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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
June 02, 2025 - , or EMR, data to make staff aware of
residents at risk of adverse events such as pressure ulcers, falls … 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 … is designed to identify residents at risk for the adverse
event of interest (e.g., pressure ulcers, falls
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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - briefing or huddle with direct frontline team members regarding a specific safety concern, such as patient falls … But it falls short because it emphasizes the few things that go wrong rather than seeking to understand … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls … Perspective
The Ongoing Journey to Prevent Patient Falls
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - But it falls short because it emphasizes the few things that go wrong rather than seeking to understand … briefing or huddle with direct frontline team members regarding a specific safety concern, such as patient 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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www.uspreventiveservicestaskforce.org/home/getfilebytoken/DQgVKNYn6gFtXLfwthuRBU
June 12, 2020 - ability to perform activities of daily living,
work, and drive safely, as well as increased risk of falls … ability to perform
activities of daily living, work, and drive safely, as well as increased risk of falls … Harms of treatment of refractive error may
include a potential for increased falls with the use of multifocal … ability to perform activities
of daily living, work, and drive safely, as well as increased risk of falls
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-pain-opioid-treatment_research-protocol.pdf
December 19, 2013 - including accidental overdose, abuse, addiction, diversion, and accidents involving
injuries (such as falls … , and related outcomes; 2) overdose; and 3) other
harms, including gastrointestinal-related harms, falls … use disorder, addiction, abuse,
and misuse; other opioid-related harms (including gastrointestinal, falls … Greater
number of narcotic analgesic prescriptions for
osteoarthritis is associated with falls and
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - patient experience, and prevention of patient safety events and adverse events such as medication issues, 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-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - patient experience, and prevention of patient safety events and adverse events such as medication issues, 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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www.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - software tool, to determine whether any of 21 types of adverse events—such as adverse drug events, falls … Infections
$1,000
.023
Central Line-Associated Bloodstream Infections
$17,000
.185
Falls … For pressure ulcers and falls, 100 percent of patients are exposed to risk for the event; but for other
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
November 01, 2019 - of the four moments of antibiotic decision
making, management of asymptomatic bacteriuria
largely falls … symptoms reviewed earlier may also be associated with
delirium, there is no evidence that delirium, falls … symptoms or systemic
signs of infection, older patients with bacteriuria
experiencing delirium or falls
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www.ahrq.gov/talkingquality/distribute/timing/index.html
March 01, 2016 - Timing the Distribution of a Healthcare Quality Report
Information is more likely to be useful if consumers have it during the period in which they are making a decision. While this sounds simple and obvious, it is not that easy to do:
You may not know when people need the information.
It may be difficult…
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - December 2, 2020
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … February 22, 2023
Cost of inpatient falls and cost-benefit analysis of implementation
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www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
December 01, 2017 - He gets more restless, gets out of bed, trips on the catheter and falls . … middle, with several issues surrounding it (i.e. immobility, CAUTI, pressure ulcers), that could lead to Falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
January 01, 2017 - Healthcare-Acquired Conditions (HACs)
Series 1 VAPs SSIs CLABSI Other HACs Pressure Ulcers Post-op DVTs Falls … 21,000
CLABSI $ 17,000
Other HACs $ 17,000
Pressure Ulcers $ 17,000
Post-op DVTs $ 8,000
Falls
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psnet.ahrq.gov/toolkits
March 01, 2025 - )
Medical Complications
(40)
Nosocomial Infections
(27)
Patient Falls … Falls, wrong surgery and unintended retained foreign bodies were among the most frequently submitted
-
psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - measure patient safety for post-acute care facilities, including outcome measures focusing on
mobility (falls … such as avoidable deaths due to health care-associated venous
thromboembolism, sepsis, or patient falls
-
psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - measure patient safety for post-acute care facilities , including outcome measures focusing on mobility (falls … outcomes such as avoidable deaths due to health care-associated venous thromboembolism, sepsis, or patient falls
-
psnet.ahrq.gov/node/840175/psn-pdf
November 16, 2022 - The risk of thrombosis increases exponentially as the INR falls from 2.0 down to 1.0.5 However, patients … If the INR value falls below a value of 1.8, and especially
if the INR is <1.5, prompt addition of subcutaneously
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
July 01, 2013 - “If you are concerned about falling (or the family is concerned) please let the hospital staff know because … your movement in bed and in your room and may actually make it more difficult to walk and/or lead to falls
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psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
December 23, 2008 - Newspaper/Magazine Article
Pro/con debate: color-coded medication labels.
Citation Text:
Pro/con debate: color-coded medication labels. Janik LS, Vender JS, Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75.
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psnet.ahrq.gov/issue/clinical-uncertainty-primary-care-challenge-collaborative-engagement
December 23, 2008 - Book/Report
Clinical Uncertainty in Primary Care: The Challenge of Collaborative Engagement.
Citation Text:
Clinical Uncertainty In Primary Care. Springer New York; 2013. doi:10.1007/978-1-4614-6812-7.
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