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281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47480/psn-pdf
     December 19, 2018 - Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part … Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part … -2-and-part-3 https://psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part

282. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/challenge-competition.html
     February 01, 2024 - for Improving Quality of Care was instrumental in guiding the creation of an initiative entitled "Fall … Initially focused on two medical-telemetry units and eventually expanding to include additional units, fall … The "Fall Free Friday" activities resulted in a 31% decrease in acute care falls from 4th quarter 2022

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47402/psn-pdf
     March 13, 2019 - medicalsurgical-units-four-hospitals-united- states This prospective observational study found that patients who experienced a fall … This study lends weight to fall prevention as a patient safety priority. … medicalsurgical-units-four-hospitals-united-states https://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842778/psn-pdf
     January 18, 2023 - During in-flight emergencies, sometimes airlines’ medical kits fall short. … https://psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short Inadequate … https://psnet.ahrq.gov/issue/during-flight-emergencies-sometimes-airlines-medical-kits-fall-short https

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867091/psn-pdf
     November 06, 2024 - This observational study of older adults presenting to the emergency department (ED) after a fall evaluated … 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

286. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/867461
     January 31, 2024 - fall prevention in a nursing home. … https://psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall … fall prevention in a nursing home. … measuring-safety-older-adult-care-homes-scoping-review-international-literature https://psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall … https://psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840173/psn-pdf
     November 16, 2022 - Catching those who fall through the cracks: integrating a follow-up process for emergency department …   https://psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process … https://psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department … https://psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department

288. Evaluation of AHRQ’s On-Time Pressure Ulcer Program - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2012
     January 01, 2012 - Lessons from the On-Time Pressure Ulcer program informed the development of an On-Time Fall Prevention … which uses documentation data elements, actionable reports, and tracking tools to address resident fall … A year-long process of meetings informed the standardization of fall documentation and the development … of tools to guide clinical decisionmaking for fall prevention. … (Achieved) Design the tools and establish the foundation for a fall prevention implementation effort

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73168/psn-pdf
     April 21, 2021 - critical care units in England between 2009 and 2017 and found that a small proportion (2%) involved a fall … Common factors involved in fall incidents included patients attempting tasks without assistance, patient … patient-safety-incidents-describing-patient-falls-critical-care-north-west-england-between https://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/web-mm/another-fall

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33722/psn-pdf
     December 01, 2011 - Robert Wachter, Editor, AHRQ WebM&M: What have we learned about assessment of fall risk? Ann L. … RW: What does the best fall assessment program look like? … But whenever the patient's condition changes, they should be reassessed for fall risk. … Everyone is so fearful that the patient may fall but this can actually increase instability. … But they should not receive an injury as a result of a fall.

291. Potentially inappropriate medications and their effect on falls during hospital admission. | PSNet
     psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-their-effect-falls-during-hospital-admission
     January 12, 2022 - for Healthcare Research and Quality study, an estimated 700,000 to 1 million hospitalized patients fall … Related Resources From the Same Author(s) Evaluation of clinical practice guidelines on fall … December 8, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44725/psn-pdf
     February 24, 2016 - Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar- … https://psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part … -1-and https://psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part

293. The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource association study. | PSNet
     psnet.ahrq.gov/issue/impact-safety-culture-quality-care-missed-care-and-nurse-staffing-patient-falls-multisource
     August 16, 2023 - Patient fall rates can be impacted by numerous factors, such as staffing, safety culture, and individual … Additionally, good collaboration between nurses, physicians, and pharmacists was associated with lower fall … April 3, 2024 Strength of improvement recommendations from injurious fall investigations

294. Understanding the challenges and successes of implementing 'hybrid' interventions in healthcare settings: findings from a process evaluation of a patient involvement trial. | PSNet
     psnet.ahrq.gov/issue/understanding-challenges-and-successes-implementing-hybrid-interventions-healthcare-settings
     October 23, 2024 - Improving Diagnostic Safety and Quality April 26, 2023 Patient perception of fall … risk and fall risk screening scores. … Patient Understanding of Treatment and Follow-up Care May 26, 2021 Adopting the Fall … Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention … February 17, 2021 Patient activation related to fall prevention: a multisite study

295. Primary Care Management Guidance for Fall Risk-Increasing Drugs | CDS Connect
     cds.ahrq.gov/cdsconnect/artifact/primary-care-management-guidance-fall-risk-increasing-drugs
     June 08, 2022 - Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41628/psn-pdf
     January 03, 2017 - it-possible-identify-risks-injurious-falls-hospitalized-patients Despite limited evidence that hospital fall … unable to pinpoint variables that identified patients likely to sustain an injury from a hospital fall … interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial … wisdom-and-justice-not-paying-preventable-complications https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program

297. NPSD Dashboards | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/dashboard/index.html
     September 01, 2024 - Falls Dashboard Details the extent of harm due to falls, the presence of fall assistance, presence of … fall assistance by patient harm, type of fall injury, and fall location.      

298. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
     June 01, 2017 - neurological/psychological, gastrointestinal/genitourinary, endocrine/nutritional/metabolic, wound and skin, fall-related … and non-fall-related injury, musculoskeletal, other changes not specified elsewhere, or treatment not … Cellulitis |___| Edema |___| Infected wound or decubitus |___| Jaundice |___| Rash Fall-Related … Injury |___| Major injury |___| Minor injury Non-Fall-Related Injury |___| Major injury … |___| Diabetes |___| Dysrhythmias |___| Electrolyte imbalance |___| Fever |___| Fall

299. Final Progress Report: Care Interventions and Quality of Care in Rural and Urban Nursing Units (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/baernholdt-report.pdf
     January 01, 2024 - the relationships between contextual factors, care interventions, and pressure ulcer rates (PUR) and fall … widespread implementation of preventive care interventions, national pressure ulcer rates (PUR) and fall … Prior fall risk assessment. 2. … Fall rates in urban and rural nursing units. Does location matter? … A National Comparison of Rural/Urban Pressure Ulcer and Fall Rates.

300. 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