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  1. www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
    January 01, 2024 - from the Hospital to LTPAC. … from LTPAC to the Hospital. … Engaging LTPAC Providers in Hospital Care Coordination Efforts: The Why and How. … Clinical information technology in hospitals: A comparison between the state of Iowa and provinces in … Information technology sophistication in health care: An instrument validation study among Canadian hospitals
  2. hcup-us.ahrq.gov/reports/statbriefs//sb314-hospital-differences-HAIs-2019-2021.pdf
    January 01, 2021 - These statistics are hospital-level averages of HAI rates in non-Federal acute-care hospitals (2,828 … hospitals in 2019 and 2,800 hospitals in 2021). … ; SNH, safety-net hospital Notes: In 2021, 5 hospitals were missing safety-net status (refer to Table … ; SNH, safety-net hospital Notes: In 2021, 5 hospitals were missing safety-net status (refer to Table … Hospitals were ranked within the State by this percentage, and those hospitals falling in the top 25
  3. hcup-us.ahrq.gov/reports/statbriefs/sb314-hospital-differences-HAIs-2019-2021.pdf
    January 01, 2021 - These statistics are hospital-level averages of HAI rates in non-Federal acute-care hospitals (2,828 … hospitals in 2019 and 2,800 hospitals in 2021). … ; SNH, safety-net hospital Notes: In 2021, 5 hospitals were missing safety-net status (refer to Table … ; SNH, safety-net hospital Notes: In 2021, 5 hospitals were missing safety-net status (refer to Table … Hospitals were ranked within the State by this percentage, and those hospitals falling in the top 25
  4. psnet.ahrq.gov/perspective/safety-medical-devices
    June 01, 2011 - Warranty and USFDA approval concerns precluded the hospital from modifying the equipment. … The hospital developed a report of the event for the manufacturer. … Letters: How to reduce tube mix-ups in hospitals. New York Times. August 25, 2010:A26. 7. … This is true in government, and it would be true in industry, and I suspect it would also be true inHospital managers have to be especially aware of the risks of hierarchic organizations.
  5. www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
    January 01, 2025 - This decision was in part based on a Leapfrog Group study of 1,200 hospitals. … U.S. hospitals. … cancer; osteoporosis; gastrointestinal conditions, including GERD; geriatric conditions, including fallsin the hospital). … a consumer tools to quantifiably compare hospitals in the United States.
  6. psnet.ahrq.gov/web-mm/failure-rescue-mother
    September 23, 2020 - The Case A 27-year-old woman, G5 P2 A2, was first admitted to the hospital at 25 weeks of pregnancy for … Gregory, MD, MPH The United States spends more than any other country on hospital-based maternity care … Standardized ratios vary (6:4:1 vs 4:4:1), but should be consistent throughout the hospital.( 4 ) In … a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety.
  7. psnet.ahrq.gov/web-mm/check-twice-transport-once
    March 15, 2023 - Throughout the hospital, there can be variability in how patients are transported, which is often dictated … Incidence of patient safety events and process-related human failures during intra-hospital transportation … Incidence of adverse events associated with the in-hospital transport of critically ill patients. … Ticket to ride: reducing handoff risk during hospital patient transport.  … , 2003 View More See More About The Topic Patient Transport Hospitals
  8. psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
    January 31, 2024 - During the night shift, the hospital unit was short-staffed, and her external catheter system fell off … In the US, each year, 1-2% of all hospital discharges (involving approximately 500,000 patients) are … Had this process happened in the current case, the patient may have considered staying in the hospitalin Beirut, Lebanon. … Another Fall April 1, 2003 View More See More About The Topic Hospitals
  9. hcup-us.ahrq.gov/reports/statbriefs/sb308-hospital-sepsis-2019-2021.pdf
    January 01, 2021 - hospital cost, and a higher in-hospital mortality rate for sepsis stays than rural hospitals …  The in-hospital mortality rate for sepsis stays in rural hospitals increased by 29.0 percent from … ■ In both 2019 and 2021, urban hospitals of all types had a higher in-hospital mortality rate for … :  The in-hospital mortality rate for sepsis stays was highest in public, non-federal hospitals compared … Hospitals were ranked within the state by this percentage, and those hospitals falling in the top 25
  10. effectivehealthcare.ahrq.gov/sites/default/files/pdf/wheelchair-users-amended-protocol.pdf
    June 21, 2019 - index (BMI); weight; depression; quality of life; time to wheelchair use; amount of wheelchair use; falls … of physical activity, such as injuries that are associated with wheeled mobility device use (e.g., falls … obesity; BMI; weight; depression; quality of life; time to wheelchair use; amount of wheelchair use; falls … body fat Mental health • Depression, quality of life, anxiety, stress, sleep General function • Falls … Some outcomes may occur across etiologies (e.g., falls, BMI) and will be reported both overall and by
  11. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
    January 01, 2024 - this case, combined operations cannot be performed in every hospital that has a cardiac catheterization … patients who present to rural or safety net hospitals with limited capabilities. – Delays in such transfers … the cardioversion shock must be synchronized with the ECG to prevent the shock from inadvertently falling … to hospitals with and without revascularization services. … Audit of defibrillators at an urban public sector hospital. Heart Asia. 2018;10(2):e011065.
  12. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/SOPS101_Webcast_Transcript.pdf
    June 01, 2022 - We had a webcast last year in October about the transitioning from Hospital SOPS 1 to Hospital SOPS … Well, in 2017, AHRQ released supplemental items assessing value and efficiency to help hospitals and … Using 73 hospitals, we found that higher Hospital SOPS scores were associated with better HCAHPS patient … We used 179 hospitals and we found that higher patient safety culture, or Hospital SOPS scores, were … And Theresa, when can hospitals expect to receive their feedback reports from the 2020 Hospital SOPS
  13. digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdf
    January 01, 2008 - Just as in the acute and ambulatory care settings, strategic investments in information technology in … The ancillary departments of Providence Hospital provide HIT support to Carroll Manor. … • The Evangelical Lutheran Good Samaritan Society (ELGSS) (National Campus located in Sioux Falls … • Good Samaritan Society – Sioux Falls Village, (Sioux Falls, SD): 184 beds • Good Samaritan … Facility HIT Vendors HIT Implementation Scope The Evangelical Lutheran Good Samaritan Society Sioux Falls
  14. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
    May 01, 2023 - It thus potentially prevents diagnostic errors by preventing patients from “falling through the cracks … the hospitals and health systems in which PFACs are embedded. … foundational education about diagnostic errors and tangible ideas and suggestions for PFACs and their hospital … Research & Educational Trust (HRET) Hospital Improvement Innovation Network (HIIN) team and the Society … Improving Diagnosis in Health Care 4.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33771/psn-pdf
    August 22, 2014 - Beyond the Hospital: the New Frontier of Patient Safety. PSNet [internet]. 2014. … in disability or death.(4) In a study of 400 patients discharged from a tertiary academic hospital, … On the other hand, hospitals with advanced decision support systems were able to detect or prevent 70% … we have learned from the hospital, some advances in ambulatory patient safety will come from our growing … help inform future improvement efforts in the hospital.
  16. psnet.ahrq.gov/web-mm/production-pressures
    November 16, 2022 - A second anesthesiologist in the group spends the day in the operating room (OR) supervising three nurse … Very often, changes in workload occur in health care in an unpredictable manner. … such days—for example, could an anesthesiologist be pulled from a critical care unit or an affiliated hospital … January 20, 2021 Information flow during pediatric trauma care transitions: things falling … Fumbled Handoff March 1, 2004 View More See More About The Topic Hospitals
  17. psnet.ahrq.gov/web-mm/departure-central-line-ritual
    October 13, 2018 - "( 1,2 ) Nevertheless, this error continues to occur in numerous hospitals annually with a relatively … constant event rate of 0.04 to 0.08 reported events per 1000 staffed hospital beds.( 3 ) In order to … in any procedure. … Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care. … a multistate hospital network--13 academic medical centers, April-June 2020.
  18. www.uspreventiveservicestaskforce.org/uspstf/recommendation/coronary-heart-disease-screening-using-non-traditional-risk-factors-2009
    October 15, 2009 - Importance Coronary heart disease (CHD) is the most common cause of death in adults in the … adults in the United States. … Using a risk assessment tool is a key step in managing CHD risk in patients. … DeWitt, MD (Children's Hospital Medical Center, Cincinnati, Ohio); Kimberly D. … Coronary heart disease risk prediction in the Atherosclerosis Risk in Communities (ARIC) study.
  19. psnet.ahrq.gov/web-mm/elopement
    July 14, 2010 - In the course of his ED visit, no one questioned the presence of a hospital ID bracelet and hospital … Pleading and practice forms, hospitals. In: American Jurisprudence. 2nd ed. … Hospitals and asylums. In: American Jurisprudence. Vol 40A. 2nd ed. … July 14, 2010 A strategic approach for managing conflict in hospitals: responding to … December 21, 2014 Clinical deterioration and hospital‐acquired complications in adult
  20. psnet.ahrq.gov/perspective/conversation-withwilliam-b-weeks-md-mba
    May 01, 2009 - were complications at the hospital, the profit margin for the hospital was reduced but not eliminated … WW : That will provide a nice incentive for hospitals to address the issue. … So think of yourself managing a hospital, and people from Dartmouth come in and say, "You need to reduce … Where do you see the translation falling short? … Hospital Transport?)