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21. Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. | PSNet
    psnet.ahrq.gov/issue/adverse-events-hospitals-care-study-incidence-among-medicare-beneficiaries-two-selected
    January 14, 2009 - outlined in a previous report , the OIG chose to evaluate the overall incidence of adverse events, including … no pay for errors" conditions, never events, and all other adverse consequences of hospitalization, including … Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72551/psn-pdf
    December 09, 2020 - Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve … Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve … https://psnet.ahrq.gov/issue/bundle-interventions-including-nontechnical-skills-surgeons-can-reduce- … https://psnet.ahrq.gov/issue/bundle-interventions-including-nontechnical-skills-surgeons-can-reduce-operative-time-and … https://psnet.ahrq.gov/issue/bundle-interventions-including-nontechnical-skills-surgeons-can-reduce-operative-time-and

23. A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. | PSNet
    psnet.ahrq.gov/issue/retrospective-audit-postoperative-days-alive-and-out-hospital-including-and-after
    March 17, 2021 - Study A retrospective audit of postoperative days alive and out of hospital, including … A retrospective audit of postoperative days alive and out of hospital, including before and after implementation … A retrospective audit of postoperative days alive and out of hospital, including before and after implementation

24. Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. | PSNet
    psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
    November 15, 2023 - AHRQ in 2008, was retired in March 2021; AHRQ now offers select content from the Innovations Exchange, including … Summary The Hospital at Home sm program provides hospital-level care (including daily physician and … The Acute Hospital Care At Home Program supports existing models of at-home hospital care, including … As a result, hospitalized seniors often experience morbidity including bedsores, muscular degeneration … Home health care support: Home health care services and equipment, including blood tests, intravenous

25. Preventing errors relating to commonly used anticoagulants. | PSNet
    psnet.ahrq.gov/issue/preventing-errors-relating-commonly-used-anticoagulants
    June 16, 2019 - They have been associated with adverse events in a variety of settings, including in hospitalized patients … root causes of anticoagulant-associated patient harm and recommends strategies for reducing errors, including

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851349/psn-pdf
    July 12, 2023 - Contributory factors and patient harm including deaths associated direct acting oral anticoagulants … Contributory factors and patient harm including deaths associated direct acting oral anticoagulants … https://psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct … https://psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral … https://psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral

27. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74725/psn-pdf
    February 02, 2022 - A retrospective audit of postoperative days alive and out of hospital, including before and after implementation … A retrospective audit of postoperative days alive and out of hospital, including before and after implementation … https://psnet.ahrq.gov/issue/retrospective-audit-postoperative-days-alive-and-out-hospital-including-and … https://psnet.ahrq.gov/issue/retrospective-audit-postoperative-days-alive-and-out-hospital-including-and-after … https://psnet.ahrq.gov/issue/retrospective-audit-postoperative-days-alive-and-out-hospital-including-and-after

28. Survey results from pharmacists provide support to enhance the organizational response to codes. | PSNet
    psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-codes
    November 02, 2022 - Pharmacists involved in codes reported concerns including errors with high-alert medications and communication … preparation for, actions during and post code phrases which included standardizing the practice of including

29. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. | PSNet
    psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety
    April 26, 2023 - This article highlights the advantages of including patients in patient safety event reporting, including

30. The Foundations of Safety Science. | PSNet
    psnet.ahrq.gov/issue/foundations-safety-science
    August 07, 2019 - Safety science crosses many disciplines including healthcare , aviation, and nuclear power. … This special issue describes the state of safety science from a range of perspectives, including the

31. Diagnostic Excellence Initiative. | PSNet
    psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
    October 06, 2022 - This initiative will focus on three clinical areas including cancer , infections, and cardiovascular … October 6, 2022 A retrospective audit of postoperative days alive and out of hospital, including

32. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. | PSNet
    psnet.ahrq.gov/issue/successful-implementation-standardized-multidisciplinary-bedside-rounds-including-daily-goals
    September 03, 2011 - Study Successful implementation of standardized multidisciplinary bedside rounds, including … Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in … Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in

33. Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care. | PSNet
    psnet.ahrq.gov/issue/electronic-health-record-programs-participation-has-increased-action-needed-achieve-goals
    September 07, 2016 - Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including … Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including … Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including

34. A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. | PSNet
    psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography
    March 04, 2015 - Study A multiobserver study of the effects of including point-of-care patient photographs … A multiobserver study of the effects of including point-of-care patient photographs with portable radiography … A multiobserver study of the effects of including point-of-care patient photographs with portable radiography

35. Review: application of the Safety Attitudes Questionnaire (SAQ) in primary care - a systematic synthesis on validity, descriptive and comparative results, and variance across organisational units. | PSNet
    psnet.ahrq.gov/issue/review-application-safety-attitudes-questionnaire-saq-primary-care-systematic-synthesis
    November 13, 2024 - This systematic review including 43 studies concluded that the SAQ is valid for use in primary care … postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43519/psn-pdf
    June 13, 2015 - A multiobserver study of the effects of including point-of- care patient photographs with portable radiography … A multiobserver study of the effects of including point- of-care patient photographs with portable radiography … https://psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable … https://psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography … https://psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42922/psn-pdf
    April 12, 2014 - Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in … Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in … https://psnet.ahrq.gov/issue/successful-implementation-standardized-multidisciplinary-bedside-rounds- including-daily-goals … https://psnet.ahrq.gov/issue/successful-implementation-standardized-multidisciplinary-bedside-rounds-including-daily-goals … https://psnet.ahrq.gov/issue/successful-implementation-standardized-multidisciplinary-bedside-rounds-including-daily-goals

38. Patient safety in home health care: a grounded theory study. | PSNet
    psnet.ahrq.gov/issue/patient-safety-home-health-care-grounded-theory-study
    September 25, 2019 - This qualitative study including home care clinicians, inspectors, and family caregivers in Iran highlights … that the healthcare team plays an important role in creating and promoting safe home care, including

39. Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. | PSNet
    psnet.ahrq.gov/issue/greater-focus-credentialing-needed-prevent-disqualified-providers-delivering-patient-care
    September 25, 2019 - Practitioner Data Bank records and found variation in how organizations responded to that information including … Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including

40. Incidence of prescription errors in patients discharged from the emergency department. | PSNet
    psnet.ahrq.gov/issue/incidence-prescription-errors-patients-discharged-emergency-department
    March 30, 2022 - Medication safety continues to be a challenge in most healthcare settings, including emergency departments … In this academic emergency department, an overall error rate of 16.5% was observed, including errors