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  1. 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
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838916/psn-pdf
    October 26, 2022 - Falling through the cracks: the invisible hospital cleaning workforce. … Falling through the cracks: the invisible hospital cleaning workforce. … https://psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce Disinfection … https://psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce https://psnet.ahrq.gov
  3. psnet.ahrq.gov/issue/field-guide-collaborative-care-implementing-future-health-care
    March 09, 2018 - Resources Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
  4. psnet.ahrq.gov/issue/managers-perceptions-factors-affecting-resident-and-patient-safety-work-residential-settings
    October 25, 2023 - October 7, 2020 Opioids and falls risk in older adults: a narrative review. … About The Topic Long-Term Care Geriatrics Nurse Care Medical Complications Patient Falls
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46261/psn-pdf
    July 18, 2018 - issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall Patient falls
  6. psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
    March 14, 2022 - November 1, 2023 Cost of inpatient falls and cost-benefit analysis of implementation … Exploring organizational context and structure as predictors of medication errors and patient falls
  7. psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
    March 03, 2019 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Related Resources Patient Safety Innovations Preventing Falls
  8. psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
    July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … March 6, 2019 Root cause analysis of reported patient falls in ORs in the Veterans Health
  9. psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-3
    January 12, 2022 - August 18, 2021 Potentially inappropriate medications and their effect on falls during … March 23, 2022 Opioids and falls risk in older adults: a narrative review.
  10. psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
    October 06, 2021 - July 27, 2022 Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care.
  11. psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
    March 03, 2021 - February 22, 2023 View More Related Resources Patient falls in … October 26, 2022 Patient falls in the operating room setting: an analysis of reported
  12. psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-medications-potential-prescribing-omissions
    January 19, 2022 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … March 6, 2012 Potentially inappropriate medications and their effect on falls during
  13. psnet.ahrq.gov/issue/how-providers-can-optimize-effective-and-safe-scribe-use-qualitative-study
    November 18, 2020 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … February 7, 2024 Cost of inpatient falls and cost-benefit analysis of implementation
  14. psnet.ahrq.gov/issue/barriers-and-facilitators-bedside-nursing-handover-systematic-review-and-meta-synthesis
    August 25, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls
  15. psnet.ahrq.gov/issue/patient-safety-culture-care-homes-older-people-scoping-review
    January 08, 2020 - WebM&M Cases Failure to Ensure Patient Safety Leads to Patient Falls … Group Administrators Geriatrics Medication Errors/Preventable Adverse Drug Events Patient Falls
  16. psnet.ahrq.gov/issue/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
    July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Related Resources Patient Safety Innovations Preventing Falls
  17. psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items
    March 20, 2019 - September 28, 2022 A longitudinal study of a multifaceted intervention to reduce newborn falls … Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Patient falls
  18. psnet.ahrq.gov/issue/children-admitted-hospital-what-interventions-improve-medication-safety-ward-rounds
    July 29, 2020 - February 2, 2022 Sitters as a patient safety strategy to reduce hospital falls: a systematic … March 23, 2022 Potentially inappropriate medications and their effect on falls during
  19. psnet.ahrq.gov/issue/patients-experience-patient-safety-information-and-participation-care-during-hospital-stay
    April 05, 2023 - August 25, 2021 Do falls and other safety issues occur more often during handovers when … June 14, 2023 Patient Safety Innovations Preventing Falls
  20. psnet.ahrq.gov/issue/deprescribing-community-dwelling-older-adults-systematic-review-and-meta-analysis
    May 05, 2021 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … July 1, 2020 Sitters as a patient safety strategy to reduce hospital falls: a systematic

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