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psnet.ahrq.gov/node/841567/psn-pdf
December 14, 2022 - and the introduction of PSIs, such as reducing healthcare-acquired infections, decreasing
patient falls … adverse
events increased with a 40% rise in healthcare-acquired infections and an increase in inpatient falls
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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - Although rare, adverse events during early mobilization have included falls, line dislodgement, ventilator … February 18, 2011
Cost of inpatient falls and cost-benefit analysis of implementation
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psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
January 01, 2020 - had multiple ED visits
with similar episodes of syncope in the preceding months, all
resulting in falls … record, which would have alerted the clinical team to the history of
recurrent syncope with repeated falls
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www.ahrq.gov/hai/pfp/haccost2017-discuss.html
November 01, 2017 - 0.079)
0.023
CLABSI
$48,108 ($27,232–$68,983)
$18,537
0.150 (0.070–0.270)
0.185
Falls … While the estimation of additional cost per HAC remained stable for ADE, falls, and SSI, we did observe
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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
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www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/medical-office/2014/mosurv14chap6.html
June 01, 2014 - If your medical office's score is 55 percent positive, it falls above the 75th percentile (but below … If your medical office's score is 65 percent positive, it falls above the 90 th percentile, meaning
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psnet.ahrq.gov/periodic-issue/weekly-resource
March 25, 2025 - Falls and delays in diagnosis, treatment, or surgery were the most common adverse events related to communication … Falls and delays in diagnosis, treatment, or surgery were the most common adverse events related to communication
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psnet.ahrq.gov/node/865585/psn-pdf
April 17, 2024 - psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
https://psnet.ahrq.gov/web-mm/falling-between-cracks-software
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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/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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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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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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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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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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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/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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digital.ahrq.gov/type-care/long-term-care
January 01, 2023 - Long-Term Care
A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP)
Description
This conference convenes interdisciplinary experts from the United States and abroad to define priorities and goals for researching techn…
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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
-
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