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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
March 04, 2016 - is
ch
ar
ge
s
Pressure Ulcers Adverse Drug
Events
Catheter-Associated
Urinary Tract Infections
Falls … or number of falls with major injury was not assessed in the look-back scan assessment. … or number of falls with major injury was not assessed in the look-back scan assessment. … In 2013, the percentage of falls with major injury was worse for all subgroups of
residents age … Also in 2013, compared with Whites (3.8%), the percentage of falls with major injury
was better
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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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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
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psnet.ahrq.gov/issue/what-doctor-missed
August 17, 2016 - August 18, 2010
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/safety-numbers
November 11, 2015 - November 11, 2015
100K Lives falling short.
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digital.ahrq.gov/population/rural-populations
January 01, 2025 - Rural Populations
Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology
Description
This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-review …
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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/issue/are-patients-part-blame-when-doctors-miss-diagnosis
May 01, 2013 - March 31, 2010
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/when-doctors-admit-their-mistakes
May 01, 2013 - July 23, 2010
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/do-you-know-what-your-doctor-talking-about
May 01, 2013 - October 21, 2010
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
November 10, 2010 - July 19, 2010
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/missed-it
September 18, 2013 - Journal Article
Missed it.
Citation Text:
Missed it. Green MJ; Rieck R.
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February 19, 2014
Green MJ; …
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effectivehealthcare.ahrq.gov/sites/default/files/cf__deliberativemethodswebinar_deliberativemethodsexperiment.pdf
June 01, 2012 - Slide 1
Community Forum Community Forum
Deliberative Methods
Experiment
Agency for Healthcare Research and Quality
Community Forum
Community Forum Community Forum Community Forum
2
Background & objectives of experiment
Background
─ Started in August 2010
─ Literature review, Technical …
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www.ahrq.gov/takeheart/about/initiative/partner-hospitals/east-alabama.html
November 01, 2022 - identify the situations where CR processes were not firmly established to learn where patients were falling
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
September 01, 2024 - infection in older adults include lethargy, tachypnea, loss of appetite, dehydration, weakness, dizziness, falls … Geriatric syndromes (e.g., delirium, falls, reduced/loss of appetite or anorexia, or functional impairment … elderly patient: a case report A 72-year-old male presented to his physical therapist 23 days after falling … He was initially diagnosed with a labyrinthine concussion due to ongoing symptoms of “falling backwards
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - Disease Asthma Circulatory Problems Hypertension or Renal Failure Gastroenteritis Angina Pectoris 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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www.ahrq.gov/research/findings/final-reports/index.html?page=7
January 01, 2024 - Exchange, Patient and Family Engagement Publication Date: July 2015
An Intervention to Reduce Falls
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www.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - Potential problems include medication errors, falls, infections, procedural complications, management
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psnet.ahrq.gov/
March 25, 2025 - Falls and delays in diagnosis, treatment, or surgery were the most common adverse events related to communication