-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - impairments
The care needs of nursing home residents are complex
By federal regulation, any change in condition … Baltimore, MD: Centers for Medicare and Medicaid Services, US Department of Health and Human Services … nursing home care
Unclear if initial fall was avoidable
After initial hospitalization, resident’s condition … resident identification
Safe medication use
Reconciled medications
Reduced harm from falls
Reduced health … team meetings can help identify and aggressively manage individuals’ risks for falls, pressure ulcers, health
-
psnet.ahrq.gov/node/46325/psn-pdf
November 30, 2018 - This report highlights AHRQ-supported research to examine
burnout in health care as well as efforts … of factors that contribute to burnout, such as short visits, complicated
patients, and electronic health … https://psnet.ahrq.gov/issue/physician-burnout
https://psnet.ahrq.gov/issue/burnout-among-health-care-professionals-call-explore-and-address-underrecognized-threat-safe … https://psnet.ahrq.gov/issue/do-work-condition-interventions-affect-quality-and-errors-primary-care-results-healthy-work … burnout-and-satisfaction-work-life-balance-among-us-physicians-relative-general-us-population
https://psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety
-
psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - Realize that contrast-enhanced imaging for identification of a potentially life-threatening condition … led to profound worsening of
the patient's condition and, ultimately, his death. … Professor of Medicine University of Vermont College of Medicine Division
of Nephrology Fletcher Allen Health … Department of Health and Human Services. … Department of Health and Human Services.
-
psnet.ahrq.gov/issue/her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen-mothers
May 19, 2021 - Pregnancy is recognized as a high-risk condition for both mother and infant. … May 24, 2016
DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed … May 31, 2023
Maternal and Infant Health Inequality: New Evidence from Linked Administrative
-
psnet.ahrq.gov/issue/blame-culture-just-culture-health-care
January 23, 2017 - From a blame culture to a just culture in health care. … Health Care Manag Rev. 2009;34(4):312-322. doi:10.1097/HMR.0b013e3181a3b709. … Health Care Manag Rev . 2009; 34 (4) :312-322 . … From a blame culture to a just culture in health care. … Download Citation
Related Resources From the Same Author(s)
Do work condition
-
psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 2023 - Although this study was obtained at the second ED visit, by then the patient’s condition had deteriorated … The presence of ascites or free fluid in the absence of a known condition that causes ascites (e.g., … other providers in making the most appropriate imaging or treatment decision for a specific clinical condition … Department of Health and Human Services. … Department of Health and Human Services.
-
psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars
March 03, 2021 - Kaiser Health News. February 8, 2022. … Kaiser Health News. February 8, 2022. … results between national rating systems and those organizations penalized by the Hospital-Acquired Condition … Kaiser Health News. February 8, 2022.
-
psnet.ahrq.gov/node/44697/psn-pdf
June 21, 2016 - Partnership for Patients initiative has led efforts to reduce hospital-acquired conditions (HACs), such
as health … decrease in HACs, the analysis estimates that 87,000 fewer hospital patients died and
$19.8 billion in health … saving-lives-and-saving-money-hospital-acquired-conditions-update
https://psnet.ahrq.gov/issue/partnership-patients
https://psnet.ahrq.gov/primer/health-care-associated-infections … https://psnet.ahrq.gov/primer/never-events
https://psnet.ahrq.gov/issue/2013-annual-hospital-acquired-condition-rate-and-estimates-cost-savings-and-deaths-averted
-
psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - on the contribution of system factors or looking at diagnostic errors across a
disease or clinical condition … The specialty experts are clinicians (e.g., gynecologists) who have expertise
in the specific condition … of potential care gaps across
different clinical diagnoses.”4 These systems scan electronic health … records to identify patients with a
certain condition or event. … Improving Diagnosis in Health Care. National Academies Press;
2015.
2.
-
psnet.ahrq.gov/node/49449/psn-pdf
June 01, 2004 - Rarely, as in this case,
vertigo represents the presenting symptom of a life-threatening, treatable condition … What led to this patient's demise despite having an easily diagnosed, treatable condition? … Since a patient's condition may change over the course of hours, this patient should have
been examined … Department of Health and Human Services. … Department of Health and Human Services.
-
psnet.ahrq.gov/issue/diagnostic-experiences-children-attention-deficithyperactivity-disorder
May 13, 2020 - Natl Health Stat Report. 2015;(81):1-8. … Natl Health Stat Report. 2015;(81):1-8.
View more articles from the same authors. … These results demonstrate the inherent challenge of diagnosing a heterogeneous condition even when diagnostic … Natl Health Stat Report. 2015;(81):1-8. … Health IT.
-
psnet.ahrq.gov/issue/clinical-impact-and-economic-burden-hospital-acquired-conditions-following-common-surgical
October 21, 2020 - conditions following elective spine surgery found that 3% of these cases had at least one hospital-acquired condition … December 21, 2018
Health care-associated infections: a meta-analysis of costs and financial … impact on the US health care system.
-
psnet.ahrq.gov/node/844993/psn-pdf
February 22, 2023 - prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-
diabetes-screening
Patients with diabetes may not be aware of their condition … patients presenting to the emergency department at risk of type 2 diabetes were flagged by the
electronic health
-
psnet.ahrq.gov/issue/personal-formularies-primary-care-physicians-across-4-health-care-systems
July 10, 2019 - Study
Personal formularies of primary care physicians across 4 health care systems … Personal formularies of primary care physicians across 4 health care systems. … unique, newly prescribed medications (personal formularies) of primary care physicians across four health … Personal formularies of primary care physicians across 4 health care systems. … care use, medication adherence, and chronic condition control.
-
psnet.ahrq.gov/web-mm/lethal-vertigo
September 20, 2011 - Rarely, as in this case, vertigo represents the presenting symptom of a life-threatening, treatable condition … What led to this patient's demise despite having an easily diagnosed, treatable condition? … Since a patient's condition may change over the course of hours, this patient should have been examined … Department of Health and Human Services. … Department of Health and Human Services.
-
psnet.ahrq.gov/node/40215/psn-pdf
February 10, 2015 - Health Aff (Millwood). 2011;30(2):211-218. doi:10.1377/hlthaff.2010.0573. … performance-based-payment-incentives-increase-burden-and-blame-hospital-nurses
https://psnet.ahrq.gov/issue/hospital-financial-condition-and-quality-patient-care
-
psnet.ahrq.gov/node/45622/psn-pdf
December 07, 2016 - national-partnership-maternal-safety-consensus-bundle-venous-
thromboembolism
Venous thromboembolism (VTE) is a preventable condition … The authors discuss the importance of reporting mechanisms to help health care
organizations learn from
-
psnet.ahrq.gov/node/45798/psn-pdf
February 01, 2017 - These guidelines provide
recommendations to reduce this common hospital-acquired condition, including … psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
https://psnet.ahrq.gov/primer/health-care-associated-infections
-
psnet.ahrq.gov/node/47338/psn-pdf
September 19, 2018 - Kaiser Health News and Chicago Tribune. September 5, 2018. … psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
Sepsis is a serious condition
-
psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
March 27, 2019 - Kaiser Health News and Chicago Tribune. September 5, 2018. … Kaiser Health News and Chicago Tribune. September 5, 2018. … Sepsis is a serious condition that can be fatal if it is not promptly diagnosed and treated. … Kaiser Health News and Chicago Tribune. September 5, 2018. … April 28, 2010
How American health care killed my father.