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Showing results for "falls in hospitals".
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3381. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49537/psn-pdf
      June 01, 2007 - 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 … In another study at Brigham and Women's Hospital in Boston, 565 of 5083 patients seen in a preoperative … In: Hilditch WG, Asbury AJ, Jack E, McGrane S.

3382. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49406/psn-pdf
      June 01, 2003 - Per hospital policy, a 24-hour sitter was placed with the patient. … the US, approximately 1,500 suicides (5%) occur in hospitals.(2) A recent review of 76 cases in the … How does the general acute hospital system deal with such an atypical patient? … these focus on clerical fulfillment of checklists rather than true care or patient safety.(12) Each hospital … Supervision of suicidal patients in adult inpatient units in general hospitals.

3383. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49556/psn-pdf
      March 01, 2008 - On hospital day 3, although the patient was clinically stable, she had a serum sodium level of 131 mEq … /L in the afternoon. … in the hospital for a number of days when a doctor requested a gastroenterology consult to see if the … therapies that were discontinued for procedures or need to be renewed prior to discharge from the hospital … Hospitals should prohibit all hold orders that do not provide specific instructions on when to resume

3384. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49683/psn-pdf
      April 01, 2013 - The ED work-up was consistent with acute pancreatitis and the patient was admitted to the hospital. … time some patients were safely discharged from hospital.(1) The developers of chlorpromazine were awarded … Maybe psychiatric consultation was difficult to obtain, as it is in some acute care hospitals. … Rosenbaum, MD Chief of Psychiatry, Massachusetts General Hospital Stanley Cobb Professor of Psychiatry … Analysis of population reduction in New York State mental hospitals during the first four years of large-scale

3385. Medication Handling and Compounding Errors in the Operating Room. | PSNet
      psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
      May 16, 2022 - the hospital. 1-3 Medication errors not only lead to potential patient harm and longer hospital stays … classification of the preparation from reconstitution to compounding. 8,9 This type of compounding falls … Board of Pharmacy and by a national standard known as US Pharmacopeia (USP) Chapter <797>. 9,10 , 17  Hospital … the perioperative setting; however, all are required for sterile compounding in a hospital pharmacy … Hospitals must verify whether compounding is included in the nurses’ scope of practice as it is not allowed

3386. Too Many Cooks Spotlight Pdf (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
      January 01, 2020 - and increases risk of pressure ulcers, venous thromboembolism and hospital acquired-infection … the operating room or PACU 24 Systems Change Needed (3) • A hospital-wide Early Warning System … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings. … Pneumonia in hospitalized elderly hip fracture patients: the effects on length of hospital-stay, in-hospital … Comparison of Early Warning Scoring Systems for Hospitalized Patients With and Without Infection at Risk for In-Hospital

3387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867980/psn-pdf
      March 25, 2025 - Case #2: A 33-year-old woman was admitted to the hospital with severe headaches, blurry vision, and … numbness in her left arm. … , and considerations for application in other cases will be discussed. … where they are necessary and not using them in situations where they are not. … Of course, there are also pitfalls in over- evaluation of benign headaches.

3388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49427/psn-pdf
      January 01, 2004 - This procedure may have occurred in a hospital where an urologist was not immediately available, a situation … common in smaller community hospitals, and one that cannot be solved by inserting subspecialty consultants … in every hospital. … opportunities for multi-media telemedicine, which will allow rural hospitals (or even long-distance … Analysis of errors reported by surgeons at three teaching hospitals.

3389. DNR in the OR and Afterwards | PSNet
      psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
      July 01, 2003 - her advance directive, which accompanied the patient to the hospital). … Fortunately, the error led to no inappropriate resuscitative measures, but the event did generate a hospital … in the hospital. … identifying surgical patients who have a DNR order may be a challenge if the patient is new to the hospital … Finally, hospitals should consider back-up systems for essential but difficult parts of a critical pathway

3390. A Fumbled Handoff to Inpatient Rehab | PSNet
      psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
      December 21, 2018 - the hospital to postacute care. … In the course of his recovery he bounced between multiple acute care hospitals and postacute care facilities … Hospitals in the United States are reimbursed under a system known as "prospective payment," in which … any cost savings.( 4 ) Another example is bundled payments, in which hospitals and postacute care facilities … June 21, 2017 Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1

3391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73553/psn-pdf
      July 28, 2021 - You are there to interact with the hospitals in the area, particularly during emergency events, to make … your community and with your hospitals. … issue shortly after it occurred, or when something is falling out of their usual case management. … In some cities with hospitals that have developed that level of sophistication, they now put CT scans … The hospital may not the right place for individuals who have needs in those situations.

3392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49806/psn-pdf
      September 01, 2017 - (The hospital had recently implemented a formal sepsis screening system for all ED patients.) … infection can initially present with nonspecific symptoms including fatigue, generalized weakness, falls … unit.(7) Existing hospital EHR sepsis alerts have been shown to improve care processes, but they have … a poor positive predictive value (approximately 40%) and may not improve in-hospital survival.(8) Although … When screening infected patients outside the ICU, qSOFA has slightly better predictive value for in-hospital

3393. Residual Anesthesia: Tepid Burn | PSNet
      psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
      February 10, 2010 - the hospital setting have shifted to freestanding surgical centers and offices.( 1 ) The key factors … However, the risks associated with general anesthesia are similar to those in the hospital setting. … In recent years, regional anesthesia use has grown in ambulatory surgery, a key contributing factor to … Traditionally, the consent process for hospital-based interventions focuses on discussion of potential … strength and educate patients about the need for certain precautions to prevent unintentional injury or falls

3394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49769/psn-pdf
      September 01, 2016 - She was admitted to the hospital and given intravenous fluids and intravenous hydromorphone (Dilaudid … hydromorphone was discontinued and the patient was treated with oral pain medications for the remainder of her hospital … None of those patients had clearly experienced an adverse event, but the hospital faced a decision about … A Different Kind of System Problem In our experience, most hospital-based practitioners admit that they … Speaking up for patient safety by hospital-based health care professionals: a literature review.

3395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49638/psn-pdf
      January 01, 2012 - throughout the night, neither of them recognized a need to go to the hospital to evaluate the child … So in this case the issue of who was "in charge" is quite real. … When, as in this case, data falls outside what the mental model predicts or therapy does not produce … Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective … Trends in hospital volume and operative mortality for high-risk surgery.

3396. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
      September 24, 2024 - 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 … Indeed, the amount of effort expended in the resource scarce environment of hospital administration suggests … I think it's good for CMS to try to hold hospitals accountable for some of these things. … A better structural measure could direct hospitals to set a goal for year-over-year improvement in the

3397. Lapse in Antibiotics Leads to Sepsis | PSNet
      psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
      November 21, 2021 - 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 of … Transitions in care across institutions and within hospitals may lead to errors and put patient safety

3398. Outbreak | PSNet
      psnet.ahrq.gov/web-mm/outbreak
      January 29, 2015 - Nevertheless, hospitals need to respond, adapt, and evolve their care delivery systems, particularly … Although ED employees are not required to undergo more rigorous health screening than other hospital … 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.

3399. Inadvertent Castration | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-castration
      October 27, 2010 - This procedure may have occurred in a hospital where an urologist was not immediately available, a situation … common in smaller community hospitals, and one that cannot be solved by inserting subspecialty consultants … in every hospital. … 5 teaching hospitals. … hospitals: a system-based approach.

3400. In Conversation With... Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA | PSNet
      psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
      June 30, 2021 - , or even adaptations in existing hospitals. … In China, they put in place what they call a fever hospital, and it serves as a triage center. … the future in hospitals in terms of tracking patient conditions. … How do we make their careers in the hospital more sustainable? … -19 patients from potentially contagious patients. [4] In some hospitals, patients displaying signs