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441. Trends in Nursing Home Deficiencies and Complaints. | PSNet
     psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
     February 18, 2009 - August 9, 2017 Adverse Events in Hospitals: Methods for Identifying Events. … November 16, 2011 Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues. … February 20, 2019 Adverse Events in Long-Term-Care Hospitals: National Incidence Among … January 9, 2019 Adverse Events in Rehabilitation Hospitals: National Incidence Among

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42488/psn-pdf
     August 14, 2013 - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a … Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a … psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-provider-order-entry-5- community-hospitals … This case study of CPOE at five community hospitals identifies the major resources needed for and factors … //psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-provider-order-entry-5-community-hospitals

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40678/psn-pdf
     December 01, 2011 - Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican … Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican … https://psnet.ahrq.gov/issue/prevalence-adverse-events-hospitals-five-latin-american-countries-results … - iberoamerican-study This cross-sectional study conducted in 58 hospitals in 5 Latin American countries … https://psnet.ahrq.gov/issue/prevalence-adverse-events-hospitals-five-latin-american-countries-results-iberoamerican-study

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34570/psn-pdf
     March 07, 2005 - Measuring the Success of the Regional Medication Safety Program for Hospitals. … https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals The Regional … of 65 Philadelphia-area hospitals to improve their medication safety administration. … Tools were developed and disseminated to support improvement efforts at participating hospitals. … https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44542/psn-pdf
     December 22, 2018 - The prevalence of medical error related to end-of-life communication in Canadian hospitals: results … The prevalence of medical error related to end-of-life communication in Canadian hospitals: results … https://psnet.ahrq.gov/issue/prevalence-medical-error-related-end-life-communication-canadian-hospitals … patient preferences for end-of-life care and documentation of their wishes is a common problem in hospitals … This audit study across 16 hospitals in Canada quantified how often medical orders for life-sustaining

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46504/psn-pdf
     February 22, 2018 - How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional … https://psnet.ahrq.gov/issue/how-guiding-coalitions-promote-positive-culture-change-hospitals-longitudinal … Hospitals who appointed diverse guiding coalitions, promoted genuine team member engagement, and managed … This study enriches knowledge about how hospital leaders can promote sustained improvement. … preventing-patient-harms-through-systems-care https://psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47115/psn-pdf
     August 15, 2018 - complexity of patients at teaching hospitals may account for this finding. … The results of this study mirror those of a similar study conducted in adult hospitals from 2002 to … An accompanying editorial notes that quality improvement collaboratives have achieved reductions in hospital-acquired … A WebM&M commentary discussed a preventable medication error at a children's hospital. … issue/temporal-trends-rates-patient-harm-resulting-medical-care https://psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44388/psn-pdf
     October 14, 2015 - - acquired conditions in rural and nonrural US hospitals. … Conditions in Rural and Nonrural US Hospitals. … pay for errors policy may affect rural hospitals differently than nonrural hospitals. … Rural hospitals had significantly fewer of these hospital-acquired conditions, except for patient falls … /hospital-compare https://psnet.ahrq.gov/issue/medicares-policy-not-pay-treating-hospital-acquired-conditions-impact

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45507/psn-pdf
     November 02, 2016 - Information handoff and outcomes of critically ill patients transferred between hospitals. … Information handoff and outcomes of critically ill patients transferred between hospitals. … psnet.ahrq.gov/issue/information-handoff-and-outcomes-critically-ill-patients-transferred-between- hospitals … Patients are at risk for adverse events when they are transferred from one acute care hospital to another … was often incomplete and lack of documentation was associated with higher in-hospital mortality.

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46062/psn-pdf
     December 19, 2017 - Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic … Frequency and nature of medication errors and adverse drug events in mental health hospitals: a systematic … psnet.ahrq.gov/issue/frequency-and-nature-medication-errors-and-adverse-drug-events-mental- health-hospitals … This systematic review found that medication errors and adverse drug events in mental health hospitals … //psnet.ahrq.gov/issue/frequency-and-nature-medication-errors-and-adverse-drug-events-mental-health-hospitals

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39879/psn-pdf
     September 29, 2010 - The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the … The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the … https://psnet.ahrq.gov/issue/effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching- hospitals-state … The clinical outcomes of trauma patients improved at Pennsylvania hospitals after the implementation … https://psnet.ahrq.gov/issue/effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-hospitals-state

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39124/psn-pdf
     February 18, 2011 - Adverse drug event rates in six community hospitals and the potential impact of computerized physician … Adverse Drug Event Rates in Six Community Hospitals and the Potential Impact of Computerized Physician … https://psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact- … study used chart review with trigger tools to estimate the incidence of medication errors in community hospitals … https://psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42662/psn-pdf
     October 16, 2013 - Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning … Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning … https://psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how … - can-informal This commentary examines opportunities to learn from errors in hospitals and outlines … https://psnet.ahrq.gov/issue/informal-learning-error-hospitals-what-do-we-learn-how-do-we-learn-and-how-can-informal

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39256/psn-pdf
     November 14, 2011 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. … https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and … - safety-2009 America's hospitals continued to improve the quality of care they provide for myocardial … Compared to the prior report published in 2007, hospitals increased their provision of evidence-based … https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44581/psn-pdf
     January 20, 2016 - Quality management and perceptions of teamwork and safety climate in European hospitals. … Quality management and perceptions of teamwork and safety climate in European hospitals. … https://psnet.ahrq.gov/issue/quality-management-and-perceptions-teamwork-and-safety-climate-european- hospitals … https://psnet.ahrq.gov/issue/quality-management-and-perceptions-teamwork-and-safety-climate-european-hospitals … https://psnet.ahrq.gov/issue/quality-management-and-perceptions-teamwork-and-safety-climate-european-hospitals

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45886/psn-pdf
     July 05, 2017 - Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid … Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid … https://psnet.ahrq.gov/issue/organizational-perspectives-nurse-executives-15-hospitals-impact-and- effectiveness-rapid … The authors advocate for future research to examine what different types of hospitals perceive as valuable … https://psnet.ahrq.gov/issue/organizational-perspectives-nurse-executives-15-hospitals-impact-and-effectiveness-rapid

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38502/psn-pdf
     May 21, 2009 - Early adopters of computerized physician order entry in hospitals that care for children: a picture … Early adopters of computerized physician order entry in hospitals that care for children: a picture … https://psnet.ahrq.gov/issue/early-adopters-computerized-physician-order-entry-hospitals-care-children … Dedicated children's hospitals and teaching institutions were more likely to use CPOE. … https://psnet.ahrq.gov/issue/early-adopters-computerized-physician-order-entry-hospitals-care-children-picture-us-health

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33616/psn-pdf
     August 01, 2005 - Yet only 16% of hospital CEOs listed patient safety among their top three concerns in 2004—no significant … Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. … Educational levels of hospital nurses and surgical patient mortality. … Aiken LH, Clarke SP, Sloane DM, for the International Hospital Outcomes Research Consortium. … Hospital staffing, organization, and quality of care: cross-national findings.

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45156/psn-pdf
     June 22, 2017 - Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. … Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. … - hospitals Computerized provider order entry systems are now widely deployed in hospitals, but their … https://psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals … https://psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43814/psn-pdf
     June 21, 2015 - Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance … Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance … https://psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific- … This quality improvement project aimed to achieve adherence to hand hygiene practices at eight hospitals … Each hospital investigated and identified specific causes of noncompliance with handwashing and developed