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9821. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality
      www.cpsi.ahrq.gov/news/newsletters/e-newsletter/896.html
      January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

9822. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality
      www.healthcare411.ahrq.gov/news/newsletters/e-newsletter/896.html
      January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

9823. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality
      www.innovations.ahrq.gov/news/newsletters/e-newsletter/896.html
      January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

9824. Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/896.html
      January 01, 2024 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … hospital lengths of stay of seven to nine days, and additional healthcare expenditures from $12,000 … Articles featured this week include: Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital … complications: a medical record review across nine Swiss hospitals . … Changes in hospital adverse events and patient outcomes associated with private equity acquisition .

9825. Informed or Misled? | PSNet
      psnet.ahrq.gov/web-mm/informed-or-misled
      April 24, 2018 - The Case A 50-year-old man arrived at the hospital for an elective total knee replacement. … The patient reportedly signed an anesthesia permit required by this hospital that stated that any change … This is particularly relevant if hospital policy requires that consent be obtained in advance of the … White, FRCA, BSc, MA Consultant Anaesthetist, Brighton and Sussex University Hospitals NHS Trust, UK … hospital error and adverse event surveillance.

9826. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49520/psn-pdf
      September 01, 2006 - her advance directive, which accompanied the patient to the hospital). … Fortunately, the error led to no inappropriate resuscitative measures, but the event did generate a hospital … in the hospital. … identifying surgical patients who have a DNR order may be a challenge if the patient is new to the hospital … Finally, hospitals should consider back-up systems for essential but difficult parts of a critical pathway

9827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49783/psn-pdf
      February 01, 2017 - The patient was alert and oriented when she arrived in the ED, but she did report falling and hitting … She did well with no new complaints or complications and was discharged from the hospital the following … The patient was readmitted to the same hospital medicine team that had cared for her before. … The hospital medicine service routinely reviewed all deaths on their service. … Wiprud R. 30 standardized hospital admission orders. Fam Pract Manag. 2001;8:49-51.

9828. Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/studies/index.html?page=247
      January 01, 2024 - The purpose of this study was to measure California’s pay-for-performance program in safety-net hospitals … ) hospital variation in SDD; (3) the association between SDD and readmissions for bleeding, acute kidney … Difficult-to-treat resistance in gram-negative bacteremia at 173 US hospitals: retrospective cohort analysis … nursing homes such as pressure sores, infections, falls, and medication errors. … Engaging hospital patients in the medication reconciliation process using tablet computers.

9829. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49585/psn-pdf
      May 01, 2009 - hospitals or long-term care facilities. … Delirium in the Hospital In the inpatient setting, any change in mental status should be considered … In fact, the diagnosis of delirium carries a mortality risk equivalent to that of sepsis or an in-hospital … hospital care. … In: Comprehensive Accreditation Manual for Hospitals. The Joint Commission; 2008: PC-25-26.

9830. Health Literacy Universal Precautions Toolkit. Second edition. | PSNet
      psnet.ahrq.gov/issue/health-literacy-universal-precautions-toolkit-second-edition
      July 01, 2015 - October 5, 2022 Distributed Cognition and the Role of Nurses in Diagnostic Safety in … Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals … December 15, 2021 10 Patient Safety Tips for Hospitals. … Updated Results for the AHRQ Surveys on Patient Safety Culture Workplace Safety Supplemental Item Set for Hospitals … January 10, 2018 Fall Prevention in Hospitals Training Program.

9831. Lesson from the VA's Team Training Program | PSNet
      psnet.ahrq.gov/perspective/lesson-vas-team-training-program
      November 01, 2011 - Reducing falls and fall-related injuries in the VA system. J Healthc Saf Q. 2003;1:25-33. 8. … So, I spent a lot of my time writing and giving talks in schools of medicine and hospitals about this … I found leadership in hospitals or in schools of medicine didn't know what to do with this concept at … But a lot of hospitals call me for what you just asked me. … Related Resources From the Same Author(s) Root cause analysis of reported patient falls

9832. The Relationship Between Hospital Workload and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
      January 01, 2024 - the AHA’s guidelines for determination of a myocardial infarction; and thromboembolic complications, falls … Discussion In an effort to compete in an increasingly cost conscious environment, hospitals pursued … At three of the four hospitals, including one teaching hospital and two community hospitals, we could … Our results have implications for patient safety in hospitals. … The Relation of Crowded Working Conditions to Patient Safety in Hospitals.

9833. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-431
      March 27, 2024 - a global pooled prevalence of medication dispensing errors of 1.6% (range, 0-33%) across community, hospital … the hospital environment. … This announcement calls for the review of Common Formats for Surveillance – Hospital Version 1.0, and … arrived at the emergency department (ED) with an open right ankle injury and moderate blood loss after falling … On hospital day 7, the nurse practitioner learned from the patient’s father that there was a family history

9834. Part Two: Design of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/ncepcr/tools/confid-report/system-design.html
      February 01, 2016 - For example, providing feedback about overall hospital performance may not be relevant or useful to individual … physicians who work only in one unit of the hospital ( Brehaut, et al., 2016 ). … Other benchmarks, such as the 90th percentile for all safety net hospitals in a given region, need external … drill down to access patient-level data, which enables them to identify specific patients whose care falls … ulcer rate, for primary care clinicians and hospitals, respectively.

9835. Part Two: Design of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
      www.cpsi.ahrq.gov/ncepcr/tools/confid-report/system-design.html
      February 01, 2016 - For example, providing feedback about overall hospital performance may not be relevant or useful to individual … physicians who work only in one unit of the hospital ( Brehaut, et al., 2016 ). … Other benchmarks, such as the 90th percentile for all safety net hospitals in a given region, need external … drill down to access patient-level data, which enables them to identify specific patients whose care falls … ulcer rate, for primary care clinicians and hospitals, respectively.

9836. Antipsychotics for the Prevention and Treatment of Delirium: A Systematic Review | Effective Health Care (EHC) Program
      effectivehealthcare-admin.ahrq.gov/products/antipsychotics/research-protocol
      January 01, 2019 - an assisted living facility or nursing home) Caregiver burden/strain Falls Memory of patient distress … Resource utilization Re-admissions to hospital or ICU Length of stay in ICU Length of stay in hospital … emotional functioning; long-term cognitive impairment; institutionalization; caregiver burden/strain; falls … in ICU; length of stay in hospital; length of stay in skilled nursing facility; sitter use; hospice … Hospital Elder Life Program.

9837. The Hazards of Distraction: Ticking All the EHR Boxes | PSNet
      psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
      April 09, 2014 - The patient was alert and oriented when she arrived in the ED, but she did report falling and hitting … The patient was readmitted to the same hospital medicine team that had cared for her before. … The hospital medicine service routinely reviewed all deaths on their service. … Wiprud R. 30 standardized hospital admission orders. Fam Pract Manag. 2001;8:49-51. … the Code February 1, 2006 View More See More About The Topic Hospitals

9838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49772/psn-pdf
      October 01, 2016 - in a longer and more complex hospital stay for the patient. … the hospital at any point in time may meet these criteria (7), and therefore many patients will be … more than 500 hospitals in the United States, more than 80% of respondents identified transition from … This low incidence rate may reflect the multiple redundancies in hospitals that prevent these types … Transitions in care across institutions and within hospitals may lead to errors and put patient safety

9839. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship (June 10, 2014) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
      December 01, 2017 - So, we certainly need to work on improving antibiotic use in our hospitals. … We actually looked at this fairly recently in a number of hospitals that were participating in a prevalent … This slide shows the growth of hospitalists and hospital medicine in the United States, such that in … I have two hospitals listed here because we actually did this at another hospital in addition to our … is being asked with respect to documentation, quality, fall risk, urinary catheter appropriateness, falls

9840. Final Progress Report: The National Quality Forum Annual Meeting 2005 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
      January 01, 2025 - CHP also has hospitals located in Kentucky, Pennsylvania, and Tennessee. … Since implementing the hospital care measure set in 2003, CHP has improved its overall performance in … Daniel Varga spoke about Norton Healthcare’s experience in publicly displaying hospital-by-hospital … , which are now the responsibility of all hospitals in Maine, including critical access hospitals and … Teams of hospitalists admit patients in all of the system’s hospitals.