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3401. COVID-19 and the Built Environment | PSNet
      psnet.ahrq.gov/perspective/covid-19-and-built-environment
      June 30, 2021 - -19 patients from potentially contagious patients. [4] In some hospitals, patients displaying signs … , 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?

3402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865540/psn-pdf
      April 11, 2024 - year-old woman presented to the Emergency Department (ED) for evaluation of “altered mental status” after falling … Depending on the culture and practices in the hospital, nursing staff should expect either a brief physician … hospitals.19 One approach to improving handoffs between medical professionals involves using a standardized … at 9 different hospitals.20 I-PASS is a handoff program that trains medical professionals to synthesize … Anita Singh, MD Department of Internal Medicine Division of Hospital Medicine UC Davis Medical Center

3403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846126/psn-pdf
      March 09, 2023 - 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

3404. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
      psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
      January 12, 2022 - 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 … which health services are delivered across care settings, in particular in hospital emergency departments … particular, hospital data has indicated an increased risk of hospital-acquired infections during the … Patient safety concerns in COVID-19-related events: a study of 343 event reports from 71 hospitals in

3405. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. | PSNet
      psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
      February 21, 2020 - The pediatric neurology team was involved in her care starting on the second hospital day. … Their initial recommendations involved some changes in her anti-epileptic medications, but on hospital … The patient was discharged on hospital day 18, with no mention of the positive result in the discharge … Furthermore, in the common scenario in which the hospital is in a different medical system from the child … Opportunity Lost March 1, 2015 View More See More About The Topic Hospitals

3406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50927/psn-pdf
      February 21, 2020 - prevention, care for acute conditions, diagnosis and management of chronic conditions, follow-up care after hospital … Additionally, ineffective coordination following hospital discharge can decrease likelihood of timely … care follow-up visits, increase the risk of adverse events or complications, and increase the risk of hospital … alerts when patients are hospitalized to ensure primary care clinicians are able to communicate with hospital … patient care between the primary care practice and other institutions within the community, such as hospitals

3407. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.347_slideshow.ppt
      May 01, 2015 - chronic obstructive pulmonary disease (COPD) on home oxygen, and coronary artery disease presented to the hospital … She died on hospital day 4 with her family at her bedside. 6 Background Every year in the US, approximately … the ED and 1 hour if patient is in hospital Intravenous fluids should be given promptly with an initial … antibiotic therapy Such treatment could have altered her hospital course 27 27 Take-Home Points … compliance To be successful, program must have a multidisciplinary approach involving nurses, providers, and hospital

3408. Patient Safety in Primary Care | PSNet
      psnet.ahrq.gov/perspective/patient-safety-primary-care
      January 31, 2020 - Additionally, ineffective coordination following hospital discharge can decrease likelihood of timely … care follow-up visits, increase the risk of adverse events or complications, and increase the risk of hospital … alerts when patients are hospitalized to ensure primary care clinicians are able to communicate with hospital … patient care between the primary care practice and other institutions within the community, such as hospitals … for Patient Safety Research and Practice Division of General Internal Medicine, Brigham and Women's Hospital

3409. Acute Care Admission of the Behavioral Health Patient | PSNet
      psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
      July 19, 2023 - 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. … Analysis of population reduction in New York State mental hospitals during the first four years of large-scale … hospital practice: factors associated with turnover, outcomes, and patient safety.

3410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33670/psn-pdf
      July 01, 2008 - What ideally would have been done was that someone at a higher level than the individual hospital would … Most hospitals in the United States do several root cause analyses a year, and there is not an indigestible … At every meeting of a hospital board, it would be reasonable to present the sentinel events and the … In most hospitals, the difference between it never happening again and happening once is not statistically … of hospitals and hospital systems, where they exist, should track what's going on.

3411. Communication Failure—Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/communication-failure-whos-charge
      April 01, 2018 - throughout the night, neither of them recognized a need to go to the hospital to evaluate the child. … 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. … Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital

3412. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
      January 12, 2022 - which health services are delivered across care settings, in particular in hospital emergency departments … particular, hospital data has indicated an increased risk of hospital-acquired infections during the … Patient safety concerns in COVID-19-related events: a study of 343 event reports from 71 hospitals in … 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

3413. Are We Pushing Graduate Nurses Too Fast? | PSNet
      psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
      November 16, 2022 - 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 needed … 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. … June 29, 2022 Families as partners in hospital error and adverse event surveillance.

3414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73953/psn-pdf
      October 27, 2021 - Some common risk factors, described in a 2019 article in American Family Physician,1 are listed in Table … Utilizing EHR-enabled CDSSs has been shown to be effective in reducing the prescribing of PIMs in hospital … benefits of deprescribing include reduced morbidity and mortality, improved quality of life, decreased hospital … admissions, reduced falls, and improved mental status. … The pharmacist’s role in successful deprescribing through hospital medication reconciliation.

3415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49846/psn-pdf
      November 01, 2018 - The Case A 65-year-old man was admitted with head and spine trauma after falling from a tree while doing … Given the patient's critical condition, hospital policy dictated that he be accompanied by a nurse and … The Commentary Commentary by Olle ten Cate, PhD Adequate supervision is necessary in teaching hospitals … Patients cared for in teaching hospitals should expect to receive safe and high-quality care. … A trainee in a clinical rotation at a teaching hospital should expect to receive high-quality guidance

3416. The Impact of Communication on Medication Errors | PSNet
      psnet.ahrq.gov/web-mm/impact-communication-medication-errors
      August 01, 2009 - He had been followed by an anticoagulation clinic at his local hospital for several years. … Bleeding-related hospital admissions and 30-day readmissions in patients with non-valvular atrial fibrillation … “Hospital-Based Medication Reconciliation Practices: A Systematic Review.” … August 1, 2009 WebM&M Cases A Tale of Two Falls … August 1, 2006 View More See More About The Topic Hospitals

3417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865376/psn-pdf
      March 27, 2024 - alcohol use disorder, and cirrhosis of the liver was brought into the emergency department (ED) after falling … Pre-hospital personnel attempted to control the bleeding using a tourniquet. … In the OR, blood was found in the peritoneal space. … the hospital. … Regional trauma systems have been established to triage patients of this type to hospitals (i.e., trauma

3418. In Conversation With… Eduardo Salas, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
      November 01, 2011 - 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 … to health care in America and in many other places for that matter. … But a lot of hospitals call me for what you just asked me. … Reducing falls and fall-related injuries in the VA system. J Healthc Saf Q. 2003;1:25-33. 8.

3419. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery. | PSNet
      psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
      September 25, 2019 - an unsteady gait, suggesting pelvic muscle weakness and requiring use of a “tether” to keep her from falling … On hospital day 12, the patient was discharged with diagnoses of “intractable nausea and vomiting,” “ … one; the endoscopy with dilation did not improve the patient’s symptoms and she was admitted to the hospital … Upon readmission to the hospital, with the patient even more severely ill, the problem representation … Overdose August 21, 2005 View More See More About The Topic Hospitals

3420. Double Trouble | PSNet
      psnet.ahrq.gov/web-mm/double-trouble
      August 01, 2012 - care between different health care settings—in this instance, discharge from hospital to home. … Safety issues may arise soon after hospital discharge due to discontinuities in care or communication … .( 3 ) In one U.S. teaching hospital, 19% of discharged medical patients experienced an adverse event … Another study conducted in a Canadian teaching hospital yielded similar findings. … Interventions involving multidisciplinary teams that are initiated in the hospital or ED setting and