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3541. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet
      psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
      July 08, 2022 - A study in King’s College Hospital found 31% of patients were determined to lack mental capacity, and … similar studies in general hospitals have found 9-52% of patients lacked mental capacity. 1  Thus, it … There is a major gap in access to palliative care outside the hospital, and it is not uncommon for these … & Palliative Medicine Department of Internal Medicine, Division of Hospital Medicine UC Davis Health … October 1, 2008 View More See More About The Topic Residents Hospitals

3542. In Conversation with...James L. Reinertsen, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
      August 01, 2007 - In the case of hospitals, they represent the community and the people who live in it—and they're there … So when they read in the paper that 50,000 to 100,000 people were being killed in hospitals each year … but not in our hospital." … your hospital?" … July 19, 2016 Hospital patient safety: characteristics of best-performing hospitals.

3543. The PeaceHealth Governance Journey in Support of Quality and Safety | PSNet
      psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
      August 01, 2007 - In the case of hospitals, they represent the community and the people who live in it—and they're there … JR: Well, first was a public awareness of quality and safety problems in hospitals. … So when they read in the paper that 50,000 to 100,000 people were being killed in hospitals each year … but not in our hospital." … your hospital?"

3544. In Conversation With… Edward Kelley, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
      December 01, 2014 - preventing surgical site infection in African hospitals. … and Zambia) and five hospitals in England. … African countries and five hospitals in France. … hospitals in Europe. … in hospital.

3545. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
      January 01, 2022 - A study in King’s College Hospital found 31% of patients were determined to lack mental capacity, and … similar studies in general hospitals have found 9-52% of patients lacked mental capacity1. … would result in small or no improvements in clinical outcomes … from families and/or caregivers in order to avoid an omission in care. … There is a major gap in access to palliative care outside the hospital, and it is not uncommon for these

3546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73906/psn-pdf
      October 06, 2021 - ’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

3547. Robotic Surgery: Risks vs. Rewards | PSNet
      psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
      October 31, 2023 - The patient ultimately required several additional surgeries and a prolonged hospital stay. … The purported benefits of RAS also include smaller incisions, decreased blood loss, shorter hospital … Their results supported previous findings of lower transfusion rates, shorter hospital stays, similar … developing field.( 17,20,24 ) Until well-validated credentialing and training models can be developed, hospitals … ever reported to the FDA.( 21-23 ) There needs to be a more rigorous reporting effort by individual hospitals

3548. New Insights on Safety and Health IT | PSNet
      psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
      August 01, 2015 - If a second report was released next week, where do you see health IT falling in the pecking order relative … There were so many challenges for doctors in their offices and for hospitals to go through the turmoil … Or patients who went to UCSF did better than patients who went to another hospital. … hospitals through a systems approach and technological innovation: a prescription for 2010. … January 12, 2011 View More See More About The Topic Hospitals Health

3549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50392/psn-pdf
      September 01, 2019 - In Conversation With… Shantanu Agrawal, MD, MPhil September 1, 2019 In Conversation With… Shantanu … in its uses? … RW: When NQF started, probably 5% of hospitals had electronic health records, and now 5% do not. … There are more than 5000 hospitals and health systems around the country and many, many more physician … steps in this direction.

3550. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? | PSNet
      psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
      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.

3551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49777/psn-pdf
      December 01, 2016 - However, the fact that the patient eloped reveals a major gap in care, in that this patient who warranted … In fact, among primary care patients, 2%–3% report experiencing suicidal ideation in the preceding month … coexist in one patient, such as the patient in this case. … Courts will usually respect a medical decision if a rationale that falls within a reasonable range of … Screening for suicide risk in adolescents, adults, and older adults in primary care: U.S.

3552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49474/psn-pdf
      March 01, 2005 - —The simple act of moving the obese patient from one part of a hospital to another is often fraught … for morbidly obese patients, including soft stretchers, patient carts, operating room tables, and hospital … In my experience, pain perception may also be altered in the morbidly obese patient. … She died of multiorgan failure after a complex several-month hospital course. … Understand the differences in medication dosing in obese patients.

3553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33833/psn-pdf
      May 01, 2017 - In Conversation With… David Juurlink, MD, PhD May 1, 2017 In Conversation With… David Juurlink, MD, … It describes a database-drudging exercise at a Boston hospital that cannot possibly show the risk of … movement really begins in earnest in around 2000. … Delirium, falls, fractures, subdurals, testosterone suppression, motor vehicle collisions. … the US in particular we have seen doctors in some instances abandoning patients and in others just

3554. In Conversation with…David W. Bates, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
      May 01, 2018 - 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.

3555. Implementing a Patient Safety Program at a Large National Health System | PSNet
      psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
      January 01, 2008 - The AHS hospitals are located in ten states. … In addition, individual hospitals have presented their experiences and outcomes from their work in a … In addition to 100% hospital participation in the IHI campaign, the Office of Clinical Effectiveness … In the system I'm in now, there are so many capable resources at both the community hospitals and the … But it resulted in a dramatic decrease in hospital-associated infections.

3556. Beyond the Hospital: the New Frontier of Patient Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
      August 01, 2014 - in disability or death.( 4 ) In a study of 400 patients discharged from a tertiary academic hospital … On the other hand, hospitals with advanced decision support systems were able to detect or prevent 70% … we have learned from the hospital, some advances in ambulatory patient safety will come from our growing … help inform future improvement efforts in the hospital. … RW : In the hospital there are significant pressures and drivers that create a business case to invest

3557. Removing Insult from Injury—Disclosing Adverse Events | PSNet
      psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
      February 01, 2006 - patient to receive information about clinically relevant medical errors," and that "the Johns Hopkins Hospital … event.( 10 ) It opens with one mother describing the tragic death of her baby daughter at Johns Hopkins Hospital … Hospital disclosure practices: results of a national survey. … But an error occurred when your Mom was here at the hospital last week." … And he looked at me and he said, "I'm the head of legal counsel here at this hospital, and everything

3558. Hypoxemia after Emergency Intubation | PSNet
      psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
      March 24, 2019 - a drop in the ETCO2 value. … In: StatPearls [Internet]. … Recommendations for the intra-hospital transport of critically ill patients. … Incidents relating to the intra-hospital transfer of critically ill patients. … Capnography for Monitoring End-Tidal CO2 in Hospital and Pre-hospital Settings: A Health Technology Assessment

3559. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867357/psn-pdf
      December 18, 2024 - this case.3 After a near-drowning in freshwater, as in the present case, water is usually absorbed … a drop in the ETCO2 value. … Recommendations for the intra-hospital transport of critically ill patients. … Incidents relating to the intra-hospital transfer of critically ill patients. … Capnography for Monitoring End-Tidal CO2 in Hospital and Pre-hospital Settings: A Health Technology

3560. African Partnerships for Patient Safety: Lessons Learned | PSNet
      psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
      December 01, 2014 - and Zambia) and five hospitals in England. … African countries and five hospitals in France. … hospitals in Europe. … in hospital. … preventing surgical site infection in African hospitals.