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Showing results for "falls".
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  1. Recovering After Hip Fracture Surgery (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-fracture-booklet.pdf
    November 01, 2023 - Taking care of your surgical wound ■ Showering ■ Urinating ■ Sleeping ■ Home setup ■ Preventing falls … toilet (called a: commode) 20 AHRQ Safety Program for Improving Surgical Care and Recovery Prevent Falls … Recovery at Home Taking Care of Your Surgical Wound Showering Urinating Sleeping Home Setup Prevent Falls

  2. When the Indications for Drug Administration Blur | PSNet

    psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
    May 26, 2021 - this class of drugs is frequently associated with errors that can result in adverse events including falls … May 26, 2021 WebM&M Cases Falling Between the Cracks … 28, 2023 Patient Safety Innovations Preventing Falls

  3. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
    August 01, 2025 - The analysis focused on falls per 1,000 patient days and injury falls per 1,000 patient days, using … Despite a slight decreasing trend in falls for TRIP units, the study found no statistically significant … differences in falls or falls with injury between pre- and post-intervention periods or between TRIP … rates, the rarity of falls events, and high annual rate variability. … An unexpected increase in reported injury falls in TRIP units was potentially due to improved reporting

  4. Ninth Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services (pdf file)

    www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/uspstf-annual-report-to-congress-2019.pdf
    January 01, 2019 - B Falls Prevention in Community-Dwelling Older Adults: Interventions in Adults Age 65 Years and Older … at Increased Risk for Falls The USPSTF recommends exercise interventions to prevent falls in community-dwelling … adults 65 years and older who are at increased risk for falls. … The USPSTF recommends that clinicians selectively offer multifactorial interventions to prevent falls … to community-dwelling adults age 65 years and older who are at increased risk for falls.

  5. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
    September 01, 2017 - pulmonary disease Asthma Circulatory problems Hypertension Gastroenteritis Angina pectoris Falls … obstructive pulmonary disease, asthma, circulatory problems, hypertension, gastroenteritis, angina, falls

  6. Copying and pasting of examinations within the electronic medical record. | PSNet

    psnet.ahrq.gov/issue/copying-and-pasting-examinations-within-electronic-medical-record
    June 12, 2013 - Study Copying and pasting of examinations within the electronic medical record. Citation Text: Thielke S, Hammond K, Helbig S. Copying and pasting of examinations within the electronic medical record. Int J Med Inform. 2007;76 Suppl 1:S122-8. Copy Citation Format: Google …

  7. Peer support to promote surgeon well-being: the APSA program experience. | PSNet

    psnet.ahrq.gov/issue/peer-support-promote-surgeon-well-being-apsa-program-experience
    February 10, 2021 - Commentary Peer support to promote surgeon well-being: the APSA program experience. Citation Text: Fall F, Hu YY, Walker S, et al. Peer support to promote surgeon well-being: the APSA program experience. J Pediatr Surg. 2024;59(9):1665-1671. doi:10.1016/j.jpedsurg.2023.12.022. Copy Cit…

  8. Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. | PSNet

    psnet.ahrq.gov/issue/selected-medication-safety-risks-can-easily-fall-radar-screen-part-1-part-2-and-part-3
    March 01, 2008 - Commentary Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. Citation Text: Grissinger M. Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. P T. 2018;43(11):645-666. Copy Citation Format: Google …

  9. Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. | PSNet

    psnet.ahrq.gov/issue/provider-and-pharmacist-responses-warfarin-drug-drug-interaction-alerts-study-healthcare
    July 29, 2020 - Study Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. Citation Text: Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downst…

  10. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
    September 01, 2017 - record, or EMR, data to make staff aware of residents at risk of adverse events such as pressure ulcers, falls … help prevent four adverse events: pressure ulcers, pressure ulcers that are not healing appropriately, falls … Pressure Ulcer Healing, Falls, and Avoidable Hospitalization reports and worksheets have been tested … is designed to identify residents at risk for the adverse event of interest (e.g., pressure ulcers, falls

  11. Meeting Minutes, November 2017 | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
    February 01, 2018 - Topics addressed in new draft recommendations included screening for cervical cancer, prevention of falls … AHRQ released training materials for preventing falls in hospitals. … These five training modules align with chapters in the AHRQ "Preventing Falls in Hospitals" toolkit. … Preliminary data on the use of the training materials showed significant decreases in falls with injury

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841566/psn-pdf
    December 14, 2022 - gains made in the past 10 years—improvements in healthcare-acquired infections, decreases in patient falls … Falls and pressure ulcers also went up – in skilled nursing facilities, we saw rates of falls causing … including healthcare- acquired infections, complications, medication safety, safety of the EMR, patient falls

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852699/psn-pdf
    August 30, 2023 - Studies show that an increase in healthcare-acquired infections, falls, and pressure ulcers has occurred … Similar increases were observed in falls and pressure ulcers at skilled nursing facilities and preventable

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33717/psn-pdf
    September 01, 2011 - , many reports address issues pertinent to nursing care, such as medication administration errors, falls … Several types of events, such as falls and peri-partum incidents, have dedicated forms with checkboxes

  15. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
    January 01, 2023 - national efforts to reduce hospital-acquired conditions, such as adverse drug events and injuries from falls … The main improvement in the QSRS is its modules, which focus on specific AE categories (e.g., falls, … AEs in the following categories: - Birth events (maternal and neonatal) - Blood or Blood Product - Falls … two or more of the same AE for the same patient during a single hospitalization (e.g., two or more falls

  16. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)

    datatools.ahrq.gov/action-alliance/wp-content/uploads/sites/8/2025/09/qsrs-2021-2023-adverse-event-data-report.pdf
    January 01, 2025 - national efforts to reduce hospital-acquired conditions, such as adverse drug events and injuries from falls … The main improvement in the QSRS is its modules, which focus on specific AE categories (e.g., falls, … AEs in the following categories: - Birth events (maternal and neonatal) - Blood or Blood Product - Falls … two or more of the same AE for the same patient during a single hospitalization (e.g., two or more falls

  17. Maternal sleepiness and risk of infant drops in the postpartum period. | PSNet

    psnet.ahrq.gov/issue/maternal-sleepiness-and-risk-infant-drops-postpartum-period
    October 19, 2022 - Study Maternal sleepiness and risk of infant drops in the postpartum period. Citation Text: Bittle MD, Knapp H, Polomano RC, et al. Maternal Sleepiness and Risk of Infant Drops in the Postpartum Period. Jt Comm J Qual Patient Saf. 2019;45(5):337-347. doi:10.1016/j.jcjq.2018.12.001. Cop…

  18. Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/demonstrating-value-postgraduate-fellowships-physicians-quality-improvement-and-patient
    November 04, 2015 - Study Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. Citation Text: Myers JS, Lane-Fall MB, Perfetti AR, et al. Demonstrating the value of postgraduate fellowships for physicians in quality improvement and patient safety. BMJ…

  19. USA, MA, Cambridge | Digital Healthcare Research

    digital.ahrq.gov/location/usa-ma-cambridge
    January 01, 2023 - USA, MA, Cambridge Evaluation of Stage 3 Meaningful Use Objectives: Analysis in Pennsylvania and Utah Description This project evaluated select Stage 3 Meaningful Use criteria in the Patient and Family Engagement, Care Coordination, and Interoperability domains and developed r…

  20. Beyond the Pandemic: Creating Total Systems Safety | PSNet

    psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
    August 30, 2023 - Studies show that an increase in healthcare-acquired infections, falls, and pressure ulcers has occurred … Similar increases were observed in falls and pressure ulcers at skilled nursing facilities and preventable … since experienced higher rates of preventable infections, as well as increases in pressure ulcers and falls … performance measures are associated with measuring and reporting specific harms, such as an infection, falls … Providers Health Care Executives and Administrators Non-Health Care Professionals Patient Falls
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