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Showing results for "fall prevention".
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  1. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
    September 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case September 2005 Double Trouble Source and Credits This presentation is based on the Sept. 2005 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Jerry H. Gurwitz, MD, University of…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33600/psn-pdf
    September 08, 2019 - Lucian Leape highlighted the issue and presented a framework for error analysis and prevention that … include: Preventable adverse events: those due to error or failure to apply an accepted strategy for prevention

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33581/psn-pdf
    September 07, 2019 - Prevention of Adverse Drug Events https://psnet.ahrq.gov/issue/preventing-medication-errors-quality-chasm-series … Safety Goal for both hospitals and ambulatory clinics, and the  Partnership for Patients included ADE prevention … The Office of Disease Prevention and Health Promotion issued the  National Action Plan for Adverse Drug … Event Prevention in 2014, which identified ways to align the efforts of federal health agencies to

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33569/psn-pdf
    September 07, 2019 - Readmissions and Adverse Events After Discharge September 7, 2019 Readmissions and Adverse Events After Discharge. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge Background Being discharged from the hospital can be dangerous. A classic study found that nearly …

  5. A Stroke of Error | PSNet

    psnet.ahrq.gov/web-mm/stroke-error
    February 01, 2016 - year-old man with a history of untreated hypertension presented to the emergency department (ED) after a fall

  6. Mismanagement of Delirium | PSNet

    psnet.ahrq.gov/web-mm/mismanagement-delirium
    February 13, 2014 - The care of a person with dementia should be focused on prevention of delirium (for example, promotion … Delirium in elderly adults: diagnosis, prevention and treatment. Nat Rev Neurol. 2009;5:210-220.

  7. Failure to Latch | PSNet

    psnet.ahrq.gov/web-mm/failure-latch
    November 27, 2012 - The infant was nursing frequently for 30–45 minutes at a time, was quite fussy, and tended to fall asleep … Center for Disease Control and Prevention Web site. Available at: www.cdc.gov/breastfeeding . 3. … Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention;

  8. Patient Safety 101 | PSNet

    psnet.ahrq.gov/primer/patient-safety-101
    January 16, 2025 - Lucian Leape highlighted the issue and presented a framework for error analysis and prevention that is … include: Preventable adverse events: those due to error or failure to apply an accepted strategy for prevention

  9. Application of Safety-II Principles | PSNet

    psnet.ahrq.gov/perspective/application-safety-ii-principles
    August 28, 2024 - For example, most people don't fall or get a wrong site surgery.

  10. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet

    psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
    August 28, 2024 - For example, most people don't fall or get a wrong site surgery.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33589/psn-pdf
    September 07, 2019 - High Reliability September 7, 2019 High Reliability. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/high-reliability Background High reliability organizations (HRO) are organizations that operate in complex, high-hazard domains for extended periods without serious accidents or catastrophic failures. The co…

  12. Promoting patient safety in continence care. | PSNet

    psnet.ahrq.gov/issue/promoting-patient-safety-continence-care
    January 21, 2019 - Newspaper/Magazine Article Promoting patient safety in continence care. Citation Text: Mangnall J. Promoting patient safety in continence care. Nursing standard (Royal College of Nursing (Great Britain) : 1987). 2012;26(23):49-56; quiz 58. Copy Citation Format: Google Sch…

  13. Hospital ratings: a guide for the perplexed. | PSNet

    psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed
    June 01, 2011 - Commentary Hospital ratings: a guide for the perplexed. Citation Text: Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2. doi:10.1001/jama.2015.5269. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  14. How to discuss errors and adverse events with cancer patients. | PSNet

    psnet.ahrq.gov/issue/how-discuss-errors-and-adverse-events-cancer-patients
    April 01, 2010 - September 19, 2016 A randomized trial of a multifactorial strategy to prevent serious fall

  15. The architecture of safety: an emerging priority for improving patient safety. | PSNet

    psnet.ahrq.gov/issue/architecture-safety-emerging-priority-improving-patient-safety
    June 09, 2011 - Review The architecture of safety: an emerging priority for improving patient safety. Citation Text: Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643…

  16. Evaluation of a redesign initiative in an internal-medicine residency. | PSNet

    psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
    February 17, 2011 - February 17, 2011 A randomized trial of a multifactorial strategy to prevent serious fall

  17. HomeNet: ensuring patient safety with medical device use in the home. | PSNet

    psnet.ahrq.gov/issue/homenet-ensuring-patient-safety-medical-device-use-home
    June 18, 2014 - Commentary HomeNet: ensuring patient safety with medical device use in the home. Citation Text: Kaufman D, Weick-Brady M. HomeNet: ensuring patient safety with medical device use in the home. Home Healthc Nurse. 2009;27(5):300-7. Copy Citation Format: Google Scholar PubMe…

  18. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. | PSNet

    psnet.ahrq.gov/issue/discharge-rounds-80-hour-workweek-importance-trauma-nurse-practitioner
    October 19, 2022 - August 4, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

  19. Medical error, incident investigation and the second victim: doing better but feeling worse? | PSNet

    psnet.ahrq.gov/issue/medical-error-incident-investigation-and-second-victim-doing-better-feeling-worse
    July 29, 2020 - the Same Author(s) A randomized trial of a multifactorial strategy to prevent serious fall

  20. Risk mitigation in large scale systems: lessons from high reliability organizations. | PSNet

    psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
    January 30, 2019 - Commentary Classic Risk mitigation in large scale systems: lessons from high reliability organizations. Citation Text: Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…
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