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  1. www.ahrq.gov/downloads/pub/advances/vol2/Hunt.pdf
    July 01, 2004 - Advances in Patient Safety: Vol. 2 106 Methods Sampling strategy and record abstraction The hospital … Thus in 2005 the CMS will make available MPSMS modules to hospitals, provider networks, and health plans … falls** Angiographic adverse events*** Methicillin-resistant Staphylococcus aureus and Vancomycin-resistant … relevance by choosing topics based on an overarching agenda to improve the safety of our nation’s hospitals … Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer.
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
    July 01, 2004 - Advances in Patient Safety: Vol. 2 106 Methods Sampling strategy and record abstraction The hospital … Thus in 2005 the CMS will make available MPSMS modules to hospitals, provider networks, and health plans … falls** Angiographic adverse events*** Methicillin-resistant Staphylococcus aureus and Vancomycin-resistant … relevance by choosing topics based on an overarching agenda to improve the safety of our nation’s hospitals … Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer.
  3. effectivehealthcare.ahrq.gov/sites/default/files/pdf/dementia-nursing-home-characteristics_research-protocol.pdf
    November 03, 2011 - Organizational characteristics include proprietary status, affiliation (e.g., chain, hospital, CCRCs … the following: ○ Pain ○ Functional decline ○ Cognitive decline ○ Symptoms of depression ○ Falls …  Accessory dwelling units  Hospital Interventions  As defined above in the PICOTS  Interventions … following outcomes for people with dementia to include pain, anxiety, function, cognitive decline, falls … nursing homes; (e) physician care, (f) quality, (g) mental health assessment, (h) disclosure, (i) falls
  4. digital.ahrq.gov/sites/default/files/docs/behavior-change-qas-07172025.pdf
    July 17, 2025 - For right now, we want to think through in terms of how it can be integrated utilized in the clinic … We also observed a trend in decreased BMI in the male participants who read our comic. … We actually have affiliate hospitals that are very standard sort of community-based hospitals, small … different ways, and https://digital.ahrq.gov/ in some cases, even provide it in other languages … How does this tool address complications of blood pressure (BP) control, such as dizziness or falls
  5. www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
    January 01, 2024 - most teaching hospitals in the United States, including our own. … workers recalled such an event. (89) Nurses working rotating shift schedules had twice the odds of falling … ’s Hospital. … All identifiers are maintained in a locked filing storage facility at the Brigham and Women’s Hospital … Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses.
  6. psnet.ahrq.gov/web-mm/think-surgeon
    December 04, 2024 - He was transferred to the ward on hospital day 2. … been misleading in this case if acalculous disease was not in the clinician's differential diagnosis … Acute care surgery services—which include in-hospital coverage by surgeons who treat trauma, emergency … cholecystitis admitted to surgical rather than medical services have less time to surgery and shorter hospital … An acute care surgery model improves timeliness of care and reduces hospital stay for patients with acute
  7. meps.ahrq.gov/mepsweb/survey_comp/survey.jsp
    July 18, 2025 - Flat Fee (FF) Food Security (FS) Health Insurance (HX) Health Status (HE) Home Health (HH) Hospital … All MPC questionnaires Home Care Health Care Providers Home Care Non-Health Care Providers Hospitals … Institutional (Non-Hospital) Facilities Medical Organizations Survey Questionnaire Office-Based … The MPC Contact Guides for hospitals, physicians, home health care providers, and pharmacies each contain … Contact Guides All Contact Guides Contact guide for All Providers Home Care Organizations Hospitals
  8. meps.ahrq.gov/survey_comp/survey.jsp
    July 18, 2025 - Flat Fee (FF) Food Security (FS) Health Insurance (HX) Health Status (HE) Home Health (HH) Hospital … All MPC questionnaires Home Care Health Care Providers Home Care Non-Health Care Providers Hospitals … Institutional (Non-Hospital) Facilities Medical Organizations Survey Questionnaire Office-Based … The MPC Contact Guides for hospitals, physicians, home health care providers, and pharmacies each contain … Contact Guides All Contact Guides Contact guide for All Providers Home Care Organizations Hospitals
  9. digital.ahrq.gov/sites/default/files/docs/page/FIP_ExecSumm_0.pdf
    June 30, 2007 - Many of the IPs noted difficulty in considering privacy and security solutions in the absence of a … surveillance and investigation in the case of public health, and to assist in emergency care of a … of cooperation between physicians ES-10 Final Implementation Plans Executive Summary and hospitals … target providers who serve the historically underserved, and to amend these regulations such that hospitals … It is important to note here that FERPA falls under the authority of the Department of Education.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49522/psn-pdf
    November 01, 2006 - established to encourage hospitals to voluntarily collect and report hospital quality performance information … .(2) All acute care hospitals in the United States have been invited to participate in this initiative … Wisconsin found that hospitals involved in public reporting of risk-adjusted outcomes engaged in more … subscribers access to data that compare hospitals in a region. … Care in U.S. hospitals—the Hospital Quality Alliance program. N Engl J Med. 2005;353:265-274.
  11. psnet.ahrq.gov/web-mm/wrong-route-nutrients
    September 04, 2010 - In the review of almost 16,000 medication administrations, there was no difference in medication error … This fundamental difference in foundational education provides context for how RNs and LPNs differ in … Lucian Leape on patient safety in U.S. hospitals. Interview by Peter I. Buerhaus. … Is hospital patient care becoming safer? A conversation with Lucian Leape. Interview by Peter I. … 2023 WebM&M Cases Preventable Transfer to the Hospital
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49802/psn-pdf
    August 01, 2017 - In 2009, an estimated 6.9 million esophagogastroduodenoscopy (EGD) procedures were performed in the … Burden of gastrointestinal disease in the United States: 2012 update. … Implementation of safety checklists in surgery: a realist synthesis of evidence. … of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitalsin England: lessons from the "Surgical Checklist Implementation Project."
  13. digital.ahrq.gov/sites/default/files/docs/publication/r21hs021780-casarett-final-report-2014.pdf
    January 01, 2014 - Participating hospices range in size from 400-1700 patients/day and are located in New Mexico, California … These patients receive care in their own homes, in nursing homes, in hospitals, and in 3 … Moreover, patients enroll in hospice very late in the course of illness. … Half of hospice patients enroll in the last 3 weeks of life, one third enroll in the last week, and … in a private home, nursing home (including assisted living), hospital, or inpatient hospice unit.
  14. www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
    June 01, 2018 - to hospital. … The New England Cardiovascular Project, involving five hospitals in northern New England, was begun inin those hospitals. … These steps have resulted in fewer emergency room visits and hospital stays. … In an inner-city program in Boston, children with asthma experienced an 86 percent reduction in hospital
  15. www.ahrq.gov/sites/default/files/2024-12/bailit-aron-love-report.pdf
    January 01, 2024 - It is diverse both in its population and in the variety of types of hospitals and hospital systems found … care as compared to 28% of deliveries in Level-2 hospitals. … Quality of care appears to be higher in basic and Level-2 hospitals than in tertiary hospitals. … Hospital district or authority control had the highest percentage (28%) of patients delivering in hospitals … However, most patients delivering at accredited hospitals were still in hospitals of lower quality.
  16. digital.ahrq.gov/sites/default/files/docs/citation/r18hs017060-weiss-final-report-2011.pdf
    January 01, 2011 - The Emergency Medicine site was Shands Hospital, an affiliate of the University of Florida, in Jacksonville … , while the final discharge diagnoses were maintained in the hospital database. … the hospital from the ED. … would cost the provider to make sure that the patients who could benefit are contacted, so that no one falls … Although we still have had occasional discrepancies in matching cases from the hospital IT system and
  17. psnet.ahrq.gov/web-mm/complaints-safety-surveillance
    May 05, 2021 - She was admitted to the hospital and given intravenous fluids and intravenous hydromorphone (Dilaudid … None of those patients had clearly experienced an adverse event, but the hospital faced a decision about … A Different Kind of System Problem In our experience, most hospital-based practitioners admit that … Speaking up for patient safety by hospital-based health care professionals: a literature review. … September 6, 2016 Families as partners in hospital error and adverse event surveillance
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49804/psn-pdf
    September 01, 2017 - for more than 500,000 hospital admissions and 10,000 inpatient deaths annually. … In-hospital deaths were rare, occurring in only 0.3% of admissions.(1) However, brisk gastrointestinal … The presence of blood clots in the stool decreases the likelihood of upper GIB.(9) However, in some … In addition, most of the patients included in studies of restrictive transfusion thresholds had upper … A simple risk score accurately predicts in-hospital mortality, length of stay, and cost in acute upper
  19. psnet.ahrq.gov/web-mm/cultural-dimensions-depression
    September 01, 2018 - In a systematic review of 7000 refugees, PTSD was found in 9% and major depression in 5%, with considerable … There are several important changes clinics and hospitals can make to address the needs of refugee patients … In: Okparu SO, ed. Clinical Methods in Transcultural Psychiatry. … March 6, 2019 Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals … 2003 View More See More About The Topic Psychiatric Facilities Hospitals
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50859/psn-pdf
    January 31, 2020 - In Conversation With... David Gruen, MD January 31, 2020 In Conversation With.. David Gruen, MD. … to hospital-based practice, and the one common denominator has been that radiologists can’t keep up. … a hospital, you don’t know if they’ve had a CT scan at the outpatient imaging center last week. … Ultimately, hospitals will be forced to harmonize this data. … If a patient has a CT scan for a kidney stone two days ago across the street, that hospital is not going