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Showing results for "fall prevention".
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  1. How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good. | PSNet

    psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
    February 03, 2021 - September 29, 2017 National Action Plan for Adverse Drug Event Prevention: recommendations

  2. Anesthesia workspaces for safe medication practices: design guidelines. | PSNet

    psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines
    November 29, 2017 - Patient Safety Primers Retained Surgical Items: Causation and Prevention

  3. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. | PSNet

    psnet.ahrq.gov/issue/patient-safety-culture-factors-influence-clinician-involvement-patient-safety-behaviours
    April 16, 2014 - November 9, 2011 Insights into the climate of safety towards the prevention of falls

  4. A plan for achieving significant improvement in patient safety. | PSNet

    psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
    September 23, 2020 - Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention

  5. Hand-off Communications. | PSNet

    psnet.ahrq.gov/issue/hand-communications
    January 04, 2017 - September 18, 2019 Root cause analysis and actions for the prevention of medical errors

  6. A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service. | PSNet

    psnet.ahrq.gov/issue/prospective-review-adverse-events-during-interhospital-transfers-neonates-dedicated-neonatal
    March 03, 2011 - human errors contribute to the majority of adverse events around interhospital transfers, and targeted prevention

  7. Review: bringing patient safety to the forefront through structured computerisation during clinical handover. | PSNet

    psnet.ahrq.gov/issue/review-bringing-patient-safety-forefront-through-structured-computerisation-during-clinical
    January 13, 2021 - September 5, 2018 Defining the critical role of nurses in diagnostic error prevention

  8. The relationship between patient safety culture and patient outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-patient-outcomes-systematic-review
    March 11, 2020 - December 29, 2014 Positive deviance: a new tool for infection prevention and patient

  9. Patient safety in psychiatric inpatient care: a literature review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-psychiatric-inpatient-care-literature-review
    September 27, 2017 - 2022 Shared understanding of resilient practices in the context of inpatient suicide prevention

  10. "Saying sorry": some strategies for effective apology within the workplace. | PSNet

    psnet.ahrq.gov/issue/saying-sorry-some-strategies-effective-apology-within-workplace
    August 11, 2021 - June 25, 2010 Improving hospital safety culture for falls prevention through interdisciplinary

  11. JAMA (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/DQgVKNYn6gFtXLfwthuRBU
    June 12, 2020 - Centers for Disease Control and Prevention. Vision loss: a public health problem. … Centers for Disease Control and Prevention, National Center for Health Statistics. … Prevention strategies for age-related cataract: present limitations and future possibilities.

  12. Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. | PSNet

    psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults
    July 06, 2022 - Study Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. Citation Text: Sterling MR, Lau J, Rajan M, et al. Self‐reported gaps in care coordination and preventable adverse outcomes among older adults receiving home heal…

  13. Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. | PSNet

    psnet.ahrq.gov/innovation/assessing-impact-virtual-medication-history-technicians-medication-reconciliation
    December 01, 2021 - May 29, 2024 Patient Safety Innovations Suicide Prevention

  14. Time out: an analysis. | PSNet

    psnet.ahrq.gov/issue/time-out-analysis
    October 19, 2022 - Commentary Time out: an analysis. Citation Text: Dillon KA. Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  15. ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. | PSNet

    psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey-results
    March 14, 2023 - March 14, 2023 Selected medication safety risks to manage in 2016 that might otherwise fall

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852699/psn-pdf
    August 30, 2023 - Safer Together: A National Action Plan to Advance Patient Safety was released in fall 2020.

  17. 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

  18. Epidemiology of Invasive Devices and Complications | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/phys-championsgd/section2.html
    October 01, 2015 - Mechanical complications include urethral trauma, hematuria, immobility, and fall risk.

  19. 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

  20. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
    January 25, 2008 - Fall E. Error related to procedure, treatment, and/or test F. … the organizational, technical, patient, and practitioner causes for any error, plus the indicated prevention … : Selective 8.3 Prevention: Universal 7.6 6 Table 2. … Event type (modified UHC taxonomy) 37.6 Disposition of event 37.6 Procedure error: Procedure 30.0 Fall … We already spend time critiquing causes and prevention during discussions in weekly group analyses of
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