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Showing results for "falls in hospitals".
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1621. Discharging Our Responsibility | PSNet
      psnet.ahrq.gov/web-mm/discharging-our-responsibility
      January 16, 2019 - In fact, he had been discharged from the hospital just 3 days prior. … For HF patients discharged in 2002 from US hospitals, Joint Commission and national HF registry data … Hospitals face substantial challenges in providing this important element of HF care. … Quality of care in U.S. hospitals as reflected by standardized measures, 2002-2004. … Related Resources Patient Safety Innovations Preventing Falls

1622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851870/psn-pdf
      July 31, 2023 - After nursing school, I worked as a staff nurse in a hospital, then as a director of nursing in a long-term … That is the microsystem of the learning system in Pennsylvania and what is happening within each hospital … We advise hospitals through publication. … event and risk information back to health systems in order to impact hospital processes related to … We were working not on falls or adverse drug reactions, but on the overarching issues that could make

1623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33730/psn-pdf
      June 01, 2012 - a national approach to appointing risk managers in hospitals. … In fact, the economic incentives in hospitals still work against risk management to some extent because … For instance, there are millions of falls reported in this database, but relatively few classic adverse … This is very public, very visible, and if you are running a hospital you can get tremendous heat. … If you want to study falls on a national basis for instance, after you have 500 or 1000 falls you probably

1624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34766/psn-pdf
      March 05, 2013 - safety practices (including computerized order entry, use of pharmacists on rounds, methods to prevent falls … nosocomial infections, and interventions to create a culture of safety), became quite influential, in … was the first effort to subject safety practices to the same scrutiny as other clinical practices in … now-famous list of the top 11 practices became the focus of many a new patient safety program at hospitals … , and it is worth reviewing recent literature before adopting even the most highly rated practices in

1625. Handoff strategies in settings with high consequences for failure: lessons for health care operations. | PSNet
      psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations
      March 14, 2018 - Associations between perceived crisis mode work climate and poor information exchange within hospitals … March 11, 2020 Information flow during pediatric trauma care transitions: things falling … June 18, 2019 Improving patient safety in public hospitals: developing standard measures … April 4, 2018 Medication errors in injured patients. … 2017 Information handoff and outcomes of critically ill patients transferred between hospitals

1626. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites
      August 02, 2015 - Study Diagnostic errors in interpretation of pediatric musculoskeletal radiographs … were relatively rare, occurring in 2.7% of cases. … January 3, 2017 Diagnostic delays in paediatric stroke. … December 14, 2016 Diagnostic errors in pediatric radiology. … December 14, 2016 View More See More About The Topic Children's Hospitals

1627. Teaching quality improvement. | PSNet
      psnet.ahrq.gov/issue/teaching-quality-improvement
      July 19, 2023 - hospital practice: factors associated with turnover, outcomes, and patient safety. … 2009 Conducting an efficient proactive risk assessment prior to CPOE implementation in … February 1, 2012 Estimation of breast cancer overdiagnosis in a U.S. breast screening … January 12, 2022 CT for suspected appendicitis in children: an analysis of diagnostic … May 4, 2015 Fall prevention in hospitals: an integrative review.

1628. Identifying unintended consequences of quality indicators: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study
      March 04, 2020 - multistate hospital network--13 academic medical centers, April-June 2020. … April 11, 2011 Involving patients and carers in patient safety in primary care: a qualitative … September 18, 2024 Families as partners in hospital error and adverse event surveillance … May 16, 2012 Managing Patients' Medicines after Discharge from Hospital. … March 10, 2011 Primary care–relevant interventions to prevent falling in older adults

1629. Work system barriers and facilitators of a team health information technology. | PSNet
      psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-team-health-information-technology
      March 11, 2020 - March 11, 2020 Information flow during pediatric trauma care transitions: things falling … functions and outcomes in two handoff processes. … February 19, 2020 Using an inpatient portal to engage families in pediatric hospital … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital after electronic health record implementation: sociotechnical and human factors engineering

1630. Radiology Missed an Intracranial Bleed in a Lethargic Infant. | PSNet
      psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
      August 21, 2016 - While falling asleep, he was noted to have eye-rolling and he did not respond to his name, shaking his … On physical exam, the patient was asleep, arousing briefly with stimulation but then falling back to … smaller hospitals and rural settings that lack specialized expertise in pediatric trauma or child abuse … solutions to increase patient safety in the hospital: a mixed methods study. … at US Children's Hospitals, 2016-2019.

1631. There's no place like home--integrating a pharmacist into the hospital-in-home model. | PSNet
      psnet.ahrq.gov/issue/theres-no-place-home-integrating-pharmacist-hospital-home-model
      November 04, 2020 - Study There's no place like home--integrating a pharmacist into the hospital-in-home … There’s no place like home—integrating a pharmacist into the hospital-in-home model. … There’s no place like home—integrating a pharmacist into the hospital-in-home model. … older adults with a history of falls: a qualitative study. … February 24, 2021 Electronic health record-based prediction models for in-hospital adverse

1632. Missed it. | PSNet
      psnet.ahrq.gov/issue/missed-it
      September 18, 2013 - This piece uses a graphic novel format to depict a story of a diagnostic error  that resulted in a patient's … July 28, 2013 Breakdowns in the medication reconciliation process. … 11, 2020 Lessons learned from a systems approach to engaging patients and families in … July 15, 2020 Implementing, Studying, and Reporting Health System Improvement in the … Improving the quality of insulin prescribing for people with diabetes being discharged from hospital

1633. Noise: a distraction, interruption, and safety hazard. | PSNet
      psnet.ahrq.gov/issue/noise-distraction-interruption-and-safety-hazard
      February 01, 2014 - in student providers: a scoping review. … December 7, 2022 Effects of a communication-and-resolution program on hospitals' malpractice … November 30, 2012 View More Related Resources Do falls and other … September 24, 2016 Interruptions and multitasking in nursing care. … Error February 1, 2006 View More See More About The Topic Hospitals

1634. Picking Up the Cause of the Stroke | PSNet
      psnet.ahrq.gov/web-mm/picking-cause-stroke
      August 07, 2024 - year-old man with poorly controlled diabetes was transferred to a tertiary care center from a community hospital … patterns.( 10 ) Fueled by an immature evidence base and financial pressures to move patients through the hospital … Although ascertaining tip position generally falls to radiologists, frontline clinicians should remember … Take-Home Points The use of PICCs is on the rise in hospitals across the United States. … 52 Michigan hospitals.

1635. Factors associated with diagnostic error: an analysis of closed medical malpractice claims. | PSNet
      psnet.ahrq.gov/issue/factors-associated-diagnostic-error-analysis-closed-medical-malpractice-claims
      July 13, 2022 - March 27, 2024 Inpatient EHR user experience and hospital EHR safety performance. … October 4, 2023 Progress in interoperability: measuring US hospitals' engagement in sharing … October 25, 2017 WebM&M Cases Falling Between the Cracks … to diagnostic errors is essential for progress in patient safety. … August 7, 2019 Understanding diagnostic safety in emergency medicine: a case‐by‐case

1636. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet
      psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
      February 26, 2025 - These meetings enabled clinicians and administrators across hospitals to be immediately aware of concerning … At the start of the pandemic, hospitals and systems faced the challenge of providing care for patients … May 31, 2023 Patient Safety Innovations Preventing Falls … December 20, 2020 View More See More About The Topic Hospitals General … Hospitals Intensive Care Units Health Care Providers Health Care Executives and Administrators

1637. Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review
      February 23, 2011 - management in primary care. … English hospitals: controlled evaluation of second phase. … English hospital organizations? … February 16, 2022 Patient involvement in medication safety in hospital: an exploratory … March 28, 2011 Primary care–relevant interventions to prevent falling in older adults

1638. 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 - Early in his hospital stay, the patient developed hyperactive delirium and pulled out his NGT. … the Acute Care Setting Delirium is the most common psychiatric disorder in the hospital setting. … every US hospital. … Take-Home Points NGT placement is a common procedure in the hospital setting and is safe in most … January 23, 2019 Changes in prevalence of health care-associated infections in U.S. hospitals

1639. Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-and-communication-through-care-rounds-pediatric-oncology-outpatient
      January 14, 2011 - Commentary Improving patient safety and communication through care rounds in a pediatric … April 24, 2013 Hospital RNs' experiences with disruptive behavior: a qualitative study … hospital practice: factors associated with turnover, outcomes, and patient safety. … August 31, 2011 Reducing falls in hospitalized children and adolescents with cancer and … August 2, 2010 "Managing up" can improve teamwork in the OR.

1640. The costs associated with adverse drug events among older adults in the ambulatory setting. | PSNet
      psnet.ahrq.gov/issue/costs-associated-adverse-drug-events-among-older-adults-ambulatory-setting
      May 20, 2020 - Building on a previous study in the same patient population, investigators measured costs in the 6 … January 16, 2008 Understanding hazards for adverse drug events among older adults after hospital … mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) … mental health hospitals: a systematic review. … July 20, 2011 Primary care–relevant interventions to prevent falling in older adults: