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Showing results for "falls in hospitals".
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3361. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49772/psn-pdf
      October 01, 2016 - in a longer and more complex hospital stay for the patient. … the hospital at any point in time may meet these criteria (7), and therefore many patients will be … more than 500 hospitals in the United States, more than 80% of respondents identified transition from … This low incidence rate may reflect the multiple redundancies in hospitals that prevent these types … Transitions in care across institutions and within hospitals may lead to errors and put patient safety

3362. Clinical Areas | PSNet
      psnet.ahrq.gov/clinical-areas
      March 24, 2025 - Emergency Medicine (1112) Family Medicine (316) Gynecology (233) Hospital … Palliative Care (62) Pharmacy (1758) Community Pharmacy (244) Hospital … Palliative Care (62) Pharmacy (1758) Community Pharmacy (244) Hospital … Falls and delays in diagnosis, treatment, or surgery were the most common adverse events related to communication … Review Decision fatigue in hospital settings: a scoping review.

3363. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33713/psn-pdf
      June 01, 2011 - "(1) While such drawbacks are inherent in technology, our poor understanding of technology in health … Warranty and USFDA approval concerns precluded the hospital from modifying the equipment. … The hospital developed a report of the event for the manufacturer. … Letters: How to reduce tube mix-ups in hospitals. New York Times. August 25, 2010:A26. 7. Cook RI. … In Nemeth C, Cook R, and Woods D, eds. Special Issue on Studies in Healthcare Technical Work.

3364. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33606/psn-pdf
      December 15, 2024 - Last reviewed in 2024. … conjunction with other sedatives or in overdose. … Guidelines developed by the CDC in 2016 and updated in 2022 were associated with an overall decrease … in nationwide prescribing of opioids. … has also been raised that blanket reduction in opioid use may lead to unrelieved pain in patients who

3365. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49626/psn-pdf
      May 01, 2011 - Nevertheless, hospitals need to respond, adapt, and evolve their care delivery systems, particularly … care space and allocating mechanical ventilators, may fall short during outbreaks leaving EDs and hospitals … control practices, based on transmission mechanisms and infection control principles.(1) Individual hospitals … Detection of varicella-zoster virus DNA in air samples from hospital rooms. … for Disease Control and Prevention Hospital Infections Program Bioterrorism Working Group.

3366. A Loss of Trust and a Missed Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
      October 31, 2023 - in her left low back. … In 2020, as the COVID-19 pandemic restricted in-person visits, she was seen by video twice for progressive … In this case, this rupture likely further exacerbated the delay in diagnosis. … Room May 1, 2019 Older patients' engagement in hospital medication safety … June 16, 2021 Medication reconciliation at hospital discharge: a qualitative exploration

3367. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837658/psn-pdf
      July 08, 2022 - He was transferred to the hospital and admitted. He passed away three weeks later in a hospital. … in care and preventing unnecessary hospital https://psnet.ahrq.gov/web-mm/preventable-transfer-hospital … In the face of these challenges, a safe transition from the hospital to SNF is a difficult task. … The role of a hospital ethics consultation service in decision-making for unrepresented patients.J Bioeth … Gaps in hospital and skilled nursing facility responsibilities during transitions of care: a comparison

3368. One Toxic Drug Is Not Like Another | PSNet
      psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
      October 02, 2019 - technically a voluntary process, board certification is now required for employment and credentialing by most hospitals … the hospital setting (called the focused practice in hospital medicine program ).( 12 ) In addition … I believe the professional organizations, from medical practices to hospital to medical societies and … Hospital medicine, focused practice. [Available at] 13. Epstein RM, Siegel DJ, Silberman J. … July 31, 2023 Patient Safety Innovations Preventing Falls

3369. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49407/psn-pdf
      July 01, 2003 - heparin, with a plan to initiate warfarin once it became clear that that she was not at high risk for falls … most hospital and outpatient laboratories. … the hospital setting, where supervision of warfarin therapy is likely to be required regularly, development … did not occur in this case. … after orthopedic surgery when used after hospital discharge.

3370. Opioid Safety | PSNet
      psnet.ahrq.gov/primer/opioid-safety
      December 15, 2024 - Last reviewed in 2024. … Guidelines  developed by the CDC in 2016 and updated in 2022 were  associated  with an overall decrease … in nationwide prescribing of opioids. … has also been raised that blanket reduction in opioid use may lead to unrelieved pain in patients who … The Joint Commission's new and revised workplace violence prevention standards for hospitals

3371. Debriefing for Clinical Learning | PSNet
      psnet.ahrq.gov/primer/debriefing-clinical-learning
      September 15, 2024 - area of the hospital, and may have been under the influence of street drugs. … November 16, 2022 Families as partners in hospital error and adverse event surveillance … a multistate hospital network--13 academic medical centers, April-June 2020. … 30, 2023 Patient Safety Innovations Preventing Falls … February 6, 2014 View More See More About The Topic Hospitals Health

3372. Critical Radiology Alert Process | PSNet
      psnet.ahrq.gov/innovation/critical-radiology-alert-process
      November 16, 2022 - In this case, the hospital, ED, and Cancer Center leadership teams enthusiastically supported the program … The innovation has the potential to promote hospital growth by establishing new patients, and maintaining … a Rural Hospital June 1, 2018 Delivering the right diet to the right patient … View More See More About The Topic Researchers General Public Hospitals … General Hospitals Intensive Care Units View More

3373. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49623/psn-pdf
      March 01, 2011 - this SICU since graduation; she had completed the hospital-based CRRT training in the prior month. … In this hospital, RNs who regularly cared for SICU patients administered CRRT along with other care … RNs received special training in this technique from expert nurses in this hospital and received a certificate … CRRT is a high-risk procedure that is handled differently by different hospitals. … In the hospital setting, this study found that only 41% of the RNs reported having a comprehensive transition

3374. In Conversation with...James P. Bagian, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
      September 01, 2006 - is that safety folks from more than 100 non-VA hospital systems in the US have come to us to be trained … RW: In a practical sense, let's say I'm in a VA hospital in Des Moines and I'm newly hired to run the … efforts include increasing disclosure of adverse events; root cause analyses; and programs for preventing falls … VA has installed bar-coded medication administration (BCMA) in nearly all hospitals, and most clinicians … Care in U.S. hospitals--the Hospital Quality Alliance program. N Engl J Med. 2005;353:265-274.

3375. Diagnostic Overshadowing Dangers | PSNet
      psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
      February 12, 2020 - care system frequently, have serious medical conditions, and are more likely to be admitted to the hospital … Frequent ED users have a high burden of medical disease and are frequently admitted to the hospital. … June 19, 2019 Potentially inappropriate medications and their effect on falls during … hospital admission. … July 1, 2019 Families as partners in hospital error and adverse event surveillance.

3376. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49468/psn-pdf
      December 16, 2004 - How—in the world's most sophisticated operating theaters and in the hands of highly trained surgeons—can … Or, in this case, almost happen? … On the surface, the problem in this case is that the "Time Out" provision in the Universal Protocol was … recovery room, multiple, seemingly simple processes—involving doctors, nurses, technicians, and other hospital … taught in these schools.

3377. Delayed Breast Cancer Diagnosis: A False Sense of Security. | PSNet
      psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
      May 01, 2005 - feared cancer diagnosis in women. … study by The Doctor’s Company and CRICO, the captive malpractice insurer of the Harvard-affiliated hospitals … the finding before recommending management limited to routine mammography screening.” 12 BI-RADS 3 falls … Schiff, MD Brigham and Women’s Hospital Harvard Medical School Ted James, MD Chief, Breast Surgical … Diagnosis Errors (PRIDE) Learning Network, a collaborative project convened by the Brigham and Women’s Hospital

3378. On the Other Hand | PSNet
      psnet.ahrq.gov/web-mm/other-hand
      December 12, 2012 - The Case A young woman with Takayasu's arteritis presented to the hospital with severe abdominal pain … This had been recorded in her chart but was not noted in her hospital room or on her person. … If a patient develops an allergy later in the hospital stay, this alert mechanism requires that someone … It is not clear what the visitation practices were at the hospital, but many ICUs still restrict family … May 31, 2023 Patient Safety Innovations Preventing Falls

3379. Technical Expert Panel | PSNet
      psnet.ahrq.gov/Information/Panel
      January 01, 2012 - During her tenure at KP, she provided health plan and hospital quality leadership for several national … centers and community hospital systems. … In 2005, her son Gabriel died after a series of medical errors at Stanford Children’s Hospital. … the Senior Vice President of Field Engagement for the Michigan Health & Hospital Association (MHA). … such as surgery, obstetrics, hospital-associated infections, emergency departments, sepsis, falls, pressure

3380. Beeline to Spine | PSNet
      psnet.ahrq.gov/web-mm/beeline-spine
      March 01, 2014 - laboratory results (or other key patient data) often depends on whether this test was part of the patient's hospital … medical record and whether his primary care doctor used the hospital laboratory for blood tests. … If the primary care doctor was community based, and not part of hospital-based practice at the site where … Communication in the preoperative setting is particularly challenging when physicians practice in different … In another study at Brigham and Women's Hospital in Boston, 565 of 5083 patients seen in a preoperative