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Showing results for "falls".
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201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41554/psn-pdf
     January 03, 2017 - Using root cause analysis to reduce falls with injury in community settings. … Using root cause analysis to reduce falls with injury in community settings. … https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings This study … used root cause analysis (RCA) to identify hazards leading to falls among community-dwelling elderly … https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings https:/

202. Fall Prevention in Hospitals Training Program. | PSNet
     psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
     May 01, 2017 - Falls are a primary focus of quality and patient safety improvement efforts in hospitals . … educational webinars and implementation guidance to help hospitals use an AHRQ toolkit to decrease risk of falls … More About The Topic Hospitals Health Care Providers Educators Medicine Patient Falls

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46375/psn-pdf
     November 29, 2017 - issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership- patient-safety Falls … engage care teams in fall prevention, including educating patients and families about the risk of falls … fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety https://psnet.ahrq.gov/primer/falls … preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and-harm-across-continuum https://psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

204. NPSD Data Spotlight: Patterns of Fall Interventions. | PSNet
     psnet.ahrq.gov/issue/npsd-data-spotlight-patterns-fall-interventions
     September 13, 2023 - Falls are a frequently reported sentinel event. … Free full text (PDF) Related dashboard Related resource: NPSD Data Spotlight - Falls: Associated … See More About The Topic Hospitals Hospital Medicine Nurse Care Patient Falls

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39987/psn-pdf
     September 20, 2011 - https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial Patient falls are … Experts in the field have questioned the wisdom of this policy; even though falls are common, little … controlled trial offers an advance in fall prevention, as it demonstrated a significant reduction in falls … wisdom-and-justice-not-paying-preventable-complications https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences … https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta

206. Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. | PSNet
     psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
     December 24, 2008 - Toolkit Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … Citation Text: Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … Copy URL Cite Citation Citation Text: Preventing Falls

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37685/psn-pdf
     March 18, 2010 - Medication assessment: one determinant of falls risk. March 18, 2010 PA-PSRS Patient Saf Advis. … https://psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk Drawing on data from the … system, this article describes which medication classes were most frequently associated with patient falls … https://psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk https://psnet.ahrq.gov/

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36864/psn-pdf
     August 29, 2011 - Falls prevention at Mayo Clinic Rochester: a path to quality care. … Falls prevention at Mayo Clinic Rochester: a path to quality care. … https://psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care The authors share … https://psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39650/psn-pdf
     June 30, 2010 - Negotiating safety when staffing falls short. June 30, 2010 Zolnierek CD, Steckel CM. … Negotiating Safety when Staffing Falls Short. … https://psnet.ahrq.gov/issue/negotiating-safety-when-staffing-falls-short This commentary describes … https://psnet.ahrq.gov/issue/negotiating-safety-when-staffing-falls-short https://psnet.ahrq.gov/issue

210. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
     August 02, 2015 - Frequent incidents were falls, delays in diagnosis or treatment, and medication errors . … November 21, 2012 Root cause analysis of reported patient falls in ORs in the Veterans … August 21, 2013 Using root cause analysis to reduce falls with injury in community settings … Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls … August 21, 2013 Using root cause analysis to reduce falls with injury in the psychiatric

211. The cost of serious fall-related injuries at three midwestern hospitals. | PSNet
     psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
     January 03, 2017 - In this study, hospitalized patients experiencing serious injuries from falls were associated with … May 22, 2023 Is it possible to identify risks for injurious falls in hospitalized patients … April 17, 2013 Insights into the climate of safety towards the prevention of falls among … Health Care Executives and Administrators General Internal Medicine Hospital Medicine Patient Falls

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37825/psn-pdf
     April 11, 2011 - The effect of bedrails on falls and injury: a systematic review of clinical studies. … The effect of bedrails on falls and injury: a systematic review of clinical studies. … https://psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies This … https://psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845360/psn-pdf
     March 29, 2023 - , traumatic brain injury, or stroke) are particularly vulnerable to patient safety events, such as falls … along a cognition continuum, make proactive changes to the care plan, and decrease the risk of patient falls … and use corresponding interventions to improve care planning, patient safety, and reduce the risk of falls … By December 2020, the fall rate was reduced to 0 falls per 1,000 admissions.

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44845/psn-pdf
     July 01, 2016 - single room hospital accommodation associated with differences in healthcare-associated infection, falls … single room hospital accommodation associated with differences in healthcare-associated infection, falls … Falls, pressure ulcers, and Clostridium difficile infections increased in the older patients' ward after … On the acute assessment unit, falls and medication errors temporarily increased for the first 6 months … one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and https://psnet.ahrq.gov/issue/preventing-falls-injury

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866193/psn-pdf
     June 26, 2024 - who take potentially inappropriate medications (PIM) are at increased risk of adverse events such as falls … These studies investigated the association with PIP use association of falls, mortality, negative impact … stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-3 https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-their-effect-falls-during-hospital-admission

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42099/psn-pdf
     March 13, 2013 - inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review Considered a never event for hospitalized patients, falls … inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … perspective/implementing-fall-prevention-program https://psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial … https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences https://

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850348/psn-pdf
     June 14, 2023 - Most of the studies focused on decreasing risk of falls and/or medication errors, mostly in the home … The authors recommend future research focus on safety targets beyond falls and medication safety and … https://psnet.ahrq.gov/issue/order-chaos-accelerating-care-integration https://psnet.ahrq.gov/primer/falls

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74239/psn-pdf
     January 12, 2022 - evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … https://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing … https://psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837672/psn-pdf
     July 13, 2022 - /optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall- prevention Patient falls … This scoping review discusses common post-acute care intervention domains to reduce falls for older … optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention https://psnet.ahrq.gov/primer/falls

220. Dangerous Dialysis | PSNet
     psnet.ahrq.gov/web-mm/dangerous-dialysis
     June 12, 2024 - patients have impaired ambulation and/or poor functional status, and thus there is a higher risk of falls … reuse entirely.( 9 ) Considering the risks for errors associated with dialyzer reuse programs and the falling … Patient Falls and Medication Errors In addition to errors with the dialyzer or dialysis solution, a … Renal Physicians Association survey revealed that medication errors and patient falls can also be safety … Falls and fall-related injuries in older dialysis patients.