-
psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety
November 24, 2021 - Medication-related events were most common, followed by clinical deterioration and falls.
-
psnet.ahrq.gov/issue/improving-general-practice-computer-systems-patient-safety-qualitative-study-key-stakeholders
October 16, 2012 - July 31, 2023
Patient Safety Innovations
Preventing Falls
-
psnet.ahrq.gov/issue/implementation-science-approach-promote-optimal-implementation-adoption-use-and-spread
July 13, 2010 - June 27, 2018
Information flow during pediatric trauma care transitions: things falling
-
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)
-
cds.ahrq.gov/sites/default/files/cds/artifact/66551/Osteoporosis%20Patient%20Handout.pdf
July 18, 2023 - Osteoporosis Patient Handout
Adapted from "Osteoporosis: 12 Myths of Osteoporosis", Osteoporosis Canada - Fracture Liaison Service.
Most reactions to osteoporosis/bone
medicine are rare and minor. If you
notice any reactions, let your health care
provider know. There are options for
treatment that may work better fo…
-
psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - In
my judgment, based on the information presented, I would characterize the case presented here as falling … Reviewing deaths in low-mortality DRGs falls within the norm of clinical practice insofar as it is a … diagnosis field per 100 medical and surgical discharges
Postoperative hip
fracture
Fractured hip from falls
-
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
-
psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events
January 22, 2017 - July 23, 2010
How to avoid falling victim to a hospital mistake.
-
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
-
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
-
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
-
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,
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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