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Showing results for "fall".
Users also searched for: fall prevention

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39129/psn-pdf
    November 25, 2009 - How to avoid falling victim to a hospital mistake. November 25, 2009 Cohen E. https://psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake This news story describes an incident of patient misidentification and offers tips to help patients confirm their care during a hospitalization. https://psnet.ahrq.g…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850348/psn-pdf
    June 14, 2023 - Approaches to improving patient safety in integrated care: a scoping review. June 14, 2023 Lalani M, Wytrykowski S, Hogan H. Approaches to improving patient safety in integrated care: a scoping review. BMJ Open. 2023;13(4):e067441. doi:10.1136/bmjopen-2022-067441. https://psnet.ahrq.gov/issue/approaches-improving-…

  3. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations | PSNet

    psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
    October 27, 2022 - outcomes and safety, it is important to focus on the needs of vulnerable patients with challenges that fall … outcomes and safety, it is important to focus on the needs of vulnerable patients with challenges that fall … February 1, 2012 Evaluation of clinical practice guidelines on fall prevention and management

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39734/psn-pdf
    November 14, 2011 - Man falls off surgical table; St. Joseph's Hospital sued. November 14, 2011 Smith ML; Wolfe WA. https://psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued This newspaper article reports on a lawsuit regarding a safety incident that led to injury and subsequent death of a patient. https://psnet…

  5. May I Have Another?—Medication Error | PSNet

    psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
    March 01, 2009 - He noted that the diphenhydramine made him somewhat drowsy, but not enough to fall asleep.

  6. Pregnant With Danger | PSNet

    psnet.ahrq.gov/web-mm/pregnant-danger
    January 12, 2011 - In the present case, the patient would fall into Category V (medical complaint not related to pregnancy

  7. Mismanagement of Delirium | PSNet

    psnet.ahrq.gov/web-mm/mismanagement-delirium
    February 13, 2014 - Mismanagement of Delirium Citation Text: Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74713/psn-pdf
    January 26, 2022 - male with a history of chronic opioid use, anxiety disorder, and major depression presented after a fall

  9. A Painful Medication Reconciliation Mishap | PSNet

    psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
    May 01, 2008 - After the fall, a CT scan revealed a fracture of the cervical spine, which required spinal fusion surgery

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61082/psn-pdf
    July 23, 2020 - Long-Term Care and the Response to COVID-19 October 28, 2020 Popejoy LL, Crecelius CA, Fitall E, et al. Long-Term Care and the Response to COVID-19. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19 The COVID-19 pandemic has had far-reaching consequences on how the hea…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866622/psn-pdf
    August 28, 2024 - For example, most people don't fall or get a wrong site surgery.

  12. Failure to Report | PSNet

    psnet.ahrq.gov/web-mm/failure-report
    July 01, 2008 - The contributory factors in this event fall into the environmental category.

  13. A "Reflexive" Diagnosis in Primary Care | PSNet

    psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
    April 01, 2008 - SPOTLIGHT CASE A "Reflexive" Diagnosis in Primary Care Citation Text: Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: …

  14. Physical Diagnosis: A Lost Art? | PSNet

    psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
    January 17, 2018 - June 21, 2016 Evaluation of clinical practice guidelines on fall prevention and management

  15. Nurses' perceptions of safety culture in long-term care settings. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-safety-culture-long-term-care-settings
    April 06, 2011 - Study Nurses' perceptions of safety culture in long-term care settings. Citation Text: Wagner LM, Capezuti E, Rice JC. Nurses' perceptions of safety culture in long-term care settings. J Nurs Scholarsh. 2009;41(2):184-192. doi:10.1111/j.1547-5069.2009.01270.x. Copy Citation Format…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33571/psn-pdf
    March 15, 2025 - Reporting Patient Safety Events March 15, 2025 Reporting Patient Safety Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/reporting-patient-safety-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in th…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49581/psn-pdf
    March 21, 2009 - The error occurs when individuals fall victim to the flaws within the system and mistakes are made.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867980/psn-pdf
    March 25, 2025 - Diagnostic Pitfalls Diagnostic pitfalls are common “traps” that clinicians and teams fall into during

  19. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
    November 01, 2006 - publicly reporting hospital specific mortality following coronary bypass surgery, rates were observed to fall

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44641/psn-pdf
    October 26, 2016 - Resident Safety Practices in Nursing Home Settings. October 26, 2016 Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-EHC022-EF. https://psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings E…
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