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psnet.ahrq.gov/issue/model-recovering-medical-errors-coronary-care-unit
June 02, 2010 - January 27, 2021
Fall prevention in acute care hospitals: a randomized trial. … Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall … prevention program. … May 28, 2008
Role of registered nurses in error prevention, discovery and correction.
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018205-kearns-final-report-2012.pdf
January 01, 2012 - Falls in older people: epidemiology,
risk factors and strategies for prevention. … Fall and
injury prevention in older people living in residential
care facilities. … Kellog International Work Group on the Prevention of
Falls by the Elderly. … The prevention of falls in later
life. … A report of the Kellogg International Work Group
on the Prevention of Falls by the Elderly.
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psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture
January 10, 2024 - May 22, 2024
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall … prevention program.
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psnet.ahrq.gov/issue/teaching-quality-improvement
July 19, 2023 - September 8, 2010
Evaluation of clinical practice guidelines on fall prevention and management … May 4, 2015
Fall prevention in hospitals: an integrative review.
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psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
July 29, 2020 - the Same Author(s)
A randomized trial of a multifactorial strategy to prevent serious fall … September 29, 2017
Evaluation of clinical practice guidelines on fall prevention and … February 5, 2020
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Statement on the prevention
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psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
January 12, 2022 - Related Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall … prevention and management for older adults: a systematic review. … January 12, 2022
A randomized trial of a multifactorial strategy to prevent serious fall … June 26, 2009
Ounce of prevention: to reduce errors, hospitals prescribe innovative designs
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digital.ahrq.gov/location/usa-ma-cambridge
January 01, 2023 - Description
Lessons from the On-Time Pressure Ulcer program informed the development of an On-Time Fall … Prevention module, which uses documentation data elements, actionable reports, and tracking tools to … address residents’ fall risk factors.
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psnet.ahrq.gov/issue/depth-analysis-medication-errors-hospitalized-patients-hiv
July 15, 2010 - November 30, 2022
Evaluation of clinical practice guidelines on fall prevention and management … November 26, 2014
An inpatient fall prevention initiative in a tertiary care hospital … October 27, 2010
Importance of prevention and early intervention of adverse events in
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psnet.ahrq.gov/node/866156/psn-pdf
June 20, 2024 - systematic-review-us
Falls are a leading cause of injury and death in adults aged 65 years and older, and prevention … https://psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
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www.ahrq.gov/patient-safety/settings/hospital/index.html
February 01, 2025 - Fall TIPS: A Patient-Centered Fall Prevention Toolkit consists of a formal risk assessment and tailored … Ulcers in Hospitals is a toolkit that assists hospital staff in implementing effective pressure ulcer prevention … Pressure Injury Prevention in Hospitals Training Program supports the training of hospital staff on … training curriculum and a series of companion webinars on specific topics related to pressure injury prevention … Toolkit for Decolonization of Non-ICU Patients With Devices This toolkit can help hospital infection prevention
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psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls
November 21, 2014 - November 21, 2014
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
June 02, 2021 - Study
Organisational strategies to implement hospital pressure ulcer prevention programmes … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a … that nurse leadership played a substantial role in influencing the implementation of pressure ulcer prevention … Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a … March 7, 2018
Fall prevention in hospitals: an integrative review.
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psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
August 17, 2022 - Study
Strength of improvement recommendations from injurious fall investigations: … Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident … Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident … Article
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The Stoplight Mobility Alert System for safety and prevention
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psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
June 23, 2015 - Resources
Talking about falls: a qualitative exploration of spoken communication of patients' fall … risks in hospitals and implications for multifactorial approaches to fall prevention. … March 29, 2023
Patient perception of fall risk and fall risk screening scores. … May 5, 2021
Modification of potentially inappropriate prescribing following fall-related
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psnet.ahrq.gov/issue/flow-accuracy-iv-smart-pumps-outside-patient-rooms-during-covid-19
October 12, 2022 - 2020
Human-based errors involving smart infusion pumps: a catalog of error types and prevention … March 30, 2011
Fall prevention with the Smart Socks System reduces hospital fall rates
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psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework
March 09, 2022 - 2017
Optimizing post-acute care patient safety: a scoping review of multifactorial fall … prevention interventions for older adults. … July 13, 2022
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition-and-dictation
December 21, 2022 - September 6, 2023
Evaluation of clinical practice guidelines on fall prevention and management … Cases
Medication Mix-Up: From Bad to Worse
March 1, 2015
Fall … prevention in acute care hospitals: a randomized trial.
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psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators
January 12, 2022 - Related Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall … prevention and management for older adults: a systematic review. … January 12, 2022
A randomized trial of a multifactorial strategy to prevent serious fall … February 13, 2019
Guidelines for the prevention of intravascular catheter-related infections
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psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration
January 21, 2019 - August 31, 2016
Evaluation of clinical practice guidelines on fall prevention and management … Talking about falls: a qualitative exploration of spoken communication of patients' fall … risks in hospitals and implications for multifactorial approaches to fall prevention.
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psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
February 15, 2023 - Magazine Article
‘I felt like I was dying’: how women with postpartum depression fall … Citation Text:
‘I felt like I was dying’: how women with postpartum depression fall through the cracks … Citation
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‘I felt like I was dying’: how women with postpartum depression fall … 2021
Patient safety culture as a space of social struggle: understanding infection prevention