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psnet.ahrq.gov/issue/standardizing-hand-processes
June 03, 2020 - July 20, 2022
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program … to engage older adults in fall prevention in a nursing home. … Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention
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psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
February 02, 2022 - 2022
Human-based errors involving smart infusion pumps: a catalog of error types and prevention … September 11, 2009
Fall prevention with the Smart Socks System reduces hospital fall
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psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
October 27, 2010 - September 24, 2016
Practice advisory for the prevention and management of operating room … November 2, 2012
Fall prevention in acute care hospitals: a randomized trial. … September 20, 2011
An inpatient fall prevention initiative in a tertiary care hospital
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psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
November 16, 2022 - Voluntary error reporting systems (VERS) are an indispensable tool for identification, analysis, and prevention … 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
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psnet.ahrq.gov/node/42493/psn-pdf
August 14, 2013 - issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/evaluation-effectiveness-and-safety-pharmacist-independent-prescribers-care-homes-cluster
October 19, 2022 - management in long-term care residents is associated with improved hospital readmission rates and reduced fall … or 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 … November 16, 2022
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
June 23, 2015 - Resources
Talking about falls: a qualitative exploration of spoken communication of patients' fall … risks in hospitals and implications for multifactorial approaches to fall prevention. … March 29, 2023
Patient perception of fall risk and fall risk screening scores. … May 5, 2021
Modification of potentially inappropriate prescribing following fall-related
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psnet.ahrq.gov/node/74871/psn-pdf
October 01, 2023 - AHRQ Safety Program for MRSA Prevention. … https://psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention
Methicillin-resistant Staphylococcus … This
project supports the implementation of targeted healthcare-acquired infection prevention initiatives … The first of
three planned toolkits, Toolkit for MRSA Prevention in ICU & Non-ICU Settings, is now available … planned for spring 2025, and a third toolkit focused on long-
term care settings is anticipated in fall
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psnet.ahrq.gov/issue/opioids-and-falls-risk-older-adults-narrative-review
January 12, 2022 - Related Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall … prevention and management for older adults: a systematic review. … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention
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psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
May 01, 2017 - Multi-use Website
Pressure Injury Prevention in Hospitals Training Program. … Citation Text:
Pressure Injury Prevention in Hospitals Training Program. … Copy URL
Cite
Citation
Citation Text:
Pressure Injury Prevention … March 7, 2018
Fall Prevention in Hospitals Training Program.
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psnet.ahrq.gov/issue/why-psychiatry-different-challenges-and-difficulties-managing-nosocomial-outbreak-coronavirus
February 14, 2024 - susceptible to hospital-acquired COVID-19 due to treating high-risk populations, lower adherence to infection prevention … January 23, 2019
Evaluation of clinical practice guidelines on fall prevention and management … August 20, 2018
A randomized trial of a multifactorial strategy to prevent serious fall … September 23, 2020
Design and implementation of the infection prevention program into
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psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
June 04, 2008 - January 27, 2021
Fall prevention in acute care hospitals: a randomized trial. … Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall … prevention program. … August 4, 2010
Role of registered nurses in error prevention, discovery and correction
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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 … prevention strategies.
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psnet.ahrq.gov/issue/effects-intervention-increase-bed-alarm-use-prevent-falls-hospitalized-patients-cluster
January 03, 2017 - March 13, 2019
Fall prevention implementation strategies in use at 60 United States hospitals … August 10, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/model-recovering-medical-errors-coronary-care-unit
June 02, 2010 - January 27, 2021
Fall prevention in acute care hospitals: a randomized trial. … Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall … prevention program. … May 28, 2008
Role of registered nurses in error prevention, discovery and correction.
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psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
August 28, 2024 - September 21, 2005
A randomized trial of a multifactorial strategy to prevent serious fall … July 29, 2020
Evaluation of clinical practice guidelines on fall prevention and management … January 12, 2022
Are evidence-based practices associated with effective prevention of
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psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
February 17, 2011 - The authors also describe how to integrate such prevention strategies into clinical practice. … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … September 9, 2009
WebM&M Cases
Another Fall
April
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psnet.ahrq.gov/node/45739/psn-pdf
July 02, 2017 - Although limited
evidence supports fall prevention strategies, the use of certain high-risk medications … in older adults is
known to increase fall risk.
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psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors
April 24, 2019 - 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 … July 1, 2009
Prioritising the prevention of medication handling errors.
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psnet.ahrq.gov/issue/using-smart-iv-infusion-pumps-outside-patient-rooms
September 23, 2020 - 2021
Human-based errors involving smart infusion pumps: a catalog of error types and prevention … interoperability on patient safety and finances at a community hospital
August 25, 2021
Fall … prevention with the Smart Socks System reduces hospital fall rates. … , and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention