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Showing results for "falls in hospitals".
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3721. 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."

3722. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
      January 01, 2024 - this case, combined operations cannot be performed in every hospital that has a cardiac catheterization … patients who present to rural or safety net hospitals with limited capabilities. – Delays in such transfers … 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.

3723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865884/psn-pdf
      May 29, 2024 - unsteady gait, suggesting pelvic muscle weakness and requiring use of a “tether” to keep her from falling … On hospital day 12, the patient was discharged with diagnoses of “intractable nausea and vomiting,” … one; the endoscopy with dilation did not improve the patient’s symptoms and she was admitted to the hospital … Upon readmission to the hospital, with the patient even more severely ill, the problem representation … Olson, MD, FACP, FAAP Associate Professor of Medicine and Pediatrics Director, Division of Hospital

3724. Errors in Sepsis Management | PSNet
      psnet.ahrq.gov/web-mm/errors-sepsis-management
      November 03, 2015 - chronic obstructive pulmonary disease (COPD) on home oxygen, and coronary artery disease presented to the hospital … She died on hospital day 4 with her family at her bedside. … Hospital data can be collected and analyzed and feedback on performance should be provided to individuals … Doing so could have dramatically altered her hospital course; whereby she might not have deteriorated … To be successful, it must have a multidisciplinary approach involving nurses, providers, and hospital

3725. Annual Perspective: Psychological Safety of Healthcare Staff | PSNet
      psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
      November 16, 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 on … a new version, the SOPS ® Hospital Survey 2.0. … View More See More About The Topic Outpatient Surgery Psychiatric Facilities Hospitals

3726. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49486/psn-pdf
      August 21, 2005 - & 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 … 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

3727. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72835/psn-pdf
      March 10, 2021 - Services (CMS), AIR, and small rural and critical access hospitals out here in California. … CMS mandated patient family engagement in the QIOs and in the Partnership for Patients (PfP) and Hospital … into the hospital that they would be active participants in care. … It looks different in end-stage renal disease programs, in primary care, it looks different in the hospital … In the hospital setting, we have those conversations about redesigning the discharge process.

3728. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33837/psn-pdf
      July 01, 2017 - the hospital became much more common after the publicity over the IOM report and the plaintiffs' bar … Second, when he's talking to the hospital or the insurance company about settlement. … most hospitals in the US, particularly community hospitals. … And hospitals don't practice medicine, so unless the failure on the part of the hospital itself can … And that, again, does not represent the experience of most hospitals in the US.

3729. Which Line: Ordering Provider or Proceduralist? | PSNet
      psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
      September 16, 2015 - in 4 per 100,000 examinations ( 3 ) and wrong-side events in 8.3 to 55 per 100,000 examinations in major … Adopting a surgical safety checklist could save money and improve the quality of care in U.S. hospitals … April 3, 2013 WebM&M Cases Dying in the Hospital With … 28, 2023 Patient Safety Innovations Preventing Falls … May 1, 2006 View More See More About The Topic Hospitals Physicians

3730. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
      psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
      July 23, 2024 - the bundle. 2   The RSI bundle was implemented in 114 facilities across 12 states in September 2020. … limited scope (e.g., one surgical unit, one hospital, or one teaching setting). 5 Ascension’s innovation … is unique in its widespread scope of 100+ hospitals across a large geographical area, and it has not … 30, 2023 Patient Safety Innovations Preventing Falls … View More See More About The Topic Researchers Outpatient Surgery Hospitals

3731. 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

3732. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-318
      November 30, 2021 - two Australian hospitals. … than other hospitals. … Based on survey data, results indicate that hospitals with higher levels of engagement in diversity programs … In the perioperative setting of one hospital, insufficient handoffs were the most common event type in … The release of the Workplace Safety supplemental items for use in conjunction with the AHRQ Hospital

3733. 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.

3734. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) | PSNet
      psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
      April 01, 2005 - 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 … 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

3735. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-319
      November 30, 2021 - hospital. … Study Workforce planning and safe workload in sterile compounding hospital pharmacy services … Upcoming Meeting/Conference New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals … The release of the Workplace Safety supplemental items for use in conjunction with the AHRQ Hospital … Rural hospitals weigh keeping obstetric units when births decline.

3736. Missed CANDOR Implementation Opportunities. | PSNet
      psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
      November 11, 2020 - Hospital staff then offered confidential peer-to-peer support to the surgeon and others involved in the … Who from the hospital will attend the meeting? … least her point of contact (social worker/liaison), the involved physician(s), a representative of hospital … leadership, and a hospital lawyer should attend. … May 1, 2006 View More See More About The Topic Hospitals Health

3737. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840174/psn-pdf
      August 28, 2024 - Hospital staff then offered confidential peer-to-peer support to the surgeon and others involved in … Who from the hospital will attend the meeting? … least her point of contact (social worker/liaison), the involved physician(s), a representative of hospital … leadership, and a hospital lawyer should attend. … institution apologize for an event that caused them profound pain, and that could lead them and the hospital

3738. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
      psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
      November 13, 2024 - in silence. … In our experience, inclusion in these blame-free discussions helps promote clinician healing and recovery … August 21, 2019 Effects of individual nurse and hospital characteristics on patient adverse … Perspective The Ongoing Journey to Prevent Patient Falls … Experience May 1, 2005 View More See More About The Topic General Hospitals

3739. Retained Surgical Items: Definition and Epidemiology. | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
      September 15, 2024 - These items are NOT “foreign” bodies or objects; they are supplies or devices that the hospital or facility … All RSI cases are usually required to be reported to internal hospital risk management and patient safety … Most states that require mandatory event reporting, the American Hospital Association Coding Clinic, … Monitoring and reporting hospital-acquired conditions: a federalist approach. … Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Patient falls

3740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60856/psn-pdf
      August 26, 2020 - While being assisted to a standing position on hospital day 13, the patient’s left leg buckled and he … Due to limited operating room availability, his hip operation on hospital day 24 began at 16:00 and … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings.  … Pneumonia in hospitalized elderly hip fracture patients: the effects on length of hospital-stay, in-hospital … of Early Warning Scoring Systems for Hospitalized Patients With and Without Infection at Risk for In-Hospital