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241. Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. | PSNet
     psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-events
     July 20, 2022 - tools are designed to identify specific adverse events or safety risks (such as medication errors, falls … WebM&M Cases Failure to Ensure Patient Safety Leads to Patient Falls … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls

242. The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. | PSNet
     psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
     September 15, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … Long-Term Care Quality and Safety Professionals Geriatrics Pressure Ulcers Patient Falls

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44641/psn-pdf
     October 26, 2016 - Common safety issues in nursing homes are medication errors, falls, and inappropriate use of restraints … old-and-overmedicated-real-drug-problem-nursing-homes https://psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49609/psn-pdf
     October 01, 2010 - 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.

245. Beyond error: a qualitative study of human factors in serious adverse events. | PSNet
     psnet.ahrq.gov/issue/beyond-error-qualitative-study-human-factors-serious-adverse-events
     December 18, 2024 - Resources Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls … 27, 2024 Patient Safety Innovations Preventing Falls

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44669/psn-pdf
     January 22, 2016 - safety-standards-implementing-fall-prevention-interventions-and-sustaining- lower-fall-rates Inpatient falls … safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates https://psnet.ahrq.gov/issue/preventing-falls-injury … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities https

247. Adverse events experienced by homecare patients: a scoping review of the literature. | PSNet
     psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
     October 19, 2022 - included adverse drug events and line-related problems as well as the expected focus on wounds and falls … March 15, 2023 Cost of inpatient falls and cost-benefit analysis of implementation of … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls

248. An examination of technical efficiency, quality, and patient safety in acute care nursing units. | PSNet
     psnet.ahrq.gov/issue/examination-technical-efficiency-quality-and-patient-safety-acute-care-nursing-units
     December 21, 2017 - in this study were operating at less than optimal efficiency, largely due to medication errors and falls … Exploring organizational context and structure as predictors of medication errors and patient falls … September 12, 2016 Influence of unit-level staffing on medication errors and falls in

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36110/psn-pdf
     April 04, 2024 - Falls, wrong surgery and unintended retained foreign bodies were among the most frequently submitted … sentinel-event-statistics-1995-2019 https://psnet.ahrq.gov/issue/sentinel-event https://psnet.ahrq.gov/primer/falls

250. How to avoid falling victim to a hospital mistake. | PSNet
     psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake
     April 06, 2016 - Newspaper/Magazine Article How to avoid falling victim to a hospital mistake. … Citation Text: How to avoid falling victim to a hospital mistake. Cohen E. … Copy URL Cite Citation Citation Text: How to avoid falling

251. Affordable Housing Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls and Improving Resident Health | PSNet
     psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
     March 27, 2024 - Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls … Additionally, the program saw residences experience a decrease in the number of falls. … Programs typically cover five key areas: preventing falls, managing medications, controlling chronic … Fewer falls: The number of residents experiencing falls declined by 22 percent in the first year after … implementation (30 resident falls the year before implementation, 16 resident falls a year later).

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35088/psn-pdf
     January 01, 2025 - hospital-acquired infections, medication errors, inpatient suicide, and specific clinical harms such as falls … issue/patient-safety-inpatient-mental-health-settings-systematic-review https://psnet.ahrq.gov/primer/falls

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851658/psn-pdf
     July 26, 2023 - older adults, including unnecessary testing or procedures, nosocomial infections, medical errors, falls … assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims https://psnet.ahrq.gov/primer/falls

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60727/psn-pdf
     July 29, 2020 - ten health care systems to evaluate the effectiveness of a multifactorial intervention to prevent falls … randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries https://psnet.ahrq.gov/primer/falls

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837430/psn-pdf
     June 15, 2022 - stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission Bedrails are used in hospitals and at home to minimize falls … do-split-side-rails-present-increased-risk-patient-safety https://psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies

256. The role of the chief executive officer in maximizing patient safety. | PSNet
     psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
     January 03, 2017 - Related Resources From the Same Author(s) Is it possible to identify risks for injurious falls … December 9, 2020 The tension between promoting mobility and preventing falls in the hospital … July 10, 2017 In-hospital sequelae of injurious falls in 24 medical/surgical units in … March 13, 2019 Effects of an intervention to increase bed alarm use to prevent falls

257. Inpatient fall prevention programs as a patient safety strategy: a systematic review. | PSNet
     psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
     May 26, 2016 - Considered a never event for hospitalized patients, falls that result in serious injury remain relatively … May 26, 2016 Sitters as a patient safety strategy to reduce hospital falls: a systematic … May 13, 2021 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.

258. Patient safety culture and the association with safe resident care in nursing homes. | PSNet
     psnet.ahrq.gov/issue/patient-safety-culture-and-association-safe-resident-care-nursing-homes
     September 19, 2018 - structure ( safety culture ), a process (use of physical restraints), and an outcome (incidence of falls … statistically significant association between higher safety culture scores, lower use of restraints, and fewer falls … WebM&M Cases Failure to Ensure Patient Safety Leads to Patient Falls

259. Implementation of participatory organizational change in long term care to improve safety. | PSNet
     psnet.ahrq.gov/issue/implementation-participatory-organizational-change-long-term-care-improve-safety
     February 01, 2012 - on identifying and reducing musculoskeletal disorder hazards for employees, including slips, trips, falls … Related Resources From the Same Author(s) Utilizing quality improvement methods to prevent falls … and injury from falls: enhancing resident safety in long-term care.

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50905/psn-pdf
     February 19, 2020 - Tailoring Interventions for Patient Safety) program has been shown to be effective in preventing inpatient falls … access to the Fall TIPS program are more engaged and feel more confident in their ability to prevent falls