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Showing results for "falls".
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  1. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-and-patient-care-checklists-intrahospital-transfers-involving-pediatric
    September 23, 2020 - Study Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. Citation Text: Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.…

  2. Technical mistakes during the acquisition of the electrocardiogram. | PSNet

    psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
    March 09, 2022 - Review Technical mistakes during the acquisition of the electrocardiogram. Citation Text: García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…

  3. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. | PSNet

    psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
    November 18, 2016 - Study Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. Citation Text: Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…

  4. A recurring call to action: every healthcare organization needs a medication safety officer! | PSNet

    psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety-officer
    March 03, 2021 - Newspaper/Magazine Article A recurring call to action: every healthcare organization needs a medication safety officer! Citation Text: A recurring call to action: every healthcare organization needs a medication safety officer! ISMP Medication Safety Alert! Acute care edition. February…

  5. Deprescribing as a clinical improvement focus. | PSNet

    psnet.ahrq.gov/issue/deprescribing-clinical-improvement-focus
    April 08, 2011 - Study Deprescribing as a clinical improvement focus. Citation Text: Dharmarajan TS, Choi H, Hossain N, et al. Deprescribing as a Clinical Improvement Focus. J Am Med Dir Assoc. 2020;21(3):355-360. doi:10.1016/j.jamda.2019.08.031. Copy Citation Format: DOI Google Scholar Pub…

  6. To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. | PSNet

    psnet.ahrq.gov/issue/tell-truth-ethical-and-practical-issues-disclosing-medical-mistakes-patients
    April 19, 2011 - Commentary Classic To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. Citation Text: Wu AW, Cavanaugh TA, McPhee SJ, et al. To tell the truth. J Gen Intern Med. 2003;12(12). doi:10.1046/j.1525-1497.1997.07163.x. Copy …

  7. About AHRQ's Nursing Home Network | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/about/index.html
    December 01, 2023 - About AHRQ's Nursing Home Network The AHRQ ECHO National Nursing Home COVID-19 Action Network—a partnership among AHRQ, the University of New Mexico's ECHO Institute and the Institute for Healthcare Improvement (IHI)—provided free training and mentorship to nursing homes across the country to increase the imple…

  8. Organisational failure: rethinking whistleblowing for tomorrow's doctors. | PSNet

    psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
    May 18, 2022 - Commentary Organisational failure: rethinking whistleblowing for tomorrow's doctors. Citation Text: Taylor DJ, Goodwin D. Organisational failure: rethinking whistleblowing for tomorrow’s doctors. J Med Ethics. 2022;48(10):672-677. doi:10.1136/jme-2022-108328. Copy Citation Format: …

  9. Safety, performance, and satisfaction outcomes in the operating room: a literature review. | PSNet

    psnet.ahrq.gov/issue/safety-performance-and-satisfaction-outcomes-operating-room-literature-review
    April 03, 2019 - Review Emerging Classic Safety, performance, and satisfaction outcomes in the operating room: a literature review. Citation Text: Joseph A, Bayramzadeh S, Zamani Z, et al. Safety, Performance, and Satisfaction Outcomes in the Operating Room: A Literature Review.…

  10. Development and psychometric testing of a tool to measure missed nursing care. | PSNet

    psnet.ahrq.gov/issue/development-and-psychometric-testing-tool-measure-missed-nursing-care
    August 20, 2018 - Study Development and psychometric testing of a tool to measure missed nursing care. Citation Text: Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. J Nurs Adm. 2009;39(5):211-9. doi:10.1097/NNA.0b013e3181a23cf5. Copy Citation …

  11. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-improvement-healthcare-systematic-review
    September 23, 2020 - Review Impact of hospital accreditation on quality improvement in healthcare: a systematic review. Citation Text: Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.137…

  12. How surgical trainees handle catastrophic errors: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
    March 19, 2019 - Study How surgical trainees handle catastrophic errors: a qualitative study. Citation Text: Balogun JA, Bramall AN, Bernstein M. How Surgical Trainees Handle Catastrophic Errors: A Qualitative Study. J Surg Educ. 2015;72(6):1179-84. doi:10.1016/j.jsurg.2015.05.003. Copy Citation Fo…

  13. High-Performance Work Practices in CLABSI Prevention Interventions | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/clabsi-hpwpreport/index.html
    August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study Sites Table 2. Summary of Key Informants, All Sites Tabl…

  14. Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review. | PSNet

    psnet.ahrq.gov/issue/outcomes-classroom-based-team-training-interventions-multiprofessional-hospital-staff
    April 24, 2018 - Review Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review. Citation Text: Rabol LI, Ostergaard D, Mogensen T. Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review…

  15. Finding blunders in thyroid testing: experience in newborns. | PSNet

    psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
    March 04, 2020 - Study Finding blunders in thyroid testing: experience in newborns. Citation Text: Zilka LJ, Lott JA, Baker LC, et al. Finding blunders in thyroid testing: experience in newborns. J Clin Lab Anal. 2008;22(4):254-6. doi:10.1002/jcla.20247. Copy Citation Format: DOI Google S…

  16. The objective impact of clinical peer review on hospital quality and safety. | PSNet

    psnet.ahrq.gov/issue/objective-impact-clinical-peer-review-hospital-quality-and-safety
    April 13, 2017 - Study The objective impact of clinical peer review on hospital quality and safety. Citation Text: Edwards MT. The objective impact of clinical peer review on hospital quality and safety. Am J Med Qual. 2011;26(2):110-9. doi:10.1177/1062860610380732. Copy Citation Format: …

  17. Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention (pdf file)

    www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
    January 01, 2024 - staffing and adverse outcomes for medical/surgical patients, including pressure ulcers and patient falls … care medical and surgical patients, including hospital-acquired pressure ulcers, pneumonia, patient falls … Hence, in the far two left hand columns, the implied C-section probability falls by X for each additional

  18. JAMA JATS (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/Nop5YpEpMybx_oNPKC76-X
    July 11, 2017 - Eight trials reported on the in- cidence of important patient events, including falls, injuries, and … This trial also re- ported more falls in the intervention group (37% vs 29%; P < .001).21 Four other … trials reporting falls, 2 in older adults and 2 in general pri- mary care populations, found no difference

  19. Screening for Cognitive Impairment in Older Adults: US Preventive Services Task Force Recommendation Statement (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/h5Tt4jScmQJeHeztmo93hu
    February 25, 2020 - associated with adverse effects, which overall are small but occasionally serious, including syncope or falls … harms, some of which are serious, including central nervous sys- tem disturbances, bradycardia, and falls … individual studies reported increased rates of serious adverse events, such as brady- cardia, syncope, falls

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49714/psn-pdf
    August 21, 2014 - The Case A 49-year-old previously healthy man presented to the emergency department (ED) after falling
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