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Showing results for "falls".
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361. A nurse-driven system for improving patient quality outcomes. | PSNet
     psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
     October 12, 2011 - of a staff-driven reporting program to collect data on indicators such as medication errors, patient falls … May 14, 2014 Influence of unit-level staffing on medication errors and falls in military

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33739/psn-pdf
     October 01, 2012 - three main patient safety areas markedly influenced by the environment: HAIs, medication safety, and falls … Patient Falls It is widely accepted that the physical environment—including environmental features, … Hendrich and colleagues (20) found that most falls occurred when patients attempted to get out of bed … rooms to decentralized units with single-patient rooms that included a family zone, the number of falls … The impact of healthcare environmental design on patient falls.

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39355/psn-pdf
     June 27, 2011 - included adverse drug events and line-related problems as well as the expected focus on wounds and falls … psnet.ahrq.gov//#adverseevent https://psnet.ahrq.gov//#adversedrugevent https://psnet.ahrq.gov/issue/patient-who-falls-its-always-trade

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42548/psn-pdf
     December 29, 2014 - systematic-review Older patients are particularly vulnerable to harm during hospitalization, such as falls … what-known-about-adverse-events-older-medical-hospital-inpatients-systematic-review https://psnet.ahrq.gov/issue/elderly-falls

365. Safer Hospital Care: Strategies for Continuous Innovation, Second Edition. | PSNet
     psnet.ahrq.gov/issue/safer-hospital-care-strategies-continuous-innovation
     October 05, 2022 - Resources Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

366. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-341
     May 16, 2022 - Study Patient falls in the operating room setting: an analysis of reported safety … Inpatient falls are a common patient safety event and can have serious consequences. … This study used hospital safety reporting system data to characterize falls in perioperative settings … Falls represented 1% of all safety reports between 2014 and 2020 and most commonly involved falls from … The author suggests strategies to identify patients at high risk for falls, improve fall-related training

367. At risk care plans: a way to reduce readmissions and adverse events. | PSNet
     psnet.ahrq.gov/issue/risk-care-plans-way-reduce-readmissions-and-adverse-events
     October 27, 2010 - one hospital's effort to decrease readmissions and adverse events involving inpatients at risk for falls … The Topic Hospitals Health Care Providers Risk Managers Hospital Medicine Patient Falls

368. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members
     February 15, 2011 - Examining patient safety in home hospice care, the authors found that falls and inadequate symptom … Related Resources Patient Safety Innovations Preventing Falls

369. The association of shift-level nurse staffing with adverse patient events. | PSNet
     psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events
     October 06, 2016 - military hospitals, greater nursing experience and skill mix was associated with a lower incidence of falls … May 4, 2015 Influence of unit-level staffing on medication errors and falls in military

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861882/psn-pdf
     January 31, 2024 - But challenges in office-based care settings, such as falls, diagnostic issues, and complications related … events in ambulatory care fall into four main categories: diagnostic testing errors, medication events, falls … and may be approached in similar ways in both acute and office-based settings, for example patient falls … strategy of incorporating individualized fall risk screening to identify patients most at risk for falling … deep-dive-safe-ambulatory-care-strategies-patient-safety-risk-reduction https://psnet.ahrq.gov/primer/falls

371. Negligence, genuine error, and litigation. | PSNet
     psnet.ahrq.gov/issue/negligence-genuine-error-and-litigation
     July 10, 2024 - May 22, 2013 Minnesota Hospital Association Statewide Project: SAFE from FALLS. … September 20, 2011 Medicare nonpayment, hospital falls, and unintended consequences.

372. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-466
     December 18, 2024 - Interview In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls … We spoke with her about falls and fall prevention. … Perspective The Ongoing Journey to Prevent Patient Falls Patricia Dykes, PhD, MA, RN, FAAN, FACMI … Mossburg, RN, PhD | December 18, 2024 This piece discusses the continuing challenge of preventing falls … and explores strategies for preventing falls and falls with injury in both inpatient and outpatient

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33597/psn-pdf
     April 10, 2024 - by the OIG found that 22% of Medicare beneficiaries in SNFs experienced an adverse event (delirium, falls … A WebM&M commentary highlights falls that occur in SNF patients in more detail and gives evidence-based … computerized-provider-order-entry https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes … the proportion of patients who experience a health care–associated infection, pressure injuries, and falls … These require SNFs to have measures in place to prevent specific clinical harms (such as falls, pressure

374. Raise the Bar | PSNet
     psnet.ahrq.gov/web-mm/raise-bar
     May 29, 2024 - placement, pivoting, balance correction, and fall recovery more difficult.( 5 ) Though relatively uncommon, falls … A number of interventions have been shown to reduce falls in the perianesthesia setting. … Advanced age, obesity and continuous femoral nerve blockade are independent risk factors for inpatient falls … Falls associated with lower-extremity-nerve blocks: a pilot investigation of mechanisms. … Decreasing falls in the postoperative orthopedic patient with a femoral nerve block.

375. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-470
     December 31, 2024 - Interview In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls … We spoke with her about falls and fall prevention. … Perspective The Ongoing Journey to Prevent Patient Falls Patricia Dykes, PhD, MA, RN, FAAN, FACMI … Mossburg, RN, PhD | December 18, 2024 This piece discusses the continuing challenge of preventing falls … and explores strategies for preventing falls and falls with injury in both inpatient and outpatient

376. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-463
     October 30, 2024 - Inappropriate medications can increase the risk of falls among older adults. … evaluated the impact of medication reconciliation that targets high-risk medications to reduce future falls … WebM&M Cases A Tale of Two Falls Victoria Jackson, DNP, RN, PHN, FNP-C, PA-C and Anna Satake … These cases involve two elderly patients presenting to the emergency department (ED) who suffered falls … during their care, despite recognition of risk factors including previous ground-level falls.

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865296/psn-pdf
     March 27, 2024 - safety, facilitating clinician communication, as well as preventing hospital-associated infections, falls … A nursing care center goal includes preventing falls in patients and nursing home residents by identifying … individuals at risk for falls, such as those taking medications that could result in weakness, dizziness … The goal additionally includes taking steps to prevent falls in these high-risk individuals.

378. Learning from the best. | PSNet
     psnet.ahrq.gov/issue/learning-best
     February 22, 2023 - June 17, 2014 Reducing falls and fall-related injuries in mental health: a 1-year multihospital … falls collaborative.

379. The doctor doesn't listen to her. But the media is starting to. | PSNet
     psnet.ahrq.gov/issue/doctor-doesnt-listen-her-media-starting
     August 12, 2020 - Resources Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

380. Back to basics: the Universal Protocol. | PSNet
     psnet.ahrq.gov/issue/back-basics-universal-protocol
     March 17, 2021 - November 9, 2022 Root cause analysis of reported patient falls in ORs in the Veterans … December 12, 2018 Root cause analysis of reported patient falls in ORs in the Veterans