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Showing results for "falls in hospitals".
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  1. The Safety and Quality of Long Term Care | PSNet

    psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
    January 01, 2016 - At the hospital, a full examination revealed a very deep pressure ulcer in her sacrum (stage IV full … in hospitals.( 6 ) However, comparing adverse events across health care settings is difficult at best … With each transfer her condition worsened until her death in the hospital. … Adverse Events in Hospitals: Overview of Key Issues. Report no. OEI-06-07-00470. December 2008. … awaiting long-term care in hospital.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73106/psn-pdf
    April 01, 2021 - a hospital. … hospital. … Therefore, although the institution's CLABSI rates are falling, there is room for improvement. … Figure 4 shows the variation in CLABSI rates in a hospital over time. … Points falling above the upper control limit indicate months when the process was out of control.

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841144/psn-pdf
    December 07, 2022 - Using community detection techniques to identify themes in COVID-19-related patient safety event reports … Using community detection techniques to identify themes in COVID-19-related patient safety event reports … new categories and themes in patient safety reporting. … eight clinically relevant themes, including testing delays, diagnostic errors, pressure ulcers, and falls … https://psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports-71-hospitals

  4. Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and
    March 09, 2016 - Newspaper/Magazine Article Selected medication safety risks to manage in 2016 that … Citation Text: Selected medication safety risks to manage in 2016 that might otherwise fall off the … January 24, 2018 ISMP National Vaccine Errors Reporting Program: one in three vaccine … September 28, 2016 Patient Safety: Exploring Quality of Care in the US. … April 26, 2006 View More See More About The Topic Hospitals Health

  5. Speak Up Video Series. | PSNet

    psnet.ahrq.gov/issue/speak-video-series
    November 27, 2018 - This video series illustrates techniques for patients to actively participate in their care. … Episodes are available in both English and Spanish and are accompanied by transcripts. … July 22, 2020 America's Hospitals: Improving Quality and Safety—The Joint Commission's … November 23, 2016 America's Hospitals: Improving Quality and Safety—The Joint Commission's … September 8, 2010 How to avoid falling victim to a hospital mistake.

  6. So much care it hurts: unneeded scans, therapy, surgery only add to patients' ills. | PSNet

    psnet.ahrq.gov/issue/so-much-care-it-hurts-unneeded-scans-therapy-surgery-only-add-patients-ills
    January 15, 2020 - January 15, 2020 Medical mistakes are more likely in women and minorities. … May 17, 2017 ‘Fear of falling’: how hospitals do even more harm by keeping patients in … November 3, 2021 Medicare releases patient safety ratings for hospitals. … She seemed trapped in a downward mental health spiral. The real cause was a profound shock. … September 6, 2016 Fixing America's hospitals.

  7. Checklists to Improve Patient Safety. | PSNet

    psnet.ahrq.gov/issue/checklists-improve-patient-safety
    July 31, 2013 - includes 10 checklists that integrate best practices into care processes to prevent variations in … May 6, 2015 Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final … October 19, 2016 Hand Hygiene Project: Best Practices from Hospitals Participating in … May 24, 2015 Preventing Patient Falls: A Systematic Approach From the Joint Commission … July 9, 2012 Adequacy of hospital discharge summaries in documenting tests with pending

  8. Suicidal patient slips through the cracks. | PSNet

    psnet.ahrq.gov/issue/suicidal-patient-slips-through-cracks
    November 26, 2013 - offers two levels of examination of a hypothetical patient suicide: one that outlines points of failure in … July 22, 2020 America's Hospitals: Improving Quality and Safety—The Joint Commission's … April 24, 2024 WebM&M Cases Walking Out of a Hospital … 27, 2023 Patient Safety Innovations Preventing Falls … December 23, 2016 Inpatient suicide and suicide attempts in Veterans Affairs hospitals

  9. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
    November 21, 2012 - Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in … Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the … November 21, 2012 Root cause analysis of reported patient falls in ORs in the Veterans … January 17, 2019 Root cause analysis of reported patient falls in ORs in the Veterans … of Veterans Affairs hospitals.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45453/psn-pdf
    November 02, 2016 - Creating highly reliable health care: how reliability- enhancing work practices affect patient safety in … hospitals. … employees mechanisms to recommend organizational change, is associated with fewer medication errors and falls

  11. Health Care Leader Action Guide to Reduce Avoidable Readmissions. | PSNet

    psnet.ahrq.gov/issue/health-care-leader-action-guide-reduce-avoidable-readmissions
    March 14, 2018 - This guide introduces strategies for hospital managers to prevent avoidable readmissions . … Hospitals, 2010 Versus 2014. … October 23, 2019 Origin of Adverse Drug Events in US Hospitals, 2011. … October 9, 2013 Hand Hygiene Project: Best Practices from Hospitals Participating in … 31, 2024 Patient Safety Innovations Preventing Falls

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33580/psn-pdf
    April 01, 2022 - In fact, Dall et al., 2009, found that there were economic benefits to hospitals with better staffing … One classic study showed lower inpatient mortality rates for a variety of surgical patients in hospitals … Beginning in 1983, the program sought to identify hospitals which had lower turnover rates and above … Effect of changes in hospital nursing resources on improvements in patient safety and quality of care … Correlates and predictors of missed nursing care in hospitals.

  13. Staying safe while getting well. | PSNet

    psnet.ahrq.gov/issue/staying-safe-while-getting-well
    February 05, 2014 - Patients can help minimize the potential for adverse events while in the hospital. … March 20, 2024 Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals. … January 10, 2024 Patient Safety Innovations Preventing Falls … But are hospitals getting any safer?

  14. The Physical Environment: An Often Unconsidered Patient Safety Tool | PSNet

    psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
    November 21, 2018 - compliance—a key factor associated with the spread of HAI.( 10 ) Bronson Methodist Hospital in Kalamazoo … Because most studies in this area have involved multifaceted-interventions to reduce falls ( 17-19 ), … Systematic review of studies on compliance with hand hygiene guidelines in hospital care. … The impact of healthcare environmental design on patient falls. … Health Care August 1, 2009 View More See More About The Topic Hospitals

  15. Medicare's Oversight of Ambulatory Surgery Centers Report. | PSNet

    psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
    February 11, 2015 - Hospitals. … February 11, 2015 Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced … May 25, 2022 Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events … October 29, 2008 Home Health Agencies Failed To Report Over Half of Falls With Major … November 8, 2023 Patient Safety Organizations: Hospital Participation, Value, and Challenges

  16. Scottish Patient Safety Programme. | PSNet

    psnet.ahrq.gov/issue/scottish-patient-safety-alliance
    July 29, 2015 - September 28, 2023 Hospital Compare. … April 24, 2013 Minnesota Hospital Association Statewide Project: SAFE from FALLS. … Hospital Care. … October 12, 2011 Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries … September 20, 2011 View More See More About The Topic Hospitals Health

  17. Procedures should promote patient safety. | PSNet

    psnet.ahrq.gov/issue/procedures-should-promote-patient-safety
    March 01, 2007 - Hospital peer review. 2006;31(8):113-6. … This article discusses the importance of developing practical procedures in hospital care and how to … Related Resources Patient Safety Innovations Preventing Falls … hospital safety: a systematic review and meta-analysis of hospital adverse events. … best practices in US hospitals.

  18. Audit of missed or delayed antimicrobial drugs. | PSNet

    psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs
    August 01, 2012 - hospital settings in the United Kingdom. … Hospitals Were Reported to State Adverse Event Reporting Systems. … August 1, 2012 Adverse Events in Hospitals: Public Disclosure of Information About Events … delays to identification of serious injury after falls in hospital inpatients. … May 13, 2009 View More See More About The Topic Hospitals Physicians

  19. Program encourages reporting accidents waiting to happen: the Good Catch Awards. | PSNet

    psnet.ahrq.gov/issue/program-encourages-reporting-accidents-waiting-happen-good-catch-awards
    February 13, 2013 - Minnesota Hospital Association. … Minnesota Hospital Association. … A COVID-19 Resource for Hospital and Health System Leaders. … July 23, 2024 Patient Safety Innovations Preventing Falls … September 9, 2010 Fixing America's hospitals.

  20. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
    September 01, 2011 - She immediately complained of hip pain and was transferred to an acute care hospital. … Because of concerns for an acute infection, she was transferred to an acute care hospital. … * * Case: Safety of Long-Term Care (4) At the hospital, a full examination revealed a very deep … focused on pressure ulcers, adverse drug events (ADEs), and falls Data regarding incidence of adverse … Comparing the safety culture of nursing homes and hospitals. J Appl Gerontol. 2011;30:22-43.
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