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psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using
June 29, 2022 - June 29, 2022
Evaluation of clinical practice guidelines on fall prevention and management … May 8, 2017
A randomized trial of a multifactorial strategy to prevent serious fall injuries … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
October 19, 2022 - November 16, 2022
Evaluation of clinical practice guidelines on fall prevention and management … April 24, 2018
A randomized trial of a multifactorial strategy to prevent serious fall … May 27, 2011
Effect of computer order entry on prevention of serious medication errors
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psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims
August 04, 2021 - July 13, 2010
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program … to engage older adults in fall prevention in a nursing home. … Patient Safety Primers
Retained Surgical Items: Causation and Prevention
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psnet.ahrq.gov/issue/outbreak-investigation-covid-19-among-residents-and-staff-independent-and-assisted-living
October 19, 2022 - challenges of detecting COVID-19 in asymptomatic persons and the importance of early surveillance and prevention … August 17, 2016
A randomized trial of a multifactorial strategy to prevent serious fall … Organization's Approach
October 1, 2007
Evaluation of clinical practice guidelines on fall … prevention and management for older adults: a systematic review.
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psnet.ahrq.gov/issue/physician-quality-officer-new-model-engaging-physicians-quality-improvement
May 03, 2017 - May 27, 2011
Effect of computer order entry on prevention of serious medication errors … September 14, 2016
Safety standards: implementing fall prevention interventions and sustaining … lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit.
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psnet.ahrq.gov/issue/primary-care-relevant-interventions-prevent-falling-older-adults-systematic-evidence-review
May 27, 2020 - efforts to prevent falls have been limited by a lack of high quality evidence supporting specific prevention
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-d-calcium-or-combined-supplementation-for-the-primary-prevention-of-fractures-in-adults-preventive-medication
April 17, 2018 - Ten percent to 15% of falls result in fractures, 6 and nearly all hip fractures are related to a fall … vitamin D supplementation does not reduce the number of falls or the number of persons who experience a fall … community-dwelling older adults, 19 1 study (n=2256) reported an increase in the number of persons experiencing a fall … Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur … Clinician's guide to prevention and treatment of osteoporosis.
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psnet.ahrq.gov/issue/utilization-pharmacy-technicians-increase-accuracy-patient-medication-histories-obtained
October 08, 2014 - October 14, 2011
Evaluation of clinical practice guidelines on fall prevention and management … 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/exploring-approaches-patient-safety-case-spinal-manipulation-therapy
September 11, 2024 - Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation
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psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older-adults
March 24, 2019 - Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall … prevention program. … July 31, 2008
Evaluation of a patient-centered fall-prevention tool kit to reduce falls
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/vitamin-d-calcium-falls-bulletin.pdf
January 21, 2025 - draft
recommendation statement on vitamin D, calcium, or combined supplementation for the primary prevention … The Task Force is an independent, volunteer panel of national experts in prevention and evidence-based
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psnet.ahrq.gov/issue/effect-medication-reconciliation-hospital-admission-30-day-returns-hospital-randomized
September 15, 2021 - September 7, 2022
Evaluation of clinical practice guidelines on fall prevention and management … May 19, 2021
Evaluation of a patient-centered fall-prevention tool kit to reduce falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverviewmaterialspacket.pdf
June 02, 2025 - Abt Single-Sided Body Template
On-Time Falls Prevention: Overview Materials Packet
Samples of four … On-Time Falls Prevention Overview Materials Packet 1
O
n-Tim
e Falls P
revention: E
lectronic … Fall Date Date 10/4/13 1/16/14 2/11/14 2/27/14 3/6/14 4/17/14
Fall Day Day of week Saturday Thursday … Shift Shift N N D E N N
Fall Witnessed? Yes/no N N Y Y N N
If yes, who witnessed? … Yes/no Y Y Y N Y Y
PT Consult Date 10/4/13 1/16/14 2/11/14 3/6/14 4/17/14
On-Time Falls Prevention
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psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
September 24, 2010 - September 24, 2010
Evaluation of clinical practice guidelines on fall prevention and … August 4, 2021
Practice advisory for the prevention and management of operating room … March 19, 2019
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/learning-samples-one-or-fewer
December 21, 2017 - December 21, 2017
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … program to engage older adults in fall prevention in a nursing home. … December 19, 2007
Ounce of prevention: to reduce errors, hospitals prescribe innovative
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psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-care-transitions-insights-project-achieve-site-visits
September 23, 2020 - February 21, 2018
Potentially harmful medication dispenses after a fall or hip fracture … Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall … prevention program. … July 1, 2020
WebM&M Cases
Another Fall
April 1, 2003
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psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - Read More
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS … ) program to engage older adults in fall prevention in a nursing home. … program to engage older adults in fall prevention in a nursing home. … The program, which emphasizes tailored fall-prevention and patient-family engagement, resulted in a decrease … This report examined the costs of avoidable problems in long term care and suggests prevention strategies
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psnet.ahrq.gov/issue/assessment-patients-ability-review-electronic-health-record-information-identify-potential
July 27, 2022 - Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation
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psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic
March 09, 2022 - February 5, 2020
Fall prevention implementation strategies in use at 60 United States … December 9, 2020
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
May 29, 2019 - Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation