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Showing results for "falls in hospitals".
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2681. Standardized assessment of medication reconciliation in post-acute care. | PSNet
      psnet.ahrq.gov/issue/standardized-assessment-medication-reconciliation-post-acute-care
      December 16, 2020 - Study Standardized assessment of medication reconciliation in post-acute care. … Standardized assessment of medication reconciliation in post‐acute care. … Standardized assessment of medication reconciliation in post‐acute care. … Medication reconciliation: reducing risk for medication misadventure during transition from hospital … June 13, 2011 Medication discrepancies upon hospital to skilled nursing facility transitions

2682. Embracing the future-is artificial intelligence already better? A comparative study of artificial intelligence performance in diagnostic accuracy and decision-making. | PSNet
      psnet.ahrq.gov/issue/embracing-future-artificial-intelligence-already-better-comparative-study-artificial
      January 31, 2024 - A comparative study of artificial intelligence performance in diagnostic accuracy and decision-making … A comparative study of artificial intelligence performance in diagnostic accuracy and decision‐making … May 18, 2022 The influence of context on the effectiveness of hospital quality improvement … hospitals. … Improving the quality of insulin prescribing for people with diabetes being discharged from hospital

2683. Premature Closure: Was It Just Syncope? | PSNet
      psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
      February 10, 2021 - the preceding months all resulting in falls and head trauma. … as ROWS, or “Rule Out Worst Case Scenario), or simply the one for which it is easiest to justify the hospital … Chart review or additional history-taking may have revealed the patient’s recent history of falls with … Approach to Improving Safety and Systems Change Needed To help clinicians avoid similar errors, hospitals … One example, currently in use at our hospital, requires providers ordering an MRI study to complete a

2684. Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings. | PSNet
      psnet.ahrq.gov/issue/safe-practice-recommendations-use-copy-forward-nursing-flow-sheets-hospital-settings
      May 18, 2022 - hospital settings. … Safe Practice Recommendations for the Use of Copy-Forward with Nursing Flow Sheets in Hospital Settings … Safe Practice Recommendations for the Use of Copy-Forward with Nursing Flow Sheets in Hospital Settings … with pharmacy in HCIT era. … June 24, 2010 View More See More About The Topic Hospitals Nurses

2685. Care Transitions | PSNet
      psnet.ahrq.gov/perspective/care-transitions
      December 01, 2007 - in information located elsewhere in the hospital record. … Hospitals may need to weigh competing demands, such as a desire to discharge patients early in the day … Number one, because there's a notion that this is not something that falls within our accountability. … out of the hospital in a statistically significant manner. … , for example, in an integrated health care system, if this prevents patients bouncing back to hospitals

2686. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49849/psn-pdf
      January 01, 2019 - psychiatric units were medication errors (17.2 per 100 discharges), adverse drug events (4.1), and falls … Analysis of 12 years' worth of root cause analysis reports from all VA hospitals in the US identified … hospital with a free-standing psychiatric facility. … Behavioral health staff in free-standing psychiatric hospitals may have limited access to physicians … Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental

2687. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72516/psn-pdf
      November 25, 2020 - the preceding months all resulting in falls and head trauma. … ROWS, or “Rule Out Worst Case Scenario), or simply the one for which it is easiest to justify the hospital … Chart review or additional history-taking may have revealed the patient’s recent history of falls with … Approach to Improving Safety and Systems Change Needed To help clinicians avoid similar errors, hospitals … One example, currently in use at our hospital, requires providers ordering an MRI study to complete

2688. What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the rapid response system in a multi-campus Australian metropolitan healthcare service. | PSNet
      psnet.ahrq.gov/issue/what-stops-hospital-clinical-staff-following-protocols-analysis-incidence-and-factors-behind
      September 09, 2015 - What stops hospital clinical staff from following protocols? … What stops hospital clinical staff from following protocols? … acute hospital settings—limited evidence of effectiveness. … public hospitals. … July 23, 2008 View More See More About The Topic Hospitals Health Care

2689. National Nursing Home COVID Action Network. | PSNet
      psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
      October 23, 2019 - All nursing homes that are certified to participate in the Medicare and Medicaid programs will be able … May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … November 8, 2023 View More Related Resources COVID-19 in Nursing … December 9, 2020 Adverse events in Italian nursing homes during the COVID-19 epidemic … October 28, 2020 Expanding frontiers of risk management: care safety in nursing home

2690. Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. | PSNet
      psnet.ahrq.gov/issue/natural-history-retained-surgical-items-supports-need-team-training-early-recognition-and
      January 18, 2013 - In this retrospective analysis, most instances of unintentionally retained foreign objects were due … August 13, 2014 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … November 21, 2021 Effect of a pediatric early warning system on all-cause mortality in … August 20, 2018 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020.

2691. Leveraging consistent communication tools and organizational values to promote accountability among health care providers. | PSNet
      psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
      January 18, 2023 - Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in … September 20, 2023 Vital signs: trends in emergency department visits for suspected opioid … Insurance, 2017 June 10, 2020 Education outcomes from a duty-hour flexibility trial in … November 25, 2020 Tiered daily huddles: the power of teamwork in managing large healthcare … July 21, 2010 View More See More About The Topic Hospitals Hospital

2692. Potential medication dosing errors in outpatient pediatrics. | PSNet
      psnet.ahrq.gov/issue/potential-medication-dosing-errors-outpatient-pediatrics
      July 29, 2020 - Study Potential medication dosing errors in outpatient pediatrics. … Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7. … Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7. … a multistate hospital network--13 academic medical centers, April-June 2020. … pediatric hospital pharmacies.

2693. Technology, governance and patient safety: systems issues in technology and patient safety. | PSNet
      psnet.ahrq.gov/issue/technology-governance-and-patient-safety-systems-issues-technology-and-patient-safety
      September 14, 2016 - Review Technology, governance and patient safety: systems issues in technology and … Technology, governance and patient safety: systems issues in technology and patient safety. … February 12, 2014 Who is in charge of patient safety? … March 25, 2015 Determination of unnecessary blood transfusion by comprehensive 15-hospital … January 2, 2017 The incidence and cost of unexpected hospital use after scheduled outpatient

2694. Disruptive behaviors among physicians. | PSNet
      psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
      August 14, 2014 - October 11, 2023 Diagnostic reliability in teledermatology: a systematic review and a … Medication reconciliation for patients after their discharge from intensive care unit to the hospital … WebM&M Cases Open wider: Failure to use an interpreter results in … December 14, 2022 Trends in the prevalence of intraoperative adverse events at … two academic hospitals after implementation of a mandatory reporting system.

2695. Roadmap for patient safety research: approaches and roadforks. | PSNet
      psnet.ahrq.gov/issue/roadmap-patient-safety-research-approaches-and-roadforks
      July 17, 2019 - This review provides background and examines methods used in patient safety research, including adverse … Related Resources From the Same Author(s) Opportunities for improvement in … July 17, 2019 Review: application of the Safety Attitudes Questionnaire (SAQ) in primary … May 17, 2023 The association between patient-reported incidents in hospitals and estimated … January 12, 2022 Performance-based payment incentives increase burden and blame for hospital

2696. Taking a closer look at medication errors that involve oxytocin. | PSNet
      psnet.ahrq.gov/issue/taking-closer-look-medication-errors-involve-oxytocin
      July 18, 2018 - July 18, 2018 Selected medication safety risks to manage in 2016 that might otherwise … 2020 View More Related Resources Medication errors: the year in … January 11, 2023 Prevention of failure to rescue in obstetric patients: a realist review … March 11, 2020 Safety enhancements every hospital must consider in wake of another tragic … May 5, 2018 Preventing medication errors in hospitals through a systems approach and

2697. ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. | PSNet
      psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey-results
      March 14, 2023 - mixed case drug names, which found that 94% of the 298 respondents reported using mixed case drug names in … March 14, 2023 Selected medication safety risks to manage in 2016 that might otherwise … laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. … April 22, 2017 View More See More About The Topic Hospitals Outpatient … Pharmacy Pharmacists Quality and Safety Professionals Hospital Pharmacy View More

2698. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. | PSNet
      psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
      April 24, 2018 - hospital error and adverse event surveillance. … September 20, 2011 Improving patient safety in intensive care units in Michigan. … August 26, 2011 The culture of a trauma team in relation to human factors. … errors in anticoagulant care. … October 21, 2010 View More See More About The Topic Hospitals Physicians

2699. Patient safety knowledge and its determinants in medical trainees. | PSNet
      psnet.ahrq.gov/issue/patient-safety-knowledge-and-its-determinants-medical-trainees
      July 29, 2020 - Study Patient safety knowledge and its determinants in medical trainees. … Patient safety knowledge and its determinants in medical trainees. … Patient safety knowledge and its determinants in medical trainees. … hospital practice: factors associated with turnover, outcomes, and patient safety. … November 14, 2018 The next generation of doctors may be learning bad habits at teaching hospitals

2700. Managing health IT risks: reflections and recommendations. | PSNet
      psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations
      July 10, 2024 - January 18, 2023 The problem with making Safety-II work in healthcare. … November 2, 2022 An organisation without a memory: a qualitative study of hospital staff … of handover across care boundaries in emergency care. … October 31, 2018 Safe practices for copy and paste in the EHR. … May 7, 2014 Use of electronic health records in US hospitals.