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Showing results for "falls".
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301. Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
     June 02, 2025 - Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study Focus on High Leverage Change: Risk Assessment Creating a Work-Aro…

302. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/search.html?page=16
     September 01, 2012 - address detecting change in a resident's condition, communicating change in a resident's condition, and falls

303. | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/tools/index.html?page=3
     June 01, 2016 - Date Published: June 2016 Setting of Care: Hospital Preventing Falls in Nursing

304. The Clinician-Artificial Intelligence Dyad | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-4.html
     July 01, 2023 - process hundreds of thousands of heartbeats in seconds 22,23 and others that can automatically track falls

305. Early Mobility in the Intensive Care Unit: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
     February 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than  90 mmHg … from agitation to transient physiological events to dislodgements of catheters and other devices to falls … , though none of the falls described were serious, and they were rare.

306. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
     January 01, 2017 - These included: five falls to knees without injury, four with systolic blood pressure less than 90 mmHg … from agitation to transient physiological events to dislodgements of catheters and other devices to falls … , though none of the falls described were serious, and they were rare.

307. Puh-Factraining-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
     June 02, 2025 - EMR, data to make staff aware of residents at risk of adverse events such as pressure ulcers and falls … prevent four adverse events: pressure ulcers, pressure ulcers that are not healing appropriately, falls … On-Time reports for preventing falls and avoidable hospitalizations are currently in development. …  Pressure Ulcer Healing, Falls, and Avoidable Hospitalization reports and worksheets have been … is designed to identify residents at risk for the adverse event of interest (e.g., pressure ulcers, falls

308. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facility-transfer.html
     September 01, 2017 - Total Counts Asthma Circulatory Problems Hypertension Gastroenteritis Angina Falls

309. Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
     December 01, 2012 - 1,290 1,542   Max 9,705 9,543 3,880 11,437 19,518 10,881 9,572 Injurious Falls

310. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201419.html
     November 01, 2014 - protocols for communication, teamwork, and leadership to address other patient safety issues such as falls

311. NQMC Measure Domain Framework | Agency for Healthcare Research and Quality
     www.ahrq.gov/gam/summaries/domain-framework/index.html
     July 01, 2018 - Performance on these measures falls to public officials, public health programs, or other entities that

312. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
     January 01, 2024 - are preventable. 17 From a safety engineering perspective,18, 19 this evidence, though informative, falls … Patient gets dizzy after first dose, falls, breaks hip and ends up in nursing home for rest of life. … Patient gets dizzy after first dose, falls, hits head, resulting in subdural hematoma. … Patient gets dizzy after first dose, falls, sprains dominant hand/wrist, needs in-home care for 2 weeks … Patient gets dizzy after first dose, falls, but no injury and stops med.

313. On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
     December 01, 2017 - or EMR, data to make staff aware of residents at risk of adverse events such as pressure ulcers and falls … help prevent four adverse events: pressure ulcers, pressure ulcers that are not healing appropriately, falls … On-Time reports for preventing falls and avoidable hospitalizations are currently in development. … Pressure Ulcer Healing, Falls, and Avoidable Hospitalization reports and worksheets have been tested … is designed to identify residents at risk for the adverse event of interest (e.g., pressure ulcers, falls

314. Transcript-Speaking-Up (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/transcript-speaking-up.doc
     May 01, 2017 - undergoing a laparoscopic cholecystectomy, and the surgeon notices that the patient’s blood pressure is falling

315. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
     February 07, 2014 - with CHF Pneumothorax Pulmonary embolism Case 8 *Saint S, Ann Intern Med 2002; 137: 125-7 Falls … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient … (reach elephant without rider) 32 Engage – Patients 33 *Saint S, Ann Intern Med 2002; 137: 125-7 Falls … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient

316. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
     April 02, 2008 - is limited to five items—nosocomial infections, pressure ulcers, delirium, venous thrombosis, and falls—rather … 10 taxonomy areas “SBAR” (Situation/Background/Assessment/Recommendation) Nurse staffing ratios “Falls … Communication” Look-alike, sound-alike drugs “Medication errors” Human factors engineering “Patient falls … ” Patient falls “CPOE” (computerized provider order entry) Nosocomial infections “Patient safety”

317. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
     January 01, 2023 - Six types of safety events (i.e., Blood or Blood Products, Falls, Device or Medical/Surgical Supply … Over one half of Falls occurred in Inpatient care areas (51.5%; 92,861 / 180,345). … 6.6%; 11,955 / 180,345), and Outpatient care areas (6.4%; 11,592 / 180,345) were also a source of falls … Other was the second most common reported location for falls (23.6%; 42,514 / 180,345). … Environmental factors were minor contributors for events, except for Falls (11.2%; 1,274 / 11,399)

318. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
     December 27, 2021 - analysis will require input from a clinician, as many of the factors that contribute to a patient’s falling … these patients’ medical records and other related documents to identify potential causes for their falling

319. Asymptomatic Bacteriuria (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-one-page.pdf
     November 01, 2019 - o Delirium, insomnia, and falls alone do not indicate a UTI.

320. CHIPRA 119 Section 2, Detailed Measure Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-2.pdf
     June 02, 2025 - qualifying temperature (usually the first temperature after arrival to the Level 2 or higher nursery) falls … Each is determined by the number of children whose reported temperature falls within the criteria for