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psnet.ahrq.gov/issue/qualitative-study-examining-influences-situation-awareness-and-identification-mitigation-and
July 16, 2014 - September 9, 2015
Improving shared situation awareness for high-risk therapies in hospitalized … January 19, 2022
Optimizing situation awareness to reduce emergency transfers in hospitalized … 23, 2020
Clinical progress note: situation awareness for clinical deterioration in hospitalized
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psnet.ahrq.gov/node/41186/psn-pdf
January 03, 2017 - costs-adverse-drug-events-community-hospitals
https://psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patients … https://psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-patients-excess-length-stay-extra-costs-and-attributable
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psnet.ahrq.gov/node/36853/psn-pdf
June 07, 2016 - A similar study reported on potential drug interactions in
hospitalized cancer patients. … https://psnet.ahrq.gov//#adversedrugevent
https://psnet.ahrq.gov/issue/potential-drug-interactions-hospitalized-cancer-patients
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psnet.ahrq.gov/node/44355/psn-pdf
September 02, 2015 - nonpayment-harms-resulting-medical-care-catheter-associated-urinary-tract-infections
https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thromboembolism-among-hospitalized-patients … https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thromboembolism-among-hospitalized-patients
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psnet.ahrq.gov/node/45725/psn-pdf
December 21, 2016 - authors describe the
development and testing of an intervention designed to collect feedback from hospitalized … should-patients-have-role-patient-safety-safety-engineering-view
https://psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported
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psnet.ahrq.gov/node/47191/psn-pdf
December 21, 2018 - barriers-and-facilitators-implementing-process-enable-parent-escalation-care-deteriorating
https://psnet.ahrq.gov/issue/parent-reported-errors-and-adverse-events-hospitalized-children … can-we-rely-patients-reports-adverse-events
https://psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.113_slideshow.ppt
January 01, 2006 - The Burden: Venous Thromboembolism
1.5/1,000 per year in US adults
1% of hospitalized patients
Nearly … A computerized reminder system to increase the use of preventive care for hospitalized patients. … Electronic alerts to prevent venous thromboembolism among hospitalized patients. … Electronic alerts to prevent venous thromboembolism among hospitalized patients. … Electronic alerts to prevent venous thromboembolism among hospitalized patients.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014882-ferranti-final-report-2008.pdf
January 01, 2008 - operational utility of an automated surveillance system
to detect and mitigate adverse drug events (ADEs) in hospitalized … project was to reliably measure and reduce the incidence of adverse drug events (ADEs) suffered
by hospitalized … objectives were to 1) establish a baseline rate of the incidence of adverse
drug events (ADEs) in hospitalized … In the landmark
Harvard Medical Practice Study published in 1991, it was estimated that 3.7% of all hospitalized … Incidence of Adverse
Events and Negligence in Hospitalized Patients:
Results of the Harvard Medical
-
www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
January 01, 2024 - Scope: (1) Re-engineer the system of monitoring hospitalized children on acute care wards, with a focus … informativeness through the following Specific Aims:
Specific Aim 1: Re-engineer the system of monitoring hospitalized … that the use of EHR-
extracted monitoring data demonstrates high rates of continuous SpO2 overuse in hospitalized … analysis of the interprofessional
communication work system and work processes used in the care of hospitalized … Cardiorespiratory
and Pulse Oximetry Monitoring in Hospitalized Children: A Delphi Process.
-
psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
December 22, 2018 - Notably, in the last year the patient had been hospitalized 5 times for CHF exacerbations or pneumonia … Finally, in this multi-institutional study, 15% of these older hospitalized patients did not have any … Failure to engage hospitalized elderly patients and their families in advance care planning. … Understanding cardiopulmonary resuscitation decision making: perspectives of seriously ill hospitalized … Barriers to goals of care discussions with seriously ill hospitalized patients and their families: a
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psnet.ahrq.gov/node/39192/psn-pdf
February 02, 2011 - issue/contraindicated-medication-use-dialysis-patients-undergoing-percutaneous-
coronary
Patients hospitalized … contraindicated-medication-use-dialysis-patients-undergoing-percutaneous-coronary
https://psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
-
psnet.ahrq.gov/node/38865/psn-pdf
April 04, 2011 - This survey of parents of
hospitalized children found that nearly two-thirds felt personally responsible … medication-errors-among-adults-and-children-cancer-outpatient-setting
https://psnet.ahrq.gov/issue/are-language-barriers-associated-serious-medical-events-hospitalized-pediatric-patients
-
psnet.ahrq.gov/node/46034/psn-pdf
April 05, 2017 - design-and-reliability-specific-instrument-evaluate-patient-safety-patients-
acute-myocardial
Although adverse events among hospitalized … issue/understanding-and-responding-adverse-events
https://psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
-
psnet.ahrq.gov/node/39297/psn-pdf
January 22, 2017 - psnet.ahrq.gov/issue/checklist-identify-inpatient-suicide-hazards-veterans-affairs-hospitals
Suicide in a hospitalized … The majority of inpatient suicide attempts
occur in patients hospitalized on psychiatric units, and
-
psnet.ahrq.gov/node/39456/psn-pdf
May 04, 2010 - study also found
that Spanish-speaking patients may be at higher risk of experiencing errors while hospitalized … availability-spanish-prescription-labels
https://psnet.ahrq.gov/issue/are-language-barriers-associated-serious-medical-events-hospitalized-pediatric-patients
-
psnet.ahrq.gov/node/37849/psn-pdf
March 23, 2011 - attempts to address this controversy by evaluating eight
published studies of medical error incidence in hospitalized … incidence-and-types-adverse-events-and-negligent-care-utah-and-colorado
https://psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
-
psnet.ahrq.gov/node/36174/psn-pdf
September 29, 2010 - measurement-adverse-events-using-incidence-flagged-diagnosis-codes
https://psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients … https://psnet.ahrq.gov/issue/surveillance-medical-device-related-hazards-and-adverse-events-hospitalized-patients
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psnet.ahrq.gov/node/40513/psn-pdf
June 08, 2011 - As hospitalized patients have also been shown to lack understanding of their
illness and plan of care … patient-comprehension-emergency-department-care-and-instructions-are-patients-aware-when-they
https://psnet.ahrq.gov/issue/communication-discrepancies-between-physicians-and-hospitalized-patients
-
psnet.ahrq.gov/node/41726/psn-pdf
September 26, 2012 - accountability-measures-using-measurement-promote-quality-improvement
https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thromboembolism-among-hospitalized-patients … https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thromboembolism-among-hospitalized-patients
-
www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
October 27, 2014 - ) team identified the rate of harm—that is,
injuries to patients associated with their care—among hospitalized … Venous Thromboembolisms All Other HACs
DRAFT
Page 12 of 26
that almost 10 percent
17
of hospitalized … Adverse drug events among hospitalized patients: epidemiology and national
estimates from a new approach … Adverse drug events in hospitalized
patients. … A multicomponent intervention to prevent delirium in
hospitalized older patients.