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Showing results for "fall prevention".
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  1. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. | PSNet

    psnet.ahrq.gov/issue/adding-automation-and-independent-dual-verification-reduce-wrong-blood-tube-wbit-events
    October 21, 2020 - Study Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Citation Text: Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…

  2. Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. | PSNet

    psnet.ahrq.gov/issue/disparate-perspectives-exploring-healthcare-professionals-misaligned-mental-models-older
    May 11, 2022 - Journal Article Study Catching those who fall

  3. The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. | PSNet

    psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
    February 16, 2022 - Review The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Citation Text: Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…

  4. Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). | PSNet

    psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit
    August 03, 2022 - December 21, 2022 A randomized trial of a multifactorial strategy to prevent serious fall

  5. Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. | PSNet

    psnet.ahrq.gov/issue/outsourcing-health-care-services-private-sector-and-treatable-mortality-rates-england-2013-20
    October 21, 2020 - Study Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. Citation Text: Goodair B, Reeves A. Outsourcing health-care services to the private sector and treatable mortality rates in England…

  6. Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. | PSNet

    psnet.ahrq.gov/issue/nurse-staffing-levels-missed-vital-signs-and-mortality-hospitals-retrospective-longitudinal
    July 19, 2019 - December 21, 2017 A randomized trial of a multifactorial strategy to prevent serious fall

  7. The Medication Metronome Project - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2011
    January 01, 2011 - The Medication Metronome Project - 2011 Project Name The Medication Metronome Project Principal Investigator Atlas, Steven J. Organization Massachusetts General Hospital Funding Mechanism PAR: HS08-270: Utilizing Health Information Technology to Improve Health Care …

  8. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. | PSNet

    psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia
    January 11, 2023 - Study The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. Citation Text: Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesth…

  9. How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials. | PSNet

    psnet.ahrq.gov/issue/how-strong-evidence-use-perioperative-beta-blockers-non-cardiac-surgery-systematic-review-and
    August 04, 2021 - April 29, 2020 A randomized trial of a multifactorial strategy to prevent serious fall

  10. What is the medication iatrogenic risk in elderly outpatients for chronic pain? | PSNet

    psnet.ahrq.gov/issue/what-medication-iatrogenic-risk-elderly-outpatients-chronic-pain
    February 12, 2020 - Study What is the medication iatrogenic risk in elderly outpatients for chronic pain? Citation Text: Jambon J, Choukroun C, Roux-Marson C, et al. What is the medication iatrogenic risk in elderly outpatients for chronic pain? Clin Neuropharmacol. 2022;45(3):65-71. doi:10.1097/wnf.0000000…

  11. A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary
    August 24, 2022 - January 19, 2022 A randomized trial of a multifactorial strategy to prevent serious fall

  12. Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. | PSNet

    psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals
    March 28, 2011 - Study Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. Citation Text: Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to sa…

  13. Impact of CRM-based team training on obstetric outcomes and clinicians' patient safety attitudes. | PSNet

    psnet.ahrq.gov/issue/impact-crm-based-team-training-obstetric-outcomes-and-clinicians-patient-safety-attitudes
    January 12, 2011 - December 22, 2018 A randomized trial of a multifactorial strategy to prevent serious fall

  14. Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. | PSNet

    psnet.ahrq.gov/issue/changes-prescription-and-over-counter-medication-and-dietary-supplement-use-among-older
    May 06, 2020 - May 6, 2020 A randomized trial of a multifactorial strategy to prevent serious fall injuries

  15. ED overcrowding is associated with an increased frequency of medication errors. | PSNet

    psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors
    August 20, 2018 - Study ED overcrowding is associated with an increased frequency of medication errors. Citation Text: Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. …

  16. Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). | PSNet

    psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
    December 23, 2020 - June 30, 2021 Call to action: addressing pediatric fall safety in ambulatory environments

  17. Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. | PSNet

    psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions
    May 04, 2022 - identified patient-level risk factors among patients 75 years or older who were initially hospitalized for fall-related

  18. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. | PSNet

    psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system
    January 19, 2022 - April 26, 2023 Balancing safety, comfort, and fall risk: an intervention to limit opioid

  19. Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/physician-antipsychotic-overprescribing-letters-and-cognitive-behavioral-and-physical-health
    March 05, 2025 - April 27, 2022 Potentially harmful medication dispenses after a fall or hip fracture:

  20. Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? | PSNet

    psnet.ahrq.gov/issue/rates-adverse-events-hospitalized-patients-after-summer-time-resident-changeover-united
    June 22, 2022 - Study Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? Citation Text: Metersky ML, Eldridge N, Wang Y, et al. Rates of adverse events in hospitalized patients after summer-time resident changeover in the …
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