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1841. Speaking Up Constructively: Managerial Practices that Elicit Solutions from Front-Line Employees. | PSNet
      psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
      September 05, 2012 - January 30, 2019 WebM&M Cases Falling Between the Cracks … Hospital Reporting Program: Annual Summary. … June 18, 2021 Safer Hospital Care: Strategies for Continuous Innovation, Second Edition … September 19, 2016 Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help … November 6, 2013 The Patient Safety Initiative at America’s Public Hospitals: The Year

1842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49399/psn-pdf
      May 01, 2003 - A rapidly falling hCG level could indicate a failed intrauterine pregnancy, a completed abortion, or … At our institution, a third level is obtained 48 hours after the second to confirm continued falling … A decrease of 50% or more in 48 hours is highly suggestive of a completed abortion. … If there is concern that this blood is the result of active bleeding, observation in the hospital with … Following treatment, ipsilateral tubal patency could be assessed in 77 patients.

1843. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49711/psn-pdf
      June 01, 2014 - Initially he had been confused in the setting of alcohol withdrawal, but by hospital day 6 his mental … Limited evidence describes what specifically motivates patients to wander while in an acute care hospital … or unit without assistance place themselves at risk for specific complications, including slips and falls … Missing hospital patient's body found in canyon. NBCSanDiego.com. June 1, 2013. [Available at] 8. … Hospitals and asylums. In: American Jurisprudence. Vol 40A. 2nd ed.

1844. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
      September 01, 2017 - record, or EMR, data to make staff aware of residents at risk of adverse events such as pressure ulcers, falls … In the packet are the following Preventable Hospital and ED Visits documents: Transfer Risk Report—High … Pressure Ulcer Healing, Falls, and Avoidable Hospitalization reports and worksheets have been tested … is designed to identify residents at risk for the adverse event of interest (e.g., pressure ulcers, falls … Report summarizes and shows monthly trends for key metrics related to rates of transfer to EDs and hospitals

1845. Misdiagnosed: what to do when your doctor doesn't know. | PSNet
      psnet.ahrq.gov/issue/misdiagnosed-what-do-when-your-doctor-doesnt-know
      June 26, 2019 - September 27, 2017 Infection prevention and control in pediatric ambulatory settings. … November 1, 2017 Patient Safety and Managing Risk in Nursing. … November 28, 2016 Small patients, big consequences in medical errors. … September 8, 2010 Take Charge of Your Hospital Stay to Avoid Medical Mistakes. … March 31, 2010 How to avoid falling victim to a hospital mistake.

1846. Health Literacy and Patient and Family Engagement: Strategic Tools to Prevent CAUTI | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
      December 01, 2017 - Diagnosed Diabetes 3 weeks in hospital 2 hrs/day diabetic education Outpatient management … Know how the hospital works and how to achieve results Are strangers in the hospital environment … Include for hospitals that have hourly rounding: “We (the nurses) will touch base with every patient … “If you are concerned about falling (or the family is concerned) please let the hospital staff know because … difficult to walk and/or lead to falls.”

1847. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850675/psn-pdf
      June 14, 2023 - healthcare decisions about patient care and in hospital and health system policy and programs results … s authors shows that including patients and families during care transitions reduces harms such as falls … As PFACs have been implemented in hospitals and health systems, evidence shows their impact on safety … disruption in the functioning of PFACs in some hospitals; however, many hospital staff quickly adapted … Strategically advancing patient and family advisory councils in New York state hospitals.

1848. Feasibility/Pilot Study | Digital Healthcare Research
      digital.ahrq.gov/research-method/feasibilitypilot-study
      January 01, 2024 - The Telehealth Education for Asthma Connecting Hospital and Home (TEACHH) pilot study. … Hospital at Home - Final Report Citation Kowalkowski M., McWilliams A. … Personalized Clinical Decision Support to Improve Participation in Hospital at Home - Final Report. … Project Name Personalized Clinical Decision Support to Improve Participation in Hospital at Home … (Prepared by Brigham and Women's Hospital under Grant No. U18 HS027557).

1849. Making Healthcare Safer IV Rapid Review: Examining the Impact of Implementing High-Reliability Organization Principles on Patient Safety Outcomes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-rapid-research.pdf
      May 01, 2025 - o Preventing Pressure Ulcers in Hospitals28: assist hospital staff in implementing effective pressure … Preventing pressure ulcers in hospitals. … Preventing Falls in Hospitals. … Organizational learning in hospitals: A realist review. … Self-reported adherence to high reliability practices among participants in the children's hospitals

1850. The Emergency Department & Catheter Insertions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
      December 01, 2017 - He gets more restless, gets out of bed, trips on the catheter and falls . … Slide 4 Could this happen at your hospital? The Story of Mr. … After 6 weeks in the hospital and many complications, Mr. Smith is no longer the same. … , CAUTI, pressure ulcers), that could lead to Falls and VTE. … hospitals who started with a higher baseline use   Slide 14 Ascension Pilot of 18 EDs Image

1851. Patient Safety 101 | PSNet
      psnet.ahrq.gov/primer/patient-safety-101
      January 16, 2025 - Since To Err Is Human, considerable attention has been paid to improving patient safety in hospitals … been less harmful if care had been different; Adverse events due to negligence: those due to care that falls … While there is general consensus about the frequency of preventable harm in hospitals, the number of … Recent studies analyzing harm in Medicare patients in ambulatory and   long-term-care hospitals have … For example, a patient in the intensive care unit at an academic hospital may be at risk for medication

1852. Measurement for improvement: a survey of current practice in Australian public hospitals. | PSNet
      psnet.ahrq.gov/issue/measurement-improvement-survey-current-practice-australian-public-hospitals
      December 29, 2014 - Measurement for improvement: a survey of current practice in Australian public hospitals. … Measurement for improvement: a survey of current practice in Australian public hospitals. … August 4, 2021 Families as partners in hospital error and adverse event surveillance. … July 29, 2020 6-PACK programme to decrease fall injuries in acute hospitals: cluster … July 19, 2016 HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals

1853. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861288/psn-pdf
      January 24, 2024 - review including 15 studies found that rationing of nursing care (i.e., intentional withholding or delay in … essential nursing care) adversely impacts patient safety, contributing to higher incidence of falls … The authors of the review discuss several hospital characteristics (i.e., workload, staffing levels,

1854. 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

1855. 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

1856. 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

1857. 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.

1858. 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

1859. 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.

1860. 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.