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Showing results for "fall prevention".
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2521. Health care safety during the pandemic and beyond--building a system that ensures resilience. | PSNet
      psnet.ahrq.gov/issue/health-care-safety-during-pandemic-and-beyond-building-system-ensures-resilience
      July 20, 2022 - , and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention

2522. Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error. | PSNet
      psnet.ahrq.gov/issue/multiple-meanings-resilience-health-professionals-experiences-dual-element-training
      August 10, 2022 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2523. The incidence and nature of in-hospital adverse events: a systematic review. | PSNet
      psnet.ahrq.gov/issue/incidence-and-nature-hospital-adverse-events-systematic-review
      March 24, 2011 - October 29, 2012 Examining causes and prevention strategies of adverse events in deceased

2524. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients
      December 14, 2022 - January 12, 2022 Examining causes and prevention strategies of adverse events in deceased

2525. Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. | PSNet
      psnet.ahrq.gov/issue/speaking-about-safety-concerns-multi-setting-qualitative-study-patients-views-and-experiences
      May 18, 2016 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2526. Graded autonomy in medical education—managing things that go bump in the night. | PSNet
      psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night
      July 22, 2020 - September 1, 2021 Improving hospital safety culture for falls prevention through interdisciplinary

2527. Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers. | PSNet
      psnet.ahrq.gov/issue/adequacy-hospital-discharge-summaries-documenting-tests-pending-results-and-outpatient-follow
      September 23, 2020 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2528. The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. | PSNet
      psnet.ahrq.gov/issue/prevalence-medical-error-related-end-life-communication-canadian-hospitals-results
      November 23, 2016 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2529. Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients. | PSNet
      psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician
      June 25, 2014 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2530. Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. | PSNet
      psnet.ahrq.gov/issue/implementing-root-cause-analysis-and-action-integrating-human-factors-create-strong
      December 23, 2020 - November 24, 2021 Root cause analysis using the prevention and recovery information system

2531. Improving general practice computer systems for patient safety: qualitative study of key stakeholders. | PSNet
      psnet.ahrq.gov/issue/improving-general-practice-computer-systems-patient-safety-qualitative-study-key-stakeholders
      October 16, 2012 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2532. Jan-2017-Cholesterol-Wg-Notes (doc file)
      cds.ahrq.gov/sites/default/files/workgroups/216/jan-2017-cholesterol-wg-notes.docx
      January 01, 2017 - pursuing development of artifacts in alignment with other quality measures: · Statin use for primary prevention … Hearts representatives will provide an update on CMS 164, CMS 22, CMS 165 and CMS 138 and where they fall

2533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49468/psn-pdf
      December 16, 2004 - The Joint Commission's Universal Protocol for the Prevention of Wrong Site, Wrong Procedure, and Wrong … Most systems, even simple ones, operating in health care organizations today fall short of this characterization

2534. Instructions for Requesting Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/policy/foia/instruct.html
      July 01, 2025 - The records may be protected from disclosure (in whole or in part) if they fall under one of nine exemptions … and Families AHRQ - Agency for Healthcare Research and Quality CDC - Centers for Disease Control and Prevention

2535. ‘He thought what he was doing was good for people.’ Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system? | PSNet
      psnet.ahrq.gov/issue/he-thought-what-he-was-doing-was-good-people-why-it-so-difficult-prevent-unnecessary-medical
      September 02, 2020 - June 28, 2023 During in-flight emergencies, sometimes airlines’ medical kits fall short

2536. AHRQ Safety Program for Improving Antibiotic Use. | PSNet
      psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use
      December 24, 2008 - Tools/Toolkit AHRQ Safety Program for Improving Antibiotic Use. Citation Text: AHRQ Safety Program for Improving Antibiotic Use. Agency for Healthcare Research and Quality, Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, and University of Chicago. Copy Citati…

2537. Improving Patient Safety in Long-Term Care Facilities: Training Modules. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-long-term-care-facilities-training-modules
      August 17, 2022 - Book/Report Improving Patient Safety in Long-Term Care Facilities: Training Modules. Citation Text: Improving Patient Safety in Long-Term Care Facilities: Training Modules. Taylor SL, Saliba D. Rockville, MD: Agency for Healthcare Research and Quality; July 2012. AHRQ Publication N…

2538. Challenge Competition: Impact of Patient Safety Tools. | PSNet
      psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
      December 24, 2008 - August 9, 2023 NPSD Data Spotlight: Patterns of Fall Interventions.

2539. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
      psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
      January 12, 2022 - Our hospitals have great protocols in place for pressure injury prevention, but prone positioning brought … They had been a common strategy for fall prevention, but with the requirement to put on PPE, there was … a delay before a staff person could respond to the alarm and prevent a fall. … For example, the Centers for Disease Control and Prevention has produced guidance for optimizing PPE … of pressure injuries , all of which are specifically focused on harm prevention in COVID-19 patients

2540. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
      January 12, 2022 - For example, the Centers for Disease Control and Prevention has produced guidance for optimizing PPE … of pressure injuries , all of which are specifically focused on harm prevention in COVID-19 patients … Our hospitals have great protocols in place for pressure injury prevention, but prone positioning brought … They had been a common strategy for fall prevention, but with the requirement to put on PPE, there was … a delay before a staff person could respond to the alarm and prevent a fall.