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The Effects Orthostatic Hypotension Has On Falls: A Study Done In San Francisco With The Patient Population Of The Veterans Affairs Hospital, Sherry A. Ballard Ms. Dec 2016

The Effects Orthostatic Hypotension Has On Falls: A Study Done In San Francisco With The Patient Population Of The Veterans Affairs Hospital, Sherry A. Ballard Ms.

Master's Projects and Capstones

The Effects Orthostatic Hypotension has on Falls: A Study Done in San Francisco Represented

Population of the Veterans Affairs Hoapital

The global AIM of this project is to Identify patients that are at risk for Orthostatic Hypotension (OH) with in the first 24 hours of addmission. It was identified that 50% of the falls over the last 4 quarters at the VA were OH related. The patients were not identified as a fall risk and over half of them had fallen multiple times. After performing a nursing survey online, a SWOT analysis, and a Root Cause Analysis using a fishbone …


Establishing A Patient Safety Pilot Program In Ucsf Medical Center – Benioff Children’S Hospital: Principles, System Analysis, And Initial Steps, Paige Porter Aug 2016

Establishing A Patient Safety Pilot Program In Ucsf Medical Center – Benioff Children’S Hospital: Principles, System Analysis, And Initial Steps, Paige Porter

Master's Projects and Capstones

Patient safety is a serious public health issue impacting individuals in all healthcare settings. UCSF Medical Center is a leading healthcare organization in San Francisco, dedicated to providing the safest and highest quality care to its patients. In an effort to further promote patient safety, the Family Escalation Project was created to enhance the communication between patients, families, and healthcare providers in the UCSF Benioff Children’s Hospital. This project was created in response to an adverse event in which a safety concern was not appropriately escalated. The goal of the project is to create a mechanism for patients and families …