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Showing results for "hospitalized".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50811/psn-pdf
    January 15, 2020 - NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. January 15, 2020 Lintern S. NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. Independent. December 25, 2019; https://psnet.ahrq.gov/issue/nhs-hospitals-employ-safety-experts-tackle-thousands-avoidable…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44733/psn-pdf
    December 07, 2018 - Patient Safety in Ambulatory Settings: Technical Brief. December 7, 2018 Evidence-based Practice Center. Rockville, MD: Agency for Healthcare Research and Quality; October 19, 2016. https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings-technical-brief The primary focus on patient safety research has been…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40294/psn-pdf
    September 24, 2016 - Hospital doctors' workflow interruptions and activities: an observation study. September 24, 2016 Weigl M, Müller A, Zupanc A, et al. Hospital doctors' workflow interruptions and activities: an observation study. BMJ Qual Saf. 2011;20(6):491-7. doi:10.1136/bmjqs.2010.043281. https://psnet.ahrq.gov/issue/hospital-d…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45194/psn-pdf
    December 14, 2016 - Wounded care: failure at one Indian Health Service hospital reveals a system in crisis. December 14, 2016 Herman B, Fei F. Mod Healthc. December 2, 2016. https://psnet.ahrq.gov/issue/wounded-care-failure-one-indian-health-service-hospital-reveals-system-crisis Underserved communities face challenges to receiving h…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46331/psn-pdf
    September 14, 2018 - Health IT Patient Safety Supplemental Items for Hospitals. September 14, 2018 Agency for Healthcare Research and Quality. July 25, 2018.  https://psnet.ahrq.gov/issue/health-it-patient-safety-supplemental-items-hospitals Tracking the intersection of organizational culture with health information technology use can …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46275/psn-pdf
    March 27, 2018 - Errors originating in hospital and health-system outpatient pharmacies. March 27, 2018 Straka M, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. June 2017;14:55-63. https://psnet.ahrq.gov/issue/errors-originating-hospital-and-health-system-outpatient-pharmacies According to this analysis of more than 1000 repor…

  7. High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Vogus T, Lee M, Mos…

  8. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    February 26, 2025 - In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety Timothy Vogus, PhD; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Essay View more articles from the same authors. Ci…

  9. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet

    psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
    August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It Jerry Gurwitz, MD | August 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix I…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33804/psn-pdf
    March 03, 2016 - In Conversation With… Paul McGann, MD March 1, 2016 In Conversation With… Paul McGann, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-paul-mcgann-md Editor's note: Dr. McGann is the Chief Medical Officer for Quality Improvement at the Centers for Medicare & Medicaid Services (CMS). He…

  11. In Conversation With… Paul Aylin, MBChB | PSNet

    psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb
    June 01, 2017 - In Conversation With… Paul Aylin, MBChB June 1, 2017  Also Read an Essay Citation Text: In Conversation With… Paul Aylin, MBChB. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49750/psn-pdf
    January 01, 2016 - A Room Without Orders January 1, 2016 Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/room-without-orders Case Objectives Review a common process for planned direct hospital admissions. Describe challenges of prioritizing day-to-day patient care activities wi…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60604/psn-pdf
    June 17, 2020 - The limits of current A.I. in health care: patient safety policing in hospitals. June 17, 2020 Furrow BR. NE Univ Law Rev. 2020;12(1):1-55. https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals Artificial intelligence (AI) has the potential to improve the use of big data to e…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43150/psn-pdf
    April 30, 2014 - Children's Hospital investigated five patient deaths from deadly fungal disease in 2009. April 30, 2014 Duffy J, Harris J, Gade L, et al. Mucormycosis outbreak associated with hospital linens. The Pediatric infectious disease journal. 2014;33(5):472-6. doi:10.1097/INF.0000000000000261. https://psnet.ahrq.gov/issue…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45800/psn-pdf
    January 18, 2017 - Inpatient Notes: mistakes in the hospital—communicating, apologizing, and beyond. January 18, 2017 Kachalia A. Web Exclusives. Annals for Hospitalists Inpatient Notes - Mistakes in the Hospital- Communicating, Apologizing, and Beyond. Ann Intern Med. 2016;165(12):HO2-HO3. doi:10.7326/M16- 2545. https://psnet.ahrq…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45658/psn-pdf
    November 09, 2016 - Hospitals installed more sinks to stop infections. The sinks can make the problem worse. November 9, 2016 Branswell H. STAT. October 25, 2016. https://psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse Hospitals have sought to improve hand hygiene with interventions su…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846762/psn-pdf
    March 29, 2023 - Hospital ‘black boxes’ put surgical practices under the microscope. March 29, 2023 Sadick B. Wall Street Journal. March 19, 2023. https://psnet.ahrq.gov/issue/hospital-black-boxes-put-surgical-practices-under-microscope Safety information systems that track action in real time can reveal a trove of data about how …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73396/psn-pdf
    June 16, 2021 - The impact of the built environment on patient falls in hospital rooms: an integrative review. June 16, 2021 Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi:10.1097/pts.0000000000000613. http…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35672/psn-pdf
    June 28, 2010 - How many hospital pharmacy medication dispensing errors go undetected? June 28, 2010 Cina J, Gandhi TK, Churchill WW, et al. How many hospital pharmacy medication dispensing errors go undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80. https://psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispen…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44082/psn-pdf
    April 22, 2015 - Impact of including readmissions for qualifying events in the Patient Safety Indicators. April 22, 2015 Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/1062860613518341. https://psnet.ahrq.g…
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