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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
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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
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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
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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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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - , Right Away
August 21, 2016
WebM&M Cases
Falling
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hcup-us.ahrq.gov/reports/statbriefs/sb237-Patient-Safety-Adverse-Events-2011-2014.pdf
January 01, 2014 - Among the
selected PSIs, average hospital
rates for in-hospital falls with hip
fracture decreased … of central venous catheter-
related blood stream infections (64.2 percent) followed by in-hospital falls … Among the selected patient safety and adverse events, average hospital rates for in-hospital falls
with … 52.3 percent in 2011 to 71.3 percent in 2014 for an increase of
19.0 percentage points), in-hospital falls … unrecognized accidental abdominopelvic
punctures and over three-fourths had no hip fractures from in-hospital falls
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psnet.ahrq.gov/issue/acog-committee-opinion-327-do-not-use-abbreviations
February 15, 2006 - Journal Article
ACOG Committee Opinion #327: "Do not use" abbreviations.
Citation Text:
ACOG Committee Opinion #327: "Do not use" abbreviations. ACOG Committee on Quality Improvement and Patient Safety; ACOG.
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qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
August 31, 2016 - PSI 08 (In-Hospital Fall with Hip Fracture Rate) now targets all hip fractures
from inpatient falls
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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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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
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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
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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
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psnet.ahrq.gov/issue/after-medical-error-patients-could-become-hospital-insiders
October 01, 2014 - November 8, 2012
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/hospitals-own-errors
February 04, 2009 - July 23, 2010
How to avoid falling victim to a hospital mistake.
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digital.ahrq.gov/research-method/feasibilitypilot-study
January 01, 2025 - Feasibility/Pilot Study
Quality of answers of generative large language models versus peer users for interpreting laboratory test results for lay patients: Evaluation study.
Citation
He Z, Bhasuran B, Jin Q, Tian S, Hanna K, Shavor C, Arguello LG, Murray P, Lu Z. Quality of an…
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psnet.ahrq.gov/issue/sorry-still-hardest-word
June 16, 2014 - April 11, 2011
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/medical-malpractice-fear-factor
November 11, 2015 - December 22, 2010
100K Lives falling short.
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psnet.ahrq.gov/issue/medical-mystery-alcoholism-didnt-cause-mans-diabetes-and-cirrhosis
July 06, 2011 - September 8, 2010
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/speak-video-series
November 27, 2018 - September 8, 2010
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/when-doctors-say-were-sorry
August 24, 2011 - July 31, 2012
How to avoid falling victim to a hospital mistake.