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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
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psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
December 22, 2018 - December 21, 2017
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … program to engage older adults in fall prevention in a nursing home.
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psnet.ahrq.gov/issue/value-library-and-information-services-patient-care-results-multisite-study
April 24, 2018 - November 3, 2021
Evaluation of clinical practice guidelines on fall prevention and management … January 12, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
January 18, 2012 - November 27, 2012
Evaluation of clinical practice guidelines on fall prevention and management … March 12, 2025
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/exploring-how-nursing-schools-handle-student-errors-and-near-misses
May 28, 2014 - September 21, 2009
Evaluation of clinical practice guidelines on fall prevention and … October 23, 2019
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training
January 07, 2011 - February 26, 2009
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety … ): a patient-centered fall prevention toolkit.
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psnet.ahrq.gov/issue/characteristics-quality-and-patient-safety-curricula-major-teaching-hospitals
February 16, 2011 - February 16, 2011
A randomized trial of a multifactorial strategy to prevent serious fall … March 18, 2019
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/should-patients-have-role-patient-safety-safety-engineering-view
June 10, 2009 - December 22, 2018
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety … ): a patient-centered fall prevention toolkit.
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www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
May 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions
Final Report … High-Performance Work Practices in CLABSI Prevention
Interventions: Executive Summary. … Project Scan Findings
The project scan was completed in fall 2010. … CLABSI Prevention Focus
We found that all of the sites’ CLABSI prevention efforts focused on three … Advances in the Prevention and Control of HAIs: Studying HAI Prevention Efforts to
Learn From Experience
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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
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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
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
October 01, 2010 - Falls and fall-related injuries in older dialysis patients. … Falls and fall-related injuries in older dialysis patients. Clin J Am Soc Nephrol. 2006;1:1197-1204. … Falls and fall-related injuries in older dialysis patients. Clin J Am Soc Nephrol. 2006;1:1197-1204. … Centers for Disease Control and Prevention (CDC) Sets standards for infection control in dialysis units … Future investigation into the occurrence and prevention of adverse events and errors in dialysis units
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qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
October 01, 2023 - AHRQ QI List of Indicators
Prevention Quality Indicators (PQls) … Admission Rate
• PQI 16 - Lower-Extremity Amputation Among Patients
with Diabetes Rate
• PQI 90- Prevention … Quality Overall Composite
• PQI 91- Prevention Quality Acute Composite
• PQI 92- Prevention Quality … Chronic Composite
• PQI 93- Prevention Quality Diabetes Composite
Area-Level Indicators (e.g., County … Rate
• PSI 07 - Central Venous Catheter-Related Blood
Stream Infection Rate
• PSI 08 - In-Hospital Fall-Associated
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digital.ahrq.gov/population/rural-populations
January 01, 2025 - HS028880
Principal Investigator(s)
Toscos, Tammy R
Management of fall … Management of fall risk among older adults in diverse primary care settings. … Project Name
Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall … Assessment and Prevention Patient-Centered Outcomes Research Findings into Diverse Primary Care Practices
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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
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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
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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
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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
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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
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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.