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Showing results for "falls in hospitals".
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1981. Misidentifying the Unidentified – John Doe and the EHR | PSNet
      psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
      September 27, 2017 - patients of similar age arrived at the same time to the emergency department (ED) after sustaining falls … The OR nurse then looked Patient 1 up by his real name in the hospital system and found a medical record … Some hospitals have policies that mandate patients with temporary aliases keep that identity for the … Given the risk for errors, hospitals may want to consider system or process-based controls to mitigate … November 12, 2014 Families as partners in hospital error and adverse event surveillance

1982. Smart pumps: implications for nurse leaders. | PSNet
      psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
      February 02, 2022 - Impact of interoperability of smart infusion pumps and an electronic medical record in … September 11, 2009 Fall prevention with the Smart Socks System reduces hospital fall … August 17, 2022 Developing strategic recommendations for implementing smart pumps in … a specialty cardiac hospital. … February 14, 2007 View More See More About The Topic Hospitals Nurses

1983. Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems. | PSNet
      psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
      January 12, 2022 - The investigators present a protocol to measure and assess specimen-to-specimen contamination in large … Impact of a clinical pharmacy admission medication reconciliation program on medication errors in … hospital practice: factors associated with turnover, outcomes, and patient safety. … a university hospital ICU. … June 26, 2009 Ounce of prevention: to reduce errors, hospitals prescribe innovative designs

1984. Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. | PSNet
      psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
      August 06, 2008 - found in state since 2006. … Citation Text: Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. … Copy Citation Related Resources From the Same Author(s) Hospital tells of … August 6, 2008 Medical mistakes no longer billable: bold steps taken by state to reduce hospital … June 10, 2015 Man falls off surgical table; St. Joseph's Hospital sued.

1985. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
      January 01, 2024 - The BCC measure will support DHQP’s Hospital-Acquired Bacteremia (HOB) measure. … Standardization will allow a national benchmark to be developed to monitor the quality of collection across hospitals …  DLS partnered with the Indiana Hospital Association on a statewide process improvement plan to … DLS is also partnering with VA Hospital Systems Laboratories and sharing best practices and lessons … This video will also be used in CDC infection control and prevention training programs for rural hospitals

1986. Why psychiatry is different--challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care. | PSNet
      psnet.ahrq.gov/issue/why-psychiatry-different-challenges-and-difficulties-managing-nosocomial-outbreak-coronavirus
      February 14, 2024 - outbreak of coronavirus disease (COVID-19) in hospital care. … disease (COVID-19) in hospital care. … disease (COVID-19) in hospital care. … bar-code-assisted medication administration in hospitals. … November 6, 2019 View More See More About The Topic General Hospitals

1987. Strategies and Approaches for Tracking Improvements in Patient Safety | PSNet
      psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
      June 15, 2024 - 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.

1988. Study Reveals Sharp Decline in Mothers’ Mental Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/960.html
      June 01, 2025 - mental health dropped from 38 percent in 2016 to 26 percent in 2023, according to a new study in … to account for differences in how easily cancer is detected in dense versus nondense breast tissue. … CLABSI—Webinar Recording Available Central-line associated bloodstream infections (CLABSI) affect about 30,000 hospital … She noted that hospitals can share data already submitted to the National Healthcare Safety Network. … A scoping review of machine learning models to predict risk of falls in elders, without using sensor

1989. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I.pdf
      January 01, 2023 - /hospitals-and-other-facilities/provider-of-services-file-hospital-non-hospital-facilities https://www.ahrq.gov … https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-hospital-non-hospital-facilities … https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-hospital-non-hospital-facilities … https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-hospital-non-hospital-facilities … https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-hospital-non-hospital-facilities

1990. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I-rev.pdf
      January 01, 2023 - /hospitals-and-other-facilities/provider-of-services-file-hospital-non-hospital-facilities https://www.ahrq.gov … https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-hospital-non-hospital-facilities … https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-hospital-non-hospital-facilities … https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-hospital-non-hospital-facilities … https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/provider-of-services-file-hospital-non-hospital-facilities

1991. Using smart IV infusion pumps outside of patient rooms. | PSNet
      psnet.ahrq.gov/issue/using-smart-iv-infusion-pumps-outside-patient-rooms
      September 23, 2020 - When hospitals began to fill up with COVID-19 patients, new strategies had to be developed and implemented … This article describes one strategy implemented by a New York hospital: relocating smart intravenous … August 25, 2021 Fall prevention with the Smart Socks System reduces hospital fall … November 10, 2021 Inpatient telemedicine and new models of care during COVID-19: hospital … April 22, 2020 View More See More About The Topic Hospitals Intensive

1992. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. | PSNet
      psnet.ahrq.gov/issue/tall-man-lettering-and-potential-prescription-errors-time-series-analysis-42-childrens
      January 12, 2012 - Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals … Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals … December 6, 2023 Families as partners in hospital error and adverse event surveillance … a pediatric tertiary hospital experience. … Frequency and severity of parenteral nutrition medication errors at a large children's hospital

1993. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33581/psn-pdf
      December 15, 2024 - deaths due to opioid medications, which has largely taken place outside the hospital. … Transcribing: in a paper-based system, an intermediary (a clerk in the hospital setting, or a pharmacist … In hospitals or long-term care settings, this is generally the responsibility of nurses or other trained … staff; in ambulatory care the responsibility falls to patients or caregivers. … hospitals, but the potential for error will remain unless these systems are carefully implemented and

1994. Entire UPMC transplant team missed hepatitis alert. | PSNet
      psnet.ahrq.gov/issue/entire-upmc-transplant-team-missed-hepatitis-alert
      March 06, 2005 - April 15, 2015 An Agenda for Research in Ambulatory Patient Safety. … May 27, 2015 Ethical challenges in child abuse: what is the harm of a misdiagnosis? … June 9, 2021 Reducing inappropriate outpatient medication prescribing in older adults … January 13, 2021 Improving hospital safety culture for falls prevention through interdisciplinary … Critical Opportunity Lost March 1, 2015 The incidence and cost of unexpected hospital

1995. Sustainability Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/slides.html
      October 01, 2020 - How do you see other projects sustained in your facility? … Spread is covered in detail in the Spread module of the AHRQ CUSP Toolkit. 3 Spread Module Toolkit … tools and checklists to comply with their improvement process’s central line bundle elements. 4 Many hospitals … Minnesota Children’s Hospitals and Clinics uses a screen saver slide show on all hospital computer terminals … Preventing Falls in Hospitals . January 2013.

1996. Development of the CAHPS Adult Hospital Survey | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/hospital/about/dev_adult_hp_survey.html
      January 01, 2025 - collaboration to foster greater accountability and improvements in hospital care. … This pilot test included 132 hospitals and resulted in over 19,000 completed surveys. … These focus groups were conducted in four cities and included adults who had recently been in a hospital … or who were caregivers for someone who had recently been in a hospital. … In the summer of 2004, the CAHPS Team worked with hospitals and vendors that volunteered to test the

1997. Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families. | PSNet
      psnet.ahrq.gov/issue/guide-improving-patient-safety-primary-care-settings-engaging-patients-and-families
      October 23, 2019 - Patient engagement in the process of care is important to improve safety in primary care . … May 1, 2017 Hospital Survey on Patient Safety Culture: 2018 User Database Report. … April 22, 2018 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs … May 29, 2024 Patient Safety Innovations Preventing Falls … November 21, 2016 Managing Patients' Medicines after Discharge from Hospital.

1998. Unique Challenges in Approaching Diagnostic Safety in Older Adults | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
      September 01, 2024 - older adults include lethargy, tachypnea, loss of appetite, dehydration, weakness, dizziness, falls, … Geriatric syndromes (e.g., delirium, falls, reduced/loss of appetite or anorexia, or functional impairment … hospital in Thailand, researchers found that the prevalence of an atypical presentation was 28.6 percent … He was initially diagnosed with a labyrinthine concussion due to ongoing symptoms of “falling backwards … This model has resulted in decreased hospital admissions within the high-risk group. 115,116 The model

1999. PACT Collaborative: Pathway to Accountability, Compassion and Transparency. | PSNet
      psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency
      February 05, 2014 - Ariadne Labs, Brigham and Women’s Hospital, Harvard TH Chan School of Public Health. … Ariadne Labs, Brigham and Women’s Hospital, Harvard TH Chan School of Public Health. … July 28, 2013 Checking In on the Checklist. … Related Resources Patient Safety Innovations Preventing Falls … August 20, 2018 Outcomes in two Massachusetts hospital systems give reason for optimism

2000. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety. | PSNet
      psnet.ahrq.gov/issue/systematic-review-human-factors-and-ergonomics-hfe-based-healthcare-system-redesign-quality
      February 13, 2014 - January 20, 2021 Information flow during pediatric trauma care transitions: things falling … September 24, 2016 Hospital at night: an organizational design that provides safer care … Managing Moral Problems in Health Care Systems. … April 24, 2013 View More See More About The Topic Hospitals Organizational … Behaviorists Hospital Medicine Epidemiology of Errors and Adverse Events Human Factors Engineering