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Showing results for "falls".
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4781. A Loss of Trust and a Missed Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
      October 31, 2023 - SPOTLIGHT CASE A Loss of Trust and a Missed Diagnosis Citation Text: Landefeld J, Teasdale S, Jain S. A Loss of Trust and a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format:…

4782. Implement Teamwork and Communication for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.pdf
      May 01, 2017 - The message sender calls out information about the patient (for example, by saying, “BP is falling, … acknowledges receipt of this message by confirming the information (for example, by saying, “Yes, the BP is falling

4783. Clinical-Care-Rapid-Review-Appendix-C (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-rapid-review-appendix-c.xlsx
      January 01, 2018 - List of Evidence Tables Category Evidence Table Characteristics Evidence Table C-1. Study characteristics of included primary studies Evidence Table C-2. Intervention characteristics of included primary studies Evidence Table C-3. Population characteristics of included primary studies Event reporting Evidence Ta…

4784. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
      psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
      October 01, 2008 - these five things to prevent catheter-associated bloodstream infections, these seven things to prevent falls … scientific evidence that if you do these five things you will prevent most decubitus ulcers, or most falls

4785. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72586/psn-pdf
      December 23, 2020 - intuitive sense when we think about the sheer number of demands on our health care teams, but often falls … possible solutions, but they must be implemented at a system-wide level to ensure no vulnerable patient falls

4786. Medical Devices in the "Wild" | PSNet
      psnet.ahrq.gov/web-mm/medical-devices-wild
      March 27, 2024 - Medical Devices in the "Wild" Citation Text: Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

4787. Creating an Environment of Consensus –The challenges of implementing a governance structure to run an HIE (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006Estrin_Trk4_051311comp.pdf
      March 08, 2006 - Creating an Environment of Consensus –The challenges of implementing a governance structure to run an HIE Creating an Environment of Consensus – The challenges of implementing a governance structure to run an HIE Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University. This presentation…

4788. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
      January 01, 2023 - they needed a fall prevention plan and then follow that plan if they knew their risks of harm from falling … with patients and their healthcare team. 0 South Dakota Wendell Hoffman Sanford Health Sioux Falls

4789. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
      psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
      August 01, 2009 - year-old woman presented to the Emergency Department (ED) for evaluation of “altered mental status” after falling

4790. Screening for Cervical Cancer - Recommendations and Rationale (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/r7JMWkKKv2krN6cxKQUUfP
      January 01, 2010 - Despite falling incidence, cervical cancer remains the tenth leading cause of cancer death.10 The Healthy

4791. State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
      January 17, 2024 - Common geriatric syndromes such as frailty, dementia, delirium, falls, and incontinence may complicate … Geriatric syndromes (e.g., delirium, falls, reduced/loss of appetite or anorexia, or functional impairment … elderly patient: a case report A 72-year-old male presented to his physical therapist 23 days after falling … He was initially diagnosed with a labyrinthine concussion due to ongoing symptoms of “falling backwards … The U.S. eldercare workforce is falling further behind. Nature Aging. 2021;1(4):327-329.

4792. Co-producing a Diagnosis
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/09-diagnostic-safety-practice-orientation.pptx
      November 24, 2020 - He had been an attentive listener, yet now he was falling short and not listening as well given the distraction

4793. Antibiotic-Time-Out-Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
      November 01, 2019 - relevant multi-specialty consultation, including infectious diseases, should be considered for cases falling

4794. Comparative Safety of Conventional and Atypical Antipsychotic Medications: Risk of Death in British Columbia Seniors | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/atypical-antipsychotics-seniors-death/research

4795. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf
      March 01, 2018 - 90th %ile Max Item 1 8% 10% 25% 35% 49% 62% 96% If your hospital’s score is 55%, your score falls … here: If your hospital’s score is 65%, your score falls here: If your hospital’s score is 55 percent … positive, it falls above the 75th percentile (but below the 90th), meaning that your hospital scored … If your hospital’s score is 65 percent positive, it falls above the 90th percentile, meaning your hospital

4796. 2018 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
      March 01, 2018 - 90th %ile Max Item 1 8% 10% 25% 35% 49% 62% 96% If your hospital’s score is 55%, your score falls … here: If your hospital’s score is 65%, your score falls here: If your hospital’s score is 55 percent … positive, it falls above the 75th percentile (but below the 90th), meaning that your hospital scored … If your hospital’s score is 65 percent positive, it falls above the 90th percentile, meaning your hospital

4797. Jun-2017-Cholesterol-Wg-Notes (doc file)
      cds.ahrq.gov/sites/default/files/workgroups/241/jun-2017-cholesterol-wg-notes.docx
      January 01, 2017 - Cholesterol Management Work Group Meeting Summary Date 06/21/2017 Time 1:30 – 2:45 PM EST AGENDA · Welcome and Review of Agenda · Gather Feedback on Additional Details Required to Support Development of the eCQM Artifact · Next Steps and Closing · SUMMARY Welcome CAMH welcomed the WG Members to the Jun…

4798. PS Grantee | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/index.html?page=13
      January 01, 2024 - Grantee Final Reports: Patient Safety Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety. The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…

4799. Section 3: Teaching Mutual Support Key Concepts and Tools  | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/mutual/teach/index.html
      August 01, 2023 - Section 3: Teaching Mutual Support Key Concepts and Tools  TeamSTEPPS has been taught in a two-day format, is often taught in a half-day format, and is also frequently taught in smaller segments that are only 15–30 minutes long. In the introduction and each module, we provide advice to instructors on how to tea…

4800. Section 3: Teaching the Key Concepts and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/situation/teach/index.html
      August 01, 2023 - Section 3: Teaching the Key Concepts and Tools TeamSTEPPS 3.0 has been taught in a 2-day format, is often taught in a half-day format, and is also frequently taught in smaller segments that are only 15-30 minutes long. While in-person trainings have been the norm, virtual trainings using an online platform are …