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3701. 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.

3702. 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:

3703. In Conversation with…Christopher P. Landrigan, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
      April 01, 2005 - In a couple of intensive care units in a single hospital, it is pretty difficult to measure a difference … In our study it didn't cost anything more, because at Brigham & Women's Hospital, the internal medicine … CL: I think that the hospital has been rather bold in stepping up and saying that this is something … In the next few months, you'll see other interviews and essays covering topics such as how hospitals … research on preventing falls in nursing homes, or a physician interested in strategies to prevent wrong-site

3704. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.101_slideshow.ppt
      July 01, 2005 - Impatient Inpatient Dosing An elderly man with a diagnosis of acute deep venous thrombosis (DVT) during hospital … warfarin If albumin less than 1.8, patient will be sensitive to warfarin As patients recover out of the hospital … In a Hurry? … A randomized, controlled trial in a teaching hospital. … Pharmacist-provided anticoagulation management in United States hospitals: death rates, length of stay

3705. 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

3706. 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

3707. 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

3708. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837748/psn-pdf
      August 05, 2022 - 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 … Hospital-based medication reconciliation practices: a systemic review. … Society of Hospital Medicine. … of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals

3709. 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

3710. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet
      psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
      March 01, 2015 - hospitals with elevated HSMRs, no differences were seen compared to hospitals with lower HSMRs in adherence … over time within individual hospitals, thus circumventing much of the confounding inherent in between-hospital … Identifying variations in quality of care in Queensland hospitals. Med J Aust. 2007;187:571-575. … all the hospitals—in the newspaper. … In his report he said that all 14 hospitals had problems.

3711. Glossary | PSNet
      psnet.ahrq.gov/glossary-0
      January 01, 2003 - After adjusting for relevant clinical factors, the top 10% of hospitals can be identified in terms of … Therefore, using lower rates of in-hospital complications by themselves may simply reward hospitals with … in hospitals and other occupancy issues have increased transitions between settings, with patients more … By definition, 95% of a normally distributed population falls within 2 standard deviations of the average … In a study of real-time triggers in a single community hospital, for example, more than 1000 triggers

3712. Glossary | PSNet
      psnet.ahrq.gov/glossary
      January 01, 2003 - After adjusting for relevant clinical factors, the top 10% of hospitals can be identified in terms of … Therefore, using lower rates of in-hospital complications by themselves may simply reward hospitals with … in hospitals and other occupancy issues have increased transitions between settings, with patients more … By definition, 95% of a normally distributed population falls within 2 standard deviations of the average … In a study of real-time triggers in a single community hospital, for example, more than 1000 triggers

3713. In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE | PSNet
      psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
      August 31, 2020 - As members of the Patient Safety Movement Foundation, we were the first hospital in the world to commit … In the early 2000’s, I was at another hospital in another state and I was the VP of Nursing. … EL : It is, we do a lot of tactical processes similar to a lot of other hospitals. … Case studies highlighting successful implementation of the concepts of SAB in a variety of hospitals … Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls December 18,

3714. 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

3715. Safety Across The Board | PSNet
      psnet.ahrq.gov/perspective/safety-across-board
      August 31, 2020 - Case studies highlighting successful implementation of the concepts of SAB in a variety of hospitals … As members of the Patient Safety Movement Foundation, we were the first hospital in the world to commit … In the early 2000’s, I was at another hospital in another state and I was the VP of Nursing. … EL : It is, we do a lot of tactical processes similar to a lot of other hospitals. … Perspective The Ongoing Journey to Prevent Patient Falls

3716. Impatient Inpatient Dosing | PSNet
      psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
      June 24, 2020 - & Commentary: Part 1 An elderly man with a diagnosis of acute deep vein thrombosis (DVT) during a hospital … the hospital are often very sick, and those with an albumin level less than 1.8 can be expected to be … As patients recover out of the hospital, they generally require a higher dose of warfarin. … A randomized, controlled trial in a teaching hospital. … Pharmacist-provided anticoagulation management in United States hospitals: death rates, length of stay

3717. Improving Diagnostic Safety and Quality | PSNet
      psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
      February 22, 2023 - More broadly, in pediatric hospitals misdiagnosis rates vary but there is significant heterogeneity … in data gathering as well as variation depending on hospital settings. … a small pilot study over 12 months in a pediatric hospital . … May 31, 2023 Patient Safety Innovations Preventing Falls … Topic Public Health Professionals Health Professional Students Researchers Residents Hospitals

3718. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-439
      May 29, 2024 - Examples include early discharge from hospital due to crowding, insufficient assessment of activities … not change during the study period, however, 72% of perioperative staff indicated they would like the hospital … Examples include early discharge from hospital due to crowding, insufficient assessment of activities … In this study, a hospital used Healthcare Failure Mode and Effect Analysis (HFMEA) to prospectively identify … Following transfer to a long-term care hospital (LTCH) for continued weaning from mechanical ventilation

3719. Departure From Central Line Ritual | PSNet
      psnet.ahrq.gov/web-mm/departure-central-line-ritual
      October 13, 2018 - "( 1,2 ) Nevertheless, this error continues to occur in numerous hospitals annually with a relatively … constant event rate of 0.04 to 0.08 reported events per 1000 staffed hospital beds.( 3 ) In order to … in any procedure. … Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care. … a multistate hospital network--13 academic medical centers, April-June 2020.

3720. 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