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Total Results: 9,169 records

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  1. psnet.ahrq.gov/perspective/implementing-fall-prevention-program
    November 29, 2023 - ) The causes of falls are complex, with the risk factors most frequently found in hospital patients including … Simple methods of doing this, including a spreadsheet to automatically calculate predictive values, are … A focus on prevention, detection, and treatment of delirium, including dip-testing urine for indications … A postfall review used as an opportunity to plan secondary prevention, including a careful history to … Continence management, including routines of offering frequent assistance to use the toilet.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34710/psn-pdf
    February 18, 2011 - The authors discuss the likely consequences of these limitations, including decreased work force, increased … Specific challenges, including behavioral and cultural shifts as well as potential economic impact,
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841567/psn-pdf
    December 14, 2022 - Patient charts contain detailed clinical data including information about patient safety events and … is increasingly now an important focus on addressing healthcare disparities and inequities in care, including … The NSC recommends including patients, families, and care partners in initiatives that could help improve … Prior work focused on patient safety measurement, including the transition to digital measures, will … Ensuring that best practices for safety are deployed throughout healthcare, including patients and individuals
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38255/psn-pdf
    December 03, 2008 - psnet.ahrq.gov/issue/effect-clinical-experience-error-rate-emergency-physicians Physician performance, including … The authors argue for better methods for evaluating ongoing physician performance, including continuing
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73128/psn-pdf
    July 01, 2022 - in 2008, was retired in March 2021; AHRQ now offers select content from the Innovations Exchange, including … As a result, hospitalized seniors often experience morbidity including bedsores, muscular degeneration … Home health care support: Home health care services and equipment, including blood tests, intravenous … inpatients (1.7% vs. 10.4%).7  Fewer interventions: A prospective study conducted in 3 cities and including … The Acute Hospital Care At Home Program supports existing models of at-home hospital care, including
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73102/psn-pdf
    July 01, 2022 - in 2008, was retired in March 2021; AHRQ now offers select content from the Innovations Exchange, including … An estimated 12 to 40 percent of community-dwelling older adults use medications inappropriately, including … Home care staff collect health information from the client, including vital signs (e.g., blood pressure … Foundation offers a number of programs and services to thousands of clients in Southern California, including … HomeMeds is implemented in 65 sites in 24 states, including hospital and health systems, university
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41371/psn-pdf
    May 29, 2012 - potential barriers to patients' involvement in safety: illness severity, cognitive characteristics (including … language barriers), poor physician–patient communication, and organizational factors (including safety
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43450/psn-pdf
    May 06, 2015 - This AHRQ publication offers 19 papers that explore government-funded research into HAIs, including … The report discusses specific infections, including clostridium difficile and methicillin-resistant
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39748/psn-pdf
    August 11, 2010 - systematic review of 38 published studies identified communication failures in all phases of surgical care, including … A number of interventions have been proposed to address this issue, including standardized checklists—which
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847934/psn-pdf
    April 26, 2023 - inform healthcare providers in efforts to develop systems and processes to prevent harm to patients, including … Outcome measures of patient safety, including hospital acquired infections, hospital acquired conditions … College of Surgeons provides risk-adjusted surgical outcome measures for participating hospitals, including … hospitals “that could have been potentially prevented by implementing evidence-informed practice,” including … reporting, the Organization for Economic Cooperation and Development has adapted 6 of AHRQ’s PSIs, including
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865309/psn-pdf
    May 29, 2024 - This commentary will discuss tracheostomy function, proper care, risks and complications, including … overall low quality of evidence, patients must meet several parameters to use an HME effectively, including … adequate body temperature and minute ventilation.3 HMEs have additional limitations, including added … the patients with tracheostomies who may be at increased risk for greater morbidity and mortality, including … for tracheostomies should be trained in the emergency management of patients with tracheostomies, including
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33603/psn-pdf
    September 15, 2024 - factors (such as age, tobacco use, diabetes, and malnutrition) and procedure-specific risk factors (including … This project aims to address multiple types of patient harm, including SSI and other harms, in an integrated … The Joint Commission includes use of guidelines to prevent health care-associated infections, including … 2010 and 2015 and remained stable through 2017, translating into significant benefits for patients (including
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41355/psn-pdf
    April 05, 2013 - systematic review evaluated the cost-effectiveness of interventions to address 15 key safety targets (including … Based on this limited dataset, the authors identified 4 cost-effective safety interventions, including
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41405/psn-pdf
    December 30, 2014 - This study used detailed observation of cardiac surgical procedures by a multidisciplinary team, including … Many types of hazards were identified, including problems with communication and teamwork, poor interoperability
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38986/psn-pdf
    February 10, 2015 - Centers for Medicare and Medicaid Services (CMS) eliminated reimbursement for some preventable errors, including … The authors suggest several methods for strengthening the policy, including denying payments for readmissions
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45831/psn-pdf
    January 25, 2017 - and-medications Opioid medications are associated with an increased risk of adverse drug events, including … Researchers found that those with underlying psychiatric and behavioral conditions (including opioid
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38428/psn-pdf
    February 18, 2009 - outlined in a previous report, the OIG chose to evaluate the overall incidence of adverse events, including … no pay for errors" conditions, never events, and all other adverse consequences of hospitalization, including
  18. psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health
    March 28, 2023 - It is essential to address patient safety challenges across the different healthcare settings, including … Healthcare providers should routinely screen for perinatal mental health problems, including depression … A variety of mental health screening tools is available, including the Edinburgh Postnatal Depression … Could tell us about how the AIM Program aligns with AHRQ’s maternal health initiatives, including the … The bundle is focused on best practices, including transitions of care, screening, and referral.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60172/psn-pdf
    March 01, 2021 - in 2008, was retired in March 2021; AHRQ now offers select content from the Innovations Exchange, including … project team formed to take charge of efforts to reduce errors caused by patient misidentification, including … safety staff, and representatives from clinical and ancillary departments across the organization, including … and oversee implementation of various initiatives designed to reduce identification-related errors, including … strategy: The team and IT staff generated a number of potential strategies to address the problem, including
  20. psnet.ahrq.gov/web-mm/nonsustained-ventricular-tachycardia-after-acute-coronary-syndromes-recognizing-high-risk
    September 20, 2011 - She underwent cardiopulmonary resuscitation including chest compressions and defibrillation. … Patients with acute coronary syndromes (ACS) are at increased risk for multiple heart rhythm disorders, including … have been expected, the increasing frequency should have raised concern and more in-depth evaluation, including … patients (such as the one described above) need to be proficient in responding to sustained VT/VF, including … failed to show improved survival following in-hospital cardiac arrest despite several interventions, including

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