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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
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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.
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - The contributory factors in this event fall into the environmental category.
-
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
-
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
-
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
-
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…
-
psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - For example,
most people don't fall or get a wrong site surgery.
-
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…
-
digital.ahrq.gov/sites/default/files/docs/publication/r21hs018214-olson-final-report-2012.pdf
January 01, 2012 - > 95%
90 (88.2%)
12 (11.2%)
57 (76%)
18 (24.0%)
.03
Season at baseline
Spring
Summer
Fall … 58(56.9%)
17 (16.7%)
27 (36.0%)
0
0
48 (64%)
p< .001
Season at 12 weeks
Spring
Summer
Fall
-
psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - In healthcare design,
sometimes we can fall into a routine that we think we know the answer, but we … patient getting up to
go to the bathroom without calling a nurse and putting themselves at risk for a fall
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2019-nhsops-dbreport-parti-rev091721.pdf
January 01, 2019 - distribution of nursing home scores follows a normal, bell-shaped curve (where most
of the scores fall … the distribution of nursing home scores follows a normal bell-shaped curve (where most of
the scores fall
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I-rev.pdf
January 01, 2023 - When the distribution of ASC scores follows a normal bell-shaped curve (where most of the
scores fall … When the distribution of ASC scores follows a normal bell-shaped curve (where most of the
scores fall
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
January 01, 2023 - the distribution of nursing home scores follows a normal bell-shaped curve (where most
of the scores fall … the distribution of nursing home scores follows a normal bell-shaped curve (where most
of the scores fall
-
www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
January 01, 2024 - (Fall) 2;5:1-12
Rudman, W.J., Brown, C.A., Bailey, J., Hope, C. (2005) "The impact of a Web-based
Reporting … Academic Exchange Quarterly (Fall) 8,3.
Rudman, W.J., Brown.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
June 03, 2025 - Yes No
>1 hospitalization or ED visit in the past 3 months
>1 fall in the past 3 months
Active … stasis ulcer)
Polypharmacy (15 or more medications)
Presence of catheter or ostomy
Fall
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
March 27, 2008 - These events fall into one of two
NYPORTS codes (Table 1). … Health, the protocol was distributed to hospitals and diagnostic and
treatment centers during the fall
-
psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - delivery. 17 Following up on pending tests or laboratory studies and informing providers of results may fall … Stopped Here
June 1, 2004
WebM&M Cases
Another Fall
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/gonorrhea-screening-including-ocular-prophylaxis-newborns-1996
January 01, 1996 - Pregnant women
Screening is recommended at the first prenatal visit for pregnant women who fall … Screening is recommended at the first prenatal visit for pregnant women who fall into one of the high-risk
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/icd-categories-prevalence-reimbursement_research.pdf
January 01, 2011 - Supplementary classification
of external causes of injury
and poisoning
other and unspecified fall … Supplementary classification
of external causes of injury
and poisoning
other and unspecified fall