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Showing results for "fall prevention".
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3261. Risk of mistaken DNR orders. | PSNet
      psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
      October 19, 2022 - April 11, 2011 A randomized trial of a multifactorial strategy to prevent serious fall

3262. Table 18C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18c.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 18C: Medicaid-Only HCBS Participants Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for…

3263. Table 13D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13d.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 13D: Intellectual/Developmental Disabilities Subpopulation Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS …

3264. Do not let "Depo-" medications be a depot for mistakes. | PSNet
      psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
      March 15, 2022 - March 15, 2022 Selected medication safety risks to manage in 2016 that might otherwise fall

3265. Disclosure of medical errors: the right thing to do. | PSNet
      psnet.ahrq.gov/issue/disclosure-medical-errors-right-thing-do
      September 13, 2010 - July 22, 2010 WebM&M Cases Another Fall April 1,

3266. Theoretical approaches for investigating patient safety.   | PSNet
      psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
      September 15, 2009 - Commentary Theoretical approaches for investigating patient safety.   Citation Text: Thomas MB, Houston S. Theoretical approaches for investigating patient safety. Clin Nurse Spec. 2005;19(3):129-134. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

3267. Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202504.html
      June 01, 2025 - Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety Search All Impact Case Studies June 2025 Harborview Medical Center in Seattle, Washington, has improved patient safety across its facilities using AHRQ’s Quality Indicators (QIs) — standardized measures used to assess and m…

3268. ASHP guidelines on the safe use of automated dispensing devices. | PSNet
      psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automated-dispensing-devices
      July 05, 2017 - July 5, 2017 A randomized trial of a multifactorial strategy to prevent serious fall

3269. Re-Engineered Discharge (RED) Toolkit. | PSNet
      psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
      June 20, 2014 - Toolkit Re-Engineered Discharge (RED) Toolkit. Citation Text: Re-Engineered Discharge (RED) Toolkit. Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084. Copy Citation …

3270. Where should patient safety be installed? | PSNet
      psnet.ahrq.gov/issue/where-should-patient-safety-be-installed
      October 05, 2022 - Commentary Where should patient safety be installed? Citation Text: Sine DM, Paull D. Where should patient safety be installed? J Healthc Risk Manag. 2017;37(3):14-17. doi:10.1002/jhrm.21285. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…

3271. Legislative Report to the General Assembly: Adverse Event Reporting. | PSNet
      psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
      May 20, 2009 - The most common adverse events reported were pressure ulcers and fall-related injuries or deaths .

3272. 4 Tk2 T1-Medical Care Referral Form (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
      May 01, 2014 - Fall Yes No ? If Yes: Witnessed Yes No ? Hit head Yes No ? Lost consciousness Yes No ?

3273. Critical incident stress debriefing after adverse patient safety events. | PSNet
      psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
      April 03, 2019 - April 3, 2019 A randomized trial of a multifactorial strategy to prevent serious fall

3274. Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. | PSNet
      psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
      March 10, 2021 - March 10, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

3275. Appendix 1-B. Pre/Post-Test Questions and Answers for Module 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap1b.html
      October 01, 2014 - Falls Prevention Appendix 1-A. Suggested Slides for Module 1 Appendix 1-B.

3276. Medical Devices in the "Wild" | PSNet
      psnet.ahrq.gov/web-mm/medical-devices-wild
      March 27, 2024 - The unit where the fall occurred called a multidisciplinary "fall huddle" to reenact the circumstances

3277. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/transfer.html
      September 01, 2017 - POLST Order in Place Oxygen Therapy Catheter or Ostomy Present Stage II or > Pressure Ulcer Fall

3278. CDS Connect Implementation Guide Draft (doc file)
      cds.ahrq.gov/sites/default/files/cds/artifact/26/Implementation%20Guide_USPSTF%20Aspirin%20Therapy%20for%20the%20Prevention%20of%20CVD%20and%20CRC_Final.docx
      October 01, 2017 - CDS Connect Implementation Guide Draft Implementation Guide USPSTF Aspirin Therapy for the Primary Prevention … USPSTF Aspirin Therapy for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer iii … Implementation Guide: USPSTF Aspirin Therapy for the Primary Prevention of Cardiovascular Disease and … If patients fall into multiple categories in the CQL code based on the semi-structured guidelines, the … Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: U.S.

3279. Record Linkage Concepts (pdf file)
      hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or19.pdf
      June 16, 2014 - variable: Pattern 6 of 13 socks within pattern block compare matching variables 7 of 13 socks fall … Clerical review Case-by-case review of uncertain matches that fall between the upper and lower

3280. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33589/psn-pdf
      September 15, 2024 - High Reliability September 15, 2024 High Reliability. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/high-reliability PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …