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

  1. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
    March 07, 2008 - performed statistical analysis on the results to identify outlier MNPT values (results that would fall … These limits helped identify the region where a high probability of INR results should fall, specific … These may still fall within the statistical limits, but they would be indicators that something abnormal

  2. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
    December 01, 2017 - Nursing-based, again back to if all else fails, we take it out, we can fall back on our nursing-based … This second example was from a few weeks ago after a patient fall. … These learn from a defect, or super falls huddles, take place very quickly after a fall. … In this case the patient did already have some fall prevention tactics in place, but we did identify

  3. Engaging-Nurse-Physician-Patient-Transcript (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
    June 02, 2025 - Nursing-based, again back to if all else fails, we take it out, we can fall back on our nursing-based … This second example was from a few weeks ago after a patient fall. … These learn from a defect, or super falls huddles, take place very quickly after a fall. … In this case the patient did already have some fall prevention tactics in place, but we did identify

  4. Small and Rural and Critical Access Hospitals (Transcript) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
    April 01, 2013 - We want to enhance the coordination of care because that’s where a lot of times we fall down. … What is your fall rate or your pressure ulcer rate or whatever? … Or, “We’ve gone 20 days without a patient fall.” … There are the occasional patients that fall through the cracks as far as myself or Mary will record them … sands of the hourglass are running out: Would it make sense at some future time, maybe later in the fall

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50647/psn-pdf
    November 06, 2019 - ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. November 6, 2019 Bailey M. Kaiser Health News. October 17, 2019. https://psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed Patient falls with harm are a common sentinel event. This news story discuss…

  6. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
    March 23, 2008 - Those answers that did not fall into a theme were tabulated into a section entitled “other.” … Performing a urine pregnancy test Injury: Death from ruptured ectopic “Patient with wrist pain after a fall … Context: Patient has wrist pain after a fall Standard of care: Ordering an x-ray “Patient is not re-evaluated … Performing a urine pregnancy test Injury: Death from ruptured ectopic “Patient with wrist pain after a fall … Context: Patient has wrist pain after a fall Standard of care: Ordering an x-ray “Patient is not re

  7. Statistical Brief #75: Sports Injuries in Children Requiring Hospital Emergency Care, 2006 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb75.pdf
    June 01, 2009 - External Cause of Injury Codes (commonly referred to as E-codes): E886.0: Tackles in sports that cause fall … E917.0: Striking against or struck accidentally by objects or persons in sports without subsequent fall … E917.5: Striking against or struck accidentally by objects or persons in sports with subsequent fall

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837863/psn-pdf
    August 17, 2022 - The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. August 17, 2022 Portland, OR: Oregon Patient Safety Commission; 2022.  https://psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide Patient falls are common sentinel events. The latest revis…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50862/psn-pdf
    February 05, 2020 - Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare. February 5, 2020 Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality measurement on nursing home compare. Health Serv Res. 2020;55(2):201-210. doi:10.1111/1475-…

  10. Series IX: 2003 (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/state/series_9/2003/ic03_ixa_e.pdf
    January 01, 2003 - RHODE ISLAND Providence-New Bedford-Fall … RHODE ISLAND Providence-New Bedford-Fall … Philadelphia-Camden-Wilmington, PA portion Pittsburgh Remainder of state RHODE ISLAND Providence-New Bedford-Fall … Philadelphia-Camden-Wilmington, PA portion 188 Pittsburgh 250 Remainder of state 64 RHODE ISLAND Providence-New Bedford-Fall

  11. Series IX: 2004 (pdf file)

    meps.ahrq.gov/data_stats/summ_tables/insr/state/series_9/2004/ic04_ixa_e.pdf
    January 01, 2004 - 85.3% 69.6% Remainder of state 63.0% 90.6% 76.6% 81.5% 62.4% RHODE ISLAND Providence-New Bedford-Fall … 3.97% 6.00% Remainder of state 1.72% 1.18% 2.44% 2.31% 2.75% RHODE ISLAND Providence-New Bedford-Fall … Philadelphia-Camden-Wilmington, PA portion Pittsburgh Remainder of state RHODE ISLAND Providence-New Bedford-Fall … Philadelphia-Camden-Wilmington, PA portion Pittsburgh Remainder of state RHODE ISLAND Providence-New Bedford-Fall

  12. Stroke Prevention in Atr ial Fibr illation Patients: A Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/stroke-afib-update_research-protocol-amended.pdf
    October 27, 2017 - count or function, rebleeding risk, hypertension (uncontrolled), anemia, genetic factors, excessive fall … hypertension (uncontrolled), anemia, genetic factors, excessive fall … HIV-Associated Lipodystrophy Syndrome"[Mesh] OR "HIV Infections"[Mesh] OR age[tiab] OR dementia[tiab] OR fall

  13. Comparative Effectiveness Research Review Disposition of Comments Report (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/disabilities-quality-improvement-outcomes_disposition-comments.pdf
    October 15, 2012 - We applaud the effort to recognize that this community shouldn’t fall into the category of exceptions … ”, does research aimed at preventing secondary conditions or negative events like falls/accidents fall … The authors seem to imply that people with disabilities fall neatly into one category or another. … The manifestations of the disability can cause their care to fall outside recommendations made by typical … is supported by our work where we confirmed through factor analyses that ADLs and IADLs generally fall

  14. Sports-Related Emergency Department Visits and Hospital Inpatient Stays, 2013 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb207-Sports-Hospital-Emergency-Department-2013.pdf
    January 01, 2013 - (alpine) (downhill) skiing, snowboarding, sledding, tobogganing, and snow tubing E885.3, E885.4 Fall … athletics played individually E006.0 Roller skating (inline) and skateboarding E885.1, E885.2 Fall … E007.8 Physical games generally associated with school recess, summer camp, and children E884.0 Fall … activity Sports activity, not elsewhere classified Other unspecified sports activity E886.0 Fall … Striking against or struck accidentally by objects or persons in sports, without or with subsequent fall

  15. Preparing for and Recovering After Gynecologic Surgery (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gynecologic-booklet.pdf
    November 01, 2023 - ■ Put nightlights in the bathroom and hallways so you don’t fall. … It’s better to have a shoe with a back that’s more secure, so you don’t fall. … re in the hospital. 20 AHRQ Safety Program for Improving Surgical Care and Recovery Call, Don’t Fall … ■ You may be lightheaded and could fall. ■ Press the call button. A nurse will help you get up. … Surgery Clear Liquid Diet The Day of Surgery: At Home The Day of Surgery: At the Hospital Call, Don’t Fall

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38715/psn-pdf
    February 17, 2011 - Medicare nonpayment, hospital falls, and unintended consequences. February 17, 2011 Inouye SK, Brown CJ, Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. N Engl J Med. 2009;360(23):2390-3. doi:10.1056/NEJMp0900963. https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-uni…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37792/psn-pdf
    February 15, 2011 - Exploring organizational context and structure as predictors of medication errors and patient falls. February 15, 2011 Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e3181695671.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37518/psn-pdf
    March 13, 2008 - Innovation in patient safety: a new task design in reducing patient falls. March 13, 2008 Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5. https://psnet.ahrq.gov/issue/innovation-patient-safety…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40454/psn-pdf
    June 01, 2012 - Influence of unit-level staffing on medication errors and falls in military hospitals. June 1, 2012 Breckenridge-Sproat S, Johantgen M, Patrician PA. Influence of unit-level staffing on medication errors and falls in military hospitals. West J Nurs Res. 2012;34(4):455-74. doi:10.1177/0193945911407090. https://psne…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47508/psn-pdf
    October 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. October 24, 2018 Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372. https://psnet.ahrq.go…
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