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psnet.ahrq.gov/issue/clinicians-perspectives-proactive-patient-safety-behaviors-perioperative-environment
May 24, 2023 - Study
Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment.
Citation Text:
Duffy C, Menon N, Horak D, et al. Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment. JAMA Netw Open. 2023;6(4):e237621. doi:…
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psnet.ahrq.gov/node/35401/psn-pdf
April 06, 2011 - What constitutes a prescribing error in paediatrics?
April 6, 2011
Ghaleb MA, Barber N, Franklin D, et al. What constitutes a prescribing error in paediatrics? Qual Saf
Health Care. 2005;14(5):352-7.
https://psnet.ahrq.gov/issue/what-constitutes-prescribing-error-paediatrics
The authors used a Delphi technique to …
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digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-6
January 01, 2023 - Nurse leader training presentation for the deployment of the QI-CDS tool (separate document with supplemental handout for data element definitions)
Citation
Nurse leader training presentation for the deployment of the QI-CDS tool (separate document with supplemental handout for data element definition…
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digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-0
January 01, 2023 - Specifications for a care planning (CP) clinical decision support (CP-CDS) tool (Chapter 3; Figures 4-10)
Citation
Specifications for a care planning (CP) clinical decision support (CP-CDS) tool (Chapter 3; Figures 4-10)
PDF
action-cp-cds-tool-specifications.pdf
Project Name
…
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/citation/tortuosity
January 01, 2023 - Tortuosity in movement pats is related to cognitive impairment: wireless Fractal estimation in assisted living facility.
Citation
Kearns WD, Nams VO, Fozard JL. Tortuosity in movement paths is related to cognitive impairment: wireless fractal estimation in assisted living facility residents. Methods I…
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psnet.ahrq.gov/print/pdf/node/842920
December 14, 2022 - Richter, MD | August 10, 2019
An elderly man had iron deficiency anemia with progressively falling hemoglobin … Richter, MD | August 10, 2019
An elderly man had iron deficiency anemia with progressively falling hemoglobin
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www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
January 01, 2024 - once during the
28-day data-gathering period, and
16.8% of the participants (152 nurses)
reported falling … Nurses
reported struggling to stay awake once
every five shifts worked (2285/11,329
shifts) and falling … Nurses who reported struggling to stay awake on duty and/or actually falling asleep
on duty obtained … US workers.33
The high frequency of which nurses reported struggling to stay awake and/or actual
falling … Participants in the AACN study who reported falling asleep on duty obtained on
average 6.6 hours sleep
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psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong
September 19, 2018 - January 15, 2020
‘Fear of falling’: how hospitals do even more harm by keeping patients
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psnet.ahrq.gov/issue/fda-end-program-hid-millions-reports-faulty-medical-devices
May 17, 2017 - January 15, 2020
‘Fear of falling’: how hospitals do even more harm by keeping patients
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psnet.ahrq.gov/issue/speaking-constructively-managerial-practices-elicit-solutions-front-line-employees
September 05, 2012 - January 30, 2019
WebM&M Cases
Falling Between the Cracks
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
contribute to delirium, hypotension, falls … polypharmacy,
and fall risk
CMS will be
posting new tools
on specific topics
such as
polypharmacy,
falls
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/citation/smart
January 01, 2023 - Smart rehabilitation for the 21st century: The Tampa Smart Home for veterans with traumatic brain injury.
Citation
Jasiewicz J, Kearns W, Craighead J, et al. Smart rehabilitation for the 21st century: The Tampa Smart Home for veterans with traumatic brain injury. J Rehabil Res Dev 2011;48(8):vii-xviii…
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meps.ahrq.gov/data_stats/summ_tables/insr/state/series_9/2023/ic23_ixa_e.pdf
January 01, 2023 - 52.0% 85.1% 80.6% 77.2% 62.2%
Remainder of state 41.1% 79.0% 77.7% 70.0% 54.4%
SOUTH DAKOTA:
Sioux Falls … 8.41% 4.19% 4.95% 2.59% 5.10%
Remainder of state 3.30% 2.80% 2.25% 2.30% 2.59%
SOUTH DAKOTA:
Sioux Falls … 4,568 24,231 8,086
Remainder of state 7,244 1,472 14,067 3,475 21,374 5,872
SOUTH DAKOTA:
Sioux Falls … 4,028 20,616 6,174
Remainder of state 7,214 1,582 14,255 3,929 20,619 6,033
SOUTH DAKOTA:
Sioux Falls … 315 5.11% 8.86% 191 275
Remainder of state 1.22% 75 206 2.66% 3.26% 84 235
SOUTH DAKOTA:
Sioux Falls
-
meps.ahrq.gov/data_stats/summ_tables/insr/state/series_9/2024/ic24_ixa_e.pdf
January 01, 2024 - 55.2% 85.3% 86.0% 71.6% 61.5%
Remainder of state 51.2% 75.9% 80.7% 71.4% 57.6%
SOUTH DAKOTA:
Sioux Falls … 14.9% 4.84% 5.76% 6.20% 7.40%
Remainder of state 3.68% 4.32% 2.51% 2.25% 2.70%
SOUTH DAKOTA:
Sioux Falls … 6,202 22,607 9,090
Remainder of state 8,150 1,779 17,117 5,231 24,549 7,629
SOUTH DAKOTA:
Sioux Falls … 431 575 1,970 1,103 2,404 2,127
Remainder of state 335 132 555 463 684 573
SOUTH DAKOTA:
Sioux Falls … 4,995 23,153 7,859
Remainder of state 7,601 1,675 15,187 4,388 22,464 6,960
SOUTH DAKOTA:
Sioux Falls
-
meps.ahrq.gov/data_stats/summ_tables/insr/state/series_9/2021/ic21_ixa_e.pdf
January 01, 2021 - 33.6% 80.7% 89.2% 78.5% 70.0%
Remainder of state 42.6% 80.4% 81.5% 71.2% 58.0%
SOUTH DAKOTA:
Sioux Falls … 7.37% 5.35% 3.27% 3.58% 4.47%
Remainder of state 2.95% 2.16% 2.02% 2.44% 2.48%
SOUTH DAKOTA:
Sioux Falls … 1,513
1,562
13,490
14,688
3,400
3,898
18,079
19,948
4,913
5,135
SOUTH DAKOTA:
Sioux Falls … of state
537
174
162
115
614
497
458
324
1,061
509
603
395
SOUTH DAKOTA:
Sioux Falls … 1,655
1,585
13,157
14,573
4,200
4,548
18,414
20,953
5,513
7,230
SOUTH DAKOTA:
Sioux Falls
-
meps.ahrq.gov/data_stats/summ_tables/insr/state/series_9/2020/ic20_ixa_e.pdf
January 01, 2020 - 57.2% 90.0% 75.5% 64.2% 48.5%
Remainder of state 50.5% 85.2% 77.1% 71.0% 54.7%
SOUTH DAKOTA:
Sioux Falls … 6.99% 2.51% 4.57% 5.04% 4.75%
Remainder of state 2.67% 1.52% 3.24% 1.84% 2.91%
SOUTH DAKOTA:
Sioux Falls … 45.1% 86.4% 79.9% 72.2% 57.6%
Remainder of state 46.5% 83.5% 78.2% 73.1% 57.1%
SOUTH DAKOTA:
Sioux Falls … 4.04% 1.88% 2.54% 2.62% 2.95%
Remainder of state 1.60% 0.95% 1.40% 1.18% 1.43%
SOUTH DAKOTA:
Sioux Falls … Columbia,SC 249 188 409 449 808 393
Remainder of state 101 83 255 227 526 694
SOUTH DAKOTA:
Sioux Falls
-
meps.ahrq.gov/data_stats/summ_tables/insr/state/series_9/2022/ic22_ixa_e.pdf
January 01, 2022 - 54.6% 87.3% 69.4% 68.8% 47.8%
Remainder of state 44.2% 84.8% 83.7% 68.9% 57.6%
SOUTH DAKOTA:
Sioux Falls … 9.26% 4.26% 8.61% 6.02% 6.42%
Remainder of state 3.03% 1.57% 2.04% 2.46% 2.64%
SOUTH DAKOTA:
Sioux Falls … 1,670
1,718
14,191
14,289
4,209
4,346
21,746
21,144
6,218
7,067
SOUTH DAKOTA:
Sioux Falls … of state
489
205
245
148
377
615
560
312
1,010
677
947
620
SOUTH DAKOTA:
Sioux Falls … 1,751
1,693
13,383
14,666
4,069
4,449
18,781
20,791
5,608
6,468
SOUTH DAKOTA:
Sioux Falls
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/hip-fracture-pain_consumer.pdf
May 01, 2011 - In older adults, a broken hip can occur from falling or
from daily use if the femur is weak.
-
psnet.ahrq.gov/node/73106/psn-pdf
April 01, 2021 - Therefore, although the institution's CLABSI rates are
falling, there is room for improvement. … Points falling above the upper control limit indicate months when the process was out of control.
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psnet.ahrq.gov/issue/improving-health-care-quality-and-safety-people-disabilities-interview-lisa-iezzoni
October 26, 2022 - TeamSTEPPS: The Evolution of Patient Safety Teamwork Training
February 28, 2024
Falling