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Showing results for "fall prevention".
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3201. Double Dosing, by the Rules | PSNet
      psnet.ahrq.gov/web-mm/double-dosing-rules
      February 03, 2010 - Organizations often develop error prevention strategies following a serious event that focus solely on … The error occurs when individuals fall victim to the flaws within the system and mistakes are made.

3202. Too Many Cooks Spotlight Pdf (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
      January 01, 2020 - stenosis) • Patient was admitted for a pathologic pelvic fracture (secondary to osteoporosis) after a fall … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings.

3203. Patient Engagement in Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-safety
      January 01, 2018 - March 13, 2024 Patient and caregiver perspectives on causes and prevention of ambulatory

3204. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-439
      May 29, 2024 - improvement following the nurse manager visit was improved access into the home and a reduction in trip and fall … A culture that fosters awareness and prevention of fatigue can improve not only patient safety, but also

3205. The Duke Pediatric Residency Safety Council | PSNet
      psnet.ahrq.gov/innovation/duke-pediatric-residency-safety-council
      November 16, 2022 - Journal Article Study Catching those who fall … Article Study The Stoplight Mobility Alert System for safety and prevention

3206. Think Like a Surgeon | PSNet
      psnet.ahrq.gov/web-mm/think-surgeon
      December 04, 2024 - October 19, 2022 ROI for a fall prevention intervention: invest a little, save a lot.

3207. Late Anemia Following Rh Disease in a Newborn | PSNet
      psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
      June 17, 2010 - providers who all noted that the hemoglobin remained stable at 12 g/dL, and the bilirubin continued to fall

3208. In Conversation with… Edward Tenner, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
      June 01, 2011 - Or are there ways to prospectively anticipate that something is likely to fall off the back of the truck … The back of a patient chair on a tomography system bent and broke off, allowing a patient to fall.

3209. Computer-based Provider Order Entry--CPOE. | PSNet
      psnet.ahrq.gov/issue/computer-based-provider-order-entry-cpoe
      July 20, 2022 - January 26, 2022 Evaluation of clinical practice guidelines on fall prevention and management

3210. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-348
      May 16, 2022 - June 29, 2022 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, …

3211. WebM&M Cases & Commentaries | PSNet
      psnet.ahrq.gov/Webmm
      May 01, 2021 - Level III trauma center to a Level I trauma center with lower extremity paralysis after a ground level fall

3212. Webmm
      psnet.ahrq.gov/webmm
      May 01, 2021 - Level III trauma center to a Level I trauma center with lower extremity paralysis after a ground level fall

3213. Getting a Good Report Card: Unintended Consequences of the Public Reporting of Hospital Quality | PSNet
      psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
      October 01, 2004 - reporting hospital-specific mortality following coronary bypass surgery, mortality rates were observed to fall … Smoking cessation advice/counseling Appropriate Initial Antibiotic Selection Surgical Infection Prevention

3214. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
      August 01, 2009 - April 1, 2014 Perspective How Does Infection Prevention

3215. Unexpected Drawbacks of Electronic Order Sets | PSNet
      psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
      December 01, 2017 - Effect of computerized physician order entry and a team intervention on prevention of serious medication

3216. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet
      psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
      February 26, 2025 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

3217. Poor Prognosis | PSNet
      psnet.ahrq.gov/web-mm/poor-prognosis
      March 15, 2016 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

3218. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49630/psn-pdf
      July 01, 2011 - Cost-effectiveness of dabigatran compared with warfarin for stroke prevention in atrial fibrillation

3219. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49429/psn-pdf
      January 01, 2004 - Unfortunately, ß-hCG levels alone are not diagnostic as they may fall and rise in some situations, such

3220. Dying in the Hospital With Advanced Dementia | PSNet
      psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
      November 01, 2016 - of Electronic Order Sets November 1, 2016 Centers for Disease Control and Prevention … Guideline for the Prevention of Surgical Site Infection, 2017. … Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention