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Showing results for "falls".
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  1. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
    February 26, 2025 - With falls, for example, we have an aging population. … This may lead to more falls, not because the care has been compromised, but because there is a larger … population at risk for falls. … Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

  2. Learning Health Systems for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
    February 26, 2025 - With falls, for example, we have an aging population. … This may lead to more falls, not because the care has been compromised, but because there is a larger … population at risk for falls. … Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

  3. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
    August 30, 2023 - 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 … 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 … Providers Health Care Executives and Administrators Non-Health Care Professionals Patient Falls

  4. Appendix 1-B. Pre/Post-Test Questions and Answers for Module 1 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap1b.html
    October 01, 2014 - Falls Prevention Appendix 1-A. Suggested Slides for Module 1 Appendix 1-B.

  5. PS Grantee | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/index.html?page=11
    January 01, 2024 - Culture Publication Date: September 2011 Call Light Responsiveness and Effect on Inpatient Falls

  6. A Sleep Promotion Toolkit for Hospitalized Patients | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/sleep-promotion-toolkit-hospitalized-patients
    January 01, 2023 - Inpatient sleep disturbance has been linked to detrimental outcomes such as delirium and falls.

  7. Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. | PSNet

    psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
    September 09, 2020 - EMERGING INNOVATIONS Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. Citation Text: Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …

  8. Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. | PSNet

    psnet.ahrq.gov/issue/impact-state-nurse-practitioner-regulations-potentially-inappropriate-medication-prescribing
    March 24, 2021 - Study Impact of state nurse practitioner regulations on potentially inappropriate medication prescribing between physicians and nurse practitioners: a national study in the United States. Citation Text: Tzeng H-M, Raji MA, Chou L-N, et al. Impact of state nurse practitioner regulations o…

  9. Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. | PSNet

    psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety
    August 02, 2015 - Commentary Emerging Classic Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. Citation Text: Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10…

  10. What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. | PSNet

    psnet.ahrq.gov/issue/what-every-graduating-resident-needs-know-about-quality-improvement-and-patient-safety
    March 29, 2023 - Study What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones. Citation Text: Lane-Fall MB, Davis JJ, Clapp JT, et al. What Every Graduating Resident Needs to Know About Quality Improvement and Patient S…

  11. Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. | PSNet

    psnet.ahrq.gov/issue/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary
    February 06, 2019 - Study Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. Citation Text: Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process f…

  12. Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. | PSNet

    psnet.ahrq.gov/issue/workplace-violence-pervasiveness-perioperative-environment-multiprofessional-survey
    November 11, 2020 - Study Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. Citation Text: Lin DM, Lane-Fall MB, Lea JA, et al. Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. Jt Comm J Qual Patient Saf. 2024;50(11):…

  13. ICU attending handoff practices: results from a national survey of academic intensivists. | PSNet

    psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
    February 06, 2019 - Study ICU attending handoff practices: results from a national survey of academic intensivists. Citation Text: Lane-Fall MB, Collard ML, Turnbull AE, et al. ICU Attending Handoff Practices: Results From a National Survey of Academic Intensivists. Crit Care Med. 2016;44(4):690-8. doi:10.1…

  14. Improving Patient Safety/Quality with HIT Implementation (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
    January 01, 2008 - Suicides Transfusion-related Events Correct Tube, Correct Connector, Correct Hole Patient Falls … The adverse events of falls and infections declined since 2002. … Patient falls. … The number of patient falls steadily declined during the study period, from 149 to 31 (almost 80%), … with one spike in 2006 of 115 falls (the new hospital opened in 2005).

  15. #14 SUBSTANCE ABUSE (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1406.pdf
    January 01, 2020 - Moravian Falls (NC): Project Lazarus [accessed 2013 Jul 02]. [1 p]. … Moravian Falls (NC): Project Lazarus [accessed 2014 May 27]. [3 p]. … Moravian Falls (NC): Project Lazarus [accessed 2013 Nov 13]. [1 p]. … Moravian Falls (NC): Project Lazarus [accessed 2013 Jul 02]. [1 p]. … Moravian Falls (NC): Project Lazarus [accessed 2014 May 27]. [2 p].

  16. Dementia-Nursing-Home-Characteristics Executive (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/dementia-nursing-home-characteristics_executive.pdf
    October 01, 2012 - skin ulcers; decline in functioning, self-care, or maintenance; decline in cognitive functioning; falls … special care unit; SOE = strength of evidence; vs. = versus Note: No study examined the outcome of falls … No studies examined the outcome of falls (insufficient SOE). KQ 2. … special care unit; SOE = strength of evidence; vs. = versus Note: No study examined the outcomes of falls … As noted, no evidence surfaced on falls or on several aspects of psychosocial well-being, including

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73102/psn-pdf
    July 01, 2022 - client, including vital signs (e.g., blood pressure, pulse rate), other clinical indicators (e.g., falls … antidepressants, sleep aids, or other psychotropic drugs in clients with signs of confusion, a history of falls … review of medications, improved adherence to medications for chronic illnesses, reducing risks for falls

  18. Delilberative-Methods-Design-Carman (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/delilberative-methods-design-carman.pdf
    June 01, 2012 - Slide 30 Deliberative Methods Experiment Agency for Healthcare Research and Quality Community Forum Slide 31 Background & objectives of experiment  Background o Started in August 2010 o Literature review, Technical Expert Panel, formative research to inform approach  Objectives o Expand the …

  19. Psi90 Factsheet Faq V2 (pdf file)

    qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
    October 05, 2016 -  PSI 08 (In-Hospital Fall with Hip Fracture Rate) now targets all hip fractures from inpatient falls

  20. AHRQ_DHR_2022_Annual_Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review.pdf
    January 01, 2022 - Pharmacists to Decrease Medication Safety Risks 19 A Clinical Decision Support Tool for Preventing Falls … Complications, such as falls or medication errors, could lead to readmissions. … Fall prevention is possible, but older adults who are at the highest risk of falling need to receive … because falls can be caused by different factors, like the effects of certain medications. … into Diverse Primary Care Practices (ASPIRE)—supports PCPs in identifying older adults at risk of falling
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