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5041. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49474/psn-pdf
      March 01, 2005 - —The simple act of moving the obese patient from one part of a hospital to another is often fraught … for morbidly obese patients, including soft stretchers, patient carts, operating room tables, and hospital … In my experience, pain perception may also be altered in the morbidly obese patient. … She died of multiorgan failure after a complex several-month hospital course. … Understand the differences in medication dosing in obese patients.

5042. AHRQ Evidence-based Practice Center Program Research Gaps Summary: Primary Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/research-gap-primary-care-summary-table.pdf
      March 01, 2022 - increased rate of local reactions could potentially lead to increased rate of injury (e.g., from falls … quality of life and include clinical resolution and risk of repeat exacerbation (with or without hospital … hospital … Outcomes • Studies exploring outcomes from the perspective of a payer, a health system, a hospital … • Duloxetine most likely increases the risk of falls over longer treatment (<24 weeks) • Adverse

5043. Appendix E-5
      hcup-us.ahrq.gov/datainnovations/clinicaldata/AppendixEAHRQProjectDetails.jsp
      October 05, 2010 - electronic format at the vast majority of hospitals in the United States today. … orientation meeting of all Minnesota hospitals that have expressed an interest in participating in this … These groups will meet face-to-face in breakout sessions during the hospital orientation meeting in St … participating hospitals and identifiers of cases suspected of having hospital-acquired complications … As a hospital association, its core competency is convening and collaborating with hospitals to achieve

5044. Research White Paper Registries in Accountable Care Addendum Registries for Evaluating Patient Outcomes Third Edition (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/accountable-care-registries-guide-3rd-ed-addendum-white-paper-2018-5.pdf
      January 01, 2018 - with the hospital use different ambulatory EHR systems. … Utah, a system with 22 hospitals and a medical group with more than 185 physician clinics. … Many patients are also seen in specialty hospitals, urgent care centers, post-acute facilities and pharmacies … When research studies are introduced, questions may arise as to whether the study falls under the Common … Updating and validating the Charlson Comorbidity Index and score for risk adjustment in hospital discharge

5045. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33833/psn-pdf
      May 01, 2017 - In Conversation With… David Juurlink, MD, PhD May 1, 2017 In Conversation With… David Juurlink, MD, … It describes a database-drudging exercise at a Boston hospital that cannot possibly show the risk of … movement really begins in earnest in around 2000. … Delirium, falls, fractures, subdurals, testosterone suppression, motor vehicle collisions. … the US in particular we have seen doctors in some instances abandoning patients and in others just

5046. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
      December 01, 2015 - Columbia, TN Pat Posa RN, BSN, MSA, FAAN System Performance Improvement Leader Saint Joseph Mercy Hospital … However, employees often only hear about this feedback when failures occur or performance falls below … However, like Moss Kanter, we contend that this is primarily a leadership challenge. 39 Successful Hospitals … Down/Down to Top Mentality CEO to Environmental services to patients and families 40 Successful Hospitals … It’s one of 28 hospitals in the U.S. and the first in Tennessee.

5047. Health Information Exchange Utilization and Inter-hospital Transfer Outcomes - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
      January 01, 2023 - of hospitals included in RQ2 and RQ3 Hospital Urban/Rural Teaching Status Legacy hospital System … Of 12 hospitals, 11 were included in the study. … how necessary was it for both hospitals to participate in HIE use to be helpful for inter-hospital … Overall, we found that prediction of transfer timing was fairly accurate with only 22% of transfers falling … in-hospital mortality.

5048. AHRQ Multiple Chronic Conditions Research Summit: Speaker Biosketches | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
      November 01, 2021 - Gurwitz’s research falls at the intersection of geriatric medicine, patient safety, and healthcare delivery … in internal medicine at Brigham and Women’s Hospital. … worked on a variety of research projects including a national demonstration program involving 182 rural hospitals … She was named in 2019 by Becker’s Hospital Review’s 102 women in health IT. … Her previous research focused on identifying the causes and consequences of falls and fall injuries as

5049. Systematic Review on Opioid Treatments for Chronic Pain: Surveillance Report 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/opioids-chronic-pain-surveillance-report-1-final.pdf
      April 01, 2022 - Mixed mechanism vs. opioid agonist and mortality, falls/fracture, hospitalization for adverse event … risk of mortality, falls/fracture, or safety event hospitalizations SOE insufficient, based on … insurance found tramadol (a mixed mechanism agent) associated with similar risk of all-cause mortality, falls … overdose (intentional and unintentional); and (3) other harms, including gastrointestinal-related harms, falls … Effectiveness of interventions on the appropriate use of opioids for noncancer pain among hospital

5050. In Conversation with…David W. Bates, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
      May 01, 2018 - DB: Well, in particular, it's not to the advantage of hospitals today to improve quality or safety. … DB: It depends a lot on what the hospital already has in place and what their resources are. … However, I think it has a lot of benefits and most hospitals will, in the not too distant future, want … If my parents called me and said that they need to go to a hospital in their community, and they want … The best evidence comes from hospitals. Another is barcoding.

5051. Implementing a Patient Safety Program at a Large National Health System | PSNet
      psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
      January 01, 2008 - The AHS hospitals are located in ten states. … In addition, individual hospitals have presented their experiences and outcomes from their work in a … In addition to 100% hospital participation in the IHI campaign, the Office of Clinical Effectiveness … In the system I'm in now, there are so many capable resources at both the community hospitals and the … But it resulted in a dramatic decrease in hospital-associated infections.

5052. Work Plan for Methods Research on (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/study-design-classification_research.pdf
      December 01, 2010 - The effects of hospital restructuring that included layoffs on individual nurses who remained employed … Work-Related Falls Among Union Carpenters in Washington State Before and After the Vertical Fall Arrest … Examples of clusters include hospitals, schools, neighborhoods, or entire communities. … which the units of randomization and analysis are groups of people or communities (e.g., classroom, hospital … Examples of clusters include hospitals, schools, neighborhoods, or entire communities.

5053. Beyond the Hospital: the New Frontier of Patient Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
      August 01, 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. … RW : In the hospital there are significant pressures and drivers that create a business case to invest

5054. Acute Renal Failure Hospitalizations, 2005-2014 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb231-Acute-Renal-Failure-Hospitalizations.pdf
      December 01, 2016 - Most Frequent Conditions in U.S. Hospitals, 2011. HCUP Statistical Brief #162. September 2013. … non-Federal, general, and other hospitals, excluding hospital units of other institutions (e.g., prisons … Beginning in 2012, long- term acute care hospitals are also excluded. … hospital revenue in recent years. … come from the inclusion in the NHEA of hospitals that are excluded from HCUP.

5055. Safety Climate on Hospital Units: A New Measure (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
      January 01, 2004 - administered a second time in one of those hospitals. … inpatient units in acute care hospitals. … The measure is being used in a national sample of hospitals participating in a study of the working … These hospitals were similar in size. … Means (SD) of safety climate dimensions across hospitals in pilot test Hospital A Hospital B Significance

5056. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
      March 01, 2016 - http://www.safesurgery2015.org/ Ariadne Labs, a Joint Center of Innovation at Brigham and Women's Hospital … Beginning with hospitals, the program has expanded for use in additional health facilities across the … Missed nursing care is linked to patient harm, including falls and infections. … The checklist was developed by Atul Gawande of Brigham and Women's Hospital Center for Surgery and … mnpatientsafety.org/Culture-Road-Map The Minnesota Alliance for Patient Safety, a partnership among the Minnesota Hospital

5057. Appendix A, Pt. 3 | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
      April 01, 2018 - a hospital in The Netherlands. … database (University Health System Consortium) of US Academic Medical Centers and affiliated community hospitals … the hospital. … Conclusion It is interesting to establish the relationship between the fall in the number of hospital … All surgical site infections were treated with intravenous antibiotics in the hospital, and thirty-six

5058. Recommendation: Gestational Diabetes: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/gestational-diabetes-screening
      August 10, 2021 - of labor, cesarean delivery, or admission to the neonatal intensive care unit [NICU]), and negative hospital … Three large studies examined hospital experiences related to breastfeeding outcomes in pregnant persons … after birth and exclusive breastfeeding in the hospital, and with fewer newborns staying in the mother … ’s room, although confounding factors (eg, breastfeeding intentions, varying hospital policies, and treatment … Studies on potential harms of screening and treatment (ie, anxiety, hospital experience, and cesarean

5059. EHR Use and Care Coordination - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r36hs021082-graetz-final-report-2012.pdf
      January 01, 2012 - included the deployment of the system across its outpatient clinics, and phase 2 (2007-2010) across its hospitals … the outpatient component and roughly half of the hospitals had completed the implementation of the … : medical center (which contain each hospital), team, clinician, and patient. … Coleman, E.A., Falling Through the Cracks: Challenges and Opportunities for Improving Transitional … Kripalani, S., et al., Deficits in Communication and Information Transfer Between Hospital-Based and

5060. Removing Insult from Injury—Disclosing Adverse Events | PSNet
      psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
      February 01, 2006 - patient to receive information about clinically relevant medical errors," and that "the Johns Hopkins Hospital … event.( 10 ) It opens with one mother describing the tragic death of her baby daughter at Johns Hopkins Hospital … Hospital disclosure practices: results of a national survey. … But an error occurred when your Mom was here at the hospital last week." … And he looked at me and he said, "I'm the head of legal counsel here at this hospital, and everything