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psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
April 12, 2011 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in … fall prevention in a nursing home. … Perspectives on Safety
Interview
In … 2024
Peer support and second victim programs for anesthesia professionals involved in … November 14, 2011
View More
See More About The Topic
Hospitals
Operating
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psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
September 08, 2021 - Study
Safety climate associated with adverse events in nursing homes: a national … Safety climate associated with adverse events in nursing homes: a national VA study. … survey found that supervisor commitment to safety was associated with lower rates of major injuries from falls … and that environmental safety was associated with lower rates of pressure ulcers, major injuries from falls … Safety climate associated with adverse events in nursing homes: a national VA study.
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psnet.ahrq.gov/node/74871/psn-pdf
October 01, 2023 - ahrq-safety-program-mrsa-prevention
Methicillin-resistant Staphylococcus aureus (MRSA) infections are a persistent challenge in … hospitals. … project supports the implementation of targeted healthcare-acquired infection prevention initiatives in … The first of
three planned toolkits, Toolkit for MRSA Prevention in ICU & Non-ICU Settings, is now available … is planned for spring 2025, and a third toolkit focused on long-
term care settings is anticipated in
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psnet.ahrq.gov/node/46604/psn-pdf
January 08, 2018 - A significant
proportion noted safety incidents in the course of managing chronic illness, including … falls, adverse drug
events, and errors in diagnosis or treatment. … These results underscore the need to include patients in
efforts to improve the safety of chronic disease
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psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
August 30, 2023 - Review
Wireless technologies and patient safety in hospitals. … Wireless technologies and patient safety in hospitals. Telemed J E Health. 2006;12(3):373-82. … Wireless technologies and patient safety in hospitals. Telemed J E Health. 2006;12(3):373-82. … March 13, 2013
The problem of engaging hospital doctors in promoting safety and quality … July 26, 2011
Patient Safety in Public Hospitals.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/hip-fracture-pain_research-protocol.pdf
December 09, 2009 - Quality of sleep in the hospital
g. Ability to participate in rehabilitation
h. … either sex who are diagnosed as having an acute hip fracture resulting
from low energy trauma (e.g., slip … and fall) will be included. … , the ability to participate in rehabilitation, the quality of sleep in hospital,
and length of stay … The prognosis of falls in elderly people living at home. Age
Ageing 1999;28:121-5.
12.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar6_pu_woundassesst.pdf
April 01, 2011 - International Ostomy Guidelines
(2014)
• Editorial board member of Ostomy
Wound Management and Advances
in … skin and/or underlying
tissue usually over a bony prominence, as a
result of pressure, or pressure in … • Deep tissue injury may be difficult to
detect in individuals with dark skin tone. … document exactly what you see than
have a facility-acquired wound.
23
Bruise
Causes of sDTI
• Falls … Preventing
pressure ulcers in hospitals: a toolkit for improving
quality of care.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi/slides.html
July 01, 2013 - to Zero and Sustaining Success: The Virginia Experience
Barbara Brown, Vice President
Virginia Hospital … date: February 2010)
Cohort 6 (start date: March 2011)
Virginia
# Hospitals
# Units … Submission, Cohort 3
Team Checkup Tool submission proved to be challenging among all of Cohort 3, falling … and third quarters in 2011, there was a slight increase in CLABSIs. … “Good Catch” Program
Hospital leadership gives “good catch” pins to staff who identify and correct
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www.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - Potential problems include medication errors, falls, infections, procedural complications, management … helps patients prepare for hospital discharge. … patients, and pilot testing interventions to improve diagnostic safety in acute care. … In 2021, Dr. … In related work, Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
June 02, 2025 - How To Manage Change
How To Manage Change
ADD Hospital Name
Module 2
QI Change Process
Change process … strategies can be applied to other quality improvement (QI) efforts:
Hospital falls
Catheter-associated … This information helps you define resources this hospital has for quality improvement. … You’ll want to address these areas in the
Action Plan. … How changes in performance will be assessed.
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psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
May 27, 2011 - Study
A human right-based approach to dealing with adverse events in residential … A human right-based approach to dealing with adverse events in residential care facilities. … January 6, 2017
Improving patient safety in the ED waiting room. … hospital settings: a systematic review of the international literature. … March 10, 2021
Assessment of nursing home reporting of major injury falls for quality
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/ehc-depression-research-protocol.pdf
February 07, 2018 - a history of falls or fractures.5
However they noted that there may be situations when use of these … include:
• Age group (65 to 74y, 75 to 84y, and ≥85y)
• Gender
• Race or ethnicity
• Risk of falls … events, as defined per the study
• Hospitalization
• Emergency room visit
• Falls
• Fractures
• … Hospital or urgent
care settings will be excluded. … care setting (i.e. specialist or
generalist outpatient setting,
rehabilitation or nursing home)
Hospital
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psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis
February 21, 2024 - A critical reflection on the use of SHERPA and FRAM in healthcare. … June 10, 2020
The problem with making Safety-II work in healthcare. … April 13, 2022
Reducing falls in hospitalized children and adolescents with cancer and … August 4, 2021
Families as partners in hospital error and adverse event surveillance. … February 12, 2020
Automatic detection of omissions in medication lists.
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psnet.ahrq.gov/node/60280/psn-pdf
April 29, 2020 - the biggest threat to patient
safety resulting from missed, rationed or unfinished care, and that falls … (with or without injury) and hospital-
acquired infections are the most common resulting adverse events
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psnet.ahrq.gov/node/60028/psn-pdf
March 11, 2020 - advocacy-and-patient
Over 1,000 nurses across 40 medical/surgical or telemetry units throughout seven hospitals
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www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
February 01, 2017 - Postoperative deep vein thromboses, patient falls, and adverse drug events also yield significant additional … Hospitals around the country are focused on improving efficiency and reducing unnecessary costs. … reduction in ICU days, and a 6.3-day reduction in the total LOS in the hospital. … they spend in the ICU and in the hospital altogether. … length of stay in the ICU and the hospital through specific interventions.
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - "( 3 ) In this case, the hospital team provided excellent diagnosis and treatment planning. … In one study, 21% were readmitted within 2 weeks compared to 3% in a matched control group.( 7 ) Hospitals … should develop strategies to prevent AMA discharges just as they develop strategies to prevent falls … the crucial go-between for the hospital staff.( 12 ) Sometimes adjustments in the hospital regimen can … Hospitals should plan in advance how to deal with that risk.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
October 01, 2022 - injuries was drug overdose (which accounted for over 40% of unintentional injury deaths),
followed by accidental … falls and motor vehicle accidents (each of which accounted for
approximately 20% of unintentional injuries … • By contrast, the number of “employed and at work” healthcare workersi in hospitals and in
nursing … Hospitals Serving Communities That Experience Higher Risk for Poor Health Outcomes
Hospital Bed Capacity … Opioid-Related Hospital Stays and Emergency Department Visits Among All Income Groups
Increases in
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www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.html
December 01, 2017 - incentives, processes, and patient engagement of a delivery system organization (i.e., medical group, hospital … Huge gaps in knowledge.
Very little funding available for this. … Hospital or MD-owned?
is the percentage of physicians employed by hospitals increasing? … the demography of organizations in the delivery system. … this any sort of justice.
4/6 evaluation grants and 4/4 demonstration grants can be categorized as falling
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psnet.ahrq.gov/issue/patient-safety-issues-advanced-practice-nursing-students-care-settings
April 10, 2013 - Study
Patient safety issues in advanced practice nursing students' care settings. … Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. … Patient Safety Issues in Advanced Practice Nursing Studentsʼ Care Settings. … 9, 2011
Association of registered nurse and nursing support staffing with inpatient hospital … 27, 2024
Patient Safety Innovations
Preventing Falls