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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - There are organizations where I’ve had a patient fall in my care and the first thing I had to do was … How do we shift the thinking to the idea that these are harms that may happen to the patient, be it a fall … stretcher, if we're trying to move them from bed to from stretcher to bed in the hospital and they fall … I've had a patient fall.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annlrpt2014%20(6).pdf
November 01, 2014 - Cancer Prevention
6. Injury and Child Maltreatment
7. … In 2013, the report focused on prevention in older adults. … Cancer Prevention
1. … Prevention of abuse in older children.
Vision Disorders
1. … There is a lack of research on the prevention of abuse of older children.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annlrpt2014%20(9).pdf
November 01, 2014 - Cancer Prevention
6. Injury and Child Maltreatment
7. … In 2013, the report focused on prevention in older adults. … Cancer Prevention
1. … Prevention of abuse in older children.
Vision Disorders
1. … There is a lack of research on the prevention of abuse of older children.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Workload, Participation, Resources, Foley Alternatives
Learning from Defects
Prevention … event
Cites NHSN criteria for event labeled as a CAUTI
Raises awareness of incident for use for further prevention … on the UMC intranet for staff
Lab time also arranged for a “test out” on care and insertion
CAUTI Prevention … Getting the students involved
Students are educated about On the CUSP: Stop CAUTI
Students created CAUTI prevention … Participation in CDC sponsored “Reverse the Trend” Webinar
Interview appearing in edition of APIC’s Prevention
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/pskqLZMFcHjhtEF75uG4AP
January 01, 2012 - Other Approaches to Prevention
The USPSTF has updated its evidence review on fall
prevention in older … have addi-
tional risk factors for fractures, such as poor bone quality
and an increased tendency to fall … Drug therapies for osteoporosis can be for primary
prevention (prevention of an osteoporotic fracture … in pa-
tients with low BMD who have no previous fractures) or
secondary prevention (prevention of an … There are no primary prevention
trials of bisphosphonates in men and only 2 secondary
prevention trials
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psnet.ahrq.gov/issue/improving-patient-safety-culture-primary-care-systematic-review
June 17, 2015 - January 8, 2014
Examining causes and prevention strategies of adverse events in deceased
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psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
July 16, 2015 - November 21, 2011
Wrong-site craniotomy: analysis of 35 cases and systems for prevention
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psnet.ahrq.gov/issue/taxonomy-advancing-systematic-error-analysis-multi-site-electronic-health-record-based
March 24, 2019 - June 15, 2022
Effect of an emergency department process improvement package on suicide prevention
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psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/strategies-safe-interhospital-transfer-intubated-patient-or-where-readiness-intubation-needed
July 31, 2013 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient
January 17, 2019 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - available and should be utilized to manage high-risk
conditions such as delirium, polypharmacy, and fall … quality
improvement
programs to
manage high
risk conditions
such as
delirium,
polypharmacy,
and fall
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hcup-us.ahrq.gov/reports/statbriefs/sb237-Patient-Safety-Adverse-Events-2011-2014.pdf
January 01, 2014 - with Hip
Fracture Rate
Hip fractures most likely resulting from a fall during the hospital
stay … blood stream infection rate
(PSI 07)
6,200 2,200 15,394,500 15,150,700 –64.2 –1.6
In hospital fall … Central venous catheter-related blood stream infection rate (PSI 07) 0.31 0.10 –67.7
In hospital fall … These problems are likely amenable to prevention by changes at the system or provider levels. … The AHRQ QI modules include Prevention Quality
Indicators, Inpatient Quality Indicators, Patient Safety
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/people-with-disabilities-protocol.pdf
January 16, 2024 - Centers for Disease Control and Prevention.
Disability and Health Data System (DHDS). … Office of Disease
Prevention and Health Promotion, Office of
the Assistant Secretary for Health, Office … * or speech disorder* or dyslexia or aphasia
or "learning disabilit*").tw.
51 or/1-50
52 Primary Prevention … breastfeed* or breastfed or "breast feed*" or "breast fed" or lactation).mp.
77 "accidental falls".sh. or (fall … and
Behavioral Counselling
Breastfeeding Pregnant women, new mothers, and their
children
Falls Prevention
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psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery
July 16, 2015 - Study
Sharing lessons learned to prevent incorrect surgery.
Citation Text:
Neily J, Mills PD, Paull DE, et al. Sharing lessons learned to prevent incorrect surgery. Am Surg. 2012;78(11):1276-1280.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…
-
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.
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - event as preventable requires some judgment about the degree to which the
evidence supports specific prevention … Preventable adverse events: those that occurred due to error or failure to apply an accepted
strategy for prevention
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - Medication Reconciliation Victory After an Avoidable Error
Citation Text:
Cutler TW. Medication Reconciliation Victory After an Avoidable Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
…
-
psnet.ahrq.gov/node/48067/psn-pdf
June 12, 2019 - maternal-sleepiness-and-risk-infant-drops-postpartum-period
This report of a quality improvement study of infant drop risk found that mothers who fall
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psnet.ahrq.gov/issue/transfer-accountability-transforming-shift-handover-enhance-patient-safety
April 24, 2018 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention