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Showing results for "falls in hospitals".
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2801. Effects of a team-based assessment and intervention on patient safety culture in general practice: an open randomised controlled trial. | PSNet
      psnet.ahrq.gov/issue/effects-team-based-assessment-and-intervention-patient-safety-culture-general-practice-open
      August 14, 2013 - Study Effects of a team-based assessment and intervention on patient safety culture in … Effects of a team-based assessment and intervention on patient safety culture in general practice: an … hospitals: a mixed method study. … : a repeated cross-sectional intervention study at two hospital sites. … 24 hospitals.

2802. Developing and evaluating large language model-generated emergency medicine handoff notes. | PSNet
      psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes
      March 12, 2025 - In this study, a large language model (LLM) was designed and used to draft notes for handoff from the … Missing the Point—Eye Injury December 1, 2011 Families as partners in … hospital error and adverse event surveillance. … between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital … View More See More About The Topic Emergency Departments Emergency Medicine Hospital

2803. The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
      January 22, 2016 - Review The accuracy of trigger tools to detect preventable adverse events in primary … The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review … December 15, 2021 Support from hospital to home for elders: a randomized trial. … Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals … February 7, 2024 Frontline hospital workers and the worker safety/patient safety nexus

2804. Digital health interventions and patient safety in abdominal surgery: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/digital-health-interventions-and-patient-safety-abdominal-surgery-systematic-review-and-meta
      April 06, 2022 - Emergency department visits and hospital readmissions were lower in telehealth vs. conventional care, … and there were no differences in post-operative complications. … March 18, 2011 Inappropriate hospital admission as a risk factor for the subsequent development … December 14, 2022 A human factors intervention in a hospital--evaluating the outcome … of a TeamSTEPPS program in a surgical ward.

2805. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. | PSNet
      psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
      December 20, 2017 - Study Radiographers' experience of preventing patient safety incidents in the context … patient care and safety activities in hospitals. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … A questionnaire-based survey in a multi-ethnic North London hospital population. … Hits MRI February 1, 2003 View More See More About The Topic Hospitals

2806. Defining and studying errors in surgical care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/defining-and-studying-errors-surgical-care-systematic-review
      July 20, 2022 - Defining and studying errors in surgical care: a systematic review. … Defining and studying errors in surgical care: a systematic review. … August 25, 2021 Changes in hospital-acquired conditions and mortality associated with … the hospital-acquired condition reduction program. … hospital settings.

2807. Patients' online access to their electronic health records and linked online services: a systematic interpretative review. | PSNet
      psnet.ahrq.gov/issue/patients-online-access-their-electronic-health-records-and-linked-online-services-systematic
      September 08, 2021 - March 20, 2024 Towards safer transitions: a curriculum to teach and assess hospital-to-hospice … September 24, 2017 Decreased incidence of cesarean surgical site infection rate with hospital-wide … a multistate hospital network--13 academic medical centers, April-June 2020. … Unintended consequences of patient online access to health records: a qualitative study in … April 11, 2018 Context-sensitive decision support (infobuttons) in electronic health

2808. Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. | PSNet
      psnet.ahrq.gov/issue/explanation-and-elaboration-squire-standards-quality-improvement-reporting-excellence
      November 18, 2016 - a multistate hospital network--13 academic medical centers, April-June 2020. … December 2, 2015 Improving handoffs in the emergency department. … hospital practice: factors associated with turnover, outcomes, and patient safety. … October 19, 2022 Contemporary evidence about hospital strategies for reducing 30-day … August 20, 2014 Errors in Laboratory Medicine and Patient Safety.

2809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867656/psn-pdf
      February 26, 2025 - The organization I am in right now is a 40-hospital system with hundreds of outpatient clinical settings … With falls, for example, we have an aging population. … As we transfer care from hospital-based to ambulatory to home- based, the people who end up in the hospital … This may lead to more falls, not because the care has been compromised, but because there is a larger … population at risk for falls.

2810. A Painful Medication Reconciliation Mishap | PSNet
      psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
      May 01, 2008 - The Case A 56-year-old woman with a history of alcohol dependence was admitted to the hospital after … falling while intoxicated. … On admission to the hospital, her naltrexone had been held in anticipation of the fact that she would … August 24, 2011 Hospital admission medication reconciliation in medically complex children … October 15, 2008 View More See More About The Topic Specialty Hospitals

2811. Take Charge: 5 Steps to Safer Healthcare. | PSNet
      psnet.ahrq.gov/issue/take-charge-5-steps-safer-healthcare
      May 03, 2023 - Patients can be active partners in their own safe care. … May 3, 2023 Effectiveness and safety of pulse oximetry in remote patient monitoring of … October 21, 2020 Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center … February 5, 2018 North Carolina Center for Hospital Quality and Patient Safety. … But it may be overlooked in people with dark skin.

2812. Heed this warning! Don't miss important computer alerts. | PSNet
      psnet.ahrq.gov/issue/heed-warning-dont-miss-important-computer-alerts
      May 07, 2018 - June 10, 2018 Anticoagulant safety takes center stage in 2007. … May 7, 2018 Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing … March 14, 2023 Selected medication safety risks to manage in 2016 that might otherwise … May 7, 2018 Designing decision support for insulin ordering in a computerized provider … See More About The Topic Pharmacists Health Care Executives and Administrators Hospital

2813. Anticoagulant safety takes center stage in 2007. | PSNet
      psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007
      May 07, 2018 - Newspaper/Magazine Article Anticoagulant safety takes center stage in 2007. … Citation Text: Anticoagulant safety takes center stage in 2007. ISMP Medication Safety Alert! … Cite Citation Citation Text: Anticoagulant safety takes center stage in … May 7, 2018 Selected medication safety risks to manage in 2016 that might otherwise fall … May 11, 2014 Preventing medication errors in hospitals through a systems approach and

2814. Advancing safety with closed-loop communication of test results. | PSNet
      psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
      November 13, 2019 - Incomplete or delayed test result communication is a known factor in diagnostic error. … January 17, 2024 Delays in care during the COVID-19 pandemic in the Veterans Health Administration … November 16, 2022 Understanding test results follow-up in the ambulatory setting: … April 16, 2018 Preparing your hospital for compliance with The Joint Commission's National

2815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841139/psn-pdf
      December 14, 2022 - Language barriers have been identified as a cause of adverse events and it has been suggested that hospitals … TeamSTEPPS® Enhancing Safety for Patients With Limited English Proficiency Module, which recommends that hospitals … For this reason, the responsibility of obtaining such details falls on both the surgical and anesthesia … Interpreting services should be scheduled prior to admission in order to prevent delays in the operating … A comparison of the influence of hospital-trained, ad hoc, and telephone interpreters on perceived satisfaction

2816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33793/psn-pdf
      November 01, 2015 - evangelists and more research-oriented snails, some research on clinical interventions to prevent hospital–acquired … adverse events, VTE prophylaxis, or falls amounted to a form of patient safety research. … No one else is doing what you're trying at your hospital. … a bunch of North Carolina hospitals. … At some point you start saying, we're talking about acute MIs, or we're talking about admissions to hospitals

2817. Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. | PSNet
      psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
      August 18, 2021 - a multistate hospital network--13 academic medical centers, April-June 2020. … June 28, 2013 Measuring the cost of hospital adverse patient safety events. … November 2, 2011 Use of electronic health records in US hospitals. … January 31, 2011 Hospitals find confession good for the bottom line. … May 27, 2009 View More See More About The Topic Hospitals Health Care

2818. "SWARMing" to improve patient care: a novel approach to root cause analysis. | PSNet
      psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
      September 23, 2020 - Root cause analyses (RCAs) are widely employed at hospitals for exploring safety events. … a multistate hospital network--13 academic medical centers, April-June 2020. … hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital … an academic community hospital. … June 14, 2011 View More See More About The Topic Hospitals Health Care

2819. Glucose Roller Coaster | PSNet
      psnet.ahrq.gov/web-mm/glucose-roller-coaster
      February 02, 2022 - The Case A 71-year-old woman with congestive heart failure was admitted to the hospital. … of hospitalized patients can lead to increased lengths of stay, in-hospital complications, and preventable … Communication behaviours in a hospital setting: an observational study. … May 31, 2023 Patient Safety Innovations Preventing Falls … Fumbled Handoff March 1, 2004 View More See More About The Topic Hospitals

2820. In Conversation With… Kaveh Shojania, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-kaveh-shojania-md
      February 26, 2025 - improvement evangelists and more research-oriented snails, some research on clinical interventions to prevent hospital–acquired … adverse events, VTE prophylaxis, or falls amounted to a form of patient safety research. … No one else is doing what you're trying at your hospital. … a bunch of North Carolina hospitals. … At some point you start saying, we're talking about acute MIs, or we're talking about admissions to hospitals