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Showing results for "fall prevention".
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  1. 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

  2. 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

  3. Using an EHR System to Prevent Opioid Use Disorder in Older Adults in Primary Care Practices Case Study (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-ehr-oud.pdf
    June 02, 2025 - Using an EHR System to Prevent Opioid Use Disorder in Older Adults in Primary Care Practices Case Study 1 Using an Electronic Health Record System to Prevent Opioid Use Disorder in Older Adults in Primary Care Practices Case Study - Westfield Family Physicians Intervention: The staff at Westfield Family Physici…

  4. Collegiality vs. Competence | PSNet

    psnet.ahrq.gov/web-mm/collegiality-vs-competence
    August 28, 2024 - Talking about falls: a qualitative exploration of spoken communication of patients' fall … risks in hospitals and implications for multifactorial approaches to fall prevention.

  5. A protocol for the safe use of hazardous drugs in the OR. | PSNet

    psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
    May 13, 2015 - Study A protocol for the safe use of hazardous drugs in the OR. Citation Text: Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN J. 2020;111(3). doi:10.1002/aorn.12960. Copy Citation Format: DOI Google Scholar BibTeX End…

  6. Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study | PSNet

    psnet.ahrq.gov/issue/implementing-survey-patients-provide-safety-experience-feedback-following-care-transition
    January 08, 2020 - with diabetes being discharged from hospital October 16, 2019 The impact of post-fall … huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a

  7. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. | PSNet

    psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
    July 06, 2022 - Study Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Citation Text: Kepner S, Adkins JA, Jones RM. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Patient Saf. 2022;4(2):6-17. doi:10.33940/data/2022.6.1. C…

  8. A mixed methods evaluation of medication reconciliation in the primary care setting. | PSNet

    psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
    November 16, 2022 - September 7, 2022 Potentially harmful medication dispenses after a fall or hip fracture

  9. Patient safety culture in care homes for older people: a scoping review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-culture-care-homes-older-people-scoping-review
    January 08, 2020 - Review Patient safety culture in care homes for older people: a scoping review. Citation Text: Gartshore E, Waring J, Timmons S. Patient safety culture in care homes for older people: a scoping review. BMC Health Serv Res. 2017;17(1):752. doi:10.1186/s12913-017-2713-2. Copy Citation …

  10. Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet

    psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
    July 29, 2020 - the Same Author(s) A randomized trial of a multifactorial strategy to prevent serious fall

  11. Gossypiboma: tales of lost sponges and lessons learned. | PSNet

    psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
    March 24, 2021 - Study Gossypiboma: tales of lost sponges and lessons learned. Citation Text: McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  12. Improving the Emergency Department Discharge Process. | PSNet

    psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
    April 23, 2014 - Book/Report Improving the Emergency Department Discharge Process. Citation Text: Improving the Emergency Department Discharge Process. Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. 14(15)-0067-EF.…

  13. Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet

    psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
    May 02, 2018 - June 10, 2018 Selected medication safety risks to manage in 2016 that might otherwise fall

  14. Healthcare Simulation Dictionary, Third Edition. | PSNet

    psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
    January 10, 2024 - Book/Report Healthcare Simulation Dictionary, Third Edition. Citation Text: Healthcare Simulation Dictionary, Third Edition. Lioce L, Lopreiato J, Anderson M, et al, eds and the Terminology and Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; January 202…

  15. Surveillance: a strategy for improving patient safety in acute and critical care units. | PSNet

    psnet.ahrq.gov/issue/surveillance-strategy-improving-patient-safety-acute-and-critical-care-units
    September 27, 2016 - Commentary Surveillance: a strategy for improving patient safety in acute and critical care units. Citation Text: Henneman EA, Gawlinski A, Giuliano KK. Surveillance: A strategy for improving patient safety in acute and critical care units. Crit Care Nurse. 2012;32(2):e9-18. doi:10.403…

  16. Losing the moment: understanding interruptions to nurses' work. | PSNet

    psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
    September 19, 2012 - January 18, 2011 Nurses' harm prevention practices during admission of an older person

  17. Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet

    psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
    February 09, 2011 - April 12, 2023 The Joint Commission's new and revised workplace violence prevention standards

  18. New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. | PSNet

    psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings
    October 31, 2014 - July 20, 2011 National Action Plan for Adverse Drug Event Prevention.

  19. Diagnostic Safety Toolkit. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-toolkit
    December 05, 2024 - Article Study The Stoplight Mobility Alert System for safety and prevention

  20. Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-intersection-safety-culture-clinician-and-staff-support-and-patient
    April 15, 2015 - December 22, 2008 Improving hospital safety culture for falls prevention through interdisciplinary
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