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Showing results for "fall prevention".
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2121. Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences. | PSNet
      psnet.ahrq.gov/issue/medication-double-checking-procedures-clinical-practice-cross-sectional-survey-oncology
      March 21, 2018 - June 13, 2011 Oncology nurses' perceptions about involving patients in the prevention

2122. "I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. | PSNet
      psnet.ahrq.gov/issue/i-am-administering-medication-please-do-not-interrupt-me-red-tabards-preventing-interruptions
      May 12, 2021 - March 27, 2013 Oncology nurses' perceptions about involving patients in the prevention

2123. Improving medication-related clinical decision support. | PSNet
      psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-support
      July 01, 2017 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2124. Moving Pains | PSNet
      psnet.ahrq.gov/web-mm/moving-pains
      August 17, 2017 - Partly because the issue of transport tends to "fall between the cracks" of divisions, departments, and … The time has come to rectify this, lest more patients fall victims to the risk of moving around the hospital … Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2125. Suicide attempts and completions on medical-surgical and intensive care units. | PSNet
      psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
      June 21, 2017 - Related Resources Patient Safety Innovations Suicide Prevention … Shared understanding of resilient practices in the context of inpatient suicide prevention

2126. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
      April 21, 2008 - and 3; pain medication management, 42 and 4; medication management in the pharmacy, 240 and 3; and fall … prevention, 55 and 2. … In Hospital B, the focus of the human factors visit was failure of staff to adhere to fall prevention … policies and procedures, including use of bed alarms, patient fall risk identifiers, and their staff … These redundancies in reporting interfered with staff compliance with our fall policy and procedures

2127. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
      November 30, 2013 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention ED … Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention … Yes No >1 hospitalization or ED visit in the past 3 months   >1 fall in the past 3 months   Active … stasis ulcer)   Polypharmacy (15 or more medications)   Presence of catheter or ostomy   Fall … Section 2: Preventable Hospital Transfer and ED Visits - Prevention Plan For residents at risk:

2128. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
      November 30, 2013 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention ED … Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention … Yes No >1 hospitalization or ED visit in the past 3 months   >1 fall in the past 3 months   Active … stasis ulcer)   Polypharmacy (15 or more medications)   Presence of catheter or ostomy   Fall … Section 2: Preventable Hospital Transfer and ED Visits - Prevention Plan For residents at risk:

2129. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration
      January 17, 2019 - Patient Safety Primers Retained Surgical Items: Causation and Prevention … June 12, 2024 Guidelines in Practice: prevention of unintentionally retained surgical

2130. ISMP Long-Term Care Advise-ERR. | PSNet
      psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
      June 07, 2017 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2131. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
      August 01, 2025 - These projects typically fall into one or more of the following categories: measure selection, surveillance … care processes and reduce falls incidence and fall-related injuries. … Key Findings/Impact: This project evaluated the impact of fall prevention interventions in 91 participating … In the fall of 2009 and early 2010, the study team hosted a series of webinars designed to train population … racial disparities emerged in both event occurrence and reporting accuracy—White residents had higher fall

2132. Managing Ascites: Hazards of Fluid Removal | PSNet
      psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
      June 01, 2018 - If a patient develops a large fall in blood pressure, as occasionally occurs, I would give vasopressor … Large volume paracentesis is generally safe, but blood pressure may fall and require treatment. … Good Night's Sleep Gone Wrong February 1, 2016 Guidelines for prevention

2133. Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/building-capacity-patient-safety
      July 31, 2023 - Education can focus on promoting a culture of safety, implementing error-prevention strategies, recognizing … Every long-term care facility also has an infection prevention advisor from our team assigned to them … Our advisors have decades of experience in patient safety and infection prevention and come from varied … at the Patient Safety Authority was reviewing newborn-related safety events and discovered a newborn fall … A newborn fall often means the baby was dropped, likely by exhausted parents who fall asleep holding

2134. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
      July 31, 2023 - Every long-term care facility also has an infection prevention advisor from our team assigned to them … Our advisors have decades of experience in patient safety and infection prevention and come from varied … at the Patient Safety Authority was reviewing newborn-related safety events and discovered a newborn fall … A newborn fall often means the baby was dropped, likely by exhausted parents who fall asleep holding … Education can focus on promoting a culture of safety, implementing error-prevention strategies, recognizing

2135. Exercise Handouts w/ Drawings (pdf file)
      cds.ahrq.gov/sites/default/files/cds/artifact/127731/FallPreventionChairExercises.pdf
      July 18, 2023 - Daily Fall Prevention Exercises - Chair Exercises Front Knee (do this 5 to 10 times per leg) Thigh

2136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865816/psn-pdf
      May 08, 2024 - improvement following the nurse manager visit was improved access into the home and a reduction in trip and fall … registered-nurses-efforts-ensure-safety-home-dwelling-older-patients https://psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care

2137. Comparative Effectiveness Review No. 241_Physical Activity and the Health of Wheelchair Users: A Systematic Review in Multiple Sclerosis, Cerebral Palsy, and Spinal Cord Injury (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/cer-241-physical-activity-wheelchair-evidence-summary-updated.pdf
      October 01, 2021 - activity to be associated with improvements in walking ability, general function, balance (including fall … Key Question 1: Prevention of Cardiovascular Conditions, Diabetes, and Obesity No included study … (n=168) or study excluded at the full-text level provided evidence on the prevention of cardiovascular … (balance improvement) Insufficient Insufficient Postural Control Balance Exercises Low (fall … activity was associated with improvements in walking ability, general function, balance (including fall

2138. Combined SNA and LDA methods to understand adverse medical events | PSNet
      psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understand-adverse-medical-events
      November 15, 2023 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … June 24, 2020 The impact of post-fall huddles on repeat fall rates and perceptions of

2139. A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/partially-structured-postoperative-handoff-protocol-improves-communication-2-mixed-surgical
      November 19, 2018 - Citation Text: Lane-Fall MB, Pascual JL, Peifer HG, et al. … Facebook Twitter Linkedin Copy URL February 6, 2019 Lane-Fall … Linkedin Copy URL Cite Citation Citation Text: Lane-Fall … December 23, 2020 Patient safety implications of wearing a face mask for prevention in

2140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33722/psn-pdf
      December 01, 2011 - Robert Wachter, Editor, AHRQ WebM&M: What have we learned about assessment of fall risk? Ann L. … RW: What does the best fall assessment program look like? … But whenever the patient's condition changes, they should be reassessed for fall risk. … Let's shift a little bit to other proposed prevention strategies, particularly in environmental ones … But they should not receive an injury as a result of a fall.