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Showing results for "fall prevention".
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2821. Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? | PSNet
      psnet.ahrq.gov/issue/rates-adverse-events-hospitalized-patients-after-summer-time-resident-changeover-united
      June 22, 2022 - Study Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? Citation Text: Metersky ML, Eldridge N, Wang Y, et al. Rates of adverse events in hospitalized patients after summer-time resident changeover in the …

2822. More than words: patients' views on apology and disclosure when things go wrong in cancer care. | PSNet
      psnet.ahrq.gov/issue/more-words-patients-views-apology-and-disclosure-when-things-go-wrong-cancer-care
      May 29, 2012 - believed an error occurred in their cancer-related care and found that provider responses continue to fall

2823. The new recommendations on duty hours from the ACGME Task Force. | PSNet
      psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
      July 14, 2021 - March 15, 2017 A randomized trial of a multifactorial strategy to prevent serious fall

2824. Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. | PSNet
      psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
      May 04, 2022 - Study Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. Citation Text: Riblet N, Shiner B, Watts B, et al. Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports. J Nerv Ment Dis…

2825. Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. | PSNet
      psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
      May 11, 2022 - Journal Article Study Catching those who fall

2826. A symptom-checker for adult patients visiting an interdisciplinary emergency care center and the safety of patient self-triage: real-life prospective evaluation. | PSNet
      psnet.ahrq.gov/issue/symptom-checker-adult-patients-visiting-interdisciplinary-emergency-care-center-and-safety
      April 21, 2021 - Journal Article Study Catching those who fall

2827. Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. | PSNet
      psnet.ahrq.gov/issue/changes-prescription-and-over-counter-medication-and-dietary-supplement-use-among-older
      May 06, 2020 - May 6, 2020 A randomized trial of a multifactorial strategy to prevent serious fall injuries

2828. A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. | PSNet
      psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
      January 11, 2017 - Study A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. Citation Text: Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause ana…

2829. Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet
      psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
      October 23, 2013 - Study Classic Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? Citation Text: Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our failure to impro…

2830. Testimonial injustice: linguistic bias in the medical records of black patients and women. | PSNet
      psnet.ahrq.gov/issue/testimonial-injustice-linguistic-bias-medical-records-black-patients-and-women
      July 28, 2021 - Study Testimonial injustice: linguistic bias in the medical records of black patients and women. Citation Text: Beach MC, Saha S, Park J, et al. Testimonial injustice: linguistic bias in the medical records of black patients and women. J Gen Intern Med. 2021;36(6):1708-1714. doi:10.1007/…

2831. Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. | PSNet
      psnet.ahrq.gov/issue/does-team-reflexivity-impact-teamwork-and-communication-interprofessional-hospital-based
      July 21, 2017 - March 20, 2019 Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building

2832. The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates. | PSNet
      psnet.ahrq.gov/issue/influence-covid-19-visitation-restrictions-patient-experience-and-safety-outcomes-critical
      July 14, 2021 - visitations experienced larger performance deficits across measures of medical staff responsiveness, fall

2833. Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care. | PSNet
      psnet.ahrq.gov/issue/impact-agency-healthcare-research-and-qualitys-safety-program-perinatal-care
      April 04, 2018 - July 26, 2023 A randomized trial of a multifactorial strategy to prevent serious fall

2834. Adverse patient safety events during the COVID epidemic. | PSNet
      psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
      May 03, 2023 - Study Adverse patient safety events during the COVID epidemic. Citation Text: Yackel EE, Knowles RS, Jones CM, et al. Adverse patient safety events during the COVID epidemic. J Patient Saf. 2023;19(5):340-345. doi:10.1097/pts.0000000000001129. Copy Citation Format: DOI Goog…

2835. Inadequate hand-off communication. | PSNet
      psnet.ahrq.gov/issue/inadequate-hand-communication
      April 02, 2015 - Sentinel Event Alerts Inadequate hand-off communication. Citation Text: Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

2836. The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. | PSNet
      psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies
      April 09, 2013 - March 12, 2025 Potentially harmful medication dispenses after a fall or hip fracture:

2837. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
      October 24, 2018 - Study Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Citation Text: Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health A…

2838. Measuring and Responding to Deaths From Medical Errors | PSNet
      psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
      April 01, 2008 - Annual Perspective Measuring and Responding to Deaths From Medical Errors Sumant Ranji, MD | March 22, 2016  View more articles from the same authors. Citation Text: Ranji SR. Measuring and Responding to Deaths From Medical Errors. PSNet [internet]. Rockville…

2839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73899/psn-pdf
      September 29, 2021 - outcomes and safety, it is important to focus on the needs of vulnerable patients with challenges that fall … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Center for Disease Control and Prevention. … Centers for Disease Control and Prevention.

2840. Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
      February 26, 2025 - Learning Health Systems for Patient Safety Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Savitz LA, Sousane Z, Mossburg SE. Learning …