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Showing results for "fall prevention".
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  1. Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. | PSNet

    psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
    March 14, 2023 - November 1, 2023 Selected medication safety risks to manage in 2016 that might otherwise fall

  2. 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…

  3. Health IT Research Priorities To Support the Health Care Delivery System of the Future (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/health-it-research-priorities-to-support-health-care-delivery-system-of-future.pdf
    October 19, 2014 - One-size-fits-all approaches to prevention and chronic disease management will be replaced by economically … and clinically effective strategies that assess an individual patient’s specific needs and create prevention … • How might high-quality data visualization change the way care is delivered for wellness, prevention … • How might high-quality data visualization change the way care is delivered for wellness, prevention … http://www.ahrq.gov/professionals/prevention- chronic-care/improve/coordination/index.html.

  4. Preparing for and Recovering After Hip or Knee Replacement Surgery (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-knee-surgery-booklet.pdf
    November 01, 2023 - ■ Put nightlights in the bathroom and hallways so you don’t fall. … It’s better to have a shoe with a back that’s more secure, so you don’t fall. … Hip or Knee Replacement Surgery Patient Education Guide 17 Call, Don’t Fall! … ■ You may be lightheaded and could fall. ■ Press the call button. A nurse will help you get up. … F Put nightlights in the hallways so you don’t fall.

  5. Interruptions and multitasking in nursing care. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
    September 28, 2010 - managed these discontinuities well, the potential for errors is present and should be a target for prevention

  6. Radiotherapy Incident Reporting and Analysis System. | PSNet

    psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system
    February 05, 2020 - influence of organizational context on quality improvement and patient safety efforts in infection prevention

  7. Nursing and Patient Safety | PSNet

    psnet.ahrq.gov/primer/nursing-and-patient-safety
    September 15, 2024 - workplace, more nurses are likely to self-report missed nursing care. 11   When evaluating cause and prevention

  8. Medicare's Oversight of Ambulatory Surgery Centers Report. | PSNet

    psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
    February 11, 2015 - COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention

  9. WebAIRS Anesthesia Incident Reporting System. | PSNet

    psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
    November 10, 2011 - January 27, 2015 Medication incident recovery and prevention utilising an Australian

  10. The Role of Human Factors in Home Health Care: Workshop Summary. | PSNet

    psnet.ahrq.gov/issue/role-human-factors-home-health-care-workshop-summary
    August 03, 2011 - June 7, 2023 Home health staff perspectives on infection prevention and control: implications

  11. Studying organisational cultures and their effects on safety. | PSNet

    psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
    April 20, 2014 - Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention

  12. Preventable deaths in patients admitted from emergency department. | PSNet

    psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department
    September 27, 2017 - August 4, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

  13. Communication During Transitions of Care | PSNet

    psnet.ahrq.gov/perspective/communication-during-transitions-care
    July 10, 2024 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

  14. Investigating the impact of a pharmacist intervention on inappropriate prescribing practices at hospital admission and discharge in older patients: a secondary outcome analysis from a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/investigating-impact-pharmacist-intervention-inappropriate-prescribing-practices-hospital
    November 30, 2022 - medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention

  15. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/pfp/hacrate2013.html
    January 01, 2018 - Human Services' Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention … Prevention of approximately 50,000 deaths in the 2011 to 2013 period as a result of the decline in HACs … Centers for Disease Control and Prevention. 2012 National and State Healthcare-Associated Infections

  16. Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. | PSNet

    psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
    December 21, 2016 - June 26, 2019 Making infection prevention and control everyone's business?

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73484/psn-pdf
    July 14, 2021 - visitations experienced larger performance deficits across measures of medical staff responsiveness, fall

  18. Resources and Tools on Patient and Healthcare Workforce Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/action-alliance/resources/index.html
    March 01, 2025 - Resources and Tools on Patient and Healthcare Workforce Safety These curated lists of tools and resources support organizations in taking action to improve patient and workforce safety. The lists include tools and resources organized by (1) Centers for Medicare & Medicaid Services (CMS) Patient Safety Structura…

  19. Table of Contents: Volume 1. Assessment (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
    January 01, 2025 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care Mary L. … Pronovost VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, Peter Mills

  20. OR-to-ICU Transitions | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
    June 01, 2023 - Lane-Fall, et al., have done extensive work examining both the effectiveness of a standardized OR-to-ICU … Subsequent work by Lane-Fall, et al., expands on these findings in an ongoing larger hybrid effectiveness-implementation
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