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Showing results for "falls in hospitals".
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2141. Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | PSNet
      psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
      October 23, 2024 - process or workflow changes to indicate reliability of care in real time. … Clinicians' use of health information exchange technologies for medication reconciliation in … June 1, 2016 Adverse events in healthcare: learning from mistakes. … February 14, 2007 View More See More About The Topic Hospitals Health … Care Executives and Administrators Information Professionals Safety Scientists Hospital Medicine

2142. Types of diagnostic errors in neurological emergencies in the emergency department. | PSNet
      psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
      October 30, 2019 - Study Types of diagnostic errors in neurological emergencies in the emergency department … Types of diagnostic errors in neurological emergencies in the emergency department. … Types of diagnostic errors in neurological emergencies in the emergency department. … More Related Resources Fall prevention with the Smart Socks System reduces hospital … July 26, 2011 Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals

2143. Hospice diagnosis: polypharmacy—a teachable moment. | PSNet
      psnet.ahrq.gov/issue/hospice-diagnosis-polypharmacy-teachable-moment
      April 24, 2018 - hospital error and adverse event surveillance. … in outpatient settings: clinical practice guideline. … team composition in critical care medicine. … December 19, 2018 Towards safer transitions: a curriculum to teach and assess hospital-to-hospice … February 3, 2011 Improving medication error reporting in hospice care.

2144. Surgical count practice variability and the potential for retained surgical items. | PSNet
      psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
      October 20, 2010 - This commentary identifies areas of variation in surgical count policy and practice and recommends … : A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial … October 20, 2010 Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based … review of root cause analyses of falls leading to adverse events. … October 19, 2022 Families as partners in hospital error and adverse event surveillance

2145. Anesthesia Awareness Registry. | PSNet
      psnet.ahrq.gov/issue/anesthesia-awareness-registry
      May 24, 2015 - Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital … American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in … 2019 Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in … June 16, 2014 View More Related Resources Wake Up Safe in the USA … August 7, 2024 Patient falls in the operating room: why is this still a problem in 2024

2146. Discussion | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/haccost2017-discuss.html
      November 01, 2017 - conditions, most recently in the National Scorecard on Rates of Hospital-Acquired Conditions, 2010 … hospital. … 0.079) 0.023 CLABSI $48,108 ($27,232–$68,983) $18,537 0.150 (0.070–0.270) 0.185 Falls … While the estimation of additional cost per HAC remained stable for ADE, falls, and SSI, we did observe … the actual overall in-hospital death rate.

2147. Healthcare Cost and Utilization Project (HCUP) NEDS Notes
      hcup-us.ahrq.gov/db/vars/i10_intent_self_harm/nedsnote.jsp
      May 10, 2015 - ICD-9-CM Surgery Flags for ICD-9-CM HCUP Supplemental Files NIS-Trend Weights Files NIS Hospital … Market Structure (HMS) Files Supplemental Variables for Revisit Analyses American Hospital Association … Beginning in 2018 NEDS and the 2019 State databases, HCUP includes three data elements that identify … also includes 12 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling … For data prior to the fourth quarter of 2015, the intent of injury of intentional self-harm is stored in

2148. Healthcare Cost and Utilization Project (HCUP) NEDS Notes
      hcup-us.ahrq.gov/db/vars/i10_injury_overexertion/nedsnote.jsp
      May 10, 2015 - ICD-9-CM Surgery Flags for ICD-9-CM HCUP Supplemental Files NIS-Trend Weights Files NIS Hospital … Market Structure (HMS) Files Supplemental Variables for Revisit Analyses American Hospital Association … Beginning in the 2018 NEDS and the 2019 State databases, HCUP includes 12 data elements that identify … the mechanism of the injury: cutting/piercing, drowning, falling, fire, firearm, machinery, motor vehicle … included (using the ICD-9-CM coding system), the mechanism of injury of overexertion was not included in

2149. Improving medication safety in the ICU: the pharmacist's role. | PSNet
      psnet.ahrq.gov/issue/improving-medication-safety-icu-pharmacists-role
      April 20, 2022 - Improving Medication Safety in the ICU: The Pharmacist's Role. … the Same Author(s) Using human factors and ergonomics principles to prevent inpatient falls … The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital … Medication reconciliation for patients after their discharge from intensive care unit to the hospital … See More About The Topic Intensive Care Units Pharmacists Critical Care Hospital

2150. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36549/psn-pdf
      March 21, 2017 - This study surveyed more than 1600 patients recently discharged from 12 hospitals to determine what … Patients defined "error" more broadly than traditional definitions, including such issues as falls,

2151. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. | PSNet
      psnet.ahrq.gov/issue/communication-techniques-patients-low-health-literacy-survey-physicians-nurses-and
      February 27, 2019 - The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital … April 17, 2013 Using human factors and ergonomics principles to prevent inpatient falls … 16, 2022 A comprehensive method to develop a checklist to increase safety of intra-hospital … hospital: a cross-sectional survey. … December 21, 2022 Association of patient and family reports of hospital safety climate

2152. Patient empowerment and multimodal hand hygiene promotion: a win–win strategy. | PSNet
      psnet.ahrq.gov/issue/patient-empowerment-and-multimodal-hand-hygiene-promotion-win-win-strategy
      November 13, 2024 - Related Resources Patient Safety Innovations Preventing Falls … care during a hospital stay. … caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital … of patients in prevention. … June 2, 2010 Lack of patient knowledge regarding hospital medications.

2153. Strategies for Improving Patient Safety in Small Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
      March 20, 2008 - x x 19 Transfer protocols x x x 20 Clinical information reporting x 21 Risk for falls … In addition, the small hospitals in this Demonstration described the complications involved in coordinating … protocols with a hospital system or with transfer hospitals. … rural hospitals and that rural hospitals are interested in and willing to invest in patient safety … Implementing patient safety initiatives in rural hospitals: An evaluation of the Tennessee Rural Hospital

2154. The impact of sensory stimuli on healthcare workers and outcomes in trauma rooms: a focus group study. | PSNet
      psnet.ahrq.gov/issue/impact-sensory-stimuli-healthcare-workers-and-outcomes-trauma-rooms-focus-group-study
      April 03, 2019 - Study The impact of sensory stimuli on healthcare workers and outcomes in trauma … November 15, 2023 The impact of the built environment on patient falls in hospital rooms … Health care risk managers' consensus on the management of inappropriate behaviors among hospital … seniors await hospital care and suffer avoidable harm. … May 15, 2024 Overnight stay in the emergency department and mortality in older patients

2155. Patient Engagement in Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-safety
      January 01, 2018 - safety both in soliciting safety concerns and activating patients in their care. … In another recent intervention , hospital volunteers reached out to patients to proactively solicit … experiences had no impact on a global measure of safety including outcomes like urinary tract infections and falls … in health care. … Patient Safety March 1, 2007 View More See More About The Topic Hospitals

2156. How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. | PSNet
      psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
      February 03, 2021 - Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital … in West Virginia. … December 2, 2020 Australian hospital leaders on the provision of safe care: implications … Truman Memorial Veterans' Hospital in Columbia, Missouri. … older adults with a history of falls: a qualitative study.

2157. Using Pressure Ulcer Risk Assessment Tools in Care Planning (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar5_pu_riskassesst-tools.pdf
      January 01, 2012 - • If a category falls between two numbers, choose the lower score. 12 How To Interpret Braden … Tailor this number to fit your hospital or unit. … If your hospital has an electronic health record system, integrate assessment tools into the system. … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. … Skin failure: a retrospective review of patients with hospital-acquired pressure ulcers.

2158. Title: (pdf file)
      hcup-us.ahrq.gov/datainnovations/MNAbstractFinal.pdf
      September 29, 2013 - Treatment of Acute Heart Failure Principal Investigator: Mark Sonneborn Organization: Minnesota Hospital … clinically enhanced administrative database that builds on the foundation that has already been established in … Minnesota by the Minnesota Hospital Association and to demonstrate its use in studying comparative … This proposal will increase the number of hospitals submitting laboratory data, will expand the database … to include inpatient pharmacy data, and will link patient data across hospitals and with Minnesota

2159. Healthcare Cost and Utilization Project (HCUP) NEDS Notes
      hcup-us.ahrq.gov/db/vars/i10_injury_fire/nedsnote.jsp
      May 10, 2015 - ICD-9-CM Surgery Flags for ICD-9-CM HCUP Supplemental Files NIS-Trend Weights Files NIS Hospital … Market Structure (HMS) Files Supplemental Variables for Revisit Analyses American Hospital Association … Beginning in the 2018 NEDS and the 2019 State databases, HCUP includes 12 data elements that identify … the mechanism of the injury: cutting/piercing, drowning, falling, fire, firearm, machinery, motor vehicle … For data prior to the fourth quarter of 2015, the mechanism of injury of fire is stored in the data element

2160. Healthcare Cost and Utilization Project (HCUP) NEDS Notes
      hcup-us.ahrq.gov/db/vars/i10_injury_poison/nedsnote.jsp
      May 10, 2015 - ICD-9-CM Surgery Flags for ICD-9-CM HCUP Supplemental Files NIS-Trend Weights Files NIS Hospital … Market Structure (HMS) Files Supplemental Variables for Revisit Analyses American Hospital Association … Beginning in the 2018 NEDS and the 2019 State databases, HCUP includes 12 data elements that identify … the mechanism of the injury: cutting/piercing, drowning, falling, fire, firearm, machinery, motor vehicle … For data prior to the fourth quarter of 2015, the mechanism of injury of poisoning is stored in the data