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Showing results for "fall prevention".
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3341. Risk mitigation in large scale systems: lessons from high reliability organizations. | PSNet
      psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
      January 30, 2019 - Commentary Classic Risk mitigation in large scale systems: lessons from high reliability organizations. Citation Text: Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…

3342. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. | PSNet
      psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
      July 29, 2020 - the Same Author(s) A randomized trial of a multifactorial strategy to prevent serious fall

3343. Does an insulin double-checking procedure improve patient safety? | PSNet
      psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
      April 24, 2018 - March 4, 2020 A randomized trial of a multifactorial strategy to prevent serious fall

3344. 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. | PSNet
      psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
      April 17, 2024 - August 2, 2015 A randomized trial of a multifactorial strategy to prevent serious fall

3345. How to develop a second victim support program: a toolkit for health care organizations. | PSNet
      psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
      April 03, 2019 - April 3, 2019 A randomized trial of a multifactorial strategy to prevent serious fall

3346. Factors associated with disclosure of medical errors by housestaff. | PSNet
      psnet.ahrq.gov/issue/factors-associated-disclosure-medical-errors-housestaff
      January 27, 2019 - August 4, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

3347. A piece of my mind. The patient you least want to see. | PSNet
      psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see
      August 14, 2024 - Commentary A piece of my mind. The patient you least want to see. Citation Text: Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2. doi:10.1001/jama.2016.0221. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

3348. Medical error, incident investigation and the second victim: doing better but feeling worse? | PSNet
      psnet.ahrq.gov/issue/medical-error-incident-investigation-and-second-victim-doing-better-feeling-worse
      July 29, 2020 - the Same Author(s) A randomized trial of a multifactorial strategy to prevent serious fall

3349. Twenty-four/seven: a mixed-method systematic review of the off-shift literature. | PSNet
      psnet.ahrq.gov/issue/twenty-fourseven-mixed-method-systematic-review-shift-literature
      March 10, 2021 - October 19, 2022 A randomized trial of a multifactorial strategy to prevent serious fall

3350. Nursing and patient safety in the operating room. | PSNet
      psnet.ahrq.gov/issue/nursing-and-patient-safety-operating-room
      November 03, 2010 - Study Nursing and patient safety in the operating room. Citation Text: Alfredsdottir H, Bjornsdottir K. Nursing and patient safety in the operating room. J Adv Nurs. 2010;61(1):29-37. doi:10.1111/j.1365-2648.2007.04462.x. Copy Citation Format: DOI Google Scholar BibTeX En…

3351. What is an ethically informed approach to managing patient safety risk during discharge planning? | PSNet
      psnet.ahrq.gov/issue/what-ethically-informed-approach-managing-patient-safety-risk-during-discharge-planning
      November 16, 2022 - December 21, 2009 WebM&M Cases Another Fall April

3352. Sleep and alertness in a duty-hour flexibility trial in internal medicine. | PSNet
      psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
      March 13, 2019 - Study Emerging Classic Sleep and alertness in a duty-hour flexibility trial in internal medicine. Citation Text: Sleep and alertness in a duty-hour flexibility trial in internal medicine. Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. …

3353. How to discuss errors and adverse events with cancer patients. | PSNet
      psnet.ahrq.gov/issue/how-discuss-errors-and-adverse-events-cancer-patients
      April 01, 2010 - September 19, 2016 A randomized trial of a multifactorial strategy to prevent serious fall

3354. Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous Emboli: The BEHAVE Study. | PSNet
      psnet.ahrq.gov/issue/minimizing-errors-omission-behavioural-reenforcement-heparin-avert-venous-emboli-behave-study
      April 24, 2018 - April 21, 2011 A randomized trial of a multifactorial strategy to prevent serious fall

3355. The architecture of safety: an emerging priority for improving patient safety. | PSNet
      psnet.ahrq.gov/issue/architecture-safety-emerging-priority-improving-patient-safety
      June 09, 2011 - Review The architecture of safety: an emerging priority for improving patient safety. Citation Text: Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643…

3356. Medication Reconciliation Pitfalls | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
      May 01, 2006 - The Case A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture

3357. Patient Safety Events Involving Opioid Dose Stacking | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
      July 08, 2022 - male with a history of chronic opioid use, anxiety disorder, and major depression presented after a fall … specifically, post-operative pain management encompasses a balance of adequate pain control and the prevention … Implementing standardized sedation assessments, such as POSS, aids nurses in the prediction and prevention

3358. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
      July 01, 2024 - ■ An AHRQ Patient Safety Learning Labiv (PSLL) developed an electronic Fall TIPS Tool to help patients … Key Findings/Impact: Investigators found that implementing the Fall TIPS toolkit reduced patient fall … into both the electronic and print versions, because patients are more likely to believe they need a fall … prevention plan and then follow that plan if they know their risks of harm for falling. … reporter.nih.gov/search/0zBFxPu410GfTZDt4AZLvQ/projects https://www.ahrq.gov/patient-safety/settings/hospital/fall-tips

3359. Daily Care Processes Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
      January 01, 2017 - the barriers to compliance.25 Barriers to implementation of evidence-based interventions commonly fall … A defect is anything you don’t want to happen again–an unsafe condition, a patient fall, a venous thromboembolism … Centers for Disease Control and Prevention. … Evidence- based clinical practice guideline for the prevention of ventilator-associated pneumonia. … A European care bundle for prevention of ventilator- associated pneumonia.

3360. Archived: Evidence Summary: Osteoporosis to Prevent Fractures: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary1/osteoporosis-screening-june-2018
      June 26, 2018 - The Screening for Osteoporosis in Older Women for the Prevention of Fracture (SCOOP) trial randomized … The prevention of early postmenopausal bone loss by cyclical etidronate therapy: a 2-year, double-blind … Denosumab for prevention of fractures in postmenopausal women with osteoporosis. … Garvan nomogram/FRC 57 Age, sex, weight, previous nontraumatic fracture since age 50 y, fall … QFracture 60 Age, sex, weight, height, smoking, parental fracture or osteoporosis, previous fall