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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
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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
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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
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effectivehealthcare.ahrq.gov/sites/default/files/cer-241-physical-activity-wheelchair-evidence-summary-updated.pdf
October 01, 2021 - general population include reduced risk of heart disease, stroke, type 2 diabetes,
dementia, depression, falls
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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
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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
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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
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meps.ahrq.gov/data_files/publications/st532/stat532.pdf
December 01, 2020 - Only those at the 75th percentile
had a statistically significant drop in spending, falling from $293
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meps.ahrq.gov/data_files/publications/st532/stat532.shtml
December 01, 2020 - Only those at the 75th percentile had a statistically significant drop in spending, falling from $293
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psnet.ahrq.gov/node/61041/psn-pdf
October 21, 2020 - near-misses-and-unsafe-conditions-reported-pediatric-emergency-research-network
https://psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks
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psnet.ahrq.gov/node/847040/psn-pdf
April 05, 2023 - Communicating patient safety information through video
and oral formats-a comparison.
April 5, 2023
Bånnsgård M, Nouri A, Finizia C, et al. Communicating patient safety information through video and oral
formats-a comparison. J Patient Saf. 2023;19(2):137-142. doi:10.1097/pts.0000000000001086.
https://psnet.ahrq.g…
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digital.ahrq.gov/location/usa-wi-milwaukee
January 01, 2023 - USA, WI, Milwaukee
Perception and Use of a Patient Care Window to Improve Care and Family Engagement
Description
This project evaluated the use of an in-room interactive monitor to improve patient-centered care and family engagement within a pediatric intensive care unit.
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
April 01, 2003 - set a short-
term patient safety performance goal of a 20-percent reduction in medication
errors, falls … Several consortium
hospitals reported falling into this trap at some point in time. … Employees at one consortium facility
examined data on adverse events and realized that patient falls … As they reviewed the data, employees noticed that most falls were occurring in
one particular unit. … As a result, falls decreased significantly.
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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
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psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
September 16, 2020 - Commentary
Quest for the ideal: a redesign of the medication use system.
Citation Text:
Dang D, Feroli R, Gill C, et al. Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19.
Copy Citation
Format:
Google Scholar PubMed BibTeX En…
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psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
February 15, 2023 - Newspaper/Magazine Article
‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care.
Citation Text:
‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. Gammon K. STAT. June 26, 202…
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psnet.ahrq.gov/node/47239/psn-pdf
October 24, 2018 - characteristics such as safety
culture were associated with risks of medication administration errors and falls … improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/node/47096/psn-pdf
November 14, 2018 - The most common incidents
were falls and delayed response to clinical deterioration. … error-and-patient-safety-ethical-analysis-cases-occupational-and-physical-therapy-practice
https://psnet.ahrq.gov/primer/falls
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hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.pdf
July 01, 2011 - The second most common CMS HAC examined was falls or trauma, which
accounted for another 20 percent … the population at risk, but only 10 percent of
the stage III and IV pressure ulcer, 13 percent of falls … ulcers
Manifestations of poor glycemic control
Catheter-associated urinary tract infection (UTI)
Falls … young adults, older adults had higher rates for the CMS HACs for stage III and IV
pressure ulcers, falls … For example, those 85 years
and older had nearly six times the rate of CMS HACs for falls and trauma
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hcup-us.ahrq.gov/reports/statbriefs/sb266-Injuries-Causes-ED-Visits-2017.pdf
January 01, 2017 - Introduction
Injuries are common and can have many causes, such as falls,
cuts, motor vehicle accidents … In
2017, the Centers for Disease Control and Prevention estimated
unintentional falls were the leading … Medicare was the
most common expected payer
for ED visits related to injuries
caused by falls (37.9 … ■ One-third of ED visits related to injuries in 2017 involved falls. … Among ED visits related to injuries in 2017, falls were the most frequent cause of injury, with more