-
psnet.ahrq.gov/node/44571/psn-pdf
June 21, 2016 - In addition, staff workflows had
to change significantly and their hourly walking distances increased … Although fall rates increased following the move, the researchers felt
that based on the patterns and
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psnet.ahrq.gov/issue/working-hours-hospital-staff-nurses-and-patient-safety
December 19, 2012 - This AHRQ-funded study demonstrated that the risk of error increased in association with extended work … For those shifts longer than 12.5 hours, the error rate increased notably.
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psnet.ahrq.gov/issue/association-between-sepsis-and-potential-medical-injury-among-hospitalized-patients
July 15, 2014 - the most critically ill patients in any hospital, and this study demonstrates that they are also at increased … demonstrate that patients with sepsis are at substantially elevated risk of adverse events, and the risk increased
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psnet.ahrq.gov/issue/costs-adverse-events-intensive-care-units
July 23, 2008 - Adverse events were associated with increased costs of nearly $4000 per patient, which were only partially … due to the increased length of stay (1 full day) associated with an adverse event.
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psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - for hospitalized patients, falls that result in serious injury remain relatively common despite increased … prevention programs could have unintended consequences , this review found that potential harms (such as increased
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psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event
April 10, 2019 - Clinicians who are involved in a medical error are at increased risk for psychological complications … September 22, 2021
Increased risk of burnout for physicians and nurses involved in a
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psnet.ahrq.gov/issue/healthcare-fragmentation-multimorbidity-potentially-inappropriate-medication-and-mortality
April 12, 2019 - care fragmentation (e.g., higher numbers of involved clinicians, more transitions between providers) increased … July 10, 2017
Toward increased patient safety?
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psnet.ahrq.gov/issue/national-survey-effect-oncology-drug-shortages-cancer-care
April 22, 2015 - shortages reached record levels in 2011, resulting in documented patient harm , longer stays, and increased … Use of less familiar alternatives also led to increased risk of medication errors and adverse outcomes
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psnet.ahrq.gov/issue/anticipated-consequences-2011-duty-hours-standards-views-internal-medicine-and-surgery
August 22, 2018 - regulations would negatively affect the learning environment and continuity of care , as well as result in increased … April 24, 2018
Does increased schedule flexibility lead to change?
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psnet.ahrq.gov/issue/patient-safety-during-sedation-anesthesia-professionals-during-routine-upper-endoscopy-and
August 20, 2018 - For lower risk patients undergoing upper endoscopy, there was an increased rate of serious adverse events … June 3, 2020
Use of unsolicited patient observations to identify surgeons with increased
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psnet.ahrq.gov/issue/culture-openness-associated-lower-mortality-rates-among-137-english-national-health-service
September 20, 2012 - After adjustment for hospital size, the authors found that increased openness was associated with lower … The results lend weight to calls for increased transparency in health systems.
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psnet.ahrq.gov/issue/agency-healthcare-research-and-quality-pediatric-indicators-quality-metric-surgery-children
May 01, 2015 - million pediatric discharges over a 20-year period found that patients who experienced one PDI had a 20% increased … Related Resources From the Same Author(s)
The "weekend effect" in pediatric surgery—increased
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psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital
July 21, 2017 - this single center study found that patients admitted as emergencies on nights and weekends were at increased … June 3, 2020
Unexpected increased mortality after implementation of a commercially sold
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psnet.ahrq.gov/issue/assessing-impact-electronic-chemotherapy-order-verification-checklist-pharmacist-reported
January 22, 2016 - After ECOV implementation, reported medication errors increased, indicating that the checklist provided … Related Resources From the Same Author(s)
Do patient safety indicators explain increased
-
psnet.ahrq.gov/node/42099/psn-pdf
March 13, 2013 - event for hospitalized patients, falls that result in serious injury remain relatively
common despite increased … prevention
programs could have unintended consequences, this review found that potential harms (such as increased
-
psnet.ahrq.gov/node/33851/psn-pdf
January 01, 2017 - In particular, an extensive body of
research has examined the weekend effect—the purportedly increased … 2001 study's principal finding: for many common conditions, patients admitted on the weekend
are at increased … by severity of patient illness, and none
of these workload intensity measures was associated with increased … information about diagnoses and comorbidities documented during hospitalization), mortality rates
were increased … However, patients who arrived at the hospital by
ambulance appeared to account for most of the increased
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psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
September 01, 2015 - The zolpidem dose had also been increased from 5 mg to 10 mg at bedtime as needed. … Common adverse effects of sleep aids include residual daytime sedation leading to increased risk for … Patients with certain comorbid conditions may be at an increased risk for adverse effects from medications … Older patients are at an increased risk for adverse effects and poor outcomes, such as residual daytime … Zolpidem is independently associated with increased risk of inpatient falls.
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psnet.ahrq.gov/node/47750/psn-pdf
January 30, 2019 - The number of such deaths increased, but the US age-standardized
mortality rate for deaths due to AEMT … The authors noted
similar AEMT mortality rates for men as compared to women, significantly increased
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psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - have demonstrated the association between nurse staffing ratios and patient safety, documenting an increased … A PSNet Classic 2011 study showed that increased patient turnover was also associated with increased … These interruptions have been tied to an increased risk of errors, particularly medication administration … Longer shifts and working overtime have also been linked to increased risk of error, including in one … The multiple factors discussed including the high-risk nature of the work, increased stress caused by
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psnet.ahrq.gov/node/857260/psn-pdf
November 30, 2023 - delayed or missed. eDKA is a state of carbohydrate deficiency with relative insulin deficiency and increased … levels of counter-regulatory hormones, resulting in lipolysis, increased free fatty acids and ketoacidosis … the pancreas is reduced, which then leads to increase glucagon secretion, resulting in
lipolysis, increased … production.3,4
The use of SGLT2is in patients with diabetes, cardiovascular, and renal disease has increased … colleagues suggested that the
risk of eDKA in patients with type 2 diabetes taking SGLT2is may be increased