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Showing results for "fall prevention".
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  1. A Sweet Case of Hidden Hydrogen Ions | PSNet

    psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
    November 30, 2023 - The following day, she had a near fall, blurry vision, and change in mental status.  … identified by calculating the compensatory response to the primary abnormality and, when the values fall … Increasing Hospitalizations for DKA: A Need for Prevention Programs.  … Centers for Disease Control and Prevention (CDC). National Diabetes Statistics Report, 2020. … Atlanta, GA: Center for Disease Control and Prevention, U.S.

  2. DEEP SCOPE: a framework for safe healthcare design. | PSNet

    psnet.ahrq.gov/issue/deep-scope-framework-safe-healthcare-design
    August 18, 2021 - August 18, 2021 Artificial intelligence for identifying the prevention of medication … Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … Article Study The Stoplight Mobility Alert System for safety and prevention

  3. Ssssh for handover: protected medical handover; optimising quality and prioritising safety—a regional initiative. | PSNet

    psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
    March 08, 2017 - November 9, 2005 Evaluation of clinical practice guidelines on fall prevention and management … April 23, 2008 A randomized trial of a multifactorial strategy to prevent serious fall

  4. 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.

  5. 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

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46009/psn-pdf
    September 13, 2017 - mixed methods study of 11 health services across Victoria, Australia, found that skin integrity and fall … long-term-outcomes-medication-intervention-using-screening-tool-older-persons-potentially https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

  7. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-397
    June 28, 2023 - Patient fall rates can be impacted by numerous factors, such as staffing, safety culture, and individual … Additionally, good collaboration between nurses, physicians, and pharmacists was associated with lower fall … Patient fall rates can be impacted by numerous factors, such as staffing, safety culture, and individual … Additionally, good collaboration between nurses, physicians, and pharmacists was associated with lower fall … for prevention in systems, and workforce education and development.

  8. 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

  9. 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

  10. 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

  11. 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…

  12. 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

  13. 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

  14. 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…

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. Environmental changes increase hospital safety for dementia patients. | PSNet

    psnet.ahrq.gov/issue/environmental-changes-increase-hospital-safety-dementia-patients
    January 10, 2011 - Related Resources Patient Safety Innovations Suicide Prevention … Emergency Department Population: ED-SAFE April 24, 2024 Systems approach to suicide prevention … December 2, 2015 Reducing falls and fall-related injuries in mental health: a 1-year
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