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Showing results for "falls in hospitals".
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2421. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33875/psn-pdf
      March 01, 2019 - The system at Harvard Vanguard had 15 offices; we did deliveries in 5 hospitals and had 4 more for just … And EHR certainly falls into that. … They were in the best position in terms of having hospitals that they were actively affiliated with … Nobody who's going to die should die in a tertiary care hospital unless it's their neighborhood hospital … The person in the secondary hospital is trying to figure out who to call because it's not clear.

2422. AHRQ Patient Safety YouTube Channel. | PSNet
      psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
      December 24, 2008 - December 24, 2008 AHRQ Health Information Technology Research: 2018 Year in Review. … May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … May 24, 2015 Training of Hospital Staff To Respond to a Mass Casualty Incident. … July 19, 2023 Health IT Patient Safety Supplemental Items for Hospitals. … October 25, 2017 Fall Prevention in Hospitals Training Program.

2423. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43016/psn-pdf
      May 28, 2014 - Identification of serious and reportable events in home care: a Delphi survey to develop consensus. … Identification of serious and reportable events in home care: a Delphi survey to develop consensus. … that 10% of home care patients experienced an adverse event, an incidence comparable to that found in … This study used a Delphi approach to determine the types of adverse events in home care that should … be considered serious (in terms of the level of patient harm) and preventable.

2424. 2016 Hospital Survey on Patient Safety Culture Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/2016/2016_hospitalsops_report_pt1.pdf
      January 01, 2016 - Overall Hospital Statistics As shown in Table 2-1, the 680 database hospitals include 209 hospitals … here: If your hospital's score is 65%, your score falls here: • If your hospital’s score is … 55 percent positive, it falls above the 75th percentile (but below the 90th), meaning that your hospital … • If your hospital’s score is 65 percent positive, it falls above the 90th percentile, meaning your … hospital scored higher than at least 90 percent of the hospitals in the database.

2425. Clinical Classifications Software (CCS) for ICD-9-CM
      hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp
      July 01, 2025 - In-Hospital Mortality in Acute Ischemic Stroke Treated With Hemicraniectomy in US Hospitals. … hospitals? … Community Hospitals in the Early 1990s, Revisited," Health Services Utilization by Individuals with … Risk factors for pressure ulcers in acute care hospitals. … Emergency department transfers and transfer relationships in United States hospitals.

2426. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49785/psn-pdf
      February 01, 2017 - https://psnet.ahrq.gov/web-mm/refused-medication-error The Case A 59-year-old man was admitted to the hospital … transfers and handoffs, are the leading causes of inadvertent patient harm.(6,7) It is estimated that US hospitals … Throughout the care in the hospital, the patient's refusal to take lactulose had been entered into the … at a Texas hospital that allowed a patient with Ebola to leave the hospital undetected. … Quantifying the economic impact of communication inefficiencies in U.S. hospitals.

2427. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
      January 01, 2025 - There are two primary organizational forms of children’s hospitals: a free-standing hospital or a large … As an example, use of a FMEA to evaluate the slips and falls prevention process in one hospital resulted … in a 50% reduction in slips and falls over a 2-year period.14 C.6. … BMJ 1998;316:1154-57. 19 Engineers study design, hospital cuts falls 50%. … Hospital Reported medical errors in children.

2428. Enhancing Performance Via Integrated Health Systems (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/casalino.ppt
      February 16, 2011 - way the inter-relationships outlined in the conceptual model between structure, incentives, processes … hospital or MD-owned? is the percentage of physicians employed by hospitals increasing? … the demography of organizations in the delivery system continual efforts by these organizations to … how much weight should be given to patient experience in evaluating quality? … this any sort of justice 4/6 evaluation grants and 4/4 demonstration grants can be categorized as falling

2429. Myth Busting: Using the CG-CAHPS 12-Month Survey for Quality Improvement (Webcast) | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/news-and-events/events/20131008_cg/webcast_10_08_13_cg.html
      July 01, 2018 - Moreover, it is critical for health care organizations to streamline their surveying efforts in order … , MBA Manager of Service Excellence and Interim Director of Process Improvement Dean Clinic in … and Massachusetts General Physicians Organization in Boston Nyeko's Presentation slides (PDF, … and Massachusetts General Physicians Organization in Boston Evans' Presentation slides (PDF, … Read Huddle Messages (PDF, 171 KB)  from Massachusetts General Hospital

2430. Table 13A: National Home and Community-Based Services Population | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13.html
      December 01, 2012 - Pressure Ulcer 4,010 3,925 2,853 4,175 3,854 2,547 2,961 4,271 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2431. Table 13G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13g.html
      December 01, 2012 - Pressure Ulcer 4,497 4,649 3,696 5,077 4,632 2,818 3,647 5,097 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2432. Table 13E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
      December 01, 2012 - Pressure Ulcer 3,490 2,892 2,126 3,314 2,623 2,679 2,298 3,287 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2433. Table 13B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13b.html
      December 01, 2012 - Pressure Ulcer 4,306 4,221 3,413 4,523 4,155 3,058 3,454 4,564 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2434. Table 13D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13d.html
      December 01, 2012 - Pressure Ulcer 1,490 1,499 1,251 1,746 1,431 1,216 1,326 1,488 Injurious Falls … All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS … Eligibility for Medicare defined as inclusion in Medicare denominator file. … Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare. … Sources for column heading data are described in the Appendix .

2435. Improving hospital performance: culture change is not the answer. | PSNet
      psnet.ahrq.gov/issue/improving-hospital-performance-culture-change-not-answer
      September 27, 2016 - performance management, and training should be the primary emphasis during culture change initiatives within hospitals … April 20, 2011 6-PACK programme to decrease fall injuries in acute hospitals: cluster … February 14, 2017 Assessment of overuse of medical tests and treatments at US hospitals … a VA hospital: design and outcomes. … PhD, MA December 1, 2006 View More See More About The Topic Hospitals

2436. Hospital safety climate surveys: measurement issues. | PSNet
      psnet.ahrq.gov/issue/hospital-safety-climate-surveys-measurement-issues
      December 16, 2009 - Hospital safety climate surveys: measurement issues. … December 16, 2009 Senior charge nurses' leadership behaviours in relation to hospital … April 11, 2012 An inpatient fall prevention initiative in a tertiary care hospital. … public hospitals. … August 29, 2007 View More See More About The Topic Hospitals Health

2437. December 2021 CDS Connect Work Group Call (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_Work_Group_December_2021.pdf
      January 01, 2021 - MITRE) 3:02 – 3:05 Review of the Agenda, Michelle Lenox (MITRE) 3:05 – 3:10 Kick-off “One More Step” in … grantees – Chris Harle (University of Florida), David Dorr (OSHU), and Patty Dykes (Brigham and Women’s Hospital … theory is well accepted, but it isn’t happening in practice • It is necessary to ensure resources … • Do you know of, or participate in, a community of people with experience with partnering? … lay terms] • Desired impact: [Stated in lay terms] • Share your experience working with patients in

2438. Nearly 90 major medical mistakes logged at Utah hospitals in 2008. | PSNet
      psnet.ahrq.gov/issue/nearly-90-major-medical-mistakes-logged-utah-hospitals-2008
      July 02, 2009 - Citation Text: Nearly 90 major medical mistakes logged at Utah hospitals in 2008. May H. … October 10, 2012 Deaths in Acute Hospitals: Caring to the End? … January 4, 2017 HealthGrades Eighth Annual Patient Safety in American Hospitals Study … Disclosures will benefit hospital, president insists. … August 5, 2009 Never events: Utah hospitals saw nearly 60 serious errors in 2007.

2439. In Conversation With… Mark Graban, MS, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
      January 01, 2015 - 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 … Benefits of this approach include reducing the risk of falls, earlier mobilization following surgery,

2440. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43387/psn-pdf
      August 20, 2014 - The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional … The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional … the rates of six adverse events considered to be directly related to nursing care: pressure sores, falls … One in seven hospitalized adults experienced at least one of these adverse events.