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psnet.ahrq.gov/issue/learn-not-blame
November 14, 2011 - Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient
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psnet.ahrq.gov/issue/assessing-patient-safety-united-states-challenges-and-opportunities
July 07, 2021 - January 24, 2018
Opioid-Related Inpatient Stays and Emergency Department Visits by State
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psnet.ahrq.gov/issue/validation-hospital-administrative-dataset-adverse-event-screening
May 21, 2009 - Belgium, confirmed that an administrative dataset alone had only moderate accuracy for identifying inpatient … Citation
Related Resources From the Same Author(s)
The relationship between inpatient … February 29, 2012
Costs and benefits of an early-alert surveillance system for hospital inpatients
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psnet.ahrq.gov/issue/what-can-physicians-do-help-curb-opioid-crisis
December 18, 2019 - May 9, 2014
Achieving an Exceptional Patient and Family Experience of Inpatient Hospital
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psnet.ahrq.gov/issue/implementation-medication-error-reporting-through-med-safe-tool-clinical-pharmacists-and
December 16, 2011 - Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient … Citation
Related Resources From the Same Author(s)
Raising the awareness of inpatient
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psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
May 25, 2016 - September 15, 2010
Current State of Diagnostic Safety: Implications for Research, Practice … October 21, 2015
Inpatient Computerized Provider Order Entry: Findings from the AHRQ
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - results in lower length of stay, costs, readmission rates, and complications than does
traditional inpatient … March 2021; AHRQ now offers
select content from the Innovations Exchange, including its downloadable databases … better
functional outcomes, less caregiver stress, and lower costs when compared with traditional
inpatient … (1.7 vs.
4.3).10
Innovation Patient Safety Focus
The Hospital at Home program provides inpatient-level … Substitutive "hospital at home" versus inpatient care for
elderly patients with exacerbations of chronic
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psnet.ahrq.gov/issue/nationwide-study-july-effect-concerning-postpartum-hemorrhage-and-its-risk-factors-teaching
September 25, 2019 - Using national inpatient stay data from 2018, this study found that the risk of postpartum hemorrhage … Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State
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psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
May 01, 2017 - May 2, 2017
Opioid-Related Inpatient Stays and Emergency Department Visits by State,
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psnet.ahrq.gov/issue/medicare-payment-selected-adverse-events-building-business-case-investing-patient-safety
September 18, 2009 - May 24, 2015
Paid malpractice claims for adverse events in inpatient and outpatient settings … December 23, 2012
Costs and benefits of an early-alert surveillance system for hospital inpatients
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psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-1
September 30, 2020 - describes results from the 2018 American Society of Health-System Pharmacists national survey regarding inpatient … March 29, 2023
Impact of a pharmacist-directed pain management service on inpatient
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psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
April 23, 2014 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State … June 21, 2016
Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency
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psnet.ahrq.gov/issue/effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide
October 17, 2017 - incidence of CAUTI was much lower than expected, most likely due to inaccuracies in the billing claims databases … March 4, 2011
Making inpatient medication reconciliation patient centered, clinically
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psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
January 02, 2017 - This study linked incident report and discharge databases at two hospitals to examine how frequently … April 22, 2012
Evaluation of an anonymous system to report medical errors in pediatric inpatients
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psnet.ahrq.gov/issue/improving-pediatric-electronic-health-record-usability-and-safety-through-certification-seize
November 28, 2018 - Identifying health information technology related safety event reports from patient safety event report databases … January 19, 2022
Using an inpatient portal to engage families in pediatric hospital care
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psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-veterans-are-we-using-wrong-drug-wrong-dose-or
August 15, 2012 - Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases … March 28, 2011
Appropriateness of use of medicines in elderly inpatients: qualitative
-
psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - been used, including voluntary reports
("incident" or "occurrence" reports), mining of administrative databases … reports are underutilized (12-14) and
only identify between 2% and 8% of all adverse events in the inpatient … the early days of the patient safety field by
highlighting the major patient safety risks present in inpatient … Medication errors and adverse drug events in pediatric
inpatients. JAMA. 2001;285:2114-2120. … Rare adverse medical events in VA inpatient care: reliability limits to
using Patient Safety Indicators
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psnet.ahrq.gov/issue/tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity
May 27, 2020 - May 15, 2024
The safety of inpatient health care. … Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases
-
psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
December 21, 2022 - the Same Author(s)
A recent two-fold increase in medical adverse event deaths among US inpatients … December 12, 2023
Network of Patient Safety Databases Chartbook.
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psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
February 15, 2017 - November 2, 2016
Achieving an Exceptional Patient and Family Experience of Inpatient