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The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries. | PSNet

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November 26, 2014 - with a change in the 30-day hospital readmission rate for Medicare patients hospitalized with common medical … July 12, 2010 Decreased bile duct injury rate during laparoscopic cholecystectomy in

EU to tackle issue of patient safety. | PSNet

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September 06, 2023 - This news extra from the British Medical Journal reports that European governments and health professionals … The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical … March 8, 2023 6-PACK programme to decrease fall injuries in acute hospitals: cluster … November 30, 2007 Medical errors still claiming many lives.

An integrative total worker health framework for keeping workers safe and healthy during the COVID-19 pandemic. | PSNet

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October 19, 2022 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … From research to practice: factors affecting implementation of prospective targeted injury-detection … September 2, 2020 Avoiding a second wave of medical errors: the importance of human factors

Adverse patient safety events during the COVID epidemic. | PSNet

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May 03, 2023 - Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical … , 2021 Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury … Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical

Preliminary study of patient safety and quality use cases for ICD-11 MMS. | PSNet

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July 22, 2020 - In addition to the medical entities such as disease and injury, it contains a second component, the

Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical centers. | PSNet

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August 04, 2021 - Association of hospital employee satisfaction with patient safety and satisfaction within Veterans Affairs medical … Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affairs Medical … May 18, 2022 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised … , 2017 Automated identification of postoperative complications within an electronic medical … November 2, 2011 Rare adverse medical events in VA inpatient care: reliability limits

Care Compare. | PSNet

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May 26, 2021 - December 22, 2014 Eliminating Serious, Preventable, and Costly Medical Errors - Never … December 12, 2023 Home Health Agencies Failed To Report Over Half of Falls With Major Injury

Drug-related harms in hospitalized Medicare beneficiaries: results from the Healthcare Cost and Utilization Project, 2000–2008. | PSNet

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September 15, 2011 - From research to practice: factors affecting implementation of prospective targeted injury-detection … July 1, 2017 Investigating the long-term consequences of adverse medical events among … May 1, 2015 What is known about adverse events in older medical hospital inpatients?

Accuracy of a popular online symptom checker for ophthalmic diagnoses. | PSNet

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March 04, 2011 - April 12, 2019 Responding to serious medical error in general practice—consequences for … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … August 27, 2014 WebM&M Cases Missing the Point—Eye Injury

The nurse's experience of decision-making processes in missed nursing care: a qualitative study. | PSNet

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May 11, 2022 - June 23, 2021 The economic burden of nurse-sensitive adverse events in 22 medical-surgical … May 19, 2021 Surgeon commitment to trauma care decreases missed injuries. … September 22, 2017 Analysis of risk of medical errors using structural-equation modelling

Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet

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October 23, 2013 - and Health IT August 1, 2015 Tort claims and adverse events in emergency medical … January 2, 2008 Emergency medical services provider perceptions of the nature of adverse … January 17, 2017 Suicide attempts and completions on medical-surgical and intensive care … between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical … February 11, 2013 Using root cause analysis to reduce falls with injury in the psychiatric

Defensive Medicine: "Glowing" with Pain | PSNet

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November 01, 2012 - medicine can be found in the field of neurosurgery where many hospitals refuse to treat closed head injuries … given the high risk of medical liability involved. … because of liability concerns.( 13 ) In complex patients, vaginal delivery may increase the risk of injury … to the mother or fetus; injuries in this setting often lead to malpractice claims. … Defensive Medicine and Medical Malpractice.

mHealth and mobile medical apps: a framework to assess risk and promote safer use. | PSNet

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October 01, 2014 - Commentary mHealth and mobile medical apps: a framework to assess risk and promote … Citation Text: Lewis TL, Wyatt JC. mHealth and mobile medical Apps: a framework to assess risk and … Cite Citation Citation Text: Lewis TL, Wyatt JC. mHealth and mobile medical … January 31, 2018 A randomized trial of a multifactorial strategy to prevent serious fall injuries … View More Related Resources Digital health technology-specific risks for medical

Optimizing medication safety in the home. | PSNet

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August 24, 2015 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries … Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical … April 22, 2016 Discrepancies between in-home interviews and electronic medical records … January 27, 2016 Educating medical trainees on medication reconciliation: a systematic

Effectiveness of pharmacist intervention to reduce medication errors and health-care resources utilization after transitions of care: a meta-analysis of randomized controlled trials. | PSNet

psnet.ahrq.gov/issue/effectiveness-pharmacist-intervention-reduce-medication-errors-and-health-care-resources

August 04, 2021 - Multifactorial interventions to reduce duration and variability in delays to identification of serious injury … August 26, 2020 Pharmacist linkage in care transitions: from academic medical center … June 13, 2011 Clinical pharmacists and inpatient medical care: a systematic review.

Impact of System Failures on Healthcare Workers | PSNet

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August 30, 2023 - workloads and administrative burdens, chronic underinvestment in public health infrastructure, and moral injury … Healthcare workers involved in a medical error or adverse event may experience a range of emotional and … psychological trauma including stress, anxiety, depression , guilt, and shame. … Healthcare worker burnout is a national crisis and is caused by many different factors, including moral injury … Developing systems of peer support will help healthcare workers process trauma.

The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet

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August 01, 2012 - Relevant Financial Relationships : As a provider accredited by the Accreditation Council for Continuing Medical … The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … complications and the time period for ascertainment. 11,14,17,18 The most common complications are wound … Liver injury during PEG tube placement: report of two cases. … Trauma transitional care coordination: a mature system at work.

Elopement | PSNet

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July 14, 2010 - Case Objectives Define elopement and differentiate it from wandering and leaving against medical … temporary delirium, or intermittent mental status changes related to medication, disease, or traumatic injury … Common injuries—elopement and wandering. In: Conlin RB, Cusimano GS, eds. … Hospital's liability for patient's injury or death resulting from escape or attempted escape. … Medical Staff Update Online. 2003;27.

In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet

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September 24, 2024 - Carole Stockmeier: Patients come to us with faith, hope, and trust that we will restore health and heal wounds … ethics and core value of healthcare: Patients should not be harmed by medical treatment. … safety culture and found a 37% increase in reporting, and decreases in preventable harm: 39% decrease in injuries … with falls, 37% fewer pressure injuries and a 34% reduction in central line-associated blood stream … For instance, a hospital may focus on eliminating severe pressure injuries as a preventable harm, but

How administrative burdens can harm health. | PSNet

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February 10, 2021 - October 28, 2015 Assessment of nursing home reporting of major injury falls for quality … December 21, 2022 Diagnoses Without Names: Challenges for Medical Care, Research, and

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