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Showing results for "falls".
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2161. Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet
      psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
      October 23, 2013 - February 11, 2013 Using root cause analysis to reduce falls with injury in the psychiatric

2162. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet
      psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
      March 24, 2021 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls

2163. Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. | PSNet
      psnet.ahrq.gov/issue/implementing-root-cause-analysis-and-action-integrating-human-factors-create-strong
      December 23, 2020 - interventions to reduce duration and variability in delays to identification of serious injury after falls

2164. Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. | PSNet
      psnet.ahrq.gov/issue/design-and-reliability-specific-instrument-evaluate-patient-safety-patients-acute-myocardial
      October 18, 2023 - Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls

2165. Older patients' engagement in hospital medication safety behaviours. | PSNet
      psnet.ahrq.gov/issue/older-patients-engagement-hospital-medication-safety-behaviours
      November 17, 2021 - December 18, 2017 Patient education to prevent falls among older hospital inpatients:

2166. Comparison of methods to reduce bias from clinical prediction models of postpartum depression. | PSNet
      psnet.ahrq.gov/issue/comparison-methods-reduce-bias-clinical-prediction-models-postpartum-depression
      April 15, 2020 - October 6, 2021 Evaluation of a patient-centered fall-prevention tool kit to reduce falls

2167. Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more than 34,000 deficiencies. | PSNet
      psnet.ahrq.gov/issue/hospital-surveys-centers-medicare-and-medicaid-services-analysis-more-34000-deficiencies
      May 26, 2021 - September 8, 2021 The impact of the built environment on patient falls in hospital rooms

2168. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33823/psn-pdf
      January 01, 2017 - is important to recognize conditions that lead to injury, such as a wet floor leading to slips and falls … Slips and falls on wet floor Planned change to microfiber mop leaving floor drier than string mop … Attendant cleans & replaces step stools Trips & Falls Tripping and falling on stools Step stools … lead Always have a person at each leg ready to lift together Secure electrical cords Trips & Falls … Trips/falls Explore options (other than blankets) to cover/secure cords Check & replace oxygen tank

2169. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38832/psn-pdf
      August 12, 2009 - effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit Implementing an hourly rounding protocol by nurses resulted in a reduction in falls … effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences

2170. Statistical Brief #96: Potentially Preventable Hospitalizations among Medicare-Medicaid Dual Eligibles, 2008 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
      September 01, 2010 - However, elderly patients ages 85 and over accounted for one-third of stays for injurious falls and … eligibles was nearly 2 to 4 times the rate of stays for non-dual eligibles, except for injurious falls … For other Medicare beneficiaries, it was injurious falls (1,109 stays per 100,000 enrollees). … Only the rate of stays for injurious falls was higher among non-dual eligible beneficiaries compared … However, women comprised more than three-quarters of stays for injurious falls (78 percent), asthma

2171. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38048/psn-pdf
      October 03, 2017 - when the last report was published -- were advanced pressure ulcers, retained foreign objects, and falls … psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/primer/falls

2172. Statistical Brief #156
      hcup-us.ahrq.gov/reports/statbriefs/sb156.jsp
      May 01, 2013 - ED visits for injury are described based on the external cause of injury (e.g., falls, transport related … For example, over 70 percent of ED visits among persons aged 65 years and older were related to falls … The most common cause was falls (35.7 percent), followed by being struck by an object (18.3 percent) … Although falls were the most common type of injury that resulted in an ED visit for all age groups, falls … The NEDS includes 11 data elements that identify the cause of the injury: cutting, drowning, falling,

2173. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45289/psn-pdf
      May 03, 2017 - physicians, nurses, and pharmacists to rate the severity of harm for specific adverse events including falls … psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review https://psnet.ahrq.gov/primer/falls

2174. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45011/psn-pdf
      May 25, 2016 - organizations and how to apply them in health care settings to address various concerns such as patient falls … becoming-high-reliability-organization-operational-advice-hospital-leaders https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

2175. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46451/psn-pdf
      September 27, 2017 - The toolkit focuses on six areas of safety: infections, falls, medication errors, security, injuries … prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and https://psnet.ahrq.gov/primer/falls

2176. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41985/psn-pdf
      October 26, 2016 - psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

2177. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46460/psn-pdf
      January 17, 2018 - randomized trials, there is a consistent association between safety culture and patient outcomes such as falls … association-between-organisational-and-workplace-cultures-and-patient-outcomes-systematic https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/primer/falls

2178. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47574/psn-pdf
      November 21, 2018 - This narrative review examines how care facility design can reduce health care–associated infections, falls … understanding-role-facility-design-acquisition-and-prevention-healthcare-associated https://psnet.ahrq.gov/primer/falls

2179. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44872/psn-pdf
      February 12, 2016 - and explores specific areas of focus to reduce harm such as hospital-acquired infections, patient falls … partnership-patients https://psnet.ahrq.gov/issue/partnership-patients https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

2180. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46270/psn-pdf
      April 16, 2018 - impact-restraint-management-bundle-restraint-use-intensive-care-unit Although physical restraints may be used to protect patients in intensive care units from falls … patient-safety-culture-and-association-safe-resident-care-nursing-homes https://psnet.ahrq.gov/primer/falls