospital admission. … March 23, 2022
Opioids and falls risk in older adults: a narrative review. … June 16, 2019
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Hospitals
Long-Term
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psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
November 13, 2024 - score for US hospitals. … March 27, 2024
Inpatient EHR user experience and hospital EHR safety performance. … September 7, 2022
Progress in interoperability: measuring US hospitals' engagement in … March 13, 2013
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries … September 20, 2011
Medicare nonpayment, hospital falls, and unintended consequences.
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psnet.ahrq.gov/node/41886/psn-pdf
April 17, 2013 - Inpatient fall prevention: use of in-room Webcams. … Inpatient fall prevention: use of in-room Webcams. … inpatient-fall-prevention-use-room-webcams
The use of Webcams and virtual bed rail alarms were correlated with decreased patient falls … in this study. … /inpatient-fall-prevention-use-room-webcams
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/health-outcomes-associated-potentially-inappropriate-medication-use-older-adults
June 29, 2011 - November 16, 2022
Effects of an intervention to increase bed alarm use to prevent falls … December 12, 2012
Is it possible to identify risks for injurious falls in hospitalized … hospital practice: factors associated with turnover, outcomes, and patient safety. … multistate hospital network--13 academic medical centers, April-June 2020. … hospitals: a descriptive study.
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psnet.ahrq.gov/issue/ahrq-national-healthcare-safety-dashboard
December 04, 2024 - Medicare adverse events, CMS hospital reporting programs, and hospital patient safety culture surveys … November 8, 2023
Home Health Agencies Failed To Report Over Half of Falls With Major … DeBakey VA Medical Center in Houston, Texas. … December 22, 2014
Adverse Events in Hospitals: Public Disclosure of Information About … January 20, 2010
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Hospitals
Medical
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psnet.ahrq.gov/node/43338/psn-pdf
July 09, 2014 - In military care, a pattern of errors but not scrutiny.
July 9, 2014
LaFraniere S, Lehren AW. … https://psnet.ahrq.gov/issue/military-care-pattern-errors-not-scrutiny
Reporting on serious lapses in … military-care-pattern-errors-not-scrutiny
https://psnet.ahrq.gov/issue/influence-unit-level-staffing-medication-errors-and-falls-military-hospitals
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psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-patient-outcomes-systematic-review
March 11, 2020 - review evaluated the evidence linking safety culture and patient outcomes, including satisfaction, falls … January 3, 2017
Reduction in medication errors in hospitals due to adoption of computerized … December 31, 2014
Assessing patient safety culture in hospitals across countries. … in hospitals. … November 25, 2009
Comparing safety climate between two populations of hospitals in the
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psnet.ahrq.gov/issue/patients-and-families-perspectives-patient-safety-end-life-video-reflexive-ethnography-study
December 18, 2013 - October 21, 2011
Patient safety for people experiencing advanced dementia in hospital … Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024 … Patient Safety Innovations
Enhancing Support for Patients’ Social Needs to Reduce Hospital … August 15, 2016
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See More About The Topic
Hospitals
Patients
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psnet.ahrq.gov/issue/how-providers-can-optimize-effective-and-safe-scribe-use-qualitative-study
November 18, 2020 - error rates and associated harm among hospital inpatients? … older adults with a history of falls: a qualitative study. … hospital settings: a systematic review of the international literature. … February 7, 2024
Cost of inpatient falls and cost-benefit analysis of implementation … December 5, 2013
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See More About The Topic
Hospitals
Ambulatory
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psnet.ahrq.gov/issue/safe-use-health-information-technology
December 23, 2016 - Copy Citation
Related Resources From the Same Author(s)
Preventing falls … and fall-related injuries in health care facilities. … January 25, 2023
Health care workers in the midst of crisis. … February 8, 2017
Preventing falls and fall-related injuries in health care facilities … March 4, 2011
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Hospitals
Information
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psnet.ahrq.gov/issue/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … : a qualitative interview study from the perspectives of hospital nurses and physicians. … Related Resources
Patient Safety Innovations
Preventing Falls … and emergency department staff in the deteriorating patient. … Roller Coaster
July 1, 2004
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See More About The Topic
Hospitals