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Showing results for "fall prevention".
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2801. Disclosing adverse events to patients: international norms and trends. | PSNet
      psnet.ahrq.gov/issue/disclosing-adverse-events-patients-international-norms-and-trends
      July 29, 2020 - the Same Author(s) A randomized trial of a multifactorial strategy to prevent serious fall

2802. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. | PSNet
      psnet.ahrq.gov/issue/predictors-unit-level-medication-administration-accuracy-microsystem-impacts-medication
      October 06, 2016 - Study Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. Citation Text: Donaldson N, Aydin C, Fridman M. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. J Nurs Adm. 2014;44(6):353-6…

2803. A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. | PSNet
      psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography
      March 04, 2015 - November 20, 2015 A randomized trial of a multifactorial strategy to prevent serious fall

2804. Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study. | PSNet
      psnet.ahrq.gov/issue/impact-computerized-orders-pediatric-continuous-drug-infusions-detecting-infusion-pump
      February 02, 2011 - Study Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study. Citation Text: Sowan AK, Gaffoor MI, Soeken K, et al. Impact of Computerized Orders for Pediatric Continuous Drug Infusions on Detecting Infusion…

2805. Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. | PSNet
      psnet.ahrq.gov/issue/distraction-operating-room-narrative-review-environmental-and-self-initiated-distractions-and
      August 28, 2024 - Review Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. Citation Text: Gui JL, Nemergut EC, Forkin KT. Distraction in the operating room: a narrative review of environmental and self-initiated…

2806. Curriculum development and implementation of a national interprofessional fellowship in patient safety. | PSNet
      psnet.ahrq.gov/issue/curriculum-development-and-implementation-national-interprofessional-fellowship-patient
      November 18, 2016 - Commentary Curriculum development and implementation of a national interprofessional fellowship in patient safety. Citation Text: Watts B, Williams L, Mills PD, et al. Curriculum Development and Implementation of a National Interprofessional Fellowship in Patient Safety. J Patient Saf. 2…

2807. Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation. | PSNet
      psnet.ahrq.gov/issue/use-second-victim-experience-and-support-tool-svest-assess-impact-departmental-peer-support
      December 23, 2020 - Study Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation. Citation Text: Use of the Second Victim …

2808. The Charter on Professionalism for Health Care Organizations. | PSNet
      psnet.ahrq.gov/issue/charter-professionalism-health-care-organizations
      May 25, 2016 - November 16, 2022 A randomized trial of a multifactorial strategy to prevent serious fall

2809. A Seasonal Care Transition Failure | PSNet
      psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
      June 01, 2016 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2810. Medication Reconciliation Pitfalls | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
      May 01, 2006 - The Case A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture

2811. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
      November 01, 2006 - Surgical Infection Prevention • Prophylactic antibiotic received within 1 hour prior to surgical incision … publicly reporting hospital specific mortality following coronary bypass surgery, rates were observed to fall … with reported measures may entail unintended consequences Systems should be in place for monitoring, prevention

2812. Why doctors so often get it wrong. | PSNet
      psnet.ahrq.gov/issue/why-doctors-so-often-get-it-wrong
      October 03, 2007 - November 21, 2007 Point-of-care medication error prevention: best practices in action … July 10, 2024 Patient Safety Innovations Suicide Prevention

2813. State starts project to track serious hospital mistakes. | PSNet
      psnet.ahrq.gov/issue/state-starts-project-track-serious-hospital-mistakes
      May 10, 2006 - November 21, 2007 Point-of-care medication error prevention: best practices in action … Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention

2814. Hiding in Plain Sight | PSNet
      psnet.ahrq.gov/web-mm/hiding-plain-sight
      April 24, 2019 - therapies.( 11 ) A live attenuated VZV vaccine was approved several years ago by the FDA for the prevention … reduced the burden of illness from HZ by 61.1% ( P PP3) Presently, the VZV vaccine is recommended for the prevention … Herpes zoster and postherpetic neuralgia: prevention and management. … April 24, 2019 An inpatient fall prevention initiative in a tertiary care hospital.

2815. Dropping to New Lows | PSNet
      psnet.ahrq.gov/web-mm/dropping-new-lows
      December 18, 2024 - SPOTLIGHT CASE Dropping to New Lows Citation Text: Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

2816. Health Care at the Crossroads: Strategies for Improving the Medical Liability System and Preventing Patient Injury. | PSNet
      psnet.ahrq.gov/issue/health-care-crossroads-strategies-improving-medical-liability-system-and-preventing-patient
      September 07, 2005 - April 21, 2005 Applying High Reliability Principles to Infection Prevention and Control … March 21, 2018 Workplace Violence Prevention: Implementing Strategies for Safer Healthcare … COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention … May 4, 2022 The Joint Commission's new and revised workplace violence prevention standards

2817. Inadvertent administration of magnesium sulfate through the epidural catheter: report and analysis of a drug error. | PSNet
      psnet.ahrq.gov/issue/inadvertent-administration-magnesium-sulfate-through-epidural-catheter-report-and-analysis
      March 06, 2019 - Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention … January 25, 2012 Centers for Disease Control and Prevention Guideline for the Prevention … January 24, 2018 A randomized trial of a multifactorial strategy to prevent serious fall

2818. Patient safety and systematic reviews: finding papers indexed in MEDLINE, EMBASE and CINAHL. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-systematic-reviews-finding-papers-indexed-medline-embase-and-cinahl
      August 04, 2021 - April 20, 2011 Centers for Disease Control and Prevention Guideline for the Prevention … May 10, 2017 A randomized trial of a multifactorial strategy to prevent serious fall … December 8, 2021 Artificial intelligence for identifying the prevention of medication

2819. Reporting of Clinical Adverse Events Scale: a measure of doctor and nurse attitudes to adverse event reporting. | PSNet
      psnet.ahrq.gov/issue/reporting-clinical-adverse-events-scale-measure-doctor-and-nurse-attitudes-adverse-event
      November 12, 2014 - September 8, 2021 A randomized trial of a multifactorial strategy to prevent serious fall … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention … Incidence of adverse drug events and potential adverse drug events: implications for prevention … February 13, 2019 SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention

2820. From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/aviation-medicine-applying-concepts-aviation-safety-risk-management-ambulatory-care
      June 03, 2020 - February 22, 2017 Prevention and treatment of bile duct injuries during laparoscopic … March 17, 2010 Centers for Disease Control and Prevention Guideline for the Prevention … January 31, 2018 Will my patient fall?