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Showing results for "falls in hospitals".
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  1. Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study. | PSNet

    psnet.ahrq.gov/issue/influence-doctor-patient-conversations-behaviours-patients-presenting-primary-care-new-or
    February 17, 2021 - Despite many advances in cancer treatment, delays in cancer diagnosis cause substantial morbidity and … : longitudinal patient record review in 21 English general practices. … November 12, 2014 Relationship between preventable hospital deaths and other measures … older adults with a history of falls: a qualitative study. … January 7, 2015 Primary care physician communication at hospital discharge reduces medication

  2. Regret among primary care physicians: a survey of diagnostic decisions. | PSNet

    psnet.ahrq.gov/issue/regret-among-primary-care-physicians-survey-diagnostic-decisions
    November 13, 2019 - Healthcare providers may feel regret when the care they provide falls short   of expectations. … study solicited experiences from 29 German primary care providers about diagnostic errors resulting in … December 13, 2023 Assessing patients' perceptions of safety culture in the hospital setting … study of triggers and effects of tense communication episodes in surgical teams. … care or hospital outpatient settings has COVID-19 disease.

  3. Healing our own: a randomized trial to assess benefits of peer support. | PSNet

    psnet.ahrq.gov/issue/healing-our-own-randomized-trial-assess-benefits-peer-support
    May 19, 2021 - Peer support programs are increasingly used to support clinicians involved in adverse events. … events can effectively support providers in short periods of time (for example, 92% of participants … in rural emergency departments. … to identification of serious injury after falls in hospital inpatients. … English hospital organizations?

  4. Stakeholder perspectives on contributors to delayed and inaccurate diagnosis of cardiovascular disease and their implications for digital health technologies: a UK-based qualitative study. | PSNet

    psnet.ahrq.gov/issue/stakeholder-perspectives-contributors-delayed-and-inaccurate-diagnosis-cardiovascular-disease
    August 18, 2021 - their experiences and challenges in coming to an accurate diagnosis . … Related Resources From the Same Author(s) Optimizing Therapy to Prevent Avoidable Hospital … Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. … multistate hospital network--13 academic medical centers, April-June 2020. … older adults with a history of falls: a qualitative study.

  5. How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey. | PSNet

    psnet.ahrq.gov/issue/how-do-patients-respond-safety-problems-ambulatory-care-results-retrospective-cross-sectional
    September 15, 2021 - How do patients respond to safety problems in ambulatory care? … How do patients respond to safety problems in ambulatory care? … September 15, 2021 How do hospital inpatients conceptualise patient safety? … December 14, 2022 Why do hospital prescribers continue antibiotics when it is safe to … September 2, 2020 Do falls and other safety issues occur more often during handovers

  6. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet

    psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
    December 23, 2020 - describes chiropractic safety incidents reported to an online reporting and learning system used in … Documented areas for learning and safety improvement included reducing patient falls, improving continuity … hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. … January 3, 2017 Variation in electronic test results management and its implications … out-of-hospital care: an ethnographic view. 

  7. Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error. | PSNet

    psnet.ahrq.gov/issue/multiple-meanings-resilience-health-professionals-experiences-dual-element-training
    August 10, 2022 - February 3, 2021 Emotion and coping in the aftermath of medical error: a cross-country … hospital. … Use of heuristics during the clinical decision process from family care physicians in … May 31, 2023 Patient Safety Innovations Preventing Falls … April 20, 2022 Nurses' attitudes to a medical emergency team service in a teaching hospital

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36604/psn-pdf
    June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports. … Since 2003, Minnesota hospitals have been required to report such incidents. … summarizes information about 610 adverse events that were reported, representing a significant increase in … The rise documented here is likely due to demands on staffing, general increases in patient complexity

  9. Interventions-Horizon-Scan-High-Impact-1306 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/interventions-horizon-scan-high-impact-1306.pdf
    June 01, 2013 - New York; Holy Cross Hospital in Maryland; Mercy St. … Anne Hospital in Ohio; Park Plaza Hospital and Medical Center in Texas; St. … Joseph Mercy Health Systems in Michigan; Roger Williams Medical Center and Fatima Hospital in Rhode … Island; and University Hospitals’ Bedford and Richmond Medical Centers in Ohio. … hospital states that unit staff receive training in both geriatrics and communication with elderly

  10. 2015 Patient Safety Core Topics and Tips. | PSNet

    psnet.ahrq.gov/issue/2015-patient-safety-core-topics-and-tips
    July 05, 2017 - September 25, 2019 How reliable are clinical systems in the UK NHS? … July 28, 2013 Clinical risk management in hospitals: strategy, central coordination and … November 16, 2011 An inpatient fall prevention initiative in a tertiary care hospital … April 21, 2010 10 Patient Safety Tips for Hospitals. … Care Providers Risk Managers General Internal Medicine Hospital Medicine View More

  11. Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say. | PSNet

    psnet.ahrq.gov/issue/hospital-error-oversight-called-lax-state-takes-too-long-investigate-mistakes-patient
    May 04, 2015 - This article explores inefficiencies in the process for reporting and investigating adverse events in … January 18, 2006 Hospitals save money, but safety is questioned. … January 4, 2006 Settlement to be used for hospital training in labeling medicines. … July 20, 2005 Hospital design plays important role in patient outcomes. … April 27, 2005 View More See More About The Topic Hospitals Facility

  12. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/business_case-slides/The-Business-Case-for-CUSP-Jan-17-2012-508.ppt
    January 01, 2012 - Administration Degree The Johns Hopkins Bloomberg School of Public Health Framing the Business Case How hospitals … valid business case Why CUSP matters: The financial pay-off Questions and answers The Process of Hospital … process, as opposed to a single intervention or a series of isolated events The Process of Hospital … intervention or a series of isolated events A System Alt text An Image of a spider web How Hospitals … Case Based Payment for a case regardless of work performed Less work equals more profit How Hospitals

  13. Center for Diagnostic Excellence. | PSNet

    psnet.ahrq.gov/issue/center-diagnostic-excellence
    July 09, 2019 - April 27, 2022 Structural empowerment, Magnet hospital characteristics, and patient safety … July 21, 2010 Workplace empowerment and magnet hospital characteristics as predictors … June 8, 2023 Recognizing Excellence in Diagnosis. … March 19, 2018 Fall Prevention in Hospitals Training Program. … September 21, 2016 View More See More About The Topic Hospitals Health

  14. University of Michigan's Patient Safety Enhancement Program (PSEP). | PSNet

    psnet.ahrq.gov/issue/university-michigans-patient-safety-enhancement-program-psep
    August 31, 2016 - 52 Michigan hospitals. … April 14, 2021 Cyberattack led to harrowing lapses at Ascension hospitals, clinicians … hospitals. … June 24, 2019 Fall Prevention in Hospitals Training Program. … March 6, 2005 View More See More About The Topic Hospitals Health Care

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866621/psn-pdf
    August 28, 2024 - But it falls short because it emphasizes the few things that go wrong rather than seeking to understand … This increase in complexity in the healthcare system and recognition of the importance of evaluating … As Safety-II has gained traction, there has been an increase in its practical application in patient … For example, New York Health and Hospitals pioneered what they call a success cause analysis, which … Children’s Hospital of Philadelphia Research Institute. January 26, 2024. Accessed July 26, 2024.

  16. Module 6: Sustainability | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-slides.html
    March 01, 2017 - Evaluation's Role in Supporting Initiative Sustainability . … Spread is covered in detail in the Spread module of the AHRQ CUSP Toolkit available on the AHRQ Web … Included in orientation of new staff? Included in competency of existing staff?  … Slide 26: Sustainability Examples: Ongoing Training 9 Partners in Care in New York City utilized … Tool 6A: Sustainability Tool: Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care

  17. In Conversation With… Christine Cassel, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-christine-cassel-md
    February 26, 2025 - sector (all the key government agencies) and the private sector (the insurance industry, clinicians, hospitals … feasible is it to get this data, and would it be hugely expensive and very difficult for doctors and hospitals … But these are considered the core harms that, particularly in patient safety, hospitals work to try to … Or a patient falls or gets what might be a preventable pressure ulcer, or a mistake occurs in a surgical … February 10, 2010 View More See More About The Topic Hospitals Health

  18. Final Progress Report: Evaluation of Risk by Active Surveillance in the Emergency Department (ERASED) (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/hall1-report.pdf
    January 01, 2024 - Many, if not most, hospitals implement incident reporting systems with a classification scheme for types … Aim 2 – Standard Hospital Incident Reporting System Data Collection. … Patient Factors (e.g., intoxication, behavioral issues) 5 Patient Complaints 4 Other Testing 1 Patient Falls … Of note, there were no falls reported during the active surveillance. … level (e.g., patients leaving against medical advice, falls).

  19. Slide 1

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/module-6-slides.pptx
    March 01, 2017 - How do you see other projects sustained in your facility? … Included in orientation of new staff? Included in competency of existing staff?  … Evaluation’s Role in Supporting Initiative Sustainability. … Tool 6A: Sustainability Tool: Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/hospital

  20. NAA Data Tools – National Healthcare Safety Dashboard

    datatools.ahrq.gov/action-alliance/
    June 30, 2024 - patient during a single hospitalization (e.g., two or more falls). … Other Acute Care Hospitals participating in IPPS, Critical Access Hospitals, and Indian Health Service … Records from IHS hospitals are not included in the analyses presented on this dashboard because IHS hospitals … are sampled differently than the hospitals in all other cohorts. … report Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 .
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