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Showing results for "falls in hospitals".
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3461. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49625/psn-pdf
      May 01, 2011 - In some studies, an error is counted only if there is identifiable patient harm (3); in others an error … administer, and document medications without any of the checks and balances routinely employed on hospital … wards and in intensive care units (ICUs). … drug safety in anesthesia. … Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities

3462. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
      psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
      October 01, 2004 - 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.

3463. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures | PSNet
      psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
      November 27, 2019 - 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

3464. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
      March 27, 2024 - in the healthcare setting and can alert staff when a patient falls or a critical checklist step is skipped … In terms of improving access to care, hospitals are bursting at the seams across the United States right … and to better understand health systems as complex dynamic systems to improve patient access to our hospitals … Perhaps this isn’t terribly dissimilar from hospital pharmacies. … There are pharmacy and therapeutics committees at hospitals continually looking at this information,

3465. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73899/psn-pdf
      September 29, 2021 - In the previous 365 days, she had spent 199 days hospitalized (54% of the year) at one hospital. … patient between settings, services, practitioners or levels of care.7 Settings of care may include hospitals … The data in PDMPs are state-specific and various settings/organizations in addition to hospitals, such … 1.5:1 to 2:1 based on a recent literature review.11-13 MD Anderson and University of North Carolina Hospitals … National Patient Safety Goals® Effective January 2021 for the Hospital Program.

3466. Delayed Recognition of a Positive Blood Culture | PSNet
      psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
      January 29, 2020 - A later review revealed that the hospital microbiology laboratory was aware of the microbiology result … Clinical and economic impact of contaminated blood cultures within the hospital setting. … Empirical antimicrobial prescriptions in patients with Clostridium difficile infection at hospital … Patient safety concerns arising from test results that return after hospital discharge. … Stopped Here June 1, 2004 View More See More About The Topic Hospitals

3467. Advancing Patient Safety Through State Reporting Systems | PSNet
      psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
      June 01, 2007 - and extract lessons that may have broader applicability for release in a hospital alert. … Hospitals were expected to develop and implement procedures based on the report. … relation to length of stay and total charges; compare indicator trends for a hospital with hospitals … in its peer group, a hospital corporate system, and aggregate state data; and stratify results by sociodemographic … February 25, 2015 Exploring the causes of adverse events in hospitals and potential prevention

3468. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33680/psn-pdf
      March 22, 2009 - Robert Wachter, Editor, AHRQ WebM&M: You work in a county hospital with underserved populations, which … at public hospitals. … The reality in public hospitals is that our systems are not terribly well designed to consistently give … Most of the initial work in patient safety was in hospitals. … In the pursuit of maximizing quality, though, particularly in the public hospital context, we may be

3469. Patient Safety: A Perspective from Office Practice | PSNet
      psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice
      May 01, 2009 - Hospital Transport?) … 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 … Where do you see the translation falling short?

3470. Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula | PSNet
      psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
      February 01, 2019 - some areas such as hospital-acquired infections.( 3,4 ) However, the magnitude of improvement has not … of these patient safety concerns, many studies have suggested the United States health care system falls … in the curriculum. … Things do have to be removed in order to put new material in. … RW : Our main academic hospital becomes more tertiary and quaternary every day, and we're partnering

3471. In Conversation With….Alison Stuebe, MD, MSc and Kristin Tully, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
      October 06, 2021 - what’s normal and who to ask if she's not sure, and that she feels like she’d want to come back to the hospital … go home and have a headache and have high blood pressure and say, “Well I’m not going back to that hospital … Right as you’re preparing to the leave the hospital, there is so much new information to be aware of, … The hospital is not the place for new things, it’s for tailoring and for going in-depth and for processing … For example, systematically examining the process of care from the patient’s entry point into the hospital

3472. Safety in the Prehospital Emergency Medical Services Setting | PSNet
      psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
      May 01, 2019 - the US.( 2 ) Because of these features, EMS serves as the gateway into hospitals for millions with acute … A comparative assessment of adverse event classification in the out-of-hospital setting. … only have 12 minutes between the time you pick them up and get to the hospital to make a difference. … If they walk in the home, just start applying electricity to the chest, take the patient to the hospital … the hospital so that there is a two-way dataflow.

3473. Health Equity and Maternal Health | PSNet
      psnet.ahrq.gov/perspective/health-equity-and-maternal-health
      October 06, 2021 - provision of equitable care from the outset and offers new insights into traditional outcomes such as hospital … go home and have a headache and have high blood pressure and say, “Well I’m not going back to that hospital … Right as you’re preparing to the leave the hospital, there is so much new information to be aware of, … The hospital is not the place for new things, it’s for tailoring and for going in-depth and for processing … For example, systematically examining the process of care from the patient’s entry point into the hospital

3474. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72689/psn-pdf
      January 29, 2021 - Overnight on hospital day 2, the patient’s temperature was 38.7°C on a routine vital sign check, with … Both sets of blood cultures remained negative and the patient was discharged on hospital day five with … and a false positive can often lead to more blood cultures, unnecessary antibiotics, and increased hospital … Hopefully, the results of this study will be useful to hospital systems trying to gain perspective on … doi:10.1093/ofid/ofx080 https://www.ahrq.gov/patient-safety/settings/hospital/resetguide.html https:

3475. Looking for Meds in All the Wrong Places | PSNet
      psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
      June 16, 2021 - Looking for Meds in All the Wrong Places Citation Text: Manias E. … Looking for Meds in All the Wrong Places. PSNet [internet]. … Looking for Meds in All the Wrong Places. PSNet [internet]. … hospital medication safety behaviours. … hospital.

3476. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49782/psn-pdf
      January 01, 2017 - Complications were seldom seen in peripheral infusions given for short durations in proximal areas such … In a single-center observational study done in Long Island, 734 patients received vasopressor medications … the study hospital. … A complete ban on the use of peripheral vasopressor infusion, as was done by the hospital in response … In summary, when faced with a patient in shock refractory to adequate fluid resuscitation, the administration

3477. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49704/psn-pdf
      March 01, 2014 - clinicians now recognized that the infant had active Rh hemolytic disease, and he was admitted to the hospital … , which causes benign, mild jaundice in adults and can contribute to elevated bilirubin levels in newborns … enterohepatic circulation, in which bilirubin that has been conjugated in the liver is unconjugated … In addition, although it is common in patient safety discussions to focus on errors of omission (9), … Second, there appears to have been a sudden increase in hemolysis or decrease in bone marrow compensation

3478. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet
      psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
      March 25, 2020 - in every hospital that has a cardiac catheterization laboratory; transfer to a regional center is often … who present to rural or safety net hospitals with limited capabilities. … , the cardioversion shock must be synchronized with the ECG to prevent the shock from inadvertently falling … to hospitals with and without revascularization services. … Audit of defibrillators at an urban public sector hospital.

3479. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33750/psn-pdf
      May 01, 2013 - The most important question to me is this: why didn't every hospital in America take that up the next … AJ: In a survey a few years ago, we asked hospital board chairs to prioritize what they thought was most … Let's say a hospital figures out how to cut its AMI mortality rate in a meaningful way or figures out … If I could replace the CEO of every hospital in America with the CEO of Virginia Mason, the country … Just in the first year of the incentive program we saw that the hospital adoption number, which was

3480. Medication Reconciliation With a Twist (or Dare We Say, a Patch?) | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
      April 03, 2024 - Deficits in communication and information transfer between hospital-based and primary care physicians … Medication reconciliation in the hospital: what, why, where, when, who and how? … Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems … Effect of medication reconciliation on medication costs after hospital discharge in relation to hospital … Dropped Lung May 1, 2003 View More See More About The Topic Hospitals