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psnet.ahrq.gov/issue/enhancing-pediatric-perioperative-patient-safety
January 28, 2015 - 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/preventing-nosocomial-bloodstream-infections-nbsis-implementing-hospitalwide-department-level
February 03, 2011 - 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/patient-safety-education-project
July 16, 2018 - July 5, 2016
Infection Prevention Compendium For Long-Term Care Facilities. … October 5, 2021
SaferCare Texas
February 19, 2019
Fall Prevention
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psnet.ahrq.gov/issue/patient-safety-curriculum-2nd-edition
July 12, 2017 - October 24, 2018
Pressure Injury Prevention in Hospitals Training Program. … October 18, 2017
Fall Prevention in Hospitals Training Program.
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psnet.ahrq.gov/issue/towards-framework-select-techniques-error-prediction-supporting-novice-users-healthcare
March 28, 2011 - December 22, 2018
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety … ): a patient-centered fall prevention toolkit.
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psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was-misdiagnosed
April 11, 2018 - 2013
Optimizing post-acute care patient safety: a scoping review of multifactorial fall … prevention interventions for older adults. … Related Resources
‘I felt like I was dying’: how women with postpartum depression fall
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psnet.ahrq.gov/issue/mhealth-and-mobile-medical-apps-framework-assess-risk-and-promote-safer-use
October 01, 2014 - January 31, 2018
A randomized trial of a multifactorial strategy to prevent serious fall … July 16, 2015
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/should-patients-have-role-patient-safety-safety-engineering-view
June 10, 2009 - December 22, 2018
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety … ): a patient-centered fall prevention toolkit.
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psnet.ahrq.gov/issue/inappropriate-surgeries-resulting-misdiagnosis-early-amyotrophic-lateral-sclerosis
October 31, 2014 - Routine Laminectomy Leads to Fatal Discitis and Sepsis
December 18, 2024
Fall … prevention with the Smart Socks System reduces hospital fall rates.
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psnet.ahrq.gov/issue/outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
December 22, 2018 - December 21, 2017
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … program to engage older adults in fall prevention in a nursing home.
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psnet.ahrq.gov/issue/value-library-and-information-services-patient-care-results-multisite-study
April 24, 2018 - November 3, 2021
Evaluation of clinical practice guidelines on fall prevention and management … January 12, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
October 01, 2023 - AHRQ QI List of Indicators
Prevention Quality Indicators (PQls) … Admission Rate
• PQI 16 - Lower-Extremity Amputation Among Patients
with Diabetes Rate
• PQI 90- Prevention … Quality Overall Composite
• PQI 91- Prevention Quality Acute Composite
• PQI 92- Prevention Quality … Chronic Composite
• PQI 93- Prevention Quality Diabetes Composite
Area-Level Indicators (e.g., County … Rate
• PSI 07 - Central Venous Catheter-Related Blood
Stream Infection Rate
• PSI 08 - In-Hospital Fall-Associated
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
October 01, 2010 - Falls and fall-related injuries in older dialysis patients. … Falls and fall-related injuries in older dialysis patients. Clin J Am Soc Nephrol. 2006;1:1197-1204. … Falls and fall-related injuries in older dialysis patients. Clin J Am Soc Nephrol. 2006;1:1197-1204. … Centers for Disease Control and Prevention (CDC) Sets standards for infection control in dialysis units … Future investigation into the occurrence and prevention of adverse events and errors in dialysis units
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cds.ahrq.gov/sites/default/files/cds/artifact/127731/FallPreventionChairExercises.pdf
July 18, 2023 - Daily Fall Prevention Exercises - Chair Exercises
Front Knee (do this 5 to 10 times per leg)
Thigh
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psnet.ahrq.gov/node/865816/psn-pdf
May 08, 2024 - improvement
following the nurse manager visit was improved access into the home and a reduction in trip and fall … registered-nurses-efforts-ensure-safety-home-dwelling-older-patients
https://psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care
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digital.ahrq.gov/population/rural-populations
January 01, 2025 - HS028880
Principal Investigator(s)
Toscos, Tammy R
Management of fall … Management of fall risk among older adults in diverse primary care settings. … Project Name
Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall … Assessment and Prevention Patient-Centered Outcomes Research Findings into Diverse Primary Care Practices
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psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understand-adverse-medical-events
November 15, 2023 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … June 24, 2020
The impact of post-fall huddles on repeat fall rates and perceptions of
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psnet.ahrq.gov/issue/partially-structured-postoperative-handoff-protocol-improves-communication-2-mixed-surgical
November 19, 2018 - Citation Text:
Lane-Fall MB, Pascual JL, Peifer HG, et al. … Facebook
Twitter
Linkedin
Copy URL
February 6, 2019
Lane-Fall … Linkedin
Copy URL
Cite
Citation
Citation Text:
Lane-Fall … December 23, 2020
Patient safety implications of wearing a face mask for prevention in
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effectivehealthcare.ahrq.gov/sites/default/files/cer-241-physical-activity-wheelchair-evidence-summary-updated.pdf
October 01, 2021 - activity to be associated with improvements in walking ability,
general function, balance (including fall … Key Question 1: Prevention of Cardiovascular Conditions,
Diabetes, and Obesity
No included study … (n=168) or study excluded at the full-text level provided evidence
on the prevention of cardiovascular … (balance improvement)
Insufficient Insufficient
Postural Control
Balance Exercises
Low
(fall … activity was associated with improvements in walking ability, general
function, balance (including fall
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psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - Robert Wachter, Editor, AHRQ WebM&M: What have we learned about assessment of fall risk?
Ann L. … RW: What does the best fall assessment program look like? … But whenever the patient's condition changes, they should be reassessed for fall risk. … Let's shift a little bit to other proposed prevention
strategies, particularly in environmental ones … But they should not receive an injury as a result of a fall.