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Showing results for "falls".
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3521. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73953/psn-pdf
      October 27, 2021 - reduced morbidity and mortality, improved quality of life, decreased hospital admissions, reduced falls

3522. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49779/psn-pdf
      January 01, 2017 - The Empty Bag December 1, 2016 Vincent C. The Empty Bag. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/empty-bag The Case A 90-year-old woman with end-stage dementia was admitted to an acute care hospital for treatment of a hip fracture after a fall at a nursing home. During the hospitalization, her kidne…

3523. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49508/psn-pdf
      January 01, 2007 - Language Barrier April 1, 2006 Flores G. Language Barrier. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/language-barrier The Case A previously healthy 10-month-old girl was taken to a pediatrician's office by her monolingual Spanish- speaking parents when they noted that their daughter had generalized we…

3524. Procedure Complications – Who is Responsible for Follow up? | PSNet
      psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
      July 31, 2023 - Procedure Complications – Who is Responsible for Follow up? Citation Text: Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Cita…

3525. Language Barrier | PSNet
      psnet.ahrq.gov/web-mm/language-barrier
      February 28, 2024 - Language Barrier Citation Text: Flores G. Language Barrier. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

3526. Patient Safety Events Involving Opioid Dose Stacking | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
      July 08, 2022 - While this topic falls outside of the scope of this commentary, it remains critical to treat the whole

3527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33855/psn-pdf
      April 01, 2018 - The rates of infection, bleeding, blood clots, and falls were increasing—in addition to the risk of

3528. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49468/psn-pdf
      December 16, 2004 - Mark My Limb December 1, 2004 Jacott WE, O'Leary D. Mark My Limb. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/mark-my-limb The Case A patient went to the operating room (OR) for surgery on the lower leg. Per the Universal Protocol, the surgeon marked the proper leg prior to bringing the patient to the O…

3529. Spotlight (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.461_slideshow.ppt
      November 01, 2018 - Case: Supervision and Entrustment A 65-year-old man was admitted with head and spine trauma after falling

3530. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
      August 01, 2009 - They started tackling some really tough problems: patient falls, surgical site infections, central line … region as a whole cut the infection rate 70%, and other hospitals eliminated other "never events" like falls

3531. The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/evolution-root-cause-analysis
      February 26, 2025 - to examine patterns across multiple events within a category (such as medication errors or patient falls … We have individuals going out into individual homes, where some serious events occur, like patient falls

3532. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
      February 26, 2025 - We have individuals going out into individual homes, where some serious events occur, like patient falls … to examine patterns across multiple events within a category (such as medication errors or patient falls

3533. Innovations in Promoting Hand Hygiene Compliance | PSNet
      psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
      May 01, 2014 - make it problematic to generalize from the hand hygiene experience to let's say trying to decrease falls … Prostatic Hyperplasia August 10, 2019 Remote patient monitoring improves patient falls

3534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61078/psn-pdf
      October 28, 2020 - Based on the experiences of these authors, it typically falls on the patient/family and consulting diabetes

3535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841139/psn-pdf
      December 14, 2022 - For this reason, the responsibility of obtaining such details falls on both the surgical and anesthesia

3536. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33788/psn-pdf
      June 01, 2015 - Or a patient falls or gets what might be a preventable pressure ulcer, or a mistake occurs in a surgical

3537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850675/psn-pdf
      June 14, 2023 - s authors shows that including patients and families during care transitions reduces harms such as falls

3538. Failed Interpretation of Screening Tool: Delayed Treatment | PSNet
      psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
      August 20, 2018 - infection can initially present with nonspecific symptoms including fatigue, generalized weakness, falls

3539. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33769/psn-pdf
      June 01, 2014 - Important topics like health care disparities, personal technology, and much of what falls under the

3540. Discharging Our Responsibility | PSNet
      psnet.ahrq.gov/web-mm/discharging-our-responsibility
      January 16, 2019 - Related Resources Patient Safety Innovations Preventing Falls