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2241. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-459
      October 30, 2024 - The intervention included enhanced communication with families and staff about fall risks, physical therapy … Centers for Disease Control and Prevention . … The commentary summarizes risk factors for fall injuries among high-risk populations (such as older adults … ), appropriate use of fall assessment and prevention strategies, and strategies to improve communication

2242. 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…

2243. Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety. | PSNet
      psnet.ahrq.gov/issue/impact-primary-care-nurse-manager-nurse-intent-leave-and-staff-perception-patient-safety
      November 01, 2023 - September 23, 2020 A randomized trial of a multifactorial strategy to prevent serious fall … September 8, 2021 A randomized trial of a multifactorial strategy to prevent serious fall … July 8, 2020 Design and implementation of the infection prevention program into risk

2244. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866193/psn-pdf
      June 26, 2024 - Preventable or potentially inappropriate psychotropics and adverse health outcomes in older adults: systematic review and meta-analysis. June 26, 2024 Corvaisier M, Brangier A, Annweiler C, et al. Preventable or potentially inappropriate psychotropics and adverse health outcomes in older adults: systematic review …

2245. Iatrogenic delirium and coma: a "near miss." | PSNet
      psnet.ahrq.gov/issue/iatrogenic-delirium-and-coma-near-miss
      September 23, 2020 - May 27, 2011 Effect of computer order entry on prevention of serious medication errors … May 26, 2011 Centers for Disease Control and Prevention Guideline for the Prevention … November 16, 2022 A randomized trial of a multifactorial strategy to prevent serious fall

2246. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44388/psn-pdf
      October 14, 2015 - generally seeing patients with lower acuity levels, whereas the authors speculate that the increased fall

2247. In Conversation With... Heidi Wald, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-heidi-wald-md
      November 26, 2019 - Whereas, working on mobility, delirium prevention, skin care, etc. is a more horizontal cross-cutting … In the health system I’m at right now, we’re increasingly marrying our falls prevention work with our … Our prior approach to falls was, “if we keep them in bed they won’t fall.” … We placed fall prevention above safe mobility. … This makes it necessary to have patient safety practices directed specifically at prevention in these

2248. Patient Safety in Frail Older Patients | PSNet
      psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
      November 26, 2019 - This makes it necessary to have patient safety practices directed specifically at prevention in these … Whereas, working on mobility, delirium prevention, skin care, etc. is a more horizontal cross-cutting … In the health system I’m at right now, we’re increasingly marrying our falls prevention work with our … Our prior approach to falls was, “if we keep them in bed they won’t fall.” … We placed fall prevention above safe mobility.

2249. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844785/psn-pdf
      September 11, 2019 - Information flow during pediatric trauma care transitions: things falling through the cracks. September 11, 2019 Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions: things falling through the cracks. Intern Emerg Med. 2019;14(5):797-805. doi:10.1007/s11739-019-0…

2250. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. | PSNet
      psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
      August 05, 2020 - December 1, 2021 View More Related Resources The challenge of risk prevention

2251. Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. | PSNet
      psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
      June 19, 2024 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2252. 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

2253. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44872/psn-pdf
      February 12, 2016 - https://psnet.ahrq.gov/issue/partnership-patients https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

2254. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41985/psn-pdf
      October 26, 2016 - The most common adverse events reported were pressure ulcers and fall- related injuries or deaths. … /serious-reportable-events-healthcare-2011-update https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

2255. Association of overlapping cardiac surgery with short-term patient outcomes. | PSNet
      psnet.ahrq.gov/issue/association-overlapping-cardiac-surgery-short-term-patient-outcomes
      November 09, 2022 - May 12, 2021 A randomized trial of a multifactorial strategy to prevent serious fall … October 19, 2022 Evaluating the prevalence of four recommended practices for suicide prevention … Shared understanding of resilient practices in the context of inpatient suicide prevention … August 17, 2022 Development and implementation of a suicide prevention checklist to create

2256. Selling soap. | PSNet
      psnet.ahrq.gov/issue/selling-soap
      March 06, 2005 - January 13, 2021 Improving hospital safety culture for falls prevention through interdisciplinary … Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … Plans May 31, 2023 Impact of patient safety climate on infection prevention

2257. Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens. | PSNet
      psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
      July 06, 2011 - potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention … May 28, 2015 A randomized trial of a multifactorial strategy to prevent serious fall … : Topics in Medication Safety March 31, 2022 6-PACK programme to decrease fall

2258. The Safety and Quality of Long Term Care | PSNet
      psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
      January 01, 2016 - She was found to have a left hip fracture as a result of the fall and underwent an uncomplicated surgical … Home Care Contributing to Adverse Events While it is difficult to know whether the patient's initial fall … report might have alerted staff about the resident's increased pressure ulcer risk so that aggressive prevention … In the current case, perhaps frontline caregivers would have spoken up about fall risk or pressure ulcer … Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2259. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49609/psn-pdf
      October 01, 2010 - risk in hemodialysis patients is higher than in the general population.(4) Assessment of fall risk, … use of neuropsychiatric medications, and avoiding hypotension in dialysis patients may all reduce fall … mandated by CMS under Medicare's conditions for coverage.(9) Future investigation into the occurrence and prevention … Falls and fall-related injuries in older dialysis patients. … Centers for Disease Control and Prevention (CDC) Sets standards for infection control in dialysis

2260. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46451/psn-pdf
      September 27, 2017 - bad-hospital-design-making-us-sicker https://psnet.ahrq.gov/issue/guidelines-design-and-construction https://psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and