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3141. If safety is your yardstick, measuring culture from the top down must be a priority. | PSNet
      psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority
      April 29, 2018 - Newspaper/Magazine Article If safety is your yardstick, measuring culture from the top down must be a priority. Citation Text: If safety is your yardstick, measuring culture from the top down must be a priority. ISMP Medication Safety Alert! Acute care edition. March 22, 2007. Copy Cit…

3142. AHRQ Safety Program for MRSA Prevention. | PSNet
      psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention
      December 24, 2008 - Multi-use Website AHRQ Safety Program for MRSA Prevention. Citation Text: AHRQ Safety Program for MRSA Prevention. Rockville, MD: Agency for Healthcare Research and Quality. April 2022 – October 2023. Copy Citation Save Save to your library Print Downloa…

3143. Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). | PSNet
      psnet.ahrq.gov/issue/follow-ismp-guidelines-safeguard-design-and-use-automated-dispensing-cabinets-adcs
      May 07, 2018 - Newspaper/Magazine Article Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). Citation Text: Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). ISMP Medication Safety Alert! Acute Care Edition. Febr…

3144. Adverse Health Events in Minnesota: Annual Reports. | PSNet
      psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
      February 28, 2015 - Book/Report Adverse Health Events in Minnesota: Annual Reports. Citation Text: Adverse Health Events in Minnesota: Annual Reports. St Paul, MN: Minnesota Department of Health. Copy Citation Save Save to your library Print Download PDF Share F…

3145. Statewide Efforts to Enhance HIT in Critical Access Hospitals (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006WardWakefieldLi_051111comp.pdf
      January 01, 2005 - Statewide Efforts to Enhance HIT in Critical Access Hospitals Statewide Efforts to Enhance HIT in Critical Access Hospitals AHRQ Patient Safety and HIT Conference Marcia M. Ward, James Bahensky, Douglas S. Wakefield, Pengxiang Li University of Iowa Funded by AHRQ Grant HS015009 AHRQ Grant HIT Value in Iowa …

3146. Portals in Inpatient Care: Evaluating the Usability, Use, and Patient Experience Associated With Patient Portal Technology at the Bedside | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/portals-inpatient-care-evaluating-usability-use-and-patient-experience
      January 01, 2023 - Portals in Inpatient Care: Evaluating the Usability, Use, and Patient Experience Associated With Patient Portal Technology at the Bedside Project Final Report ( PDF , 269.09 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who ar…

3147. Implement Teamwork and Communication: | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
      December 01, 2012 - The message sender calls out information about the patient (for example, by saying, “BP is falling, 80 … acknowledges receipt of this message by confirming the information (for example, by saying, “Yes, the BP is falling … safety concerns—Provide critical lab values or reports, socioeconomic factors, allergies, and alerts (falls

3148. Measuring the Value of Remote Intensive Care Unit (ICU) Monitoring - 2008 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/measuring-value-remote-intensive-care-unit-icu-monitoring/annual-summary/2008
      January 01, 2008 - tele-ICUs may have decision support software to help identify subtle trends like rising creatinine and falling

3149. Create a Safe Medicine List Together (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
      June 02, 2025 - He did have a few falls from his bike and has started using a stationary bike instead.

3150. Small and Rural and Critical Access Hospitals (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
      April 01, 2013 - So again, if you’re looking at falls, you would use the evidence-based practices to prevent falls.

3151. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
      psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
      June 28, 2023 - Physical restraints have limited value as they may help to prevent removal of equipment or falls, but … isolation of patients, feelings of anxiety and depression, medication errors and missed diagnoses, falls

3152. In Conversation with…Sanjay Saint, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
      November 01, 2008 - For many patient safety problems, that type of applied epidemiological approach is appropriate: falls … January 9, 2024 Patient Safety Innovations Preventing Falls

3153. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865454/psn-pdf
      March 27, 2024 - significantly improve a number of patient outcomes, including lower rates of surgical site infections, falls … https://psnet.ahrq.gov/issue/impact-safety-culture-quality-care-missed-care-and-nurse-staffing-patient-falls-multisource

3154. Racial Misclassification and Disparities in Mortality among AI/AN and Other Races, Washington
      hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or26.jsp
      August 01, 2014 - Whites had a much higher proportion of unintentional injury deaths due to falls than AI/ANs, possibly … Falls AI/AN 6, white 22.

3155. 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 - In addition, hospitalized seniors are at risk of falls, fractures, and medical/medication errors. 2 … were less likely to receive IV fluids, sedatives (which can lead to complications such as delirium and falls

3156. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72516/psn-pdf
      November 25, 2020 - he had multiple ED visits with similar episodes of syncope in the preceding months all resulting in falls … Chart review or additional history-taking may have revealed the patient’s recent history of falls with

3157. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33686/psn-pdf
      August 01, 2009 - They started tackling some really tough problems: patient falls, surgical site infections, central line … region as a whole cut the infection rate 70%, and other hospitals eliminated other "never events" like falls

3158. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/sands.html
      August 01, 2017 - MeritCare (Fargo, ND) and Sanford Health (Sioux Falls, SD) systems combine to form SHS. … Vanderbilt CPPA receives four back-years of patient complaint data from Fargo, ND hospital (North) and Sioux Falls

3159. Premature Closure: Was It Just Syncope? | PSNet
      psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
      February 10, 2021 - he had multiple ED visits with similar episodes of syncope in the preceding months all resulting in falls … Chart review or additional history-taking may have revealed the patient’s recent history of falls with

3160. Recovering After Emergency Gallbladder Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gallbladder-booklet.pdf
      November 01, 2023 - Recovering After Emergency Gallbladder Surgery Recovering After Emergency Gallbladder Surgery e Recovering After Emergency Gallbladder Surgery Patient Name __________________________________________________________________ Surgeon Name _________________________________________________________________ …