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Showing results for "fall prevention".
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2021. The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
      January 22, 2016 - January 22, 2016 A randomized trial of a multifactorial strategy to prevent serious fall

2022. Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. | PSNet
      psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
      September 23, 2020 - January 23, 2019 A randomized trial of a multifactorial strategy to prevent serious fall

2023. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. | PSNet
      psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
      January 16, 2008 - August 4, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

2024. A strategic solution to preventing the harm associated with ambulance handover delays. | PSNet
      psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
      July 22, 2020 - Journal Article Study Catching those who fall

2025. Adverse Events, Near Misses, and Errors | PSNet
      psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
      March 30, 2022 - event as preventable requires some judgment about the degree to which the evidence supports specific prevention … Preventable adverse events : those that occurred due to error or failure to apply an accepted strategy for prevention

2026. Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis. | PSNet
      psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
      August 16, 2023 - September 6, 2023 ‘I felt like I was dying’: how women with postpartum depression fall

2027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35572/psn-pdf
      February 03, 2011 - in patient safety programs, drug administration and safety procedures, error reporting processes, prevention … However, the authors point out that the overall findings fall short of the IOM recommendations and necessitate

2028. Medication bar coding: to scan or not to scan? | PSNet
      psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
      October 19, 2022 - September 24, 2016 A randomized trial of a multifactorial strategy to prevent serious fall

2029. Dangerous deception--hiding the evidence of adverse drug events. | PSNet
      psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
      November 09, 2022 - October 11, 2023 A randomized trial of a multifactorial strategy to prevent serious fall

2030. High-risk, high-alert medication management practices in a regional state psychiatric facility. | PSNet
      psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
      January 06, 2017 - June 7, 2008 A randomized trial of a multifactorial strategy to prevent serious fall

2031. Common formats for patient safety data collection and event reporting. | PSNet
      psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
      July 03, 2013 - Press Release/Announcement Common formats for patient safety data collection and event reporting. Citation Text: Common formats for patient safety data collection and event reporting. Federal Register. Rockville, MD: Agency for Healthcare Research and Quality. February 18, 2014;79:9214…

2032. Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. | PSNet
      psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
      December 12, 2018 - August 2, 2023 ‘I felt like I was dying’: how women with postpartum depression fall through

2033. Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. | PSNet
      psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
      February 24, 2016 - Same Author(s) Selected medication safety risks to manage in 2016 that might otherwise fall

2034. Patient safety and acute care medicine: lessons for the future, insights from the past. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past
      April 27, 2022 - September 23, 2020 A randomized trial of a multifactorial strategy to prevent serious fall

2035. Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. | PSNet
      psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
      March 27, 2019 - Toolkit Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Citation Text: Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…

2036. Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. | PSNet
      psnet.ahrq.gov/issue/examining-relationship-between-health-it-and-ambulatory-care-workflow-redesign
      December 24, 2008 - Book/Report Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Citation Text: Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Qual…

2037. Major congenital malformations after first-trimester exposure to ACE inhibitors. | PSNet
      psnet.ahrq.gov/issue/major-congenital-malformations-after-first-trimester-exposure-ace-inhibitors
      July 10, 2008 - RIS Download Citation Related Resources From the Same Author(s) Prevention … of fall-related injuries in long-term care: a randomized controlled trial of staff education. … systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened

2038. Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. | PSNet
      psnet.ahrq.gov/issue/inter-professional-clinical-handover-post-anaesthetic-care-units-tools-improve-quality-and
      April 24, 2013 - April 24, 2013 Barriers and enablers to nurses' use of harm prevention strategies for … August 17, 2022 Nurses' harm prevention practices during admission of an older person … September 13, 2017 Nursing guidelines for comprehensive harm prevention strategies for … January 19, 2022 6-PACK programme to decrease fall injuries in acute hospitals: cluster

2039. Reported medication errors after introducing an electronic medication management system. | PSNet
      psnet.ahrq.gov/issue/reported-medication-errors-after-introducing-electronic-medication-management-system
      November 18, 2016 - November 18, 2016 Barriers and enablers to nurses' use of harm prevention strategies … August 17, 2022 Nurses' harm prevention practices during admission of an older person … September 13, 2017 Nursing guidelines for comprehensive harm prevention strategies for … January 19, 2022 6-PACK programme to decrease fall injuries in acute hospitals: cluster

2040. Are apologies a way to reduce malpractice risks?. | PSNet
      psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks
      October 23, 2018 - Related Resources From the Same Author(s) Centers for Disease Control and Prevention … Guideline for the Prevention of Surgical Site Infection, 2017. … February 22, 2017 Balancing safety, comfort, and fall risk: an intervention to limit