-
psnet.ahrq.gov/issue/effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality
April 22, 2011 - Study
The effect of hospital-acquired Clostridium difficile infection on in-hospital … The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. … antibiotics for other reasons, has become increasingly common in hospitals as well. … The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. … September 21, 2011
Fall prevention in acute care hospitals: a randomized trial.
-
psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - reporting, and decreases in preventable harm: 39%
decrease in injuries with falls, 37% fewer pressure … Describing six domains across which safety
culture should be directed, the South Carolina Hospital … Association notes that, since the 2013 launch of their Certified
Zero Harm Awards, member hospitals … validated by the state’s
Department of Health and Environmental Control with two-thirds
of member hospitals … Indeed, the amount of
effort expended in the resource scarce environment of hospital
administration
-
psnet.ahrq.gov/node/45895/psn-pdf
February 22, 2017 - Opioids for pain management in older adults: strategies
for safe prescribing. … Opioids for pain management in older adults. Nurse Pract. 2017;42(2). … opioids-pain-management-older-adults-strategies-safe-prescribing
Use of opioids for pain management in … hospice-diagnosis-polypharmacy-teachable-moment
https://psnet.ahrq.gov/issue/nurse-practitioner-led-medication-reconciliation-critical-access-hospitals
-
psnet.ahrq.gov/node/49583/psn-pdf
April 01, 2009 - 2005, the Joint Commission issued a National Patient Safety Goal requiring hospitals to standardize … Many hospitals have
implemented systems designed to comply with the Joint Commission requirement, such … The National Quality Forum also recommends that hospitals establish organization-wide
approaches to … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
falls … Patient safety and computerized medication ordering at
Brigham and Women's Hospital.
-
psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
August 01, 2009 - They gave us access to a 42-bed community hospital in Needham, a suburb of Boston. … In my new book, Chasing the Rabbit , I write about Allegheny General Hospital, which had a terrible … like falls and surgical site infections. … But the rest of the hospital is not. … Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41:643-662.
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-Compendium-TechDoc-update.pdf
January 01, 2018 - Children’s hospitals are identified if the hospital facility type was listed as children in HCRIS.xviii … Investor-owned hospitals are those in which the control or ownership status
of the hospital is listed … non-Federal
general acute care hospital beds in the system are in children’s hospitals. … equity models; medical group or physician ownership of hospitals;
hospital participation in foundation … For example, if a system had two hospitals, and one hospital reported not
offering an MA product in
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2021-Compendium-TechDoc-rev.pdf
January 01, 2021 - Children’s hospitals are identified if the hospital facility type was listed as children in HCRIS.xv … non-Federal general acute care hospital beds in the system are
in children’s hospitals. … HEALTH SYSTEMS 2021
30
If the hospitals in a system report a mix of hospital- and system-level counts … equity models; medical group or physician ownership of hospitals;
hospital participation in foundation … For example, if a system had two hospitals, and one hospital
reported not offering an MA product in
-
psnet.ahrq.gov/issue/medical-devices-and-patient-safety
February 22, 2012 - September 19, 2018
Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter … review of root cause analyses of falls leading to adverse events. … October 19, 2022
Families as partners in hospital error and adverse event surveillance … hospital ICU. … January 27, 2021
Human Factors and Technology in the ICU.
-
psnet.ahrq.gov/issue/evidence-under-judgment-can-we-oversee-our-own-decision-making
May 21, 2019 - August 1, 2011
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … February 1, 2017
Researchers' roles in patient safety improvement. … September 18, 2013
Partnering to prevent falls: using a multimodal multidisciplinary
-
psnet.ahrq.gov/node/33777/psn-pdf
January 01, 2015 - It comprises a 336-bed acute care and teaching hospital, a primary and specialty care group practice … Innovation at Virginia Mason
Innovation is in the genes of Virginia Mason and is displayed in a rich … Benefits of
this approach include reducing the risk of falls, earlier mobilization following surgery … pressed on in their thinking. … In: Plsek PE.
-
psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - In addition, hospitalized seniors are at risk of falls,
fractures, and medical/medication errors.2 Older … to complications such as delirium and falls), urinary
catheters, or chemical or physical restraints … been adopted by 41 hospitals, health systems and intermediaries
in the United States and Canada, including … At Home program, which expanded on the “Hospitals Without Walls” program
implemented in response to … Hospital at home versus in-patient hospital care.
-
psnet.ahrq.gov/issue/neuroscience-critical-care-role-advanced-practice-nurse-patient-safety
September 21, 2009 - in home care related to patient safety: a cross-sectional survey. … care hospital units. … March 7, 2012
Patient safety incidents describing patient falls in critical care in North … care unit in Thailand. … June 30, 2010
Worries and concerns experienced by nurse specialists during inter-hospital
-
www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2020-Compendium-TechDoc-rev.pdf
January 01, 2020 - Children’s hospitals are identified if the hospital facility type was listed as children in HCRIS.xvi … general acute care
hospital beds in the system are in children’s hospitals. … If the hospitals in a system report a mix of hospital- and system-level counts, we
use whichever is … equity models; medical group or physician ownership of hospitals;
hospital participation in foundation … hospitals in the system.
-
psnet.ahrq.gov/issue/medical-error-malpractice-and-complications-moral-geography
August 20, 2018 - In the context of errors, malpractice, and complications, this commentary navigates ethical principles … Resources From the Same Author(s)
Education outcomes from a duty-hour flexibility trial in … January 25, 2023
Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … September 10, 2009
Lawyers say 'sorry' may sink you in court.
-
psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - upon hospital admission since the
presence of alcohol confirms continued drinking and precludes liver … Perhaps the patient in this case was eating more pre-prepared meals, which are high in salt content, … to resolve in the
short term. … As you drain fluid, the pressure in the abdomen falls exponentially and very rapidly, leading
to a rapid … reduction in right atrial pressure.
-
psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - A similar policy was in place at the admitting hospital in the case described, but it clearly did not … Although not widespread, many hospitals have implemented CPOE with clinical decision support to aid in … In one hospital where CPOE has been in place for a number of years, anticoagulants accounted for 7.2% … Pharmacist-provided anticoagulation management in United States hospitals: death rates, length of stay … High rates of adverse drug events in a highly computerized hospital.
-
psnet.ahrq.gov/node/49754/psn-pdf
February 01, 2016 - year-old man with poorly controlled diabetes was transferred to a tertiary care center from a
community hospital … survey of infection preventionists found that more than 60% of
hospitals now have nurse-led PICC teams … patterns.(10) Fueled by an
immature evidence base and financial pressures to move patients through the hospital … Although ascertaining tip position generally falls to radiologists, frontline clinicians should remember … Take-Home Points
The use of PICCs is on the rise in hospitals across the United States.
-
www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - A study of New York State hospitals found 1 in 25 patients were injured by the care they received and … For example, hospital discharge rates are 49 percent higher in the Northeast than they are in the West … An asthma program in Boston has led to an 86-percent reduction in hospital visits and 79-percent reduction … For example, hospital discharge rates were 49 percent higher in the Northeast than in the West ( Graves … In the landmark Harvard Medical Practice Study of hospitals in New York State, adverse events, where
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - This is again something that hopefully most of your hospitals have in place. … This is something that we implemented a couple of years ago in working with a network of hospitals in … hospitals in our own state of Michigan. … ’ll end up going to all 6,000 plus hospitals in the United States. … acquired complications such as falls or pressure sores.
-
psnet.ahrq.gov/issue/facilitating-safe-transition-pediatric-emergency-department-home-post-discharge-phone-call
March 13, 2015 - March 13, 2015
Medication-related emergency department visits and hospital admissions … hospital-acquired conditions. … April 5, 2023
Insights into the climate of safety towards the prevention of falls among … hospital staff. … hospital practice: factors associated with turnover, outcomes, and patient safety.