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Showing results for "falls in hospitals".
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2941. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
      January 01, 2020 - Due to these symptoms, he had multiple falls and an inability to grasp simple objects. … the patient returned 2 more times to the same clinic with worsening symptoms, including more frequent falls … in all extremities. … He was admitted to the hospital and underwent urgent neurosurgical decompression. 5 Case: ʺReflexiveʺ … Diagnostic errors in medicine: what do doctors and umpires have in common [Perspective]?

2942. Engaging Seriously Ill Older Patients in Advance Care Planning | PSNet
      psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning
      December 22, 2018 - In reviewing the medical record, the intern discovered the patient's code status in the hospital and … the hospital to receive it (as with the patient in this case).( 8 ) We further noted that there was … In a recent study, we surveyed hospital-based clinicians to elicit barriers to having such conversations … The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of … Canadian hospitals: results of a multicentre observational study.

2943. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
      February 01, 2017 - The patient was alert and oriented when she arrived in the ED, but she did report falling and hitting … She left the hospital and went directly to a previously scheduled positron emission tomography CT scan … The patient was readmitted to the same hospital medicine team that had cared for her before. … The surgery was uncomplicated but postoperatively she developed sepsis secondary to hospital-acquired … a very wide range of conditions * Wiprud R. 30 standardized hospital admission orders.

2944. Artificial intelligence is rushing into patient care - and could raise risks. | PSNet
      psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks
      July 15, 2020 - August 2, 2017 Antifatness in the surgical setting. … July 5, 2023 Hospitals in two states denied an abortion to a miscarrying patient. … Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in … January 18, 2023 Improving Diagnosis in Medicine Act of 2022. … March 23, 2022 The Safety of Maternity Services in England.

2945. MRI safety: prepare for new guidance. | PSNet
      psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance
      September 12, 2016 - Magnetic resonance imaging (MRI) services carry with them unique safety considerations in both hospital … August 14, 2019 Ethical challenges in child abuse: what is the harm of a misdiagnosis … September 27, 2023 Linking patient safety culture to quality ratings in the nursing home … September 20, 2023 Radiographers' experience of preventing patient safety incidents in … September 13, 2023 Perceptions of radiation safety culture in medical imaging by role

2946. Making FMEA work for you. | PSNet
      psnet.ahrq.gov/issue/making-fmea-work-you
      July 01, 2019 - June 19, 2024 Patient-clinician diagnostic concordance upon hospital admission. … November 6, 2024 Adverse diagnostic events in hospitalised patients: a single-centre, … April 26, 2023 Examining nurses' decision process for medication management in … September 27, 2016 Speaking up: factors and issues in nurses advocating for patients … when patients are in jeopardy.

2947. Neurologic patient safety: an in-depth study of malpractice claims. | PSNet
      psnet.ahrq.gov/issue/neurologic-patient-safety-depth-study-malpractice-claims
      November 11, 2015 - Study Neurologic patient safety: an in-depth study of malpractice claims. … Neurologic patient safety: an in-depth study of malpractice claims. Neurology. 2005;65(8):1284-6. … Neurologic patient safety: an in-depth study of malpractice claims. … December 21, 2011 Diagnostic pitfalls in paediatric ischaemic stroke. … June 22, 2009 Risk of medication errors at hospital discharge and barriers to problem

2948. Learning from errors with the new COVID-19 vaccines. | PSNet
      psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
      October 21, 2021 - examined reports of COVID-19  vaccine errors  to highlight common risks that are likely to be present in … Citation Related Resources From the Same Author(s) Disrespectful behavior in … February 10, 2021 Selected medication safety risks to manage in 2016 that might otherwise … March 18, 2010 View More See More About The Topic Hospitals Ambulatory

2949. Accidental IV infusion of heparinized irrigation in the OR. | PSNet
      psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
      September 14, 2016 - Newspaper/Magazine Article Accidental IV infusion of heparinized irrigation in the … Citation Text: Accidental IV infusion of heparinized irrigation in the OR. … Accidental administration of irrigation solutions are a wrong-route error that can result in harm. … December 17, 2018 Advances in perioperative quality and safety. … April 16, 2018 Patient safety in the OR.

2950. Building Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and Quality for Children in the Emergency Setting. | PSNet
      psnet.ahrq.gov/issue/building-bridges-between-radiology-and-emergency-medicine-consensus-conference-imaging-safety
      January 25, 2010 - cause analysis of safety events at a pediatric hospital. … December 16, 2015 Magnet in Support of Patient Safety. … December 14, 2016 Teamwork errors in trauma resuscitation. … September 26, 2012 Safety in EMS. … July 13, 2010 Patient Safety in Pediatric Emergency Medicine.

2951. Nebraska Coalition for Patient Safety Annual Report. | PSNet
      psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
      July 13, 2022 - September 29, 2017 Perceived patient safety culture in a critical care transport program … October 12, 2022 View More Related Resources Advances in Patient … September 29, 2017 Advances in Patient Safety: New Directions and Alternative Approaches … September 29, 2017 The Value of Close Calls in Improving Patient Safety. … July 31, 2012 The Patient Safety Initiative at America’s Public Hospitals: The Year One

2952. 'Inattentional blindness': what captures your attention? | PSNet
      psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention-0
      November 24, 2021 - Citation Related Resources From the Same Author(s) Inattentional blindness in … November 24, 2021 What causes medication administration errors in a mental health hospital … January 23, 2019 Beyond communication: the role of standardized protocols in a changing … Harmful medication errors involving unfractionated and low-molecular-weight heparin in … February 17, 2011 Perspective The Role of the Patient in

2953. Using simulation to improve systems. | PSNet
      psnet.ahrq.gov/issue/using-simulation-improve-systems-0
      July 22, 2020 - This review explores simulation use in otolaryngology and outlines key components of in-situ simulation … Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. … December 20, 2017 Simulation in Otolaryngology. … August 27, 2017 Innovative teaching in situational awareness. … November 6, 2015 View More See More About The Topic Hospitals Facility

2954. "Use as directed" can cause confusion for both patients and practitioners. | PSNet
      psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
      August 24, 2016 - March 9, 2016 Accidental IV infusion of heparinized irrigation in the OR. … Resources Annual Perspective Annual Perspective: Topics in … Safety March 31, 2022 Survey results: community liaison programs to decrease hospital … Enhancing medication safety in the outpatient setting. … August 26, 2011 Diagramming patients' views of root causes of adverse drug events in

2955. Correct use of inhalers: help patients breathe easier. | PSNet
      psnet.ahrq.gov/issue/correct-use-inhalers-help-patients-breathe-easier
      August 10, 2016 - Resources From the Same Author(s) ISMP National Vaccine Errors Reporting Program: one in … August 10, 2016 Paralyzed by mistakes: reassess the safety of neuromuscular blockers in … July 16, 2014 Accidental IV infusion of heparinized irrigation in the OR. … 2019 Death and neurological devastation from intrathecal vinca alkaloids: prepared in … syringes = 120; prepared in minibags = 0.

2956. USA Today news series: clarifying the issues and embracing community pharmacy safety. | PSNet
      psnet.ahrq.gov/issue/usa-today-news-series-clarifying-issues-and-embracing-community-pharmacy-safety
      March 14, 2023 - important causes of errors not described in the series, and offers a broader perspective on the factors … involved in pharmacy errors. … March 14, 2023 Selected medication safety risks to manage in 2016 that might otherwise … February 19, 2020 In patient safety efforts, pharmacists gain new prominence. … January 23, 2019 Hospital discharge: it's one of the most dangerous periods for patients

2957. Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area | PSNet
      psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
      November 13, 2024 - Workgroup through Education and Research (POWER) is an initiative of 39 delivering hospitals in Arkansas … Of the 39 delivering hospitals, all hospitals have >60% completion of the postpartum hemorrhage bundle … were facilitated to the closest, most appropriate hospital in 2011, 554 in 2013, and 451 in the 2018 … hospital administrators, family practitioners, and obstetricians at rural hospitals and private practices … April 17, 2024 Patient Safety Innovations Preventing Falls

2958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865697/psn-pdf
      April 24, 2024 - been a nurse for about 30 years and, prior to joining ANA, was Chief Nursing Officer at a couple of hospitals … For example, hospitals are partnering with academic institutions, which are facing their own challenges … applicants are turned away every year by nursing programs.8 There’s a lot of opportunity to partner with hospitals … Agency nurses typically work for local companies or “agencies” that contract with hospitals. … Some organizations are setting up programs where nurses “float” to different hospitals within a system

2959. Watch the Warfarin! | PSNet
      psnet.ahrq.gov/web-mm/watch-warfarin
      December 01, 2013 - Case & Commentary—Part 1: A frail 80-year-old man with a past medical history of dementia, falls, and … atrial fibrillation presented to the hospital with confusion and weakness. … the hospital. … In summary, the best practices for the management of warfarin at hospital discharge should focus on the … Lethal Cap March 1, 2004 View More See More About The Topic Hospitals

2960. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/842920
      December 14, 2022 - Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings Jane … In this case, a mixture of shortcomings in clinicians’ understanding of the disease, diagnostic biases … Richter, MD | August 10, 2019 An elderly man had iron deficiency anemia with progressively falling hemoglobin … In this case, a mixture of shortcomings in clinicians’ understanding of the disease, diagnostic biases … Richter, MD | August 10, 2019 An elderly man had iron deficiency anemia with progressively falling hemoglobin