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Showing results for "falls in hospitals".
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3301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33685/psn-pdf
      May 01, 2009 - were complications at the hospital, the profit margin for the hospital was reduced but not eliminated … WW: That will provide a nice incentive for hospitals to address the issue. … So think of yourself managing a hospital, and people from Dartmouth come in and say, "You need to reduce … RW: When we look at why hospitals or doctors have not computerized, the argument always is economic—that … Where do you see the translation falling short?

3302. Long-term outcomes of medication intervention using the screening tool of older persons potentially inappropriate prescriptions screening tool to alert doctors to right treatment criteria. | PSNet
      psnet.ahrq.gov/issue/long-term-outcomes-medication-intervention-using-screening-tool-older-persons-potentially
      July 31, 2024 - Related Resources From the Same Author(s) Safe Administration of Medication in … January 7, 2015 Human factors considerations in using personal protective equipment in … older adults living in nursing homes: a systematic review. … September 27, 2016 Potentially inappropriate prescribing in older patients discharged … from acute care hospitals to residential aged care facilities.

3303. Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study. | PSNet
      psnet.ahrq.gov/issue/association-cataract-surgical-outcomes-late-surgeon-career-stages-population-based-cohort
      September 23, 2020 - This secondary data analysis of all single-eye cataract surgeries performed in Ontario between 2009 and … the Same Author(s) Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … ophthalmology: real-world evaluation in 37 529 cases. … September 4, 2010 Surgical confusions in ophthalmology.

3304. Improving Diagnostic Safety and Quality | PSNet
      psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
      January 31, 2024 - More broadly, in pediatric hospitals misdiagnosis rates vary but there is significant heterogeneity … in data gathering as well as variation depending on hospital settings. … a small pilot study over 12 months in a pediatric hospital . … May 31, 2023 Patient Safety Innovations Preventing Falls … Topic Public Health Professionals Health Professional Students Researchers Residents Hospitals

3305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74252/psn-pdf
      January 12, 2022 - Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital … of the Tennessee Hospital Association PSO. … It serves 58 providers, most of which are acute care hospitals. … We also have critical access hospitals, specialty hospitals, and hospital-owned skilled nursing facilities … Our hospitals have great protocols in place for pressure injury prevention, but prone positioning brought

3306. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
      psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
      November 13, 2024 - in silence. … In our experience, inclusion in these blame-free discussions helps promote clinician healing and recovery … August 21, 2019 Effects of individual nurse and hospital characteristics on patient adverse … Perspective The Ongoing Journey to Prevent Patient Falls … Experience May 1, 2005 View More See More About The Topic General Hospitals

3307. Mixup Beyond the Medication Label | PSNet
      psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
      June 01, 2014 - The Case An 80-year-old man was admitted to a hospital for recurrent hypoglycemia. … He had been seen at another hospital 2 weeks earlier for a similar episode, with a glucose level of 26 … discharge, the patient experienced another severe hypoglycemic episode and was admitted to a different hospital … falls and even deaths in elderly patients.( 9 ) Medication review may help prevent these types of events … drug use in elderly patients.

3308. Which Line: Ordering Provider or Proceduralist? | PSNet
      psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
      September 16, 2015 - in 4 per 100,000 examinations ( 3 ) and wrong-side events in 8.3 to 55 per 100,000 examinations in major … Adopting a surgical safety checklist could save money and improve the quality of care in U.S. hospitals … April 3, 2013 WebM&M Cases Dying in the Hospital With … 28, 2023 Patient Safety Innovations Preventing Falls … May 1, 2006 View More See More About The Topic Hospitals Physicians

3309. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
      psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
      July 23, 2024 - the bundle. 2   The RSI bundle was implemented in 114 facilities across 12 states in September 2020. … limited scope (e.g., one surgical unit, one hospital, or one teaching setting). 5 Ascension’s innovation … is unique in its widespread scope of 100+ hospitals across a large geographical area, and it has not … 30, 2023 Patient Safety Innovations Preventing Falls … View More See More About The Topic Researchers Outpatient Surgery Hospitals

3310. A Sweet Case of Hidden Hydrogen Ions | PSNet
      psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
      November 30, 2023 - Upon admission to the hospital, the patient was tachycardic (heart rate in 110’s) and had diffuse abdominal … Failure to consult or communicate with subspecialty providers early in the hospital course for glycemic … Diabetes Care in the Hospital:  Standards of Medical Care in Diabetes-2019 .  … hospital. … April 23, 2014 Recommendations for Safe Use of Insulin in Hospitals.

3311. Patient Safety Events Involving Opioid Dose Stacking | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
      July 08, 2022 - due to a worsening wound from an amputation of the first metatarsal of right great toe at a different hospital … Upon hospital admission, she was stabilized medically and sent to surgery for a trans-metatarsal foot … While this topic falls outside of the scope of this commentary, it remains critical to treat the whole … In: StatPearls . … October 18, 2023 Physician EHR adoption and potentially preventable hospital admissions

3312. Diffusion of Responsibility Leads to Danger | PSNet
      psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
      November 08, 2013 - emergency department (ED) from a nursing facility due to decreased oral intake, fevers, confusion, and falling … Overall in-hospital mortality was 17.4% for delayed patients, versus 12.9% for nondelayed patients.( … In addition, creating a well-resourced transfer center is extremely effective in coordinating hospital-to-hospital … At our hospital, the implementation of our Capacity Coordination Center has led to improvement in ED … Questions Remain January 1, 2006 Organisational culture: variation across hospitals

3313. Spotlight (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
      November 01, 2018 - Case: Supervision and Entrustment A 65-year-old man was admitted with head and spine trauma after falling … Given the patient's critical condition, hospital policy dictated that he be accompanied by a nurse and … Training Adequate supervision is necessary in teaching hospitals Patients cared for in teaching hospitals … supervision and a decrease in autonomy More supervision may make care safer in the short term Yet … Graded autonomy in medical education—managing things that go bump in the night.

3314. Physical Diagnosis: A Lost Art? | PSNet
      psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
      January 17, 2018 - In this regard, physicians in the United States differ from our colleagues in Canada and England, who … training might compound the risk of patients like this falling through the cracks. … Bias creeps in. … One of us (G.R.T.) has seen a patient with spinal cord injury who was transferred from an outside hospital … during the COVID-19 pandemic at an urban teaching hospital.

3315. Health Care Worker Presenteeism: A Challenge for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
      November 03, 2015 - a survey study of 536 attending physicians and advanced practice clinicians at a large children's hospital … Much like the hospital expects us to be here after a two foot snowfall, I believe that we still expect … Training Program November 1, 2011 WebM&M Cases Falling … US acute care hospitals. … February 27, 2019 Incidence and trends of sepsis in US hospitals using clinical vs claims

3316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33776/psn-pdf
      January 01, 2015 - We spoke with him about applying Lean in hospitals. Dr. … Mark Graban: Some parts of the hospital can be reminiscent of a factory. … It's no accident that some early adopters of Lean in hospitals were clinical laboratories, where there … In hospital lab settings, there are huge opportunities to improve the way we manage and to engage employees … It's trying to take these caring individuals and caring settings and making the hospital the best hospital

3317. Primary Workaround, Secondary Complication | PSNet
      psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
      January 24, 2018 - hospitals: an observational study of nurses. … hospital settings: a scoping review. … March 8, 2023 Falling through the cracks: the invisible hospital cleaning workforce. … 96 Australian hospitals. … June 19, 2013 The safety of hospital stroke care.

3318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60242/psn-pdf
      March 01, 2021 - Although in one evaluation, overall hospital admission rates were not affected by the program in two … Under traditional reimbursement systems, providers, including both hospitals and physician practices … A review of key quality indicators showed an improvement in falls, depression, medication management … in hospital-bed days. … GRACE showed a 43% reduction in hospital admissions, 51% decrease in in-patient costs, and a 30% decrease

3319. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - that of other CVCs.   2 , 15 The increased risk to inpatients highlights the need for vigilance by hospital … Patient Education Lengths of stay in hospitals have decreased steadily over the past 40 years. 19 Increasing … hospital practice: factors associated with turnover, outcomes, and patient safety. … Related Resources Patient Safety Innovations Preventing Falls … Appendicitis June 1, 2003 View More See More About The Topic Hospitals

3320. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33655/psn-pdf
      August 01, 2007 - Over the next few years, failure to act will likely have far-reaching consequences for hospitals and … This is in sharp contrast to the way the typical hospital or health system board assumes accountability … PeaceHealth is a health care delivery organization that operates six hospitals, as well as a large multi … but it has historically ceded various responsibilities to regional governing boards that oversee the hospitals … For example, when the chief of staff at one of our largest hospitals championed improved stroke care