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3681. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet
      psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
      April 24, 2024 - Home-based care programs can accept patients discharged from hospitals either in their home or an assisted … functionally frail patients who are also at higher risk for patient safety events such as medication errors, falls … or mortality. 24 Patients discharged from hospitals to HHA care have accounted for 25% of hospital … Hospital at home versus in-patient hospital care.  … Hospital-at-Home interventions vs in-hospital stay for patients with chronic disease who present to the

3682. 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

3683. In Conversation With… Gregg S. Meyer, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
      June 01, 2016 - When I first came back to the provider organization side as a medical director in a large hospital, about … Together we look at communication, processes, data, and outcomes in hospital operations. … When a patient falls victim to a medication error, the employees may experience heightened emotions and … With limited resources and personnel in most hospitals, the poster session equips attendees with essential … Heparin overdose in three infants revisits hospital error issues. MedPage Today.

3684. 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

3685. 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

3686. In Conversation with…William B. Weeks, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
      May 01, 2009 - 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? … Hospital Transport?)

3687. 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.

3688. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-293
      May 26, 2021 - Study Safety events in children's hospitals during the COVID-19 pandemic. … The Hospital Star Rating system was implemented in 2016 to aid patients in identifying safe, high-quality … hospitals. … for several weeks, resulting in hyponatremia and unnecessary hospital admission. … EMS at Christian Hospital in North St.

3689. Failure to Rescue the Mother | PSNet
      psnet.ahrq.gov/web-mm/failure-rescue-mother
      September 23, 2020 - The Case A 27-year-old woman, G5 P2 A2, was first admitted to the hospital at 25 weeks of pregnancy for … Gregory, MD, MPH The United States spends more than any other country on hospital-based maternity care … Standardized ratios vary (6:4:1 vs 4:4:1), but should be consistent throughout the hospital.( 4 ) In … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety.

3690. Check Twice, Transport Once | PSNet
      psnet.ahrq.gov/web-mm/check-twice-transport-once
      March 15, 2023 - Throughout the hospital, there can be variability in how patients are transported, which is often dictated … Incidence of patient safety events and process-related human failures during intra-hospital transportation … Incidence of adverse events associated with the in-hospital transport of critically ill patients. … Ticket to ride: reducing handoff risk during hospital patient transport.  … , 2003 View More See More About The Topic Patient Transport Hospitals

3691. The Unhappy Patient Leaves Against Medical Advice. | PSNet
      psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
      January 31, 2024 - During the night shift, the hospital unit was short-staffed, and her external catheter system fell off … In the US, each year, 1-2% of all hospital discharges (involving approximately 500,000 patients) are … Had this process happened in the current case, the patient may have considered staying in the hospital … in Beirut, Lebanon. … Another Fall April 1, 2003 View More See More About The Topic Hospitals

3692. Challenges of Diabetes Management and Medication Reconciliation | PSNet
      psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
      March 15, 2023 - In the MARQUIS study, five US hospitals implemented one to seven evidence-based interventions for 791 … However, this practice may not be feasible for some hospitals, so hospitals should first focus on hiring … Society of Hospital Medicine . … a hospital setting. … Hospitals Health Care Providers Medicine Endocrinology View More

3693. 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.

3694. 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

3695. 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

3696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865429/psn-pdf
      April 24, 2024 - 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. Heart Asia. 2018;10(2):e011065.

3697. 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.

3698. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-292
      May 26, 2021 - Of all submitted events in 2020, 97% were from hospitals, and 97% were incidents; 3 percent were serious … However, nearly half of those patients (46%) were not diagnosed during their stay in the hospital. … Nurses at an American hospital were trained in mindful thinking in an effort to reduce MAE. … for several weeks, resulting in hyponatremia and unnecessary hospital admission. … EMS at Christian Hospital in North St.

3699. 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?

3700. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care | PSNet
      psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care
      June 01, 2003 - hospitals.( 4 ) Seminal studies then demonstrated that increases in the number of RNs caring for patients … But even in hospitals with such staffing policies, situations will arise in which nurses find themselves … Nursing Staff in Hospitals and Nursing Homes: Is It Adequate? … Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. 2002;346:1715-1722. … a children's hospital.