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integrationacademy.ahrq.gov/about/initiatives/older-adult-opioid-initiative
July 01, 2024 - (AHRQ) launched an initiative in September 2019 to identify and implement strategies to improve the prevention … The tools and resources address: Pain management, Opioid treatment, Prevention of opioid-related harms … level change strategies to assist with appropriate prescribing and management of opioid use and the prevention … Resources
(PDF 760K)
List of tools and resources addressing pain management, opioid treatment, and prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - Errors were reported in several domains: prevention,
diagnosis, treatment, patient identification, communication … Incidence of adverse
drug events and potential adverse drug events:
implications for prevention.
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www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care ( PDF , 338 … VHA's National Falls Collaborative and Prevention Programs ( PDF , 578 KB )
Erik Stalhandske, et
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psnet.ahrq.gov/node/49820/psn-pdf
February 01, 2018 - psnet.ahrq.gov/web-mm/returning-home-safely
The Case
A 72-year-old man was admitted to the hospital after a fall … understand strategies for managing the patient's serious illness at home,
alternatives to hospital care, fall … prevention, home-based rehabilitation, and meaningful activities for
patients over the long course
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psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward
September 27, 2017 - Commentary
Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward.
Citation Text:
Aung TH, Beck AJ, Siese T, et al. Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly car…
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psnet.ahrq.gov/issue/readmissions-observation-and-hospital-readmissions-reduction-program
October 25, 2017 - September 29, 2017
Preventing falls and fall-related injuries in health care facilities
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psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis
August 25, 2021 - Review
Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.
Citation Text:
Clari M, Conti A, Chiarini D, et al. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. J Nurs Care Qual. 2021;36(4):e51-…
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psnet.ahrq.gov/issue/pediatric-trainee-perspectives-decision-disclose-medical-errors
April 27, 2022 - Study
Pediatric trainee perspectives on the decision to disclose medical errors.
Citation Text:
Lin M, Horwitz LI, Gross RS, et al. Pediatric trainee perspectives on the decision to disclose medical errors. J Patient Saf. 2022;18(2):e470-e476. doi:10.1097/pts.0000000000000848.
Copy Cit…
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psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-management-paediatrics-scoping-review
April 24, 2018 - June 28, 2017
The impact of post-fall huddles on repeat fall rates and perceptions of
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psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
June 21, 2017 - Study
An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system.
Citation Text:
Hagley GW, Mills PD, Shiner B, et al. An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause Analysis…
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psnet.ahrq.gov/issue/effect-facility-characteristics-patient-safety-patient-experience-and-service-availability
April 12, 2023 - November 17, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-medications-potential-prescribing-omissions
January 19, 2022 - Commentary
Classic
STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress.
Citation Text:
O’Mahony D. STOPP/START criteria for potentially inappropriate medications/potential prescribin…
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cds.ahrq.gov/sites/default/files/workgroups/246/jul-2017-cholesterol-wg-notes.docx
January 01, 2017 - experiences with numerous clinical domains under consideration for the Option Year work:
Expand CVD prevention … Geriatric-fall prevention:
This would provide high impact decision support for a well-defined target
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - trying to lift someone out of bed without assistance and they're heavy and you hurt your back, and they fall … November 8, 2013
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles
July 31, 2019 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/identifying-hospitalized-patients-risk-harm-comparison-nurse-perceptions-vs-electronic-risk
November 03, 2015 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and
September 01, 2018 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - Throughout his
admission, he was assessed as a very high fall risk on a standard risk scale. … l, the staff's level of concern was heightened, in that a fall could be associated with
dangerous bleeding … alerted the primary care team of the patient's declining mental status and their concern about
increased fall
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psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration
November 16, 2022 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/room-hazards-comparison-differences-safety-hazard-recognition-among-various-hospital-based
April 01, 2020 - October 12, 2022
Improving hospital safety culture for falls prevention through interdisciplinary