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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49849/psn-pdf
    January 01, 2019 - psychiatric units were medication errors (17.2 per 100 discharges), adverse drug events (4.1), and falls … Analysis of 12 years' worth of root cause analysis reports from all VA hospitals in the US identified … hospital with a free-standing psychiatric facility. … Behavioral health staff in free-standing psychiatric hospitals may have limited access to physicians … Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental

  2. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? | PSNet

    psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
    September 01, 2006 - VA has installed bar-coded medication administration (BCMA) in nearly all hospitals, and most clinicians … Care in U.S. hospitals--the Hospital Quality Alliance program. N Engl J Med. 2005;353:265-274. … RW: In a practical sense, let's say I'm in a VA hospital in Des Moines and I'm newly hired to run the … U.S. hospitals. … June 21, 2016 Association between patient outcomes and accreditation in US hospitals:

  3. Newsletter Spring 2018

    hcup-us.ahrq.gov/news/newsletters/newsltrQ1_2018.html
    January 01, 2018 - and Announcements New Community-Level Statistics on HCUPnet on Stays for Alcohol and Other Drugs Hospital … about geographic, hospital, patient, and visit characteristics. … Hospital Inpatient Stays by Age and Payer, 2000–2015 #234 Adverse Drug Events in U.S. … Hospitals, 2010 Versus 2014 #233 Overview of Operating Room Procedures During Inpatient Stays in … Hospitals, 2014 To access these and other Statistical Briefs, please visit the Statistical Briefs

  4. Fourth Cause Campaign. | PSNet

    psnet.ahrq.gov/issue/fourth-cause-campaign
    April 22, 2009 - April 11, 2007 Recommendations for Safe Use of Insulin in Hospitals. … December 15, 2021 Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital … June 28, 2023 Hospitals in two states denied an abortion to a miscarrying patient. … April 12, 2023 Crisis in the Lakeshore Hospital ER. … March 23, 2022 Medicare penalizes dozens of hospitals it also gives five stars.

  5. Webinar 1: Introduction & Overview: Slide Presentation | Agency for Healthcare Research and Quality

    www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/guide/web1.html
    December 01, 2017 - Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Slide 8: List of Tools The guide comes with 13 customizable tools to be used in hospital teams’ day-to-day … Hospitals must improve standard "discharge planning" processes. … Slide 20: Summary The AHRQ Hospital Guide to Reducing Medicaid Readmissions encourages hospitals … Recommends improving care in 3 domains: improve hospital-based care, collaborate across settings, deliver

  6. Webinar 1: Introduction & Overview: Slide Presentation | Agency for Healthcare Research and Quality

    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/guide/web1.html
    December 01, 2017 - Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Slide 8: List of Tools The guide comes with 13 customizable tools to be used in hospital teams’ day-to-day … Hospitals must improve standard "discharge planning" processes. … Slide 20: Summary The AHRQ Hospital Guide to Reducing Medicaid Readmissions encourages hospitals … Recommends improving care in 3 domains: improve hospital-based care, collaborate across settings, deliver

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867652/psn-pdf
    February 26, 2025 - In contrast, a weak action step would be “update a policy on test result communication.” … The toolkit’s flexibility also means it can be adapted for diverse healthcare settings beyond hospitals … to examine patterns across multiple events within a category (such as medication errors or patient falls … RCA Methodology In addition to RCA2, there have been other recent innovations in RCA methodology. … The challenges of undertaking root cause analysis in health care: a qualitative study.

  8. Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/studies/index.html?page=43
    January 01, 2024 - rise in in-hospital infection probability and a 0.183 increase in the likelihood of 90-day infection … Comparable findings were observed in models assessing the number of in-hospital and 90-day infections … lung injury, medication and diagnostic errors, oversedation, oxygen device removal, and falls. … A cohort of 600 patients were included, with in-hospital mortality of 40.3%. … Intubations lasting longer than 21 days had a lower in-hospital mortality of 25.7%.

  9. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality

    www.monahrq.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

  10. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality

    www.cahps.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

  11. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality

    www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

  12. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality

    www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

  13. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality

    cahps.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

  14. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality

    healthcare411.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

  15. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality

    monahrq.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

  16. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality

    teamstepps.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

  17. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality

    talkingquality.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

  18. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality

    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

  19. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality

    patientregistry.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

  20. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality

    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/896.html
    January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .
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