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3421. Patient Safety in Home Dialysis | PSNet
      psnet.ahrq.gov/perspective/patient-safety-home-dialysis
      April 28, 2021 - include infections, hypotension, electrolyte disturbances, blood loss, adverse drug effects, and patient falls … In Conversation With... … KH : It sounds like, between in-home and in-facility dialysis, the concerns are similar. … June 16, 2019 Did hospital engagement networks actually improve care? … Home Care Nephrology Side Effects/Adverse Drug Reactions Nosocomial Infections Patient Falls

3422. In Conversation with… Edward Tenner, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
      June 01, 2011 - This is true in government, and it would be true in industry, and I suspect it would also be true in … Hospital managers have to be especially aware of the risks of hierarchic organizations. … 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.

3423. Discharged with IV antibiotics: When issues arise, who manages the complications? | PSNet
      psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
      October 10, 2017 - since the 1970s to help facilitate safer discharge in a timely manner. 1 Early hospital discharge and … By utilizing discharge planners as “gate keepers”, hospitals can ensure that patients do not leave the … hospital on IV antibiotics without an established treatment and monitoring plan. … In addition to preparing a patient for discharge on IV antibiotics from the hospital, follow-up care … Drug Misuse July 1, 2004 View More See More About The Topic Hospitals

3424. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
      January 01, 2024 - an unsteady gait, suggesting pelvic muscle weakness and requiring use of a “tether” to keep her from falling … report that she was intermittently uncommunicative with a “fixed” gaze. 6 6 Case Details (3) On hospital … one; the endoscopy with dilation did not improve the patient’s symptoms and she was admitted to the hospital … . 23 23 Practice iterative and dynamic problem representation (7) Upon readmission to the hospital … have a role/voice in the diagnostic process (1) There has been increasing recognition in recent years

3425. In Conversation With... Francoise Marvel, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
      August 05, 2022 - I am an assistant professor in cardiology at Johns Hopkins Hospital. … and check whether it made any difference in hospital readmissions? … We conducted the MiCORE study across four hospitals: Johns Hopkins Hospital, Johns Hopkins Bayview Medical … Center, Massachusetts General Hospital, and Reading Health. … Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls December 18,

3426. Baffled by Botulinum Toxin | PSNet
      psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
      July 17, 2024 - Therapeutic effects are realized in 7 to 10 days, peak in 4 to 6 weeks, and diminish by 12 weeks. … the foot or the abductor digiti minimi in the hand) before diagnosing therapeutic resistance.( 1 ) In … Management Royal Hallamshire Hospital United Kingdom References 1. … August 16, 2023 Patient falls in the operating room setting: an analysis of reported … operating room setting in a tertiary academic center.

3427. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees | PSNet
      psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
      February 22, 2017 - The Case A 65-year-old man was admitted with head and spine trauma after falling from a tree while … 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 … controlled analgesia in a UK paediatric hospital.

3428. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33668/psn-pdf
      May 01, 2008 - DB: Well, in particular, it's not to the advantage of hospitals today to improve quality or safety. … DB: It depends a lot on what the hospital already has in place and what their resources are. … However, I think it has a lot of benefits and most hospitals will, in the not too distant future, want … If my parents called me and said that they need to go to a hospital in their community, and they want … The best evidence comes from hospitals. Another is barcoding.

3429. Think Like a Surgeon | PSNet
      psnet.ahrq.gov/web-mm/think-surgeon
      December 04, 2024 - He was transferred to the ward on hospital day 2. … been misleading in this case if acalculous disease was not in the clinician's differential diagnosis … Acute care surgery services—which include in-hospital coverage by surgeons who treat trauma, emergency … cholecystitis admitted to surgical rather than medical services have less time to surgery and shorter hospital … An acute care surgery model improves timeliness of care and reduces hospital stay for patients with acute

3430. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49522/psn-pdf
      November 01, 2006 - established to encourage hospitals to voluntarily collect and report hospital quality performance information … .(2) All acute care hospitals in the United States have been invited to participate in this initiative … Wisconsin found that hospitals involved in public reporting of risk-adjusted outcomes engaged in more … subscribers access to data that compare hospitals in a region. … Care in U.S. hospitals—the Hospital Quality Alliance program. N Engl J Med. 2005;353:265-274.

3431. Wrong Route for Nutrients | PSNet
      psnet.ahrq.gov/web-mm/wrong-route-nutrients
      September 04, 2010 - In the review of almost 16,000 medication administrations, there was no difference in medication error … This fundamental difference in foundational education provides context for how RNs and LPNs differ in … Lucian Leape on patient safety in U.S. hospitals. Interview by Peter I. Buerhaus. … Is hospital patient care becoming safer? A conversation with Lucian Leape. Interview by Peter I. … 2023 WebM&M Cases Preventable Transfer to the Hospital

3432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49802/psn-pdf
      August 01, 2017 - In 2009, an estimated 6.9 million esophagogastroduodenoscopy (EGD) procedures were performed in the … Burden of gastrointestinal disease in the United States: 2012 update. … Implementation of safety checklists in surgery: a realist synthesis of evidence. … of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals … in England: lessons from the "Surgical Checklist Implementation Project."

3433. Complaints as Safety Surveillance | PSNet
      psnet.ahrq.gov/web-mm/complaints-safety-surveillance
      May 05, 2021 - She was admitted to the hospital and given intravenous fluids and intravenous hydromorphone (Dilaudid … 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 … Speaking up for patient safety by hospital-based health care professionals: a literature review. … September 6, 2016 Families as partners in hospital error and adverse event surveillance

3434. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49804/psn-pdf
      September 01, 2017 - for more than 500,000 hospital admissions and 10,000 inpatient deaths annually. … In-hospital deaths were rare, occurring in only 0.3% of admissions.(1) However, brisk gastrointestinal … The presence of blood clots in the stool decreases the likelihood of upper GIB.(9) However, in some … In addition, most of the patients included in studies of restrictive transfusion thresholds had upper … A simple risk score accurately predicts in-hospital mortality, length of stay, and cost in acute upper

3435. Cultural Dimensions of Depression | PSNet
      psnet.ahrq.gov/web-mm/cultural-dimensions-depression
      September 01, 2018 - In a systematic review of 7000 refugees, PTSD was found in 9% and major depression in 5%, with considerable … There are several important changes clinics and hospitals can make to address the needs of refugee patients … In: Okparu SO, ed. Clinical Methods in Transcultural Psychiatry. … March 6, 2019 Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals … 2003 View More See More About The Topic Psychiatric Facilities Hospitals

3436. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50859/psn-pdf
      January 31, 2020 - In Conversation With... David Gruen, MD January 31, 2020 In Conversation With.. David Gruen, MD. … to hospital-based practice, and the one common denominator has been that radiologists can’t keep up. … a hospital, you don’t know if they’ve had a CT scan at the outpatient imaging center last week. … Ultimately, hospitals will be forced to harmonize this data. … If a patient has a CT scan for a kidney stone two days ago across the street, that hospital is not going

3437. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls | PSNet
      psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-flags-dont-miss-diagnoses-and-diagnostic-pitfalls
      February 17, 2021 - 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. … A prospective, mixed methods study in primary care. … May 1, 2003 View More See More About The Topic Hospitals Emergency

3438. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33742/psn-pdf
      December 01, 2012 - RW: When we see people in the hospital with delirium, what are the major errors that you see in workup … the hospital setting is recognized while that patient is in the hospital. … If you believe that many cases of delirium are caused by things that we do to patients in hospitals … given the thousands of hospitals. … Our estimates weren't in even every hospital but just the hospitals that would be willing to do it.

3439. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836839/psn-pdf
      March 31, 2022 - errors is more robust in higher performing hospitals where clinicians feel more psychologically safe … relative to clinicians in lower performing hospitals. … A study of a regional hospital system using a deidentified dataset derived from the Hospital Survey … In 2019, AHRQ released a new version, the SOPS® Hospital Survey 2.0. … https://www.ahrq.gov/sops/surveys/hospital/index.html 6.

3440. In Conversation with...Albert Wu, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
      February 26, 2025 - 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 root … In most hospitals, the difference between it never happening again and happening once is not statistically … hospitals and hospital systems, where they exist, should track what's going on.