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Showing results for "falls".
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381. Patient Safety in Frail Older Patients | PSNet
     psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
     November 26, 2019 - In the health system I’m at right now, we’re increasingly marrying our falls prevention work with our … Our prior approach to falls was, “if we keep them in bed they won’t fall.” … We don’t want patients falling and breaking a bone while in the hospital under nurse supervision. … For example, prolonged length of stay, falls, and malnutrition. … If a patient who is hospitalized for something, and is already quite debilitated, falls in the hospital

382. Long-term Care and Patient Safety | PSNet
     psnet.ahrq.gov/primer/long-term-care-and-patient-safety
     February 24, 2022 - 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 … 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 … View More Related WebM&M Failure to Ensure Patient Safety Leads to Patient Falls

383. Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. | PSNet
     psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and-harm-across-continuum
     July 19, 2017 - events included medication errors and hospital-acquired conditions , such as pressure ulcers and falls … Hospitals Health Care Providers Medical Oncology Chemotherapeutic Agents Patient Falls

384. Virtual patients designed for training against medical error: exploring the impact of decision-making on learner motivation. | PSNet
     psnet.ahrq.gov/issue/virtual-patients-designed-training-against-medical-error-exploring-impact-decision-making
     May 15, 2024 - June 3, 2020 Utilization of the Seniors Falls Investigation Methodology to identify system-wide … causes of falls in community-dwelling seniors.

385. Near-miss medication errors provide a wake-up call. | PSNet
     psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
     January 24, 2024 - January 24, 2024 Reducing falls in hospitalized children and adolescents with cancer … June 7, 2023 A longitudinal study of a multifaceted intervention to reduce newborn falls

386. Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review. | PSNet
     psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture
     January 10, 2024 - May 22, 2024 Evaluation of a patient-centered fall-prevention tool kit to reduce falls … February 22, 2023 Cost of inpatient falls and cost-benefit analysis of implementation

387. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet
     psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
     May 16, 2018 - They found that pressure ulcers, medication errors, and falls were the most frequently reported types … Long-Term Care Facility and Group Administrators Palliative Care Pressure Ulcers Patient Falls

388. Aviation's gift to health care. | PSNet
     psnet.ahrq.gov/issue/aviations-gift-health-care
     December 19, 2018 - Resources Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

389. Hospital trustees shift their focus to medical safety. | PSNet
     psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
     July 30, 2014 - Resources Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

390. Improving Patient Safety. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety
     January 18, 2011 - Strategies to improve the patient safety outcome indicator: preventing or reducing falls … Strategies to improve the patient safety outcome indicator: preventing or reducing falls

391. Selling soap. | PSNet
     psnet.ahrq.gov/issue/selling-soap
     March 06, 2005 - January 13, 2021 Improving hospital safety culture for falls prevention through interdisciplinary … Related Resources Patient Safety Innovations Preventing Falls

392. Cost of medication-related problems at a university hospital. | PSNet
     psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
     January 13, 2021 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls

393. Accuracy of interpretation of preparticipation screening electrocardiograms. | PSNet
     psnet.ahrq.gov/issue/accuracy-interpretation-preparticipation-screening-electrocardiograms
     May 18, 2022 - July 26, 2023 Patient education to prevent falls among older hospital inpatients: a randomized … June 10, 2020 In-hospital sequelae of injurious falls in 24 medical/surgical units in

394. A system safety approach to assessing risks in the sepsis treatment process. | PSNet
     psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
     February 03, 2021 - October 27, 2021 Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care.

395. Methods to increase reliability in quality improvement projects. | PSNet
     psnet.ahrq.gov/issue/methods-increase-reliability-quality-improvement-projects
     October 20, 2021 - January 12, 2022 The impact of adding a 2-way video monitoring system on falls and costs … Study The Stoplight Mobility Alert System for safety and prevention of falls

396. A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes. | PSNet
     psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes
     November 15, 2023 - June 16, 2019 In-hospital sequelae of injurious falls in 24 medical/surgical units in … Hospitals Health Care Providers Medicine Indwelling Tubes and Catheters Patient Falls

397. The systems approach at the sharp end. | PSNet
     psnet.ahrq.gov/issue/systems-approach-sharp-end
     April 21, 2021 - Resources Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

398. Patient safety in home health care: a grounded theory study. | PSNet
     psnet.ahrq.gov/issue/patient-safety-home-health-care-grounded-theory-study
     September 25, 2019 - November 15, 2023 The impact of the built environment on patient falls in hospital rooms … Strategies to improve the patient safety outcome indicator: preventing or reducing falls

399. Drive to Deprescribe. | PSNet
     psnet.ahrq.gov/issue/drive-deprescribe
     August 19, 2020 - March 24, 2021 Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care.

400. Improving communication of diagnostic uncertainty to families of hospitalized children. | PSNet
     psnet.ahrq.gov/issue/improving-communication-diagnostic-uncertainty-families-hospitalized-children
     December 23, 2020 - January 22, 2025 Reducing falls in hospitalized children and adolescents with cancer … Study The Stoplight Mobility Alert System for safety and prevention of falls