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Showing results for "falls".
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2341. 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 …

2342. 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

2343. 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

2344. 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

2345. 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

2346. A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/partially-structured-postoperative-handoff-protocol-improves-communication-2-mixed-surgical
      November 19, 2018 - Study A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. Citation Text: Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partia…

2347. 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

2348. 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

2349. 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

2350. 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

2351. 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.

2352. 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

2353. Health Systems Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/opioids/health-systems-research.html
      July 01, 2021 - older adults who experienced common side effects from opioids (such as constipation, confusion, nausea, falls

2354. 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.

2355. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33777/psn-pdf
      January 01, 2015 - Benefits of this approach include reducing the risk of falls, earlier mobilization following surgery

2356. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46411/psn-pdf
      April 12, 2019 - issue/clinical-pharmacists-and-inpatient-medical-care-systematic-review https://psnet.ahrq.gov/web-mm/falling-between-cracks-software

2357. 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).

2358. #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].

2359. 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

2360. Patient Safety and Adverse Events, 2011 and 2014 (pdf file)
      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