-
psnet.ahrq.gov/node/38118/psn-pdf
October 01, 2019 - sentinel-event-alert
https://psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation
-
psnet.ahrq.gov/node/46679/psn-pdf
December 22, 2018 - hand-hygiene-among-physicians-performance-beliefs-and-perceptions
https://psnet.ahrq.gov/issue/afraid-hospital-parental-concern-errors-during-childs-hospitalization
-
psnet.ahrq.gov/node/45992/psn-pdf
January 01, 2020 - patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency
https://psnet.ahrq.gov/issue/framework-assess-patient-reported-adverse-outcomes-arising-during-hospitalization
-
psnet.ahrq.gov/issue/2019-ama-prior-authorization-pa-physician-survey
October 18, 2023 - find that prior authorization requirements contributed to patient harm or potentially preventable hospitalization
-
psnet.ahrq.gov/node/41251/psn-pdf
March 29, 2012 - patient-safety-developing-countries-retrospective-estimation-scale-and-nature-
harm-patients
This study conducted a retrospective chart review of more than 15,000 hospitalization
-
psnet.ahrq.gov/node/37646/psn-pdf
April 11, 2011 - that hospitalized elderly patients
were nearly twice as likely to experience an adverse event during hospitalization
-
psnet.ahrq.gov/node/34787/psn-pdf
March 28, 2005 - Investigators discovered a 1.7% rate of events
and 1.0% rate of hospitalization.
-
psnet.ahrq.gov/node/44810/psn-pdf
April 21, 2016 - have been an active area of patient safety research, most of the focus has
been on handoffs during hospitalization
-
psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy
https://psnet.ahrq.gov/issue/role-pharmacist-counseling-preventing-adverse-drug-events-after-hospitalization
-
psnet.ahrq.gov/node/44060/psn-pdf
November 16, 2015 - developed and tested a simple tool for patients and family
members to report potential harms during hospitalization
-
psnet.ahrq.gov/node/42547/psn-pdf
May 19, 2014 - AHRQ Patient Safety Indicators (PSIs) have traditionally been used to detect adverse events during
hospitalization
-
psnet.ahrq.gov/node/39858/psn-pdf
September 22, 2010 - The primary care physician was unaware of the
hospitalization for nearly one-third of patients, and
-
psnet.ahrq.gov/node/35817/psn-pdf
July 21, 2010 - attending physician, an intern, and a patient in disclosing news about an error that occurred during her
hospitalization
-
psnet.ahrq.gov/node/46315/psn-pdf
December 16, 2017 - associated with malnutrition, including when it is misdiagnosed upon admission or
unrecognized during hospitalization
-
psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - There were no changes made to any of the medications he was taking before the hospitalization, including … risk.(4) Patients face
particular risk for both subtherapeutic and supratherapeutic INR levels during hospitalization … adjustments, and care transitions; INR control has correspondingly been shown to be worse in the peri-
hospitalization … therapeutic INR usually have their INR rechecked at 28 (or more) day intervals (3), but in this case the
hospitalization … Anticoagulation control in the peri-hospitalization period. J Gen Intern Med.
2007;22:727-735.
-
psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake
April 06, 2016 - incident of patient misidentification and offers tips to help patients confirm their care during a hospitalization
-
psnet.ahrq.gov/periodic-issue/periodic-issue-416
November 29, 2023 - Falls requiring hospitalization more often occurred in residents’ bedrooms or communal areas. … psychological or physical health were the most common contributing factor in falls that required a hospitalization … Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization … examines the incidence of Medicare home health patients experiencing falls with major injury resulting in hospitalization … describes a 55-year-old woman who sustained critical injuries after a motor vehicle crash and had a lengthy hospitalization
-
psnet.ahrq.gov/issue/ahrq-national-healthcare-safety-dashboard
December 04, 2024 - 2023
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization
-
psnet.ahrq.gov/issue/josies-story
May 21, 2019 - mother of Josie King, who died tragically in 2001 at age 18 months because of medical errors during a hospitalization
-
psnet.ahrq.gov/node/47401/psn-pdf
January 01, 2019 - Almost 50% of the 10,212 patients
who responded to the survey reported experiencing a problem during hospitalization