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2761. 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

2762. 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…

2763. 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…

2764. 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…

2765. 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…

2766. 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

2767. 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…

2768. In Conversation With… Paul H. O'Neill, MPA | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
      January 01, 2017 - trying to lift someone out of bed without assistance and they're heavy and you hurt your back, and they fall

2769. Indwelling Urinary Catheter Indications Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
      April 01, 2022 - She has chronic urinary incontinence and is a high fall risk. … The answer is False, because the catheter actually does not decrease fall risk.

2770. Archived: Physical Activity: Behavior Counseling in Primary Care, July 2002 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/physical-activity-behavioral-counseling-primary-care-2002
      July 01, 2002 - Adults: Behavioral Interventions (2018) Healthy Diet and Physical Activity for Cardiovascular Disease Prevention … They may include muscle and fall-related injuries or cardiovascular events. 6 It is unclear whether … Washington, DC: Office of Disease Prevention and Health Promotion; 1996. 2. … Department of Health and Human Services, Centers for Disease Control and Prevention. … National Center for Chronic Disease Prevention and Health Promotion; 1996.

2771. Using Health Information Technology to Support Population-Based Clinical Practice - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/k08hs018538-gesteland-final-report-2014.pdf
      January 01, 2014 - epidemiology perspective, 3) evidence-based practice, 4) an emphasis on outcomes and 5) an emphasis on prevention … e) An emphasis on prevention: Knowledge of available prevention strategies and how to apply them. … The site went live in fall of 2012. … For example, with the fall 2014 outbreaks of Parainfluenza and RSV, we conducted chats about these viruses … to support this evaluation and anticipate performing it during the next respiratory viral season (fall

2772. Whole-Body Vibration Therapy for Osteoporosis (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/osteoporosis-vibration-therapy_technical-brief.pdf
      January 01, 2020 - Claims about whole-body vibration therapy for the prevention and treatment of osteoporosis cannot be … This report’s scope is confined to whole-body vibration platforms designed and marketed for prevention … Studies should also focus on the optimal treatment protocol to achieve benefits for the prevention and … National Osteoporosis Foundation 2008 Clinician’s Guide to Prevention and Treatment of Osteoporosis … Maximizing bone mineral mass gain during growth for the prevention of fractures in the adolescents

2773. Awareness of human factors in the operating theatres during the COVID-19 pandemic | PSNet
      psnet.ahrq.gov/innovation/awareness-human-factors-operating-theatres-during-covid-19-pandemic
      January 13, 2021 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2774. Individualizing Cancer Screening in Older Adults | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/individualizing-cancer-screening-older-adults
      March 01, 2021 - than either alone. 10 Appropriate Patient-Important Benefits and Harms It is a common assumption that prevention … Reconsidering the approach to prevention recommendations for older adults.  … Screening in frail older people: an ounce of prevention or a pound of trouble? 

2775. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. | PSNet
      psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients
      September 11, 2019 - Related Resources Perspectives on Safety Suicide Prevention

2776. Healthcare Cost and Utilization Project (HCUP) NEDS Notes
      hcup-us.ahrq.gov/db/vars/injury_mvt/nedsnote.jsp
      May 01, 2015 - ECODEn) and is consistent with the classification system used by the Centers for Disease Control and Prevention

2777. Eliminating CLABSI, A National Patient Safety Imperative: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
      October 01, 2012 - Based on this success, AHRQ contracted in fall 2008 with HRET to replicate this program nationally, … The contract was expanded in fall 2009 to include all 50 States, the District of Columbia, and Puerto … Many States used their regional HAI-prevention work groups developed as a result of the Centers for … State Participation Recruitment into the project was an ongoing process that began in fall 2008 and … In fall 2011, HRET partnered with the Perinatal Quality Collaborative of North Carolina (PQCNC) to leverage

2778. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
      December 01, 2017 - The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes

2779. Interventions-Horizon-Scan-High-Impact-1306 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/interventions-horizon-scan-high-impact-1306.pdf
      June 01, 2013 - - prevention design such as nonskid floor surfaces, extra handrails, more aisle lighting, and bedside … blood pressure, labs, medication compliance), treatment (wound care, medication reconciliation), prevention … (immunizations, fall assessment), and referral (medical and social services). … prevention measures such as nonskid floor surfaces, handrails, aisle lighting, and bedside commodes … Eagle (CO): Western Eagle County Health Services District; 2011 Fall. 48 p.

2780. Making Healthcare Safer IV: Summary of Findings, 2023-2024 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-1-year-final-report-updated-title_0.pdf
      May 01, 2024 - Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms 6a. … April 30, 2023) o 1 systematic review, 5 studies • Evidence Summary o 3 studies examined PFE in fall … prevention programs and found reduced falls. … o Resources include toolkits on Fall Tailoring Interventions and Patient-Centered Discharge and multiple … Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms 6a.