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Showing results for "falls prevention".
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3461. 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

3462. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33652/psn-pdf
      June 01, 2007 - Advancing Patient Safety Through State Reporting Systems June 1, 2007 Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems Perspective Seven years ago, the Institute of Medicine (I…

3463. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865376/psn-pdf
      March 27, 2024 - alcohol use disorder, and cirrhosis of the liver was brought into the emergency department (ED) after falling

3464. Emergence of Application-based Healthcare | PSNet
      psnet.ahrq.gov/perspective/emergence-application-based-healthcare
      August 05, 2022 - , Johns Hopkins Digital Health Innovation Lab Core Faculty, Johns Hopkins Ciccarone Center for the Prevention … I am core faculty of the Johns Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease. … plenty of use cases for smartphone applications in the cardiology space demonstrating that secondary prevention

3465. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet
      psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
      December 23, 2020 - SPOTLIGHT CASE Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care Citation Text: Spero H, Usher AE, Howard B, et al. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care . PSNet [internet]. Rockville (MD): Agency f…

3466. In Conversation with... Christie Allen about Maternal Safety and Perinatal Mental Health | PSNet
      psnet.ahrq.gov/perspective/conversation-christie-allen-about-maternal-safety-and-perinatal-mental-health
      March 29, 2023 - Review Committee (MMRC) data or use national MMRC data published by the Centers for Disease Control and Prevention … Each bundle is organized into a framework under five Rs: readiness, recognition and prevention, response

3467. Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula | PSNet
      psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
      February 01, 2019 - of these patient safety concerns, many studies have suggested the United States health care system falls … Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention

3468. Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
      January 01, 2023 - • In this case, the patient had none of these risk factors, so there was no missed opportunity for prevention … Prevention and management of major complications in percutaneous endoscopic gastrostomy. … Falling through the cracks: information breakdowns in critical care handoff communication.

3469. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions | PSNet
      psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
      November 16, 2022 - What are you doing with infection prevention? … We’ve also done a lot of work in infection prevention. … Related Resources Perspectives on Safety Suicide Prevention … Interview In Conversation with Edwin Boudreaux about Suicide Prevention

3470. In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
      November 16, 2022 - What are you doing with infection prevention? … We’ve also done a lot of work in infection prevention. … Related Resources Perspectives on Safety Suicide Prevention … Interview In Conversation with Edwin Boudreaux about Suicide Prevention

3471. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
      psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
      August 01, 2012 - 7,8,10,11 In this case, the patient had none of these risk factors, so there was no missed opportunity for prevention … Prevention and management of major complications in percutaneous endoscopic gastrostomy. … Falling through the cracks: information breakdowns in critical care handoff communication.

3472. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? | PSNet
      psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
      September 01, 2006 - efforts include increasing disclosure of adverse events; root cause analyses; and programs for preventing falls

3473. Microsoft PowerPoint - Spotlight Case_Hindsight is 2020_SLIDES_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_hindsight_is_2020_slides_final.pdf
      January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Hindsight is 2020_SLIDES_FINAL.pptx Spotlight Hindsight is 20/20: Thrombolytics for Alcohol Intoxication Source and Credits • This presentation is based on the April 2024 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is avail…

3474. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846126/psn-pdf
      March 09, 2023 - classification of the preparation from reconstitution to compounding.8,9 This type of compounding falls

3475. Medication Handling and Compounding Errors in the Operating Room. | PSNet
      psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
      May 16, 2022 - classification of the preparation from reconstitution to compounding. 8,9 This type of compounding falls

3476. Too Many Cooks in the Kitchen | PSNet
      psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
      March 07, 2018 - Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings. 

3477. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867022/psn-pdf
      October 30, 2024 - negative CT interpretation would result in a treatment plan that does not include measures aimed at prevention

3478. The "Customer" Is Always Right | PSNet
      psnet.ahrq.gov/web-mm/customer-always-right
      January 22, 2014 - SPOTLIGHT CASE The "Customer" Is Always Right Citation Text: Sehgal NL. The "Customer" Is Always Right. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote…

3479. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
      January 01, 2016 - First, diagnostic errors are often confused with errors of screening, prevention, and management and

3480. Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
      August 30, 2023 - VIC takes some of the pressure off of the nurses on the floor with good catches and error prevention. … July 23, 2024 Patient Safety Innovations Suicide Prevention