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Showing results for "falls in hospitals".
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2021. Learning from samples of one or fewer. | PSNet
      psnet.ahrq.gov/issue/learning-samples-one-or-fewer
      December 21, 2017 - (reprinted in: Qual Saf Health Care 2003;12:465-472.) … fall prevention in a nursing home. … May 24, 2023 Organisational learning in hospitals: a concept analysis. … July 14, 2010 Safety and risk management interventions in hospitals: a systematic review … December 19, 2007 Ounce of prevention: to reduce errors, hospitals prescribe innovative

2022. Patient safety and leadership: do you walk the walk? | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
      November 04, 2020 - Hospital leaders are increasingly encouraged to help establish and sustain a safety culture. … November 4, 2020 An inpatient fall prevention initiative in a tertiary care hospital. … August 10, 2011 Applying the Medications at Transitions and Clinical Handoffs Toolkit in … September 27, 2017 Towards high-reliability organising in healthcare: a strategy for … July 21, 2017 View More See More About The Topic Hospitals Facility

2023. Combining multiple large language models improves diagnostic accuracy. | PSNet
      psnet.ahrq.gov/issue/combining-multiple-large-language-models-improves-diagnostic-accuracy
      March 02, 2011 - Related Resources From the Same Author(s) Primary care–relevant interventions to prevent falling … to 20 hospitals in England during implementation of the 7-day services national health policy. … May 31, 2023 Reviewing deaths in British and US hospitals: a study of two scales for … October 20, 2016 Magnitude and modifiers of the weekend effect in hospital admissions … June 26, 2019 Ranking hospitals based on preventable hospital death rates: a systematic

2024. Joint Commission International Center for Patient Safety. | PSNet
      psnet.ahrq.gov/issue/joint-commission-international-center-patient-safety
      November 27, 2018 - March 31, 2021 The evidence base for US Joint Commission hospital accreditation standards … July 13, 2022 The impact of hospital accreditation on the quality of healthcare: a systematic … May 6, 2015 Preventing Falls With Injury. … August 26, 2015 High Reliability in Health Care. … March 12, 2016 Australian Commission on Safety and Quality in Health Care.

2025. Medication Safety Certificate Program. | PSNet
      psnet.ahrq.gov/issue/medication-safety-certificate-program
      September 30, 2020 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home … 2015 Move toward full use of metric dosing: eliminate dosage cups that measure liquids in … April 1, 2024 Do No Harm: Are We Preventing Medication Errors in Children with Medical … August 20, 2018 Fall Prevention in Hospitals Training Program. … July 17, 2017 View More See More About The Topic Hospitals Pharmacists

2026. Broadening the concept of patient safety culture through value-based healthcare. | PSNet
      psnet.ahrq.gov/issue/broadening-concept-patient-safety-culture-through-value-based-healthcare
      September 29, 2021 - integration of three aspects of value-based care (personal, technical, and allocative) may result in … Download Citation Related Resources From the Same Author(s) Australian hospital … analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals … June 29, 2022 Falling through the cracks: the invisible hospital cleaning workforce. … June 30, 2021 Developing a patient safety culture in primary dental care.

2027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41470/psn-pdf
      November 15, 2024 - Hospital Safety Grade. … (CDC), and the Centers for Medicare and Medicaid Services (CMS), this website provides grades for hospitals … in the United States based on their safety. … The Fall 2024 hospital safety grade results document improvements in healthcare associated infections … https://psnet.ahrq.gov/issue/hospital-safety-grade https://psnet.ahrq.gov/issue/leapfrog-hospital-survey

2028. Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition. | PSNet
      psnet.ahrq.gov/issue/front-line-defense-role-nurses-preventing-sentinel-events-third-edition
      November 27, 2018 - Nurses have an important role in ensuring patient safety on the front line. … May 28, 2014 The Role of Hospitalists in Patient Safety. … January 7, 2009 View More Related Resources Hospital nurses' work … December 15, 2017 Organisational strategies to implement hospital pressure ulcer prevention … April 27, 2016 Special Issue on Falls.

2029. Hospital Safety Grade. | PSNet
      psnet.ahrq.gov/issue/hospital-safety-grade
      June 21, 2023 - in the United States based on their safety. … The Fall 2024 hospital safety grade results document improvements in healthcare associated infections … January 21, 2021 Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals … December 17, 2024 Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume … September 27, 2016 Announcing 2009 Leapfrog top hospitals.

2030. Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens. | PSNet
      psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
      July 06, 2011 - Medication discrepancies during hospital admission are common and can lead to preventable harm. … a multistate hospital network--13 academic medical centers, April-June 2020. … June 13, 2011 Families as partners in hospital error and adverse event surveillance. … acute hospitals: cluster randomised controlled trial. … and drug concentration consistencies in children's hospitals in the United States.

2031. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
      June 01, 2023 - Falling through the cracks: information breakdowns in critical care handoff communication. … Zinn C. 14,000 preventable deaths in Australian hospitals. BMJ. 1995;310(6993):1487. … Deficits in communication and information transfer between hospital-based and primary care physicians … Preventability of early versus late hospital readmissions in a national cohort of general medicine patients … Guide to Patient and Family Engagement in Hospital Quality and Safety.

2032. Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
      January 01, 2010 - He gets more restless, gets out of bed, trips on the catheter and falls. … After 6 weeks in the hospital and many complications, Mr. Smith is no longer the same. … hospitals who started with a higher baseline use In the ED, both physician and nurse support of the … We traditionally thought that a catheter was helpful in preventing falls because patients didn’t have … However, the catheter doesn’t eliminate the urge to urinate and the tubing can cause tripping and falling

2033. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33714/psn-pdf
      July 01, 2011 - For instance, if you have a hospital chain with hospitals in many states, they cannot aggregate information … across state lines easily or even across hospitals within a state without, in most cases, losing legal … The whole survey was about incident reporting systems in those hospitals, to find out how many were … health care–associated infections, medication errors, pressure ulcers, falls, and a few others. … I think the CDC was operating at about 350 hospitals then, and now they're in several thousand.

2034. Replication of Health Information Exchange Framework Across Oklahoma (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesJones2010.pdf
      June 16, 2021 - Oklahoma’s health status is consistently ranked as one of the lowest in the Nation, regularly falling … counties in Oklahoma at low cost, as shown in Figure 1. … SMRTNET members include hospitals, community health centers, mental health agencies, public health agencies … recent SMRTNET activities in developing an HIE in Tampa Bay, Florida. … The model’s success in Oklahoma has led to conversations between SMRTNET staff and hospitals and providers

2035. Human factors of complex sociotechnical systems. | PSNet
      psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
      June 09, 2021 - September 13, 2023 A roadmap to advance patient safety in ambulatory care. … January 20, 2021 Information flow during pediatric trauma care transitions: things falling … Acute Hospital Care Units April 26, 2023 Perspective … and Nicole Werner, PhD November 16, 2022 From fable to reality at Parkland Hospital … in people and systems.

2036. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2022 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops2-database-report.pdf
      January 01, 2022 - of hospitals included in the 2022 SOPS Hospital 2.0 Database, including bed size, teaching status, … —2022 SOPS Hospital 2.0 Database Percentage of Respondents Within Hospitals Events Reported in the … is 55 percent positive, it falls above the 75th percentile (but below the 90th), meaning that your … hospital scored higher than at least 75 percent of the hospitals in the database. 2022 SOPS Hospital … , meaning your hospital scored higher than at least 90 percent of the hospitals in the database.

2037. Medical malpractice: the fear factor. | PSNet
      psnet.ahrq.gov/issue/medical-malpractice-fear-factor
      November 11, 2015 - November 11, 2015 Safety in numbers. … December 22, 2010 100K Lives falling short. … June 8, 2011 Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals … March 5, 2010 Addressing the Loss of Trust in Safety Culture. … January 7, 2015 Getting beyond blame in your practice.

2038. Hip-Fracture-Pain Consumer (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/hip-fracture-pain_consumer.pdf
      May 01, 2011 - Yes, if: � You or the person you care for is an older adult (more than 50 years old) who is in a hospital … No, if: � You or the person you care for is in the hospital for anything other than a broken hip … Where does the information in this guide come from? … In older adults, a broken hip can occur from falling or from daily use if the femur is weak. … different before and after an operation, during rehabilitation, and after you come home from the hospital

2039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33660/psn-pdf
      December 01, 2007 - Number one, because there's a notion that this is not something that falls within our accountability … In fact, we've been able to show that, investing in this model for 1 month post-hospital, the patients … staying out of the hospital in a statistically significant manner. … In essence, it's an initial visit in the hospital, a home visit, and two or three follow-up visits. … , for example, in an integrated health care system, if this prevents patients bouncing back to hospitals

2040. Making use of mortality data to improve quality and safety in general practice: a review of current approaches. | PSNet
      psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current
      November 17, 2010 - Review Making use of mortality data to improve quality and safety in general practice … preventing adverse drug events in the emergency department. … September 1, 2016 Changes in hospital safety following penalties in the US Hospital Acquired … and hospital admissions: systematic review and meta-analysis. … March 28, 2011 Primary care–relevant interventions to prevent falling in older adults