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Showing results for "fall prevention".
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  1. Omissions of care in nursing home settings: a narrative review. | PSNet

    psnet.ahrq.gov/issue/omissions-care-nursing-home-settings-narrative-review
    November 18, 2020 - November 18, 2020 National Action Plan for Adverse Drug Event Prevention: recommendations … Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention

  2. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. | PSNet

    psnet.ahrq.gov/issue/economic-burden-nurse-sensitive-adverse-events-22-medical-surgical-units-retrospective-and
    December 15, 2021 - more than 1300 excess hospital days per year, and they advocate for more resources for adverse event prevention … Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention

  3. Medication Reconciliation Victory After an Avoidable Error | PSNet

    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: …

  4. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet

    psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
    January 01, 2015 - Every year, Virginia Mason takes care of close to 300, mostly elderly, patients who fall and need urgent … He still had moments where he would fall back into traditional management behaviors and sometimes he … We still fall back on old habits and old behaviors, but it's starting to take a life where it would be … April 1, 2014 Perspective How Does Infection Prevention … April 1, 2013 Perspective Implementing a Fall Prevention

  5. Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. | PSNet

    psnet.ahrq.gov/issue/health-care-leaders-action-guide-hospital-strategies-reducing-preventable-mortality
    May 06, 2015 - Book/Report Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. Citation Text: Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. Chicago, IL: Health Research & Educational Trust; March 2011. Copy Cita…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865666/psn-pdf
    April 24, 2024 - Why do nurses miss nursing care? A qualitative meta- synthesis. April 24, 2024 Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta?synthesis. Jpn J Nurs Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578. https://psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthe…

  7. When the Indications for Drug Administration Blur | PSNet

    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

  8. How To Manage Change

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
    June 02, 2025 - (Tool 2C) Present the assessment of current pressure injury prevention policies and procedures. … recommendations into the action plan. 4 Expected Outcomes Begin to write a draft Pressure Injury Prevention … Links to quality improvement expertise Members who influence the areas involved in pressure injury prevention … Pilot Unit Manager 8 Multidisciplinary Team (2A) Tool 2A 9 QI Process Link the Pressure Injury Prevention

  9. Slide 1

    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

  10. Effective Treatment of Leading Causes of Morbidity and Mortality | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-eff.html
    September 01, 2015 - Source: Centers for Disease Control and Prevention, National Vital Statistics System, 2008-2012. … Importance: According to the Centers for Disease Control and Prevention ( Xu, et al., 2014 ), the rate … are available), 41,149 suicides were reported ( CDC WISQARS, 2013 ; American Foundation for Suicide Prevention … Source: Centers for Disease Control and Prevention, National Vital Statistics System.

  11. Cardiac surgical ICU care: eliminating "preventable" complications. | PSNet

    psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
    August 04, 2021 - November 16, 2022 A randomized trial of a multifactorial strategy to prevent serious fall

  12. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
    September 07, 2016 - December 30, 2014 A randomized trial of a multifactorial strategy to prevent serious fall

  13. The Never Antibiotics Diagnoses: Influenza and RSV – Slides

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-slides.pptx
    September 01, 2022 - bronchiolitis Inflammation and congestion in bronchioles RSV: Common cause of bronchiolitis Circulates in fall … Centers for Disease Control and Prevention, Influenza (Flu). … Centers for Disease Control and Prevention: Influenza (Flu). November 18, 2021.  … Centers for Disease Control and Prevention, Influenza (Flu). June 17, 2022.  … Centers for Disease Control and Prevention. Influenza.

  14. Failure to Rescue the Mother | PSNet

    psnet.ahrq.gov/web-mm/failure-rescue-mother
    September 23, 2020 - Atlanta, GA: Centers for Disease Control and Prevention. [Available at] 2. … Recognition and Prevention Transfusion of 5 units of blood in the antepartum period. … Recognition and Prevention Patient had multiple risk factors for a significant hemorrhage; it is unclear … Recognition and Prevention Response Inadequate blood products were available. … January 15, 2017 Evaluation of clinical practice guidelines on fall prevention and management

  15. Healthcare Delivery of Clinical Preventive Services for People with Disabilities (pdf file)

    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

  16. Implementation and Evaluation of psPRO: Person-specific Patient-Reported Outcome Assessments for Patients in HIV Care living with Multiple Chronic Conditions - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/u18hs026154-crane-final-report-2023.pdf
    January 01, 2023 - The falls instrument was 2 items including number of recent falls and fall severity as defined by requiring … One in five PWH reported at least one fall in the past 12 months (N=606), with half of those reporting … fall … reporting past or current cocaine/crack, illicit opioid, or methamphetamine use were more likely to fall … Missed opportunities: prevention with HIV-infected patients in clinical care settings.

  17. In Conversation With…Kaveh G. Shojania, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
    September 01, 2011 - You wouldn't want to do a root cause analysis about a fall every time it happens. … What is it about a fall that's different than a wrong-site surgery that—assuming it was painless and

  18. Anticoagulant safety takes center stage in 2007. | PSNet

    psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007
    May 07, 2018 - May 7, 2018 Selected medication safety risks to manage in 2016 that might otherwise fall

  19. Checklists to Improve Patient Safety. | PSNet

    psnet.ahrq.gov/issue/checklists-improve-patient-safety
    July 31, 2013 - Book/Report Checklists to Improve Patient Safety. Citation Text: Checklists to Improve Patient Safety. Chicago, IL: Health Research & Educational Trust; June 2013.    Copy Citation Save Save to your library Print Download PDF …

  20. Missed Nursing Care | PSNet

    psnet.ahrq.gov/primer/missed-nursing-care
    September 15, 2024 - Prevention The most consistent predictors of missed nursing care are staffing levels , work environment
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