-
psnet.ahrq.gov/issue/multi-level-analysis-national-nursing-students-disclosure-patient-safety-concerns
April 28, 2021 - Study
Multi-level analysis of national nursing students' disclosure of patient safety concerns.
Citation Text:
Palese A, Gonella S, Grassetti L, et al. Multi-level analysis of national nursing students' disclosure of patient safety concerns. Med Educ. 2018;52(11):1156-1166. doi:10.1111/m…
-
psnet.ahrq.gov/issue/quality-medication-use-primary-care-mapping-problem-working-solution-systematic-review
February 23, 2011 - Review
Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature.
Citation Text:
Garfield S, Barber N, Walley P, et al. Quality of medication use in primary care--mapping the problem, working to a solution: a systematic …
-
psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
September 16, 2020 - Study
Classic
High nursing staff turnover in nursing homes offers important quality information.
Citation Text:
Gandhi A, Yu H, Grabowski DC. High nursing staff turnover in nursing homes offers important quality information. Health Aff (Millwood). 2021;40(3):384…
-
psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process
December 18, 2024 - Journal Article
Study
Catching those who fall
-
psnet.ahrq.gov/issue/impact-stewardship-interventions-antiretroviral-medication-errors-urban-medical-center-three
February 10, 2016 - Nutrition Error
May 26, 2021
Selected medication safety risks that can easily fall
-
psnet.ahrq.gov/issue/resident-duty-hour-restrictions-and-neurosurgical-training-review-literature
September 23, 2020 - July 13, 2010
A randomized trial of a multifactorial strategy to prevent serious fall
-
psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
October 31, 2017 - October 7, 2013
A randomized trial of a multifactorial strategy to prevent serious fall
-
psnet.ahrq.gov/issue/experiences-diagnostic-delay-among-underserved-racial-and-ethnic-patients-systematic-review
November 03, 2015 - July 2, 2011
A randomized trial of a multifactorial strategy to prevent serious fall
-
psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
May 12, 2021 - April 26, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
-
psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis
October 21, 2020 - Study
Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis.
Citation Text:
Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/b…
-
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
-
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
-
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…
-
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
-
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
-
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
-
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
-
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
-
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
-
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