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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
September 01, 2016 - during
Safe Table events:
■ Failure to inform patients of abnormal test results
■ Factors related to falls … Improved Safety Culture and Teamwork Climate
Are Associated With Decreases in Patient Harm and Hospital … their hospital. … 24 hospitals. … Relationship of safety climate and safety performance in
hospitals.
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pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
September 01, 2016 - during
Safe Table events:
■ Failure to inform patients of abnormal test results
■ Factors related to falls … Improved Safety Culture and Teamwork Climate
Are Associated With Decreases in Patient Harm and Hospital … their hospital. … 24 hospitals. … Relationship of safety climate and safety performance in
hospitals.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient … Safety Culture
Improving Patient Safety in Hospitals: A Resource List
for Users of the AHRQ Hospital … Fall Prevention in Hospitals Training Program
https://www.ahrq.gov/professionals/systems/hospital/fallpxtraining … Commission National Patient Safety Goals Hospital Program is to
improve patient safety in hospitals … • Patient Falls Reduction.
• RCA Resource Guide.
• SBAR.
15.
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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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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or33.jsp
August 01, 2014 - ICD-9-CM
Surgery Flags for ICD-9-CM
HCUP Supplemental Files
NIS-Trend Weights Files
NIS Hospital … 1993-2002 Discharge-Level Supplemental Files
KID-Trend File
Cost-to-Charge Ratio (CCR) Files
Hospital … Market Structure (HMS) Files
Supplemental Variables for Revisit Analyses
American Hospital Association … Falls A I A N 6, white 22. … Age adjusted rate per 100,000 for unintentional falls mortality for Washington for 1990 to 2009.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - pressure ulcer prevention, pressure ulcer healing,
prevention of inappropriate hospitalizations, and falls … “hospital discharge date − hospital
admission date” or use vendor rule to
determine LOS. … ED Visit or Hospital Admission History + High-Risk Change in Condition Within 7 Days
(Table 5, Row … an existing Transfer Note in the EMR.
17
On-Time Preventable Hospital and ED Visits
3.2.6 … LOS
Treatments Received in the ED/HOSP ED Discharge/Hospital Discharge Diagnoses: Primary & Secondary
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018hospitalsopsreport.pdf
March 01, 2018 - in their hospital over the past 12 months. … positive, it falls above the 75th percentile (but below the
90th), meaning that your hospital scored … If your hospital’s score is 65 percent positive, it falls above the 90th percentile, meaning your
hospital … hospitals registered with the American Hospital
Association (AHA) and are described further in Chapter … In addition, some hospitals conducted a census, surveying all hospital staff, while others
administered
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2018hospitalsopsreport-rev0921.pdf
March 01, 2018 - in their hospital over the past 12 months. … positive, it falls above the 75th percentile (but below the
90th), meaning that your hospital scored … If your hospital’s score is 65 percent positive, it falls above the 90th percentile, meaning your
hospital … hospitals registered with the American Hospital
Association (AHA) and are described further in Chapter … In addition, some hospitals conducted a census, surveying all hospital staff, while others
administered
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psnet.ahrq.gov/issue/institute-patient-and-family-centered-care
March 17, 2011 - February 12, 2020
National Center for Patient Safety Falls Toolkit 2004. … a VA hospital: design and outcomes. … May 22, 2019
Using an inpatient portal to engage families in pediatric hospital care. … October 13, 2018
Parents' perspectives on "keeping their children safe" in the hospital … November 28, 2016
Guide to Patient and Family Engagement in Hospital Quality and Safety
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psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety
December 22, 2018 - This commentary describes a low-tech simulation activity in a pediatric setting designed to foster … in a high risk emergency department. … December 30, 2014
Implementation of a pediatric rapid response team: experience of the Hospital … for Sick Children in Toronto. … July 20, 2010
View More
See More About The Topic
Children's Hospitals
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psnet.ahrq.gov/issue/frequency-medication-administration-timing-error-hospitals-systematic-review
March 15, 2023 - Review
Frequency of medication administration timing error in hospitals: a systematic … Frequency of medication administration timing error in hospitals: a systematic review. … Frequency of medication administration timing error in hospitals: a systematic review. … March 21, 2018
Perceptions of nurses who are second victims in a hospital setting. … April 29, 2020
View More
See More About The Topic
Researchers
Hospitals
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psnet.ahrq.gov/issue/six-ways-lower-errors-and-unnecessary-surgeries-radiology-exams
February 10, 2021 - Newspaper/Magazine Article
Six ways to lower errors—and unnecessary surgeries—in … Diagnostic errors can result in harm across the spectrum of practice. … September 13, 2017
In redesigned room, hospital patients may feel better already. … September 6, 2006
‘Fear of falling’: how hospitals do even more harm by keeping patients … in bed.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
January 01, 2014 - hospitals
Mortality up to 50%, with limited antimicrobials available
9
CRE: What is New? … (MMWR 2013; 62 (9):165-70)
Estimate of the proportion of CRE in US hospitals:
At least one CRE infection … (1st 6 months 2012): 3.9% short acute care hospitals and 17.8% in long term acute care hospitals
In … MDROs and CAUTI: NHSN 2009-10
(Sievert, Infect Control Hosp Epidemiol 2013; 34: 1-14)
16
2,039 hospitals … Workload issues leading to work-arounds
Weighing risk of catheters v. other issues (i.e. falls)
Patient
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psnet.ahrq.gov/issue/inappropriate-surgeries-resulting-misdiagnosis-early-amyotrophic-lateral-sclerosis
October 31, 2014 - October 9, 2024
Incidence and outcomes of non-ventilator-associated hospital-acquired … pneumonia in 284 US hospitals using electronic surveillance criteria. … January 18, 2023
View More
Related Resources
Hospital ward incidents … Sepsis
December 18, 2024
Fall prevention with the Smart Socks System reduces hospital … January 14, 2011
Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals
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psnet.ahrq.gov/issue/integration-prospective-and-retrospective-methods-risk-analysis-hospitals
June 23, 2010 - Integration of prospective and retrospective methods for risk analysis in hospitals. … Integration of prospective and retrospective methods for risk analysis in hospitals. … bar-code-assisted medication administration in hospitals. … June 12, 2013
Using prospective clinical surveillance to identify adverse events in hospital … August 25, 2011
An inpatient fall prevention initiative in a tertiary care hospital.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
September 01, 2017 - Admits Within:
Hospital Discharge Diagnosis
Age
DNR,DNH, MOLST, or POLST Order in … or Renal Failure
Gastroenteritis
Angina Pectoris
Falls /Trauma
Anemia
Diabetes
Observation … Can be used in discussions with hospital stakeholders or managed care organizations. … With Previous Hospital Discharge in Last 30 Days
3
1
5
0
4
0
2
1
4
1
0
0 … # Residents Readmitted With Previous Hospital Discharge in Last 90 Days
4
1
5
0
4
0
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www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-slides.html
December 01, 2017 - Slide 5
Appropriate Catheter Indication
Monitoring fluids in critically ill patients
Image … Catheter Indications
Selected perioperative use
Image: X-ray showing a hip with 2 fractures in … Inappropriate Catheter Indications
Limited mobility or debility
Catheters do not prevent falls … Slide 15
Inappropriate Catheter Indications
Dementia or confusion
Catheters do not prevent falls … Slide 39
Funding
Prepared by the Health Research & Educational Trust of the American Hospital Association
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psnet.ahrq.gov/web-mm/ectopic-or-not
March 27, 2024 - 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.
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psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
November 15, 2023 - Study
Hospital ward incidents through the eyes of nurses – a thick description on … the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. … October 10, 2018
Types of diagnostic errors in neurological emergencies in the emergency … July 26, 2011
Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals … October 27, 2010
View More
See More About The Topic
Hospitals
Neurology
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psnet.ahrq.gov/issue/oregon-patient-safety-commission
June 22, 2007 - Established the patient safety center in the state of Oregon. … June 27, 2007
The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To … March 29, 2023
Hospital Reporting Program: Annual Summary. … December 21, 2022
Improving Diagnosis in Medicine Act of 2022. … May 22, 2019
Statement of The Hospital & Healthsystem Association of Pennsylvania.