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Showing results for "fall prevention".
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  1. Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth
    September 01, 2016 - March 4, 2011 A randomized trial of a multifactorial strategy to prevent serious fall

  2. Determinants of patient-reported medication errors: a comparison among seven countries. | PSNet

    psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries
    July 29, 2020 - the Same Author(s) A randomized trial of a multifactorial strategy to prevent serious fall

  3. Potential Measures | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3.html
    October 01, 2013 - clinician) K Patient has a usual source of primary care L Patient ability to achieve prevention … of care with primary care clinic/clinician HH Clinician supports patient self-management of prevention … II Patient report of shared decision making regarding prevention JJ Utility of “bridging … RR Prevention goal setting and action planning SS Communication between client and community … engage and interact with patients ZZ Community resource supports patient self-management of prevention

  4. Psi90 Factsheet Faq V2 (pdf file)

    qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
    October 05, 2016 - following:  PSI 03 Pressure Ulcer Rate  PSI 06 Iatrogenic Pneumothorax Rate  PSI 08 In-Hospital Fall …  PSI 08 (In-Hospital Fall with Hip Fracture Rate) now targets all hip fractures from inpatient … specification, the name of the indicator was changed from “Postoperative Hip Fracture Rate” to “In-Hospital Fall … Central Venous Catheter-Related Blood Stream Infection Rate 0.037684 -- N/A PSI 08 In-Hospital Fall

  5. Final Progress Report: Patient Safety in Hospice Care (pdf file)

    www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
    January 01, 2024 - Almost no effort has been given to understanding the prevention of patient safety incidents in the growing … (Specific Aim 3: Opportunities for prevention) 6. … Description of detection/prevention/mitigating factors: What are the “actions or circumstances” within … The interview guide included prompts to explore possible detection, mitigation, and prevention opportunities

  6. Slides from eAAP Training Presentations for Final Implementation Reoprt (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/eaap_trainpresentfinalimplementation_080211comp.pdf
    January 01, 2007 - in 1997  Revised in 2002 with a focus on several key questions about medications, monitoring and prevention

  7. Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis. | PSNet

    psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
    August 16, 2023 - September 6, 2023 ‘I felt like I was dying’: how women with postpartum depression fall

  8. Final Progress Report: Accountability and Health Safety – A Statewide Approach (pdf file)

    www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
    January 01, 2024 - Enables the user to evaluate the organization’s falls prevention program, develop an improvement plan … letter submitted by Kenneth Thorpe on September 17, 2002, demonstration project evaluation activities fall … Key Words: error reporting, medication errors, patient safety, voluntary Publications: Fall 2003 … Presentation at GHA State Patient Safety Conference Spring 2004 GHA SMU Telnet Presentation Fall … error.htm II.B “Assessment and Development of a Patient Safety Health Communication Plan for the Prevention

  9. Module 2: How To Manage Change | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides2.html
    October 01, 2017 - (Tool 2C) Present the assessment of current pressure injury prevention policies and procedures. … Slide 5: Expected Outcomes Begin to write a draft Pressure Injury Prevention Action Plan, tailored … Members who influence the areas involved in pressure injury prevention. … Slide 10: QI Process Link the Pressure Injury Prevention Program with quality improvement. … Slide 24: Sample Action Plan Images: Two screenshots show an example of a Pressure Ulcer Prevention

  10. Advocate Health Care: a systemwide approach to quality and safety. | PSNet

    psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
    July 19, 2023 - 2022 View More Related Resources Systems approach to suicide prevention

  11. Adherence to Surgical Care Improvement Project measures and the association with postoperative infections. | PSNet

    psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association-postoperative-infections
    November 25, 2020 - Study Classic Adherence to Surgical Care Improvement Project measures and the association with postoperative infections. Citation Text: Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures and the association wit…

  12. The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
    January 22, 2016 - January 22, 2016 A randomized trial of a multifactorial strategy to prevent serious fall

  13. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. | PSNet

    psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
    January 16, 2008 - August 4, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

  14. Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. | PSNet

    psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
    September 23, 2020 - January 23, 2019 A randomized trial of a multifactorial strategy to prevent serious fall

  15. Medication bar coding: to scan or not to scan? | PSNet

    psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
    October 19, 2022 - September 24, 2016 A randomized trial of a multifactorial strategy to prevent serious fall

  16. Dangerous deception--hiding the evidence of adverse drug events. | PSNet

    psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
    November 09, 2022 - October 11, 2023 A randomized trial of a multifactorial strategy to prevent serious fall

  17. Patient safety and acute care medicine: lessons for the future, insights from the past. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past
    April 27, 2022 - September 23, 2020 A randomized trial of a multifactorial strategy to prevent serious fall

  18. Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. | PSNet

    psnet.ahrq.gov/issue/designing-and-delivering-whole-person-transitional-care-hospital-guide-reducing-medicaid
    March 27, 2019 - Toolkit Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Citation Text: Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. Boutwell A, Bourgoin A , Maxwell J, et al. Rockvill…

  19. Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. | PSNet

    psnet.ahrq.gov/issue/examining-relationship-between-health-it-and-ambulatory-care-workflow-redesign
    December 24, 2008 - Book/Report Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Citation Text: Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign. Zheng K, Ciemins EL, Lanham HJ, et al. Rockville, MD: Agency for Healthcare Research and Qual…

  20. Physician communication when prescribing new medications. | PSNet

    psnet.ahrq.gov/issue/physician-communication-when-prescribing-new-medications
    December 16, 2009 - March 23, 2012 A randomized trial of a multifactorial strategy to prevent serious fall
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