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Showing results for "falls".
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2301. Venous thromboembolism after trauma: a never event? | PSNet
      psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
      January 12, 2022 - Study Venous thromboembolism after trauma: a never event? Citation Text: Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60. Copy Citation Format: DOI Google …

2302. Weekend versus weekday admission and mortality from myocardial infarction. | PSNet
      psnet.ahrq.gov/issue/weekend-versus-weekday-admission-and-mortality-myocardial-infarction
      February 18, 2011 - Study Weekend versus weekday admission and mortality from myocardial infarction. Citation Text: Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355.…

2303. Long-Term Care Facility | Digital Healthcare Research
      digital.ahrq.gov/care-setting/long-term-care-facility
      January 01, 2023 - Long-Term Care Facility 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 research…

2304. Learning from Errors in Ambulatory Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
      February 01, 2004 - reported in several domains: prevention, diagnosis, treatment, patient identification, communication, falls … diagnostic, medication related, surgically related, aftercare related, other medical treatment related Falls … Patient falls within the clinic setting Equipment Equipment maintenance, functioning, availability … (13) Medical treatment 56 (38) Patient identification 4 (3) Communication to patient 12 (8) Falls … (Problem type: Communication) Falls “Pt. got tetanus shot. Claimed to be OK after.

2305. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
      April 26, 2023 - seemed like we had to almost invent a new solution for every problem, whether it was pressure ulcers, falls … very deep understanding (we do 13,000 surveys in the United States every year) of where health care is falling … quality and safety problems—hand hygiene noncompliance, wrong-site surgery, handoff communication, falls … central line infections, a project for high-risk medications like anticoagulants, and a project for falls

2306. Outcomes by HCBS Participant Characteristics | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
      December 01, 2012 - with the largest State range in percentage terms are Short-Term Complications of Diabetes, Injurious Falls … Preventable Infections Composite, Bacterial Pneumonia, ACSC Acute Conditions Composite, and Injurious Falls … in the Medicaid-only population are always higher than for whites and Hispanics except in Injurious Falls … In contrast to the dually eligible, Hispanics in this population do not exhibit lower rates, falling

2307. 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

2308. Ff 2009 Exhibit2 1 (pdf file)
      hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit2_1.pdf
      January 01, 2009 -  The rate of stays for circulatory conditions decreased by 13 percent over the 12-year period, falling

2309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36530/psn-pdf
      January 07, 2011 - were much more likely to report both significant preventable errors and attentional failures (eg, falling

2310. 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

2311. 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 …

2312. 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…

2313. 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…

2314. 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 …

2315. 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…

2316. 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…

2317. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
      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.

2318. 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…

2319. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33734/psn-pdf
      August 01, 2012 - We looked at the outcomes on falls, pressure ulcers, and restraint use. … We found that places with the worst patient safety culture scores had an association with falls and … case mix adjust in the nursing home environment good enough that you can make sense of differences in falls

2320. Impact of Health Information Technology Implementation on Diabetes Process and Outcome Measures | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures
      January 01, 2023 - Currently, the health care provided to diabetic patients frequently falls short of the “best care” practices