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Showing results for "fall".
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141. High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? | PSNet
     psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
     May 18, 2022 - Although limited evidence supports fall prevention strategies, the use of certain high-risk medications … in older adults is known to increase fall risk. … July 5, 2023 Potentially harmful medication dispenses after a fall or hip fracture: a

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845301/psn-pdf
     March 01, 2023 - management in long-term care residents is associated with improved hospital readmission rates and reduced fall … monitor medications, and this cluster randomized controlled trial evaluated the effect of PIPs on fall … After six months of PIP involvement, fall rates (the primary outcome) were not statistically different

143. Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients. | PSNet
     psnet.ahrq.gov/issue/multifactorial-interventions-reduce-duration-and-variability-delays-identification-serious
     July 20, 2022 - substantial cumulative positive impact on delays in the diagnosis of serious harm resulting from a fall … June 8, 2022 Strength of improvement recommendations from injurious fall investigations … December 23, 2020 An inpatient fall prevention initiative in a tertiary care hospital

144. Maternal sleepiness and risk of infant drops in the postpartum period. | PSNet
     psnet.ahrq.gov/issue/maternal-sleepiness-and-risk-infant-drops-postpartum-period
     October 19, 2022 - This report of a quality improvement study of infant drop risk found that mothers who fall asleep … Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation

145. Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. | PSNet
     psnet.ahrq.gov/issue/initiative-deprescribe-high-risk-drugs-older-adults-presenting-emergency-department-after
     August 18, 2021 - This observational study of older adults presenting to the emergency department (ED) after a fall evaluated … At 12-month follow-up, researchers did not observe a statistically significant difference in repeat fall-related … visits overall or a difference in repeat fall-related visits between patients who modified their medications

146. Patient falls in the operating room: why is this still a problem in 2024? | PSNet
     psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
     May 08, 2024 - Patient falls are a never event; every fall should be reported and thoroughly investigated.

147. Framing patient safety initiatives: working model and case example. | PSNet
     psnet.ahrq.gov/issue/framing-patient-safety-initiatives-working-model-and-case-example
     April 05, 2017 - Engagement to Create Customized Prevention Plans May 31, 2023 Adopting the Fall … Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention … October 19, 2016 Safety standards: implementing fall prevention interventions and sustaining … lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. … January 22, 2016 Reducing falls and fall-related injuries in mental health: a 1-year

148. ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. | PSNet
     psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
     February 15, 2023 - Magazine Article ‘I felt like I was dying’: how women with postpartum depression fall … Citation Text: ‘I felt like I was dying’: how women with postpartum depression fall through the cracks … Citation Citation Text: ‘I felt like I was dying’: how women with postpartum depression fall

149. The tension between promoting mobility and preventing falls in the hospital. | PSNet
     psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
     April 24, 2018 - The authors suggest that immobilizing patients is not the answer to fall prevention and advocate for … November 12, 2014 Fall prevention implementation strategies in use at 60 United States … June 21, 2015 Inpatient fall prevention programs as a patient safety strategy: a systematic

150. Medication assessment: one determinant of falls risk. | PSNet
     psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk
     July 24, 2013 - medication classes were most frequently associated with patient falls and discusses risk assessment and fall

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34036/psn-pdf
     March 28, 2005 - (1) designing a falls prevention and management program; (2) effective interventions for high-risk fall … patients; (3) implementing hip protectors for high-risk fall patients; and (4) educating patients, … families, and staff on falls and fall-injury prevention.

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845360/psn-pdf
     March 29, 2023 - Prior to implementation, the fall rate was 4.9 per 1,000 admissions. … By December 2020, the fall rate was reduced to 0 falls per 1,000 admissions. … demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional https://psnet.ahrq.gov/web-mm/delirium-or-dementia https://psnet.ahrq.gov/web-mm/another-fall

153. Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. | PSNet
     psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared
     September 23, 2020 - Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation … November 20, 2024 Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety … ): a patient-centered fall prevention toolkit.

154. Impact of the unit-based patient safety officer. | PSNet
     psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer
     September 19, 2012 - The fall rate among inpatients decreased markedly after the patient safety officer position was begun … September 10, 2013 Inpatient fall prevention: use of in-room Webcams. … October 18, 2011 The cost of serious fall-related injuries at three midwestern hospitals

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46100/psn-pdf
     July 11, 2017 - The authors suggest that immobilizing patients is not the answer to fall prevention and advocate for … /falls https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … https://psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial

156. The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments. | PSNet
     psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-falls-children-physical-and
     September 14, 2022 - The SMAS was developed as an adjunct to the existing institutional fall prevention bundle and to address … Based on a fall risk assessment and the patient’s locomotion score (walk, wheelchair, crawl), they are … not require assistance After admission, all patients are placed on a red mobility alert until a fall

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41985/psn-pdf
     October 26, 2016 - The most common adverse events reported were pressure ulcers and fall- related injuries or deaths. … /serious-reportable-events-healthcare-2011-update https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

158. Appropriate use of medical interpreters in the breast imaging clinic. | PSNet
     psnet.ahrq.gov/issue/appropriate-use-medical-interpreters-breast-imaging-clinic
     October 16, 2024 - Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation … November 3, 2021 Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety) … : a patient-centered fall prevention toolkit.

159. Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. | PSNet
     psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
     December 02, 2020 - Prior to implementation, the fall rate was 4.9 per 1,000 admissions. … By December 2020, the fall rate was reduced to 0 falls per 1,000 admissions. … February 1, 2023 Fall prevention with the Smart Socks System reduces hospital fall rates

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840172/psn-pdf
     November 16, 2022 - The SMAS was developed as an adjunct to the existing institutional fall prevention bundle and to address … Based on a fall risk assessment and the patient’s locomotion score (walk, wheelchair, crawl), they are … does not require assistance After admission, all patients are placed on a red mobility alert until a fall