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  1. psnet.ahrq.gov/web-mm/double-dosing-rules
    February 03, 2010 - The medications were administered by the night-shift nurse when they arrived on the unit at 6:00 AM, in … For example, in this case, both the night and day nurses followed the 5 Rights when they administered … care, and changes in level of care. … Technology Responses to COVID-19 July 21, 2020 Financial incentives to reduce hospital-acquired … December 9, 2020 Safety enhancements every hospital must consider in wake of another
  2. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Tackling_Low_Health_Literacy_Among_PCP_2012_05_01_Transcript.pdf
    January 01, 2012 - issues, and you can conduct from a system perspective what are called environmental assessments of hospitals … , participate in peer learning discussions and simulation training in the morning. … There’s one item in there that specifically asks, ‘In the last 12 months, how often did this doctor … And so we’re really looking forward to release of the future health literacy item sets for say the Hospitals … This podcast was a little bit unique in that you’re really in the process of rolling out this intervention
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
    October 01, 2024 - Many of these adverse events could be avoided given that 30% to 50% of antibiotic use in hospitals is … time in two of the participating hospitals, with the gray area representing the time period of the antibiotic … In both hospitals, the blue dots and lines are MSSA rates. … In the hospital represented in the top graph, MRSA rates are in red and in the hospital in the bottom … A significant decrease in MRSA rates can be appreciated in both hospitals, particularly after the initiation
  4. www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - For this investigation, put yourself in the place of those involved—and in the middle of the event as … Work environment           Departmental factors           Hospital … For this investigation, put yourself in the place of those involved—and in the middle of the event as … Hospital Factors   The central stores department reliably delivers patient warmers to perioperative … Institutional Factors   Hospital leadership prioritizes patient safety . III.
  5. psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
    February 01, 2011 - At UT Southwestern, the program is given in collaboration with Parkland Health and Hospital System and … A hospital-randomized controlled trial of an educational quality improvement intervention in rural and … small community hospitals in Texas following implementation of information technology. … A hospital-randomized controlled trial of a formal quality improvement educational program in rural and … QI and cost Implemented ABC program in 16 Texas rural hospitals and 2 Pennsylvania rural hospitals
  6. psnet.ahrq.gov/web-mm/see-patient-first
    September 27, 2023 - Overnight on hospital day 2, the patient’s temperature was 38.7°C on a routine vital sign check, with … Both sets of blood cultures remained negative and the patient was discharged on hospital day five with … Hopefully, the results of this study will be useful to hospital systems trying to gain perspective on … Tight Control May 1, 2004 View More See More About The Topic Hospitals … Quality and Safety Professionals Hospital Medicine Medical Complications Latent Errors
  7. psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
    March 01, 2015 - hospitals with elevated HSMRs, no differences were seen compared to hospitals with lower HSMRs in adherence … over time within individual hospitals, thus circumventing much of the confounding inherent in between-hospital … Identifying variations in quality of care in Queensland hospitals. Med J Aust. 2007;187:571-575. … all the hospitalsin the newspaper. … In his report he said that all 14 hospitals had problems.
  8. hcup-us.ahrq.gov/db/ccr/ip-ccr/CCR-CD-SID-UserGuide-2001-2018-v2.pdf
    January 01, 2018 - All HCUP hospitals in the CCR for CD-SID files are in the AHA Annual Survey Database. … Hospital Type for Grouping (HTYPE) The hospital type for grouping peer hospitals (HTYPE) is calculated … , meaning that variation in the hospital cost is roughly proportional to the variation in overall hospital … variations among service departments in the hospital. … results in a smaller number of hospitals used for imputation.
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
    January 01, 2001 - propulsion, discomfort, dysphagia, falls, and decreased quality of life.5, 8–12 It is noteworthy … Results Of the 50 subjects, 26 were in standard wheelchairs and 24 were in custom wheelchairs. … Subjects who were recommended for change in their wheelchairs were twice as likely to be in standard … Haley VA Hospital in Tampa, Florida. … Haley VA Hospital, Patient Safety Center of Inquiry, 11605 N.
  10. www.ahrq.gov/policymakers/chipra/overview/background/tables.html
    December 01, 2009 - selected for surveillance Number of central line days during the month selected for surveillance 17 HospitalsIn round one, SNAC members voted for their top 10 measures; in round two their next 5 measures; and in … Agency for Healthcare Research and Quality HCUPNet. 2007 National statistics: Outcomes by patient and hospital … iv   Hospital discharge data. v   The "I" grade comes from the U.S. … Children are inpatients ages 0-18 in non-federal hospitals. 5 Insertion of catheter or spinal stimulator
  11. meps.ahrq.gov/data_files/publications/st500/stat500.shtml
    February 01, 2017 - include payments from all sources (including insurance and other miscellaneous third-party sources) to hospitals … and physician care (other than Medicare, Medicaid, or other public hospital/physician coverage) were … of the following public programs at any point during the year: Medicare, Medicaid, or other public hospital … Uninsured: The uninsured were defined as people not covered by private hospital/physician insurance, … Medicare, TRICARE, Medicaid, or other public hospital/physician programs at any time during the entire
  12. digital.ahrq.gov/sites/default/files/docs/citation/r21hs023613-choi-final-report-2017.pdf
    January 01, 2017 - hospital care. … However, there are gaps in development of health IT applications for patients in hospital-based care … Participants: Greater emphasis on earlier hospital discharges and burden shift of self-management falling … Unlike patients, most caregivers are not in the hospital for the entire hospitalization or may even switch … Our study suggests that patient-centric HIT tools may be able to engage caregivers in hospital care.
  13. www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
    December 01, 2013 - the Hospital Appendix A: Family Information Packet Appendix A: Family Information Packet (continued … Sleep problems are more common in preterm infants, especially in the early weeks at home. … Removal creates an increase in dead space, resulting in an increased work of breathing. … Abnormal Growth Infants whose growth curve plateaus or growth trajectory falls off, and those who … Interest in feedings. Decrease in tongue thrust.
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
    December 01, 2017 - CUSP IN PRACTICE In 2004, more than 100 intensive care units (ICUs) in Michigan implemented CUSP in … infections, patient falls, and medication administration errors, among others.1-8 Applying … Step 3: Executive Partnership In this step, you’ll partner with a senior hospital executive to develop … Additionally, hospital epidemiology or infection control professionals are important CUSP safety team … We measure safety culture across the hospital every year.
  15. effectivehealthcare.ahrq.gov/sites/default/files/pdf/vte-prophyalaxis_research-protocol.pdf
    March 01, 2011 - Generally, the burden of VTE among patients with CKD also falls disproportionately on Hispanics and … Settings  Hospital setting  Hospital Setting  Hospital setting  Hospital setting …  Hospital setting Abbreviations: DVT = deep vein thrombosis; IVC = inferior vena cava; KQ = … Preventing Hospital-Acquired Venous Thromboembolism: A Guide for Effective Quality Improvement (Prepared … by Society of Hospital Medicine).
  16. digital.ahrq.gov/sites/default/files/docs/citation/r03hs024623-mendonca-final-report-2018.pdf
    January 01, 2018 - unplanned return to the hospital is almost $10,000. … Scope One in five patients discharged from Wisconsin hospitals returns to the hospital within 30 days … Most efforts to improve the discharge process focus on in hospital communications among providers (YALE … Most of the work planning discharge involves in hospital coordination of teams or ensuring effective … Metanalysis determined that context aligned interventions were best at reducing hospital readmissions
  17. www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening-2002
    September 17, 2002 - and 14.3-fold higher in women aged 75-79, in a study of over 200,000 postmenopausal women. 12 Low body … or Asian ethnicity, history of fracture, family history of osteoporotic fracture, history of falls, … In all age groups, the number needed to screen to prevent fractures is lower in women with important … In the FIT-II trial, the rates of ulcer disease were higher in the alendronate treatment group, with … (Director of Research, Women and Infants' Hospital, Providence, RI), Nola J.
  18. www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
    December 01, 2013 - the Hospital Appendix A: Family Information Packet Appendix A: Family Information Packet (continued … Sleep problems are more common in preterm infants, especially in the early weeks at home. … Removal creates an increase in dead space, resulting in an increased work of breathing. … Abnormal Growth Infants whose growth curve plateaus or growth trajectory falls off, and those who … Interest in feedings. Decrease in tongue thrust.
  19. psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
    April 28, 2021 - In Conversation With... … I am also the medical director at two of the programs, one in Sacramento and one in Folsom. … KH : It sounds like, between in-home and in-facility dialysis, the concerns are similar. … include infections, hypotension, electrolyte disturbances, blood loss, adverse drug effects, and patient falls … Home Care Nephrology Side Effects/Adverse Drug Reactions Nosocomial Infections Patient Falls
  20. effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-future-research-steps-framework_research.pdf
    June 01, 2011 - short and why the evidence falls short. … Examples of settings include: at home, in the hospital, in the outpatient setting, in the United States … short and why the evidence falls short. … According to a formal procedure, the staff of UVT advise the hospitals management in difficult resource … HTA Unit in A. Gemelli Teaching Hospital (cont.)