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psnet.ahrq.gov/node/47878/psn-pdf
June 05, 2019 - Nursing practice with hospitalised older people: safety
and harm.
June 5, 2019
Dahlke SA, Hunter KF, Negrin K. Nursing practice with hospitalised older people: Safety and harm. Int J
Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220.
https://psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people…
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - Centers for Disease Control and Prevention. Published June 2022. … Pharmacists During the COVID-19 Pandemic
June 29, 2020
Assessment of a wearable fall … prevention system at a Veterans Health Administration hospital. … Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall … prevention program.
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
October 01, 2015 - Infographic Poster on CAUTI Prevention
Appendix L. … "CAUTI prevention isn't my responsibility." … CAUTI prevention is also tied to the “bottom line” with potential financial implications associated with
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psnet.ahrq.gov/issue/costs-associated-adverse-drug-events-among-older-adults-ambulatory-setting
May 20, 2020 - medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention
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psnet.ahrq.gov/issue/strategies-prevent-missed-nursing-care-international-qualitative-study-based-upon-positive
May 18, 2022 - July 29, 2020
Nurses' harm prevention practices during admission of an older person to
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
August 01, 2025 - ► Expectation that every hospital-acquired
infection was reviewed using LFD
► LFD used for post-fall … in ICUs and non-ICUs
https://www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/index.html 46
https: … //www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/index.html
In Progress:
AHRQ Safety Program for Telemedicine … index.html
https://www.ahrq.gov/antibiotic-use/index.html
Now Enrolling:
AHRQ Safety Program for HAI Prevention … Safety Program for Telemedicine: Improving Antibiotic Use
Now Enrolling: AHRQ Safety Program for HAI Prevention
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psnet.ahrq.gov/issue/your-companys-secret-change-agents
June 09, 2021 - April 24, 2018
Defining the critical role of nurses in diagnostic error prevention: a … December 19, 2007
Ounce of prevention: to reduce errors, hospitals prescribe innovative
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psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals
February 01, 2012 - Study
Classic
The problems of detecting medication errors in hospitals.
Citation Text:
Barker KN, McConnell WE. The Problems of Detecting Medication Errors in Hospitals. Am J Health Syst Pharm. 1962;19(8):360-369. doi:10.1093/ajhp/19.8.360.
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psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and
September 23, 2020 - October 19, 2022
A randomized trial of a multifactorial strategy to prevent serious fall … April 15, 2020
Selected medication safety risks that can easily fall off the radar screen—part
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psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospitals
November 04, 2009 - Study
Nursing care quality and adverse events in US hospitals.
Citation Text:
Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs. 2010;19(15-16):2185-95. doi:10.1111/j.1365-2702.2010.03250.x.
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DOI Google S…
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psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events
January 22, 2017 - January 15, 2025
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
December 06, 2017 - Commentary
What happens when healthcare innovations collide?
Citation Text:
Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441.
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DOI Google S…
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psnet.ahrq.gov/issue/using-name-overlap-analysis-understand-medication-name-search-safety
August 31, 2022 - September 16, 2015
The impact of post-fall huddles on repeat fall rates and perceptions
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psnet.ahrq.gov/issue/good-practice-guides-medication-errors-part-1-and-part-2
August 03, 2016 - Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. … Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. … June 27, 2018
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare
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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/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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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/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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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
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February 6, 2019
Lane-Fall … Linkedin
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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.