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3901. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet
      psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
      December 23, 2020 - in hospital, hospice, or community settings: systematic review and meta-analysis.  … Earlier Palliative Care Referrals Associated with Reduced Length of Stay and Hospital Charges.  … Supporting Family Caregivers in Providing Care. In: Hughes RG, ed.  … 2022 WebM&M Cases Preventable Transfer to the Hospital … July 1, 2020 View More See More About The Topic Hospitals Home Care

3902. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
      psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
      July 22, 2020 - the future. 1 Background Medication errors in the perioperative period are common 2 and occur in … In a review from 2017, Wahr and colleagues reported that medication errors in the operating room are … By standardizing concentrations of high alert medications, hospital pharmacies can provide ready-to-use … in the same tray. … The providers involved in this incident should be credited for their vigilance in rapidly identifying

3903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867022/psn-pdf
      October 30, 2024 - The Case A man in his mid-50’s presented to the hospital for a persistent headache after a sledding … However, about two weeks later, the patient’s wife insisted that he go back to the hospital for worsening … the patient described in this report. … In this scenario, of course, a false negative CT interpretation would result in a treatment plan that … the older population, in the setting of antiplatelet or anticoagulation use, or in the presence of

3904. Infection After Carpal Tunnel Surgery | PSNet
      psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
      May 28, 2014 - There were no reported complications during the operation, and the patient was discharged from the hospital … The patient remained in the hospital for 11 days, during which she underwent two additional operations … decompression operations provided evidence that the rate of serious complications (requiring admission to hospital … addition, in the outpatient setting, medical assistants (MAs) are being given expanding roles in supporting … In this case, the refusal of the surgeons’ office to schedule any type of visit, either in-person or

3905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866579/psn-pdf
      August 28, 2024 - There were no reported complications during the operation, and the patient was discharged from the hospital … The patient remained in the hospital for 11 days, during which she underwent two additional operations … decompression operations provided evidence that the rate of serious complications (requiring admission to hospital … addition, in the outpatient setting, medical assistants (MAs) are being given expanding roles in supporting … In this case, the refusal of the surgeons’ office to schedule any type of visit, either in-person or

3906. In Conversation With… Mark L. Graber, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
      January 01, 2016 - More importantly, I was the Chief of Medicine at a VA Hospital, and in our peer review program, we were … one—but they generally assume it's the other guy who's not as good or not as careful, or it's the other hospital … For example, if I don't diagnose something correctly in clinic, that patient may go on into the hospital … MPP, MPH April 1, 2009 View More See More About The Topic Hospitals … Health Care Executives and Administrators Hospital Medicine Diagnostic Errors Active Errors

3907. What Do We Know About Emergency Department Safety? | PSNet
      psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
      June 01, 2010 - ED crowding has steadily worsened due to increasing numbers of ED patient visits, fewer hospital EDs, … and a lack of commensurate increase in inpatient hospital beds for our growing population. 17  The boarding … Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses. … hospitals in six European countries. … March 26, 2015 Performance-based payment incentives increase burden and blame for hospital

3908. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
      January 01, 2024 - On POD 25, the wound appeared to have dehisced, and the patient was readmitted to the hospital for advanced … Rates of incidental durotomy have been reported in the literature to occur from 0.5% in lumbar discectomy … Detection of beta-2 transferrin in otorrhea and rhinorrhea in a routine clinical laboratory setting. … In the autologous category, the options typically used in spinal surgery include fascia lata and muscle … Detection of beta-2 transferrin in otorrhea and rhinorrhea in a routine clinical laboratory setting.

3909. In Conversation With… Thomas J. Nasca, MD, MACP | PSNet
      psnet.ahrq.gov/perspective/conversation-thomas-j-nasca-md-macp
      July 10, 2024 - In Conversation With… Thomas J. … This was the model in the VA under Jim Bagian's leadership, and it resulted in significant engagement … in the critical care setting. … The medical community in general and ACGME in particular was criticized by the IOM in their report … MS, MS August 1, 2009 View More See More About The Topic Hospitals

3910. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
      January 01, 2016 - More importantly, I was the Chief of Medicine at a VA Hospital, and in our peer review program, we were … For example, if I don't diagnose something correctly in clinic, that patient may go on into the hospital … Acute Hospital Care Units April 26, 2023 Advances in Patient Safety: From … July 8, 2009 View More See More About The Topic Hospitals Health Care … Executives and Administrators Hospital Medicine Diagnostic Errors Epidemiology of Errors and

3911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857061/psn-pdf
      November 27, 2023 - In Conversation with... … In Conversation with.. … specific things, like the safety harm scenarios that nurses commonly experience related to things like falls … or hospital acquired infections? … a clinical area, in a simulation, or in a classroom.

3912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33866/psn-pdf
      September 01, 2018 - In Conversation With… Sigall K. Bell, MD September 1, 2018 In Conversation With… Sigall K. … We've ended up in this peculiar place in medicine today. … Harborview Medical Center in Seattle, an urban safety net hospital. … Anecdotally, an elderly patient receiving care at our hospital was travelling with family, got sick … in delays or complications in care.

3913. In Conversation With... Remle P. Crowe, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
      May 16, 2022 - Or, in the event of something like an out-of-hospital cardiac arrest, those scenes are often very busy … and there's a lot more happening that not as controlled as in a hospital setting, for example. … For example, if it was a cardiac arrest, I'm going to take care of the patient first, go to the hospital … And that can even start as early as the radio communication to the hospital. … Healthcare leaders have used safety culture measurement to assess and transform culture in hospital settings

3914. In Conversation with…Pat Croskerry, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
      June 01, 2010 - He has gone on to become one of the world's foremost experts in safety in emergency medicine and in diagnostic … But in fact, typical presentations of chest pain are in the minority. … ED crowding has steadily worsened due to increasing numbers of ED patient visits, fewer hospital EDs, … and a lack of commensurate increase in inpatient hospital beds for our growing population. 17  The boarding … Rotating shift work, sleep, and accidents related to sleepiness in hospital nurses.

3915. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - specific things, like the safety harm scenarios that nurses commonly experience related to things like falls … or hospital acquired infections? … a clinical area, in a simulation, or in a classroom. … Acute Hospital Care Units April 26, 2023 Perspectives on Safety … Patient Safety Innovations Enhancing Support for Patients’ Social Needs to Reduce Hospital

3916. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet
      psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
      March 09, 2022 - On POD 25, the wound appeared to have dehisced, and the patient was readmitted to the hospital for advanced … In the patient described in this case, more timely and effective management of the CSF leak might have … the literature to occur from 0.5% in lumbar discectomy to 35% in a single retrospective study. 8 , 9 … Detection of beta-2 transferrin in otorrhea and rhinorrhea in a routine clinical laboratory setting . … Advances in Neurosurgery.

3917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74120/psn-pdf
      November 30, 2021 - in the brain. … Examples of reasons in each of these categories can be found in Table 1.   … in hospital, hospice, or community settings: systematic review and meta-analysis.? … Earlier Palliative Care Referrals Associated with Reduced Length of Stay and Hospital Charges.? … Supporting Family Caregivers in Providing Care. In: Hughes RG, ed.?

3918. Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes | PSNet
      psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
      April 10, 2024 - Most NHs accept post-acute patients from the hospital requiring highly skilled nursing care that is covered … settings like hospitals and NHs, among others. … resident and visitors to wear cloth face coverings or disposable face masks, Adequate access to PPE, Local hospitals … COVID-19 began to decrease at a rate that outpaced the national decline in the general population, falling … 2024 WebM&M Cases Preventable Transfer to the Hospital

3919. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions | PSNet
      psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
      November 16, 2022 - As a field of study, HFE originated in the 1940s in the field of aviation. … One area in which complexity in healthcare has increased is in the use of IT systems in healthcare. … the care transition (e.g., the emergency department and the skilled nursing facility or the hospital … My focus has been in primary care, the hospital, ICUs [intensive care units], ED [emergency department … While I was an intern at Johns Hopkins Hospital and worked with the human factors engineer, I realized

3920. In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
      November 16, 2022 - In Conversation With... … My focus has been in primary care, the hospital, ICUs [intensive care units], ED [emergency department … While I was an intern at Johns Hopkins Hospital and worked with the human factors engineer, I realized … One area in which complexity in healthcare has increased is in the use of IT systems in healthcare. … the care transition (e.g., the emergency department and the skilled nursing facility or the hospital