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Showing results for "falls".
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  1. Implementation, Adoption, and Scaling Workgroup: Exploring Challenges and Opportunities for Patient Engagement, Implementation, Adoption, and Scaling Through PC CDS Case Studies (pdf file)

    cdsic.ahrq.gov/sites/default/files/2024-09/Final%20IAS%20PC%20CDS%20Case%20Studies%20Report_2.pdf
    January 01, 2024 - Health Issue: Older adults, who are at highest risk for falls, need to receive appropriate interventions … However, clinicians do not routinely ask at-risk patients about falls or their associated risk factors … Prior research also shows that patients who experience falls are unlikely to address further fall prevention

  2. December 2021 CDS Connect Work Group Call (pdf file)

    cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_Work_Group_December_2021.pdf
    January 01, 2021 - December 2021 CDS Connect Work Group Call December 2021 CDS Connect Work Group Call Agenda Schedule Topic 3:00 – 3:02 Roll Call, Michelle Lenox (MITRE) 3:02 – 3:05 Review of the Agenda, Michelle Lenox (MITRE) 3:05 – 3:10 Kick-off “One More Step” in Patient Partnering, Michelle Lenox (MITRE) 3:10 – 3:50 Roundt…

  3. Appendix D. Sample Production Agenda for the In-Person Training | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix D. Sample Production Agenda for the In-Person Training Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. R…

  4. Bar-code technology for medication administration: medication errors and nurse satisfaction. | PSNet

    psnet.ahrq.gov/issue/bar-code-technology-medication-administration-medication-errors-and-nurse-satisfaction
    July 29, 2020 - Study Bar-code technology for medication administration: medication errors and nurse satisfaction. Citation Text: Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and nurse satisfaction. Medsurg Nurs. 2009;18(2):103-9. Copy Citatio…

  5. Measurement for improvement: a survey of current practice in Australian public hospitals. | PSNet

    psnet.ahrq.gov/issue/measurement-improvement-survey-current-practice-australian-public-hospitals
    December 29, 2014 - Study Measurement for improvement: a survey of current practice in Australian public hospitals. Citation Text: Brand CA, Tropea J, Ibrahim JE, et al. Measurement for improvement: a survey of current practice in Australian public hospitals. Med J Aust. 2008;189(1):35-40. Copy Citation…

  6. Patient safety: moving the bar in prison health care standards. | PSNet

    psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
    August 28, 2024 - Commentary Patient safety: moving the bar in prison health care standards. Citation Text: Stern MF, Greifinger RB, Mellow J. Patient safety: moving the bar in prison health care standards. Am J Public Health. 2010;100(11):2103-2110. doi:10.2105/AJPH.2009.184242. Copy Citation For…

  7. Using a quantitative risk register to promote learning from a patient safety reporting system. | PSNet

    psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
    September 24, 2010 - Study Using a quantitative risk register to promote learning from a patient safety reporting system. Citation Text: Mansfield JG, Caplan RA, Campos JS, et al. Using a quantitative risk register to promote learning from a patient safety reporting system. Jt Comm J Qual Patient Saf. 2015;4…

  8. The value of library and information services in patient care: results of a multisite study. | PSNet

    psnet.ahrq.gov/issue/value-library-and-information-services-patient-care-results-multisite-study
    April 24, 2018 - Study The value of library and information services in patient care: results of a multisite study. Citation Text: Marshall JG, Sollenberger J, Easterby-Gannett S, et al. The value of library and information services in patient care: results of a multisite study. J Med Libr Assoc. 2013;1…

  9. Advancing a More Health-Literate Approach to Patient Safety | PSNet

    psnet.ahrq.gov/issue/advancing-more-health-literate-approach-patient-safety
    May 31, 2017 - Journal Article Advancing a More Health-Literate Approach to Patient Safety Citation Text: Sanders LM. Advancing a More Health-Literate Approach to Patient Safety. J Pediatr. 2019;214:10-11. doi:10.1016/j.jpeds.2019.07.003. Copy Citation Format: DOI Google Scholar PubMed Bi…

  10. High reliability leadership: a conceptual framework. | PSNet

    psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework
    March 09, 2022 - Commentary High reliability leadership: a conceptual framework. Citation Text: Martínez-Córcoles M. High reliability leadership: A conceptual framework. J Contingencies Crisis Manage. 2017;26(2):237-246. doi:10.1111/1468-5973.12187. Copy Citation Format: DOI Google Scholar …

  11. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites
    August 02, 2015 - Study Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. Citation Text: Bisset GS, Crowe J. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. Pediatr Radiol. 2014;44(5):552-7. doi:10.1007…

  12. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. | PSNet

    psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
    May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…

  13. Teaching quality improvement. | PSNet

    psnet.ahrq.gov/issue/teaching-quality-improvement
    July 19, 2023 - Commentary Teaching quality improvement. Citation Text: Murray ME, Douglas S, Girdley D, et al. Teaching quality improvement. J Nurs Educ. 2010;49(8):466-9. doi:10.3928/01484834-20100430-09. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  14. The economics of health care quality and medical errors. | PSNet

    psnet.ahrq.gov/issue/economics-health-care-quality-and-medical-errors
    August 19, 2020 - Commentary The economics of health care quality and medical errors. Citation Text: Andel C, Davidow SL, Hollander M, et al. The economics of health care quality and medical errors. J Health Care Finance. 2012;39(1):39-50. Copy Citation Format: Google Scholar PubMed BibTeX…

  15. Improving patient safety: patient-focused, high-reliability team training. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training
    January 07, 2011 - Commentary Improving patient safety: patient-focused, high-reliability team training. Citation Text: McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595. …

  16. Learning from samples of one or fewer. | PSNet

    psnet.ahrq.gov/issue/learning-samples-one-or-fewer
    December 21, 2017 - Review Classic Learning from samples of one or fewer. Citation Text: Learning from samples of one or fewer. March JG, Sproull LS, Tamuz M. Org Sci.1991;2:1-13. (reprinted in: Qual Saf Health Care 2003;12:465-472.) Copy Citation Save S…

  17. Sustainability-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
    May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery Module 4: Sustainability Sustainability Tool Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should comple…

  18. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. | PSNet

    psnet.ahrq.gov/issue/designing-safer-process-prevent-retained-surgical-sponges-healthcare-failure-mode-and-effect
    April 27, 2019 - Study Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. Citation Text: Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):1…

  19. Impact of duty hour limits on resident training in otolaryngology. | PSNet

    psnet.ahrq.gov/issue/impact-duty-hour-limits-resident-training-otolaryngology
    November 16, 2015 - Study Impact of duty hour limits on resident training in otolaryngology. Citation Text: Reiter ER, Wong DR. Impact of duty hour limits on resident training in otolaryngology. Laryngoscope. 2005;115(5):773-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  20. An in-depth analysis of medication errors in hospitalized patients with HIV. | PSNet

    psnet.ahrq.gov/issue/depth-analysis-medication-errors-hospitalized-patients-hiv
    July 15, 2010 - Study An in-depth analysis of medication errors in hospitalized patients with HIV. Citation Text: Snyder AM, Klinker K, Orrick JJ, et al. An in-depth analysis of medication errors in hospitalized patients with HIV. Ann Pharmacother. 2011;45(4):459-68. doi:10.1345/aph.1P599. Copy Cita…
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