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Showing results for "falls".
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1. Network of Patient Safety Databases (NPSD) Data Spotlights | PSO
   pso.ahrq.gov/common-formats/npsd-data-spotlights
   November 01, 2024 - and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (PDF, 4.6 MB) Falls … : Falls: Associated Factors and Clinical Outcomes (PDF, 4.7 MB) Patterns of Fall Interventions (PDF

2. AHRQ Slide Template 2019-Widescreen (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
   January 01, 2020 - Measures • Discharges to Acute Care o Early, Late, Planned, Unplanned • Restraint Utilization • Falls … /Unassisted Falls o By Diagnosis Group • Injuries Resulting from Falls/Unassisted Falls o By Diagnosis … Infections • Healthcare-Associated CAUTI Infections • Oncology Specific Metrics • Outpatient Therapy Falls … • Teammate appreciation and engagement Source: statnews.com Restraint Utilization Unassisted Falls … rehabilitation in the care continuum • Provides a “safety zone” to discuss sensitive issues such as falls

3. Network of Patient Safety Databases (NPSD) Chartbooks | PSO
   pso.ahrq.gov/common-formats/npsd-chartbooks
   April 01, 2025 - Topic Specific Chartbooks: 2024 NPSD Medication Chartbook (PDF, 4 MB) 2023 NPSD Falls Chartbook (PDF

4. Network of Patient Safety Databases (NPSD) Dashboards | PSO
   pso.ahrq.gov/common-formats/npsd-dashboards
   November 01, 2024 - include: Blood and Blood Product Dashboard Device or Medical/Surgical Supply, Including HIT Dashboard Falls

5. Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
   January 01, 2019 - history of respiratory failure and multiple sedating (psychotropic and pain) medications with frequent falls … hypotension while on multiple opioids (oxycodone/ acetaminophen and fentanyl patch) resulting in multiple falls … to trauma from urinary catheter placement • Bleeding at insertion site of venous catheter due to cap falling

6. Organizations and Relationships | PSO
   pso.ahrq.gov/about/organizations
   November 01, 2023 - The NPSD receives nonidentifiable data from the PSOPPC on patient safety concerns such as falls and medication

7. Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
   July 01, 2025 - that strikingly similar types of interventions were in place among patients with different risks for falls … npsd/data/dashboard/index.html 11 https://www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook … www.ahrq.gov/npsd/data/dashboard/index.html https://www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook

8. Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
   July 01, 2016 - Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category Page 1 of 4 Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Pr…

9. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
   September 01, 2016 - during Safe Table events: ■ Failure to inform patients of abnormal test results ■ Factors related to falls

10. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
    December 21, 2021 - Falls … Dashboard The Falls Dashboard details the extent of harm due to falls, the presence of fall assistance … Management Units for Hospitalized Patients Summary of Evidence (Not reviewed) (Not reviewed) Prevention of Falls