Results

Total Results: 3,649 records

Showing results for "falls in hospitals".
Users also searched for: falls toolkit

3141. Organisational failure: rethinking whistleblowing for tomorrow's doctors. | PSNet
      psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
      May 18, 2022 - This article describes five serious medical errors in obstetrics and highlights how normalization of … getting noticed sooner - SIGNS-for-Kids: developing an illness recognition tool to connect home and hospital … July 20, 2022 Mindful workarounds in bar code medication administration. … in the USA. … maternal morbidity and mortality in the United States.

3142. Safety, performance, and satisfaction outcomes in the operating room: a literature review. | PSNet
      psnet.ahrq.gov/issue/safety-performance-and-satisfaction-outcomes-operating-room-literature-review
      April 03, 2019 - Emerging Classic Safety, performance, and satisfaction outcomes in … Safety, Performance, and Satisfaction Outcomes in the Operating Room: A Literature Review. … Safety, Performance, and Satisfaction Outcomes in the Operating Room: A Literature Review. … July 14, 2021 Does overlapping surgery result in worse surgical outcomes? … May 29, 2013 How hospital design saves lives.

3143. How surgical trainees handle catastrophic errors: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
      March 19, 2019 - October 10, 2018 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … July 17, 2024 Types of diagnostic errors reported by paediatric emergency providers in … failures in communication during the event. … June 2, 2019 Fake it 'til you make it: pressures to measure up in surgical training. … 13, 2018 A policy-based intervention for the reduction of communication breakdowns in

3144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33872/psn-pdf
      January 01, 2018 - While this intervention did not reduce safety incidents like pressure ulcers or falls, it did identify … https://psnet.ahrq.gov/issue/what-can-patients-tell-us-about-quality-and-safety-hospital-care-findings-uk-multicentre … https://psnet.ahrq.gov/issue/what-can-patients-tell-us-about-quality-and-safety-hospital-care-findings-uk-multicentre … Beyond health IT, a survey of hospital incident managers found that, although they valued the patient … https://psnet.ahrq.gov/issue/engaging-hospital-patients-medication-reconciliation-process-using-tablet-computers

3145. A Pill Organizing Plight | PSNet
      psnet.ahrq.gov/web-mm/pill-organizing-plight
      June 19, 2018 - Adverse drug events in elderly patients receiving home health services following hospital discharge. … STAAR: improving the reliability of care coordination and reducing hospital readmissions in an academic … Yes/No Does the patient have a history of falls? … November 26, 2014 The effect of medication reconciliation in elderly patients at hospital … January 27, 2012 Drug-related problems in older people after hospital discharge and interventions

3146. Lesson from the VA's Team Training Program | PSNet
      psnet.ahrq.gov/perspective/lesson-vas-team-training-program
      November 01, 2011 - Reducing falls and fall-related injuries in the VA system. J Healthc Saf Q. 2003;1:25-33. 8. … So, I spent a lot of my time writing and giving talks in schools of medicine and hospitals about this … I found leadership in hospitals or in schools of medicine didn't know what to do with this concept at … But a lot of hospitals call me for what you just asked me. … Related Resources From the Same Author(s) Root cause analysis of reported patient falls

3147. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49534/psn-pdf
      May 01, 2007 - , is emerging as a common first-choice agent in both hospital and ambulatory settings. … Two common approaches are either to (i) order an unbound phenytoin level to see whether it falls within … . hospitals is pharmacist- managed drug therapy.(10,11) Given a national shortage of pharmacists in … the United States and their costs, even health care systems and hospitals that cannot afford widespread … Adverse drug reactions in United States hospitals. Pharmacotherapy. 2006;26:601- 608.

3148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49768/psn-pdf
      September 01, 2016 - interactions problematic for older adults, placing them at increased risk for delirium, falls, and … other adverse outcomes including hospital readmission. … Adverse drug events in elderly patients receiving home health services following hospital discharge. … STAAR: improving the reliability of care coordination and reducing hospital readmissions in an academic … Yes/No Does the patient have a history of falls?

3149. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49705/psn-pdf
      January 01, 2020 - Due to these symptoms, he had multiple falls and an inability to grasp simple objects. … 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. … Diagnostic errors in medicine: what do doctors and umpires have in common [Perspective]?

3150. Patient Engagement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
      February 01, 2013 - Patients and their families are in a position to recognize small variations in hospital processes and … that hospitals do not? … The first change is that we must no longer view families as visitors in hospitals. … the hospital. … the hospital.

3151. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
      September 24, 2024 - The Patient Safety Structural Measure is an attestation-based measure that encourages hospitals to assess … reporting, and decreases in preventable harm: 39% decrease in injuries with falls, 37% fewer pressure … notes that, since the 2013 launch of their Certified Zero Harm Awards, member hospitals have achieved … as validated by the state’s Department of Health and Environmental Control with two-thirds of member hospitals … Indeed, the amount of effort expended in the resource scarce environment of hospital administration suggests

3152. Missing Trauma | PSNet
      psnet.ahrq.gov/web-mm/missing-trauma
      March 03, 2011 - Blunt injuries are the result of falls, motor vehicle or motorcycle crashes, bicycle accidents, pedestrians … Third in line is circulation (C). … For example, many injuries are discovered in a delayed evaluation after 24-48 hours in the hospital, … The "ABCs" of trauma assessment and resuscitation hold as true in the field as they do in the ED. … May 18, 2022 Hospital ward adaptation during the COVID-19 pandemic: a national survey

3153. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49722/psn-pdf
      December 01, 2014 - coronary artery disease, diabetes, chronic pain, arthritis, and hyperlipidemia was admitted to the hospital … After a short period of treatment, his swelling improved and he was able to ambulate on the hospital … Ideally human factors engineers identify the safety risks in these complex work systems early in the … This reactive change may be limited to just one hospital and likely did not result in more systemic … Doyle, PhD Human Factors Engineer Johns Hopkins Hospital Clinical Engineering Department References

3154. Inpatient Stroke Management in an Adolescent with Type 1 Diabetes and Home Insulin Pump | PSNet
      psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
      February 01, 2023 - Based on the experiences of these authors, it typically falls on the patient/family and consulting diabetes … Hospitals do not typically stock pump or CGM supplies 11 , and thus the patient should be responsible … Patient self-management of insulin doses in the hospital. Diabetes Care 2006;29:951.  … Diabetes Care in the Hospital: Standards of Medical Care in Diabetes-2020. … Management of Type 1 Diabetes in the Hospital Setting. Curr Diab Rep 2017;17:98. 

3155. Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. | PSNet
      psnet.ahrq.gov/issue/effective-followership-standardized-algorithm-resolve-clinical-conflicts-and-improve-teamwork
      March 13, 2013 - Hierarchy and authority gradients are persistent contributors to poor communication in health care. … September 12, 2016 A concept analysis of situational awareness in nursing. … November 16, 2015 Retained guidewires in the Veterans Health Administration: getting … August 30, 2017 Challenging hierarchy in healthcare teams--ways to flatten gradients … February 13, 2013 View More See More About The Topic Hospitals Health

3156. Two cultures in modern science and technology: for safety and validity does medicine have to update? | PSNet
      psnet.ahrq.gov/issue/two-cultures-modern-science-and-technology-safety-and-validity-does-medicine-have-update
      January 12, 2022 - Commentary Two cultures in modern science and technology: for safety and validity … Two cultures in modern science and technology: for safety and validity does medicine have to update? … This commentary explores two scientific cultures in modern medicine. … April 24, 2018 Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans … August 9, 2023 The impact of electronic medical records on hospital-acquired adverse

3157. Reducing central line–associated bloodstream infections in North Carolina NICUs. | PSNet
      psnet.ahrq.gov/issue/reducing-central-line-associated-bloodstream-infections-north-carolina-nicus
      February 15, 2011 - Reducing central line-associated bloodstream infections in North Carolina NICUs. … February 15, 2011 Changes in medication safety indicators in England throughout the covid … intensive care units in the USA. … intensive care units in England. … March 21, 2012 Intensive care unit readmissions in U.S. hospitals: patient characteristics

3158. Can we make postoperative patient handovers safer? A systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/can-we-make-postoperative-patient-handovers-safer-systematic-review-literature
      June 10, 2015 - RIS Download Citation Related Resources From the Same Author(s) In … January 23, 2013 Developing a reliable and valid patient measure of safety in hospitals … January 12, 2022 Improving handoffs in the emergency department. … 20, 2018 Case studies of patient safety research classics to build research capacity in … April 22, 2009 Teamwork and patient safety in dynamic domains of healthcare: a review

3159. Miscoding, misclassification and misdiagnosis of diabetes in primary care. | PSNet
      psnet.ahrq.gov/issue/miscoding-misclassification-and-misdiagnosis-diabetes-primary-care
      September 23, 2020 - Study Miscoding, misclassification and misdiagnosis of diabetes in primary care. … Miscoding, misclassification and misdiagnosis of diabetes in primary care. … Miscoding, misclassification and misdiagnosis of diabetes in primary care. … a multistate hospital network--13 academic medical centers, April-June 2020. … October 19, 2022 Trends and patterns in reporting of patient safety situations in transplantation

3160. Improving the safety of health information technology requires shared responsibility: it is time we all step up. | PSNet
      psnet.ahrq.gov/issue/improving-safety-health-information-technology-requires-shared-responsibility-it-time-we-all
      August 20, 2014 - 2020 Assessment of health information technology-related outpatient diagnostic delays in … July 19, 2018 Physician burnout in the electronic health record era: are we ignoring … July 19, 2018 Measuring patient safety in real time: an essential method for effectively … December 6, 2017 Toward more proactive approaches to safety in the electronic health … March 1, 2017 View More See More About The Topic Hospitals Facility