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Showing results for "falls in hospitals".
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2841. "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. | PSNet
      psnet.ahrq.gov/issue/they-say-they-listen-do-they-really-listen-qualitative-study-hospital-doctors-experiences
      November 29, 2017 - hospitals in six European countries. … a tertiary hospital. … hospitals and federally qualified health centers. … October 4, 2023 The barriers and enhancers to trust in a just culture in hospital settings … Inpatient Harm January 5, 2021 View More See More About The Topic Hospitals

2842. A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/randomized-clinical-trial-compare-use-safety-net-enclosures-standard-restraints-agitated
      September 07, 2022 - July 29, 2020 Effect of medication reconciliation at hospital admission on 30-day returns … to hospital: a randomized clinical trial. … June 16, 2019 Safety in numbers? Try connectivity. … February 14, 2007 View More See More About The Topic Hospitals General … Internal Medicine Hospital Medicine Restraints Medical Device Design

2843. Predictors of adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals. | PSNet
      psnet.ahrq.gov/issue/predictors-adverse-events-and-medical-errors-among-adult-inpatients-psychiatric-units-acute
      November 06, 2019 - adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals … complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital … February 15, 2023 Incidence and method of suicide in hospitals in the United States. … September 27, 2017 Medication safety in a psychiatric hospital. … 2017 Clinical outcomes and mortality associated with weekend admission to psychiatric hospital

2844. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet
      psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
      May 19, 2021 - hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. … March 12, 2025 Hospital rating organizations' quality and patient safety scores: analysis … February 22, 2023 Association of hospital public quality reporting with electronic health … May 12, 2010 Adverse Events in Hospitals: Public Disclosure of Information About Events … Health Care Executives and Administrators Quality and Safety Professionals Hospital Medicine

2845. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. | PSNet
      psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high
      August 30, 2017 - Pharmacists are increasingly leading hospital medication reconciliation programs. … a multistate hospital network--13 academic medical centers, April-June 2020. … August 19, 2015 Medication error reporting in rural critical access hospitals in the … rural hospitals. … October 28, 2010 View More See More About The Topic Hospitals Pharmacists

2846. Effect of computer order entry on prevention of serious medication errors in hospitalized children. | PSNet
      psnet.ahrq.gov/issue/effect-computer-order-entry-prevention-serious-medication-errors-hospitalized-children
      May 27, 2011 - July 29, 2020 Families as partners in hospital error and adverse event surveillance. … June 17, 2020 Pediatric medication safety in adult community hospital settings: a glimpse … February 22, 2017 Interventions for reducing medication errors in children in hospital … October 28, 2015 Decrease in hospital-wide mortality rate after implementation of a commercially … May 26, 2011 View More See More About The Topic Hospitals Pediatrics

2847. Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. | PSNet
      psnet.ahrq.gov/issue/assessment-fidelity-interventions-improve-hand-hygiene-healthcare-workers-systematic-review
      June 02, 2019 - July 13, 2016 6-PACK programme to decrease fall injuries in acute hospitals: cluster … February 14, 2017 Strategies for improving patient safety culture in hospitals: a systematic … a just culture in hospital settings: a systematic review. … August 17, 2022 Ranking hospitals based on preventable hospital death rates: a systematic … of patients with communication disabilities in hospital.

2848. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. | PSNet
      psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-2
      March 23, 2012 - August 18, 2021 Perceived causes of prescribing errors by junior doctors in hospital … February 5, 2014 Experience of hospital-initiated medication changes in older people … Avoidable hospital admissions in Multimorbid older people (OPERAM) trial. … October 9, 2013 Perceived causes of prescribing errors by junior doctors in hospital … February 22, 2006 View More See More About The Topic Hospitals Physicians

2849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49568/psn-pdf
      September 01, 2008 - However, this proportion falls rapidly over the first few weeks of life, and by 6 months less than 40% … Table 2 highlights one hospital system's strategy for managing hyperbilirubinemia. … With a team effort on the part of knowledgeable health care providers, both in the hospital and in the … Take-Home Points Ensure adequate lactation education of hospital staff. … Hospital practices that increase breastfeeding duration: results from a population-based study.

2850. Racial Misclassification and Disparities in Mortality among AI/AN and Other Races, Washington (pdf file)
      hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or26.pdf
      June 01, 2012 - No other races were included in the analysis, as these two groups accounted for 95% of the deaths in … Whites had a much higher proportion of unintentional injury deaths due to falls than AI/ANs, possibly … include rural roads, distance from hospitals and time spent in the car. … IDEA-NW Project Northwest Portland Area Indian Health Board 7/9/2012 5 • Cancer registries • Hospital … 6% 38% 17% 4% 22% 0% 10% 20% 30% 40% 50% Motor Vechicle Crash Poisoning Drowining Falls

2851. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
      October 01, 2014 - Preventing Pressure Ulcers in Hospitals 1. Are we ready for this change? … Previous Page Next Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview … Medicare estimated in 2007 that each pressure ulcer added $43,180 in costs to a hospital stay. … It is the second most common claim after wrongful death and greater than falls or emotional distress. … Others in your hospital may have different reasons, so it is important to define the issues and reasons

2852. Implementation, Adoption, and Scaling Workgroup: Exploring Challenges and Opportunities for Patient Engagement, Implementation, Adoption, and Scaling Through PC CDS Case Studies (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-09/Final%20IAS%20PC%20CDS%20Case%20Studies%20Report_2.pdf
      January 01, 2024 - Assessing electronic health literacy at an urban academic hospital. … Health Issue: Older adults, who are at highest risk for falls, need to receive appropriate interventions … However, clinicians do not routinely ask at-risk patients about falls or their associated risk factors … Brigham and Women’s Hospital. Final Report. 2022. … Brigham and Women’s Hospital. Final Report. 2022.

2853. Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. | PSNet
      psnet.ahrq.gov/issue/association-between-hospital-acquired-harm-outcomes-and-membership-national-patient-safety
      June 29, 2022 - Study Association between hospital acquired harm outcomes and membership in a national … Association between hospital acquired harm outcomes and membership in a national patient safety collaborative … a statewide collaborative and changes in hospital safety culture. … conditions in pediatric hospitals. … awaiting long-term care in hospital.

2854. AHRQ's RED Toolkit Leads to Lower Readmissions, Better Care Transitions in Two Texas Hospitals | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201420.html
      November 01, 2014 - AHRQ's RED Toolkit Leads to Lower Readmissions, Better Care Transitions in Two Texas Hospitals Search … With a heightened focus in recent years on reducing hospital readmissions—nearly 20 percent of Medicare … After implementing an initial pilot on the telemetry floor for heart patients in 2009, the hospital expanded … At VBMC-Harlingen, RED was introduced in September 2010, after its success at its affiliated hospital … With Medicare's readmission penalties set to begin in 2012, hospital officials "knew they were at risk

2855. Chapter 2. Determining Surgical Site Infection Rates | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssi2.html
      April 01, 2018 - In Exhibit 2 , it can be seen that there were 73 SSIs, with the smallest hospital contributing only … The entire Veterans Affairs (VA) network of 152 active hospitals participates in NSQIP (its implementation … Data from the four principal hospitals were used for external validation process described in Task 2.3.2 … during a cycle. 8 Although sampling is not random, the first day of each cycle shifts the weekday it falls … Drawbacks of developing an algorithm entirely in the VA and applying it to other hospitals include the

2856. The experiences of risk managers in providing emotional support for health care workers after adverse events. | PSNet
      psnet.ahrq.gov/issue/experiences-risk-managers-providing-emotional-support-health-care-workers-after-adverse
      September 19, 2016 - April 7, 2021 Do hospitals support second victims? … October 31, 2017 Families as partners in hospital error and adverse event surveillance … October 1, 2014 Talking behind their backs: negative gossip and burnout in hospitals. … April 24, 2013 View More See More About The Topic Hospitals Health … Care Executives and Administrators Hospital Medicine Psychological and Social Complications

2857. Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. | PSNet
      psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural-adaptation-and-safety
      December 29, 2014 - This study describes the application of a CISM program in a European general hospital, which resulted … two English NHS hospitals. … December 12, 2014 Talking behind their backs: negative gossip and burnout in hospitals … May 30, 2014 How hospital leaders contribute to patient safety through the development … October 8, 2013 View More See More About The Topic Hospitals Health

2858. Program access, depressive symptoms, and medical errors among resident physicians with disability. | PSNet
      psnet.ahrq.gov/issue/program-access-depressive-symptoms-and-medical-errors-among-resident-physicians-disability
      May 19, 2021 - Resources From the Same Author(s) Assessment of overuse of medical tests and treatments at US hospitals … June 1, 2022 Analysis of hospital-level readmission rates and variation in adverse events … at a safety net hospital. … second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals … residents in the US.

2859. Strategies to reduce the risk of iatrogenic illness in complex older adults. | PSNet
      psnet.ahrq.gov/issue/strategies-reduce-risk-iatrogenic-illness-complex-older-adults
      January 12, 2022 - January 12, 2022 Medication-related harm in older adults following hospital discharge … bar-code-assisted medication administration in hospitals. … December 29, 2014 How can we keep patients with dementia safe in our acute hospitals? … March 23, 2012 The effect of medication reconciliation in elderly patients at hospital … April 27, 2011 View More See More About The Topic Hospitals Health

2860. Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study. | PSNet
      psnet.ahrq.gov/issue/discrepancies-between-clinical-diagnoses-and-autopsy-findings-critically-ill-children
      January 12, 2022 - critical care units and hospital emergency services. … Developing a programme for medication reconciliation at the time of admission into hospital … an outpatient hospital pharmacy. … teaching hospital: analysis of 100 autopsy cases in a prospective study. … September 10, 2008 View More See More About The Topic Hospitals Health