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9961. People-With-Disabilities-Draft-Report-App-E-F (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/people-with-disabilities-draft-report-app-e-f.xlsx
      January 01, 2022 - Breast cancer screening Cognitive/IDD NA NA NA Healthcare professional: primary care staff (n=9) and hospital … breast screening NR Health & Social Care Trusts clinics and hospitals (multisite) Mean age, years: NR … Online Web-based fall prevention program based on Free From Falls (an in-person program) teaching self … management strategies to prevent falls 14 Control (no Free From Falls Online) 15 5 months Incidence … probability of falling over time (0=0.004) which was most pronounced in the 1st month of the intervention

9962. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-333
      March 31, 2022 - Interviews with residents, faculty, and staff were held to determine the status of IP QIPS in their hospital … This cross-sectional study including patients admitted to two children’s hospitals in Australia found … connect and exchange data with other devices, such as RFID technology) is effective at reducing patient falls … Study Patient perceptions of hospital experiences: implications for innovations in … Compared to the situation pre-merger, findings show that in-hospital mortality and hospital-acquired

9963. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
      March 01, 2017 - Hospitals National Content Series Facilitator’s Guide The Culture of Culturing: The Importance of Knowing … hospital. … Last thing we need is for her to get a urinary tract infection and end up back in the hospital again. … Last thing we need is for her to get a urinary tract infection and end up back in the hospital again. … Mullins was transferred back from the hospital.

9964. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
      March 01, 2017 - Hospitals National Content Series Facilitator’s Guide The Culture of Culturing: The Importance of Knowing … hospital. … Last thing we need is for her to get a urinary tract infection and end up back in the hospital again. … Last thing we need is for her to get a urinary tract infection and end up back in the hospital again. … Mullins was transferred back from the hospital.

9965. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures-key.docx
      March 01, 2017 - Hospitals National Content Series Facilitator’s Guide The Culture of Culturing: The Importance of Knowing … hospital. … Last thing we need is for her to get a urinary tract infection and end up back in the hospital again. … Last thing we need is for her to get a urinary tract infection and end up back in the hospital again. … Mullins was transferred back from the hospital.

9966. Optimizing Medication Reconciliation and Transitions of Care: Insights from a Pharmacist and Pharmacy Technician. | PSNet
      psnet.ahrq.gov/issue/optimizing-medication-reconciliation-and-transitions-care-insights-pharmacist-and-pharmacy
      July 25, 2023 - May 17, 2023 Why hospitals still make serious medical errors—and how they are trying … July 25, 2018 Never Events for Hospital Care in Canada: Safer Care for Patients. … March 27, 2005 Health IT Patient Safety Supplemental Items for Hospitals. … August 8, 2007 Hospital Harm Measure. … Rural hospitals weigh keeping obstetric units when births decline.

9967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49443/psn-pdf
      May 01, 2004 - In preparation for an upcoming JCAHO inspection, the small community hospital (which had suffered from … a monitoring device, we should have an alarm (19) for automatically indicating when that parameter falls … inconvenience the patient's family and represent a potential revenue loss for the surgeon and the hospital … In: Veatch R, ed. Medical ethics. … In: Bogner MS, ed. Human error in medicine.

9968. Module 7: Resolution | Agency for Healthcare Research and Quality
      pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
      August 01, 2022 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … Designing and Delivering Whole-Person Transitional Care Hospital Labor and Delivery … https://www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html  

9969. Module 7: Resolution | Agency for Healthcare Research and Quality
      pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
      August 01, 2022 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism Guide … Designing and Delivering Whole-Person Transitional Care Hospital Labor and Delivery … https://www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html  

9970. Integrating Teamwork Tools into CUSP Efforts | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts-slides.html
      December 01, 2017 - Available from AHRQ Tools Featured Clinicians & Providers Hospitals … Hospitals Information for Specialty Audiences Integrating Teamwork Tools into CUSP … LTC Facilities Reducing CAUTI in Hospitals How To Use the Toolkit Modules Information … 1 Integrating Teamwork Tools into CUSP Efforts Shannon Davila, RN, MSN, CIC, CPQH New Jersey Hospital … Slide 18 Slide 19 Funding Prepared by the Health Research & Educational Trust of the American Hospital

9971. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-278
      February 10, 2021 - deaths is higher in patients discharged from the ICU compared to the hospital-wide population.  … to nature, etc.) improved patient satisfaction but did not impact patient outcomes such as length, falls … Review Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or … Truman Memorial Veterans' Hospital in Columbia, Missouri. … The associated commentary discusses the importance of in-person assessment in the hospital setting during

9972. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/international/hospital/translators.html
      October 01, 2014 - Hospital-employed physicians who spend most of their work hours in the hospital (emergency department … However, to enable comparisons across hospitals within a larger health system, all hospitals within a … employees from 21 hospitals across the United States. … Return to Contents More Information About the Items In this document, the items in the Hospital … Shift changes are problematic for patients in this hospital.

9973. Chapter 4 | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/resources/vision4.html
      October 01, 2002 - interventions have been shown to be more effective for some conditions, for example, for prevention of falls … Inpatient Setting General acute hospital : Compared to other settings, general acute hospitals tend … Subacute rehabilitation hospital or residential nursing home : Rehabilitation services may be provided … One study found that general hospital inpatients received more treatment than patients in skilled nursing … It is a threat in that it could ultimately result in diminished services in areas, such as rural areas

9974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33793/psn-pdf
      November 01, 2015 - evangelists and more research-oriented snails, some research on clinical interventions to prevent hospital–acquired … adverse events, VTE prophylaxis, or falls amounted to a form of patient safety research. … No one else is doing what you're trying at your hospital. … a bunch of North Carolina hospitals. … At some point you start saying, we're talking about acute MIs, or we're talking about admissions to hospitals

9975. Part Two: Design of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
      www.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.

9976. Overview | Agency for Healthcare Research and Quality
      www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
      October 01, 2014 - Hospital Resources Preventing Pressure Ulcers in Hospitals Overview … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Ulcers in Hospitals Overview Key Subject Area Index 1. … , but these practices are not used systematically in all hospitals. … How should those practices be organized in our hospital?

9977. Overview | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/intro.html
      October 01, 2014 - Hospital Resources Preventing Pressure Ulcers in Hospitals Overview … Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … Ulcers in Hospitals Overview Key Subject Area Index 1. … , but these practices are not used systematically in all hospitals. … How should those practices be organized in our hospital?

9978. International drug name confusion. | PSNet
      psnet.ahrq.gov/issue/international-drug-name-confusion
      September 30, 2020 - June 2, 2021 Impact of SARS-CoV-2 on hospital acquired infection rates in the United … June 15, 2011 'Global Trigger Tool' shows that adverse events in hospitals may be ten … January 22, 2020 The incidence and cost of adverse events in Victorian hospitals 2003 … March 14, 2012 Families as partners in hospital error and adverse event surveillance. … February 10, 2021 Miscarriage treatment-related morbidities and adverse events in hospitals

9979. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
      April 09, 2004 - landmark study documented the type and extent of medical errors in 30,000 hospital discharges in New … 1996 to evaluate sentinel events in JCAHO-accredited hospitals. … Improve the health of New Yorkers Valuable system - Increase confidence of public in hospitals - … Embolic and related disorders • Laparoscopic complications • Perioperative injuries • Burns • Falls … Hospital Association/ Department of Health training The NYSDOH, in conjunction with hospital associations

9980. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
      April 09, 2004 - landmark study documented the type and extent of medical errors in 30,000 hospital discharges in New … 1996 to evaluate sentinel events in JCAHO-accredited hospitals. … Improve the health of New Yorkers Valuable system - Increase confidence of public in hospitals - … Embolic and related disorders • Laparoscopic complications • Perioperative injuries • Burns • Falls … Hospital Association/ Department of Health training The NYSDOH, in conjunction with hospital associations