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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - 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.
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psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
March 03, 2021 - He uses examples of failures from transformation efforts in large and small businesses. … March 3, 2021
How one hospital improved patient safety in 10 minutes a day. … November 2, 2022
Special Issue on Falls. … January 15, 2020
Improving communication with primary care physicians at the time of hospital … August 29, 2011
Challenges in ethics, safety, best practices, and oversight regarding
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psnet.ahrq.gov/node/73484/psn-pdf
July 14, 2021 - visitation-restrictions-patient-experience-and-safety-
outcomes-critical
Research has found that families and caregivers play a key role in … Based on a national sample of hospitals, this study explored the impact of hospital visitation
restrictions … Results indicate
that hospitals with closed visitations experienced larger performance deficits across
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - less than a year (January 2017), hospitals with more than
50 beds may work with a PSO in order to … ■ The average hospital associated with a PSO had
more beds than the average hospital in the United … ■ The average hospital under PSO contract and the
average U.S. hospital had a similar likelihood … of
being a private, nonprofit hospital … Patient
Information Form, and Summary of Initial Report Form)
and then applying Common Formats for falls
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psnet.ahrq.gov/issue/not-overstepping-professional-boundaries-challenging-role-nurses-simulated-error-disclosures
August 04, 2021 - Study
Not overstepping professional boundaries: the challenging role of nurses in … October 19, 2011
Perceptions of nurses who are second victims in a hospital setting. … a US Hospital. … March 21, 2018
Do falls and other safety issues occur more often during handovers when … caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital
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psnet.ahrq.gov/issue/keeping-safety-priority-home-care-and-hospice-one-agencys-journey
June 05, 2019 - Keeping safety a priority in home care and hospice: one agency's journey. … Keeping safety a priority in home care and hospice: one agency's journey. … August 16, 2023
Patient Safety Innovations
Preventing Falls … September 18, 2016
Towards safer transitions: a curriculum to teach and assess hospital-to-hospice … July 8, 2009
How safe are patients in primary care?
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www.ahrq.gov/patient-safety/reports/engage/methods.html
March 01, 2017 - nationally recognized patient and family advocates, community representatives from each of the 10 MSH hospitals … produced by AHRQ's Guide to Patient and Family Engagement in Hospital Quality and Safety . 27
To … CRICOstrategies);
Meeting abstracts;
Twitter feeds;
Blog archives (e.g., KevinMD, Paul Levy "not running a hospital … Reports that focused on falls in the home were not regarded as addressing patient safety unless the falls … interactions (e.g., handoffs, medicine reconciliation systems) among caregivers (e.g., physicians and nurses, hospital
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psnet.ahrq.gov/issue/effects-emergency-department-staff-rounding-patient-safety-and-satisfaction
November 16, 2022 - Regularly scheduled rounds by nursing staff reduced falls and improved patient satisfaction in this multi-institutional … hospital practice: factors associated with turnover, outcomes, and patient safety. … July 10, 2019
Hospital readmission and parent perceptions of their child's hospital discharge … November 26, 2008
Improving patient safety in intensive care units in Michigan. … May 29, 2024
Overnight stay in the emergency department and mortality in older patients
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psnet.ahrq.gov/issue/when-5-rights-go-wrong-medication-errors-nursing-perspective
June 27, 2018 - Exploring organizational context and structure as predictors of medication errors and patient falls … hospital practice: factors associated with turnover, outcomes, and patient safety. … January 18, 2023
Realist synthesis of intentional rounding in hospital wards: exploring … the evidence of what works, for whom, in what circumstances and why. … the hospital setting: a prospective observational study.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
June 01, 2021 - High risk These residents should NOT receive penicillin or other beta-lactam antibiotics in the absence … often with white centers
that can be different sizes
� Severe maculopapular rash that required hospital … The falling rate of
positive penicillin skin tests from 1995 to 2007.
Perm J. 2009;13(2):12-18. … Drug allergies documented in electronic health
records of a large healthcare system.
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2010
January 01, 2010 - Project
Principal Investigator
Grant, Richard
Organization
Massachusetts General Hospital … However, national and local data indicate that the U.S. health care system is falling significantly short … of evidence-based goals for these three conditions, both in terms of risk-factor control and in monitoring … The Medication Metronome Project is testing a model of chronic disease medication management in which … randomized controlled trial using an existing electronic health record (EHR) at Massachusetts General Hospital
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psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
January 01, 2015 - Benefits of this approach include reducing the risk of falls, earlier mobilization following surgery, … We spoke with him about applying Lean in hospitals.
Dr. … It's no accident that some early adopters of Lean in hospitals were clinical laboratories, where there … In hospital lab settings, there are huge opportunities to improve the way we manage and to engage employees … It's trying to take these caring individuals and caring settings and making the hospital the best hospital
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psnet.ahrq.gov/issue/statement-prevention-retained-foreign-bodies-after-surgery
October 15, 2018 - The statement was revised in October 2016. … October 15, 2018
Surgical Patient Safety Essential Information for Surgeons in Today's … December 17, 2024
Preventing Patient Falls: A Systematic Approach From the Joint Commission … October 27, 2016
Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0
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hcup-us.ahrq.gov/reports/methods/2004_6.pdf
January 01, 2004 - For the
HCUP NIS, unintentional injuries were classified in terms of the following causes:
• Falls … Within unintentional injuries, the proportion of records by mechanism
(e.g., falls, motor vehicle traffic … The unintentional injuries in the hospital-based ambulatory surgery facilities tend to be for falls, … o Do hospitals report a greater number of E codes than are currently retained in
your data system? … o Do hospitals report a greater number of E codes than are currently retained in
your data system?
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/impaired-visual-acuity-in-older-adults-screening-2016
March 01, 2016 - for falls (2.45 falls/patient vs 1.68 falls/patient; rate ratio, 1.57; 95% CI, 1.20–2.05) along with … , Royal National Institute of Blind People, London; Gianni Virgili, MD, Careggi Hospital Eye Clinic, … Visual risk factors for falls in older people. J Am Geriatr Soc . 2001;49(5):508-515.
5. … Visual impairment and falls in older adults: the Blue Mountains Eye Study. … Improving vision to prevent falls in frail older people: a randomized trial.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - ■ Reduce patient harms and errors within hospital settings (e.g., falls, adverse drug interactions, … paper ordering in four size categories of hypothetical U.S. acute care hospitals. … Investigators concluded that results for hospitals will vary but, overall, CPOE with
clinical decision … harm in hospital settings. … believe they
need a fall prevention plan and then follow that plan if they know their risks of harm for
falling
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psnet.ahrq.gov/issue/outbreak-investigation-covid-19-among-residents-and-staff-independent-and-assisted-living
October 19, 2022 - COVID-19 among residents and staff of an independent and assisted living community for older adults in … COVID-19 among residents and staff of an independent and assisted living community for older adults in … of early surveillance and prevention strategies in reducing virus transmission in assisted living communities … hospital practice: factors associated with turnover, outcomes, and patient safety. … November 1, 2016
Latency of ECG displays of hospital telemetry systems: a science advisory
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psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-breast-cancer
December 17, 2020 - in patient-level quality measures; (2) health care organizations can engage the community in an effort … May 4, 2022
Error and cognitive bias in diagnostic radiology. … August 5, 2020
'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals … lure patients back in COVID-19 era. … September 28, 2010
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See More About The Topic
Hospitals
Facility
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psnet.ahrq.gov/issue/association-default-electronic-medical-record-settings-health-care-professional-patterns
February 12, 2020 - default electronic medical record settings with health care professional patterns of opioid prescribing in … Default Electronic Medical Record Settings With Health Care Professional Patterns of Opioid Prescribing in … Prescription opioids play a significant role in the ongoing opioid crisis . … This study examined whether reducing the default settings in the electronic health record (EHR) for … Stigmatizing language and the transmission of bias in the medical record.
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psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
September 29, 2021 - Review
Investigation of interventions to reduce nurses' medication errors in adult … fall prevention in a nursing home. … hospitals: a systematic review. … Indications for Drug Administration Blur
June 24, 2020
Safety enhancements every hospital … must consider in wake of another tragic neuromuscular blocker event.