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Showing results for "falls in hospitals".
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2921. Medication Safety Events Related to Diagnostic Imaging | PSNet
      psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
      January 26, 2022 - a community hospital for sepsis due to pyelonephritis and bacteremia. … Nurses are at the forefront of patient care in the acute care hospital setting and play a critical role … Levels of Sedation The ASA has identified four levels of sedation (Table 2). 8 Typical sedation for MRI falls … Opioid utilization and opioid-related adverse events in nonsurgical patients in US hospitals.  … Ochsner J . 2013;13(2):214-223. [ Free full text ] Minnesota Hospital Association.

2922. 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.

2923. 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

2924. Screening for Osteoporosis to Prevent Fractures: USPSTF Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/ffNDS7ekxovstoCxxtLJVt
      February 13, 2018 - The USPSTF has made recommendations on interventions to prevent falls in community-dwelling older adults … Useful Resources for Primary Care The USPSTF recommends exercise interventions to prevent falls in community-dwelling … values and preferences; it recommends against vitamin D supplementation to prevent falls.20 In a separate … Philadelphia (Doubeni); Virginia Tech Carilion School of Medicine, Roanoke (Epling); Nationwide Children’s Hospital … Interventions to prevent falls in community-dwelling older adults: US Preventive Services Task Force

2925. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49849/psn-pdf
      January 01, 2019 - psychiatric units were medication errors (17.2 per 100 discharges), adverse drug events (4.1), and falls … Analysis of 12 years' worth of root cause analysis reports from all VA hospitals in the US identified … hospital with a free-standing psychiatric facility. … Behavioral health staff in free-standing psychiatric hospitals may have limited access to physicians … Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental

2926. Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. | PSNet
      psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn
      June 24, 2020 - But are hospitals getting any safer? … September 16, 2020 'I'm smiling under here': Masks, plexiglass and questions the norm as hospitals … lure patients back in COVID-19 era. … June 7, 2023 Hospitals in two states denied an abortion to a miscarrying patient. … May 31, 2023 Why do so many Black women die in pregnancy?

2927. Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis. | PSNet
      psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
      August 16, 2023 - But it may be overlooked in people with dark skin. … May 24, 2023 Cyberattack led to harrowing lapses at Ascension hospitals, clinicians say … hospitals. … January 17, 2024 Stranded in the ER, seniors await hospital care and suffer avoidable … care among women in Appalachia.

2928. Root cause analysis. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis
      June 15, 2016 - August 4, 2021 Families as partners in hospital error and adverse event surveillance. … April 24, 2018 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … common cause analysis of safety events at a pediatric hospital.

2929. Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. | PSNet
      psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
      March 14, 2023 - patient safety movement has raised awareness of the presence of multiple factors that align to result in … May 3, 2023 Assessing medication safety in settings not designated solely for pediatric … April 5, 2023 A hard look at hard stops and workarounds in the acute care setting. … December 30, 2014 View More See More About The Topic Hospital Pharmacists … Hospitals Quality and Safety Professionals Nurse Care Hospital Pharmacy View More

2930. Nurses: Guilty verdict for dosing mistake could cost lives. | PSNet
      psnet.ahrq.gov/issue/nurses-guilty-verdict-dosing-mistake-could-cost-lives
      April 27, 2022 - blaming individuals for medical errors towards a systems-based approach to learning what went on, in … order to prevent similar errors in the future. … at hospital discharge and its associated adverse drug outcomes. … July 5, 2023 Hospitals in two states denied an abortion to a miscarrying patient. … May 31, 2023 Why do so many Black women die in pregnancy?

2931. Patient safety: listen to whistleblowers. | PSNet
      psnet.ahrq.gov/issue/patient-safety-listen-whistleblowers
      May 22, 2019 - The latent nature of failure in health care is enabled by organizational inability or unwillingness … This commentary discusses a rare criminal event in the British National Health System (NHS) and the … January 12, 2022 In the wake of hospital inquiries: impact on staff and safety. … Data-driven quality improvement, culture change, and the high reliability journey at a special hospital … June 16, 2019 View More See More About The Topic Hospitals Medicine

2932. Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. | PSNet
      psnet.ahrq.gov/issue/smarter-clinical-checklists-how-minimize-checklist-fatigue-and-maximize-clinician-performance
      July 10, 2017 - September 21, 2016 Intercepting wrong-patient orders in a computerized provider order … Era January 1, 2017 An anesthesiology department leads culture change at a hospital … June 21, 2017 Addressing disease-related malnutrition in hospitalized patients: a call … September 9, 2015 Back to basics: checklists in aviation and healthcare. … December 22, 2010 View More See More About The Topic Hospitals Health

2933. Workplace bullying in the OR: results of a descriptive study. | PSNet
      psnet.ahrq.gov/issue/workplace-bullying-or-results-descriptive-study
      December 21, 2017 - Workplace Bullying in the OR: Results of a Descriptive Study. … Workplace Bullying in the OR: Results of a Descriptive Study. … hospital settings. … hospital practice: factors associated with turnover, outcomes, and patient safety. … November 16, 2022 Families as partners in hospital error and adverse event surveillance

2934. Surgical 'never events': how common are adverse occurrences? | PSNet
      psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
      November 16, 2022 - He concludes that, because adverse events occur infrequently in individual institutions, large-scale … July 12, 2010 Families as partners in hospital error and adverse event surveillance. … August 14, 2019 Association of patient and family reports of hospital safety climate … with language proficiency in the US. … Conversation with Edwin Boudreaux about Suicide Prevention March 24, 2025 Hospital

2935. Educational interventions to reduce prescribing errors. | PSNet
      psnet.ahrq.gov/issue/educational-interventions-reduce-prescribing-errors
      October 19, 2022 - August 4, 2021 Families as partners in hospital error and adverse event surveillance. … November 16, 2022 Changes in medical errors after implementation of a handoff program … November 12, 2014 6-PACK programme to decrease fall injuries in acute hospitals: cluster … an acute hospital setting. … June 13, 2011 Potential medication dosing errors in outpatient pediatrics.

2936. Preventing complications of central venous catheterization. | PSNet
      psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization
      September 02, 2015 - March 10, 2011 Incidence and trends of sepsis in US hospitals using clinical vs claims … August 20, 2018 Duty hours in emergency medicine: balancing patient safety, resident … May 29, 2024 Building a Culture of Safety in Health Care. … June 28, 2023 What US hospitals are doing to prevent common device-associated infections … 52 Michigan hospitals.

2937. The meaning of justice in safety incident reporting. | PSNet
      psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting
      April 11, 2011 - Commentary The meaning of justice in safety incident reporting. … The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13. … August 10, 2005 Quality improvement implementation and hospital performance on patient … October 23, 2024 Families as partners in hospital error and adverse event surveillance … May 1, 2019 Leading a highly visible hospital through a serious reportable event.

2938. Do some surgical implants do more harm than good? | PSNet
      psnet.ahrq.gov/issue/do-some-surgical-implants-do-more-harm-good
      January 14, 2011 - industry  processes that reduce the reliability of surgical implants , including gaps and weaknesses in … a multistate hospital network--13 academic medical centers, April-June 2020. … Thousands are saved in his wake. … June 28, 2023 Hospitals in two states denied an abortion to a miscarrying patient. … February 19, 2020 EMS crews brought patients to the hospital with misplaced breathing

2939. Clinical decision support and malpractice risk. | PSNet
      psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
      September 24, 2017 - Multiple patient safety events within a single hospitalization: a national profile in … US hospitals. … January 10, 2017 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022 Case outcomes in a communication-and-resolution program in New York … hospitals.

2940. Iatrogenic delirium and coma: a "near miss." | PSNet
      psnet.ahrq.gov/issue/iatrogenic-delirium-and-coma-near-miss
      September 23, 2020 - the Same Author(s) Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … March 19, 2019 Improving handoffs in the emergency department. … 27, 2011 Effect of computer order entry on prevention of serious medication errors in … October 23, 2018 Association of diagnostic stewardship for blood cultures in critically