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Showing results for "fall prevention".
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  1. Psi90 Factsheet Faq (pdf file)

    qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
    August 31, 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

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61082/psn-pdf
    July 23, 2020 - or Medicaid have in place an Infection Prevention and Control Program and an Infection Preventionist … Rural LTC facilities in particular may suffer from a dearth of infection prevention expertise. … Weaknesses in infection prevention and control expertise, coupled with the unprecedented nature of a … Centers for Disease Control and Prevention. https://www.cdc.gov/covid/risk- factors/? … Changes in US nursing home infection prevention and control programs from 2014 to 2018.

  3. The Limits of Safety: Organizations, Accidents and Nuclear Weapons. | PSNet

    psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
    July 28, 2013 - January 13, 2021 Improving hospital safety culture for falls prevention through interdisciplinary

  4. Healthcare Cost and Utilization Project (HCUP) NEDS Notes

    hcup-us.ahrq.gov/db/vars/injury_fire/nedsnote.jsp
    May 01, 2015 - ECODEn) and is consistent with the classification system used by the Centers for Disease Control and Prevention

  5. Evaluation of outpatient computerized physician medication order entry systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/evaluation-outpatient-computerized-physician-medication-order-entry-systems-systematic-review
    February 14, 2024 - medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention

  6. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. | PSNet

    psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
    November 14, 2018 - April 11, 2018 Defining the critical role of nurses in diagnostic error prevention: a

  7. Adverse Events, Near Misses, and Errors | PSNet

    psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
    March 30, 2022 - event as preventable requires some judgment about the degree to which the evidence supports specific prevention … Preventable adverse events : those that occurred due to error or failure to apply an accepted strategy for prevention

  8. Adverse drug events resulting from patient errors in older adults. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-resulting-patient-errors-older-adults
    March 11, 2011 - Study Adverse drug events resulting from patient errors in older adults. Citation Text: Field TS, Mazor KM, Briesacher BA, et al. Adverse Drug Events Resulting from Patient Errors in Older Adults. J Am Geriatr Soc. 2007;55(2):271-276. doi:10.1111/j.1532-5415.2007.01047.x. Copy Citati…

  9. Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/magnitude-and-modifiers-weekend-effect-hospital-admissions-systematic-review-and-meta
    November 25, 2020 - Review Emerging Classic Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. Citation Text: Chen Y-F, Armoiry X, Higenbottam C, et al. Magnitude and modifiers of the weekend effect in hospital admissions: a…

  10. Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. | PSNet

    psnet.ahrq.gov/issue/spreading-strategy-prevent-suicide-after-psychiatric-hospitalization-results-quality
    May 04, 2022 - Study Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. Citation Text: Riblet NB, Varela M, Ashby W, et al. Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improve…

  11. Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. | PSNet

    psnet.ahrq.gov/issue/preventing-iatrogenic-overdose-review-emergency-department-opioid-related-adverse-drug-events
    August 12, 2020 - 2019 View More Related Resources Balancing safety, comfort, and fall

  12. What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? | PSNet

    psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
    October 09, 2024 - Study What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? Citation Text: Hogan H, Olsen S, Scobie S, et al. What can we learn about patient safety from information sources within an acute hospital…

  13. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. | PSNet

    psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
    June 16, 2021 - July 20, 2022 6-PACK programme to decrease fall injuries in acute hospitals: cluster

  14. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. | PSNet

    psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
    June 15, 2011 - Study Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Citation Text: Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf…

  15. Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet

    psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
    March 13, 2013 - Study Retained guidewires in the Veterans Health Administration: getting to the root of the problem. Citation Text: Cherara L, Sculli GL, Paull DE, et al. Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. J Patient Saf. 2021;17(8):e991-e928. d…

  16. The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. | PSNet

    psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
    September 15, 2011 - Study The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. Citation Text: Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…

  17. 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

  18. Reports on Hospital and ASC Performance. | PSNet

    psnet.ahrq.gov/issue/reports-hospital-and-asc-performance
    October 02, 2024 - Book/Report Reports on Hospital and ASC Performance. Citation Text: Reports On Hospital And Asc Performance. Washington DC: The Leapfrog Group; September 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40707/psn-pdf
    March 11, 2013 - believed an error occurred in their cancer-related care and found that provider responses continue to fall

  20. Technical Interventions To Prevent CAUTI | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
    October 01, 2015 - Infographic Poster on CAUTI Prevention Appendix L. … One effective way to gain the support of patients and their family members in CAUTI prevention efforts … team can use to begin the CAUTI prevention journey with the staff. … Teams that set goals, make progress toward goals, and then reach their CAUTI prevention goals should … staff to follow evidence-based CAUTI prevention practices in three domains: appropriate catheter use
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