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psnet.ahrq.gov/node/853430/psn-pdf
September 13, 2023 - identifying-electronic-health-record-usability-and-safety-challenges-pediatric-settings
https://psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks
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psnet.ahrq.gov/issue/correlation-between-number-patient-reported-adverse-events-adverse-drug-events-and-quality
August 10, 2022 - Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2011
January 01, 2011 - Currently, the health care provided to patients with diabetes falls short of the "best care" practices
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2012
January 01, 2012 - Currently, the health care provided to patients with diabetes frequently falls short of the “best care
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psnet.ahrq.gov/issue/what-medication-iatrogenic-risk-elderly-outpatients-chronic-pain
February 12, 2020 - Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls
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psnet.ahrq.gov/issue/dissecting-leapfrog-how-well-do-leapfrog-safe-practices-scores-correlate-hospital-compare
September 19, 2012 - data on hospital-acquired conditions like health care–associated infections , pressure ulcers , or falls
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psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
June 01, 2016 - December 12, 2018
The tension between promoting mobility and preventing falls in the
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
October 01, 2015 - infection, immobility (Foley is considered a "one-point restraint), hospital-acquired pressure ulcers, falls
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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
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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
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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,
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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