Results

Total Results: 3,954 records

Showing results for "falls".
Users also searched for: fall prevention

2521. Medication reconciliation at hospital discharge: evaluating discrepancies. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
      July 08, 2008 - Study Medication reconciliation at hospital discharge: evaluating discrepancies. Citation Text: Wong JD, Bajcar J, Wong GG, et al. Medication reconciliation at hospital discharge: evaluating discrepancies. Ann Pharmacother. 2008;42(10):1373-9. doi:10.1345/aph.1L190. Copy Citation …

2522. Medical error, incident investigation and the second victim: doing better but feeling worse? | PSNet
      psnet.ahrq.gov/issue/medical-error-incident-investigation-and-second-victim-doing-better-feeling-worse
      July 29, 2020 - Commentary Medical error, incident investigation and the second victim: doing better but feeling worse? Citation Text: Wu AW, Steckelberg RC. Medical error, incident investigation and the second victim: doing better but feeling worse? BMJ Qual Saf. 2012;21(4):267-70. doi:10.1136/bmjqs-20…

2523. Twenty-four/seven: a mixed-method systematic review of the off-shift literature. | PSNet
      psnet.ahrq.gov/issue/twenty-fourseven-mixed-method-systematic-review-shift-literature
      March 10, 2021 - Review Twenty-four/seven: a mixed-method systematic review of the off-shift literature. Citation Text: de Cordova PB, Phibbs CS, Bartel AP, et al. Twenty-four/seven: a mixed-method systematic review of the off-shift literature. J Adv Nurs. 2012;68(7):1454-68. Copy Citation Forma…

2524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49661/psn-pdf
      August 01, 2012 - strength and educate patients about the need for certain precautions to prevent unintentional injury or falls

2525. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866846/psn-pdf
      September 24, 2024 - found a 37% increase in reporting, and decreases in preventable harm: 39% decrease in injuries with falls

2526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33751/psn-pdf
      January 01, 2014 - adoption of evidence-based guidelines, including catheter-associated urinary tract infections and falls

2527. A Picture Speaks 1000 Words | PSNet
      psnet.ahrq.gov/web-mm/picture-speaks-1000-words
      July 16, 2015 - June 21, 2017 Root cause analysis of reported patient falls in ORs in the Veterans Health

2528. Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
      January 01, 2020 - This class of drugs is frequently associated with errors that can result in adverse events including falls

2529. Mixup Beyond the Medication Label | PSNet
      psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
      June 01, 2014 - medications such as sulfonylureas (including glimepiride) as they can cause hypoglycemia and result in falls

2530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865698/psn-pdf
      April 24, 2024 - Although differences have been reported on patient variables like hospital-acquired pressure ulcers, falls

2531. Building a Safety Program Using Principles of Resilience Engineering | PSNet
      psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
      October 23, 2013 - Perspective The Ongoing Journey to Prevent Patient Falls

2532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33600/psn-pdf
      June 16, 2024 - less harmful if care had been different; Adverse events due to negligence: those due to care that falls

2533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33581/psn-pdf
      December 15, 2024 - generally the responsibility of nurses or other trained staff; in ambulatory care the responsibility falls

2534. Improving Patient Safety and Team Communication through Daily Huddles | PSNet
      psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
      December 15, 2024 - Examples include patients who may be on medications that could increase their risk of falls or bleeding

2535. Patient Safety and Opioid Medications | PSNet
      psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
      January 01, 2015 - In this sense, the opioid epidemic is iatrogenic, and thus falls within the scope of patient safety.

2536. Misidentifying the Unidentified – John Doe and the EHR | PSNet
      psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
      September 27, 2017 - patients of similar age arrived at the same time to the emergency department (ED) after sustaining falls

2537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867652/psn-pdf
      February 26, 2025 - to examine patterns across multiple events within a category (such as medication errors or patient falls

2538. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33721/psn-pdf
      November 01, 2011 - Reducing falls and fall-related injuries in the VA system. J Healthc Saf Q. 2003;1:25-33. 8.

2539. Missing Trauma | PSNet
      psnet.ahrq.gov/web-mm/missing-trauma
      March 03, 2011 - Blunt injuries are the result of falls, motor vehicle or motorcycle crashes, bicycle accidents, pedestrians

2540. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. | PSNet
      psnet.ahrq.gov/issue/optimizing-smart-pump-technology-increasing-critical-safety-alerts-and-reducing-clinically
      February 12, 2014 - Study Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Citation Text: Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Hosp Pharm.…