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Showing results for "falls".
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281. Falling Between the Cracks in the Software | PSNet
     psnet.ahrq.gov/web-mm/falling-between-cracks-software
     March 09, 2011 - Falling Between the Cracks in the Software Citation Text: Adler-Milstein J. … Falling Between the Cracks in the Software. PSNet [internet]. … Falling Between the Cracks in the Software. PSNet [internet]. … Falling Between the Cracks in the Software. PSNet [internet].

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840172/psn-pdf
     November 16, 2022 - The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and … :e947-e952 https://psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-falls-children … Children with physical or cognitive disabilities can be at higher risk for patient safety events, such as falls … One year after SMAS implementation, the research team documented a 60% decrease in the rate of total falls … follow-up from 2015 to 2022, as well as a 33% decrease in falls due to intrinsic factors.

283. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. | PSNet
     psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
     August 17, 2022 - Patient falls are considered a never event and can result in serious injury . … This study retrospectively reviewed inpatient falls resulting in injury and the strength of the improvement … Study The Stoplight Mobility Alert System for safety and prevention of falls … interventions to reduce duration and variability in delays to identification of serious injury after falls … More About The Topic Hospitals Long-Term Care Quality and Safety Professionals Patient Falls

284. Quality Improvement Clinical Decision Support Tool Specifications (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-tool-specifications.pdf
     June 16, 2021 - FALLS The number of falls that occurred for the patient on the unit during the month. … Number of Falls per 1000 Patient Days: The number of falls divided by the number of patient days * … Falls” prior to the fall divided by the total number of falls … for Falls” prior to the fall divided by the total number of falls. … % of Falls with Moderate+ Injury: The number of falls with a moderate or major injury documented

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836865/psn-pdf
     April 06, 2022 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls … occupational-therapy-utilization-veterans-dementia-retrospective-review-root- cause-analyses Patient falls … This study explored the causes of falls resulting in harm among patients with dementia receiving or … The authors conclude that earlier OT evaluation may decrease the frequency of falls among older adults … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

286. Falls prevention at Mayo Clinic Rochester: a path to quality care. | PSNet
     psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
     January 22, 2017 - Commentary Falls prevention at Mayo Clinic Rochester: a path to quality care. … Falls prevention at Mayo Clinic Rochester: a path to quality care. … Falls prevention at Mayo Clinic Rochester: a path to quality care. … September 27, 2016 Special Issue on Falls. … January 6, 2016 Partnering to prevent falls: using a multimodal multidisciplinary team

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837863/psn-pdf
     August 17, 2022 - The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. …   https://psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide … Patient falls are common sentinel events. … The latest revision of this toolkit shares insights on applying the tenets of root cause analysis to falls … https://psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide https

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50862/psn-pdf
     February 05, 2020 - Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare … Assessment of nursing home reporting of major injury falls for quality measurement on nursing home compare … https://psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement … This study compared falls with injury data self-reported by nursing homes against those identified in … Medicare claims data and found that falls with injury were substantially underreported by nursing homes

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61113/psn-pdf
     January 01, 2021 - Do falls and other safety issues occur more often during handovers when nurses are away from patients … Do falls and other safety issues occur more often during handovers when nurses are away from patients … https://psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when- … This retrospective study examined the incidence of falls during nursing handovers performed in designated … No differences in the incidence of falls or fall severity during handovers performed away from patients

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851051/psn-pdf
     June 28, 2023 - The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource … The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource … https://psnet.ahrq.gov/issue/impact-safety-culture-quality-care-missed-care-and-nurse-staffing-patient-falls … , and lower rates of self-reported missed care were associated with a lower incidence of inpatient falls … https://psnet.ahrq.gov/issue/impact-safety-culture-quality-care-missed-care-and-nurse-staffing-patient-falls-multisource

291. Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet
     psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
     July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure … to identify which nursing handover interventions result in improved patient outcomes (i.e., patient falls … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure

292. Care Planning Clinical Decision Support Tool Specifications (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/action-cp-cds-tool-specifications.pdf
     June 16, 2021 - The prototype tool design was created with only one care plan section for Falls, with a plan to add … o Interventions o Falls (Outcome) • The icons in the problem section were designed to give … and/or Risk for Injury from Falls [plan name]” (Figure 5). … and/or at risk for injury from falls and no plan or orderset is defined” (Figure 6). … At risk for falls At risk for injury due to falls Post-falls (phase) Fields that map to the “Falls

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38748/psn-pdf
     April 19, 2011 - Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in … Utilization of the Seniors Falls Investigation Methodology to identify system-wide causes of falls in … - causes-falls Root cause analysis methodology was used to identify predisposing causes of falls in … https://psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls … https://psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41112/psn-pdf
     February 01, 2012 - Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety … Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety … https://psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing … https://psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident … https://psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident

295. The effect of bedrails on falls and injury: a systematic review of clinical studies. | PSNet
     psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
     March 15, 2016 - Review The effect of bedrails on falls and injury: a systematic review of clinical … The effect of bedrails on falls and injury: a systematic review of clinical studies. … The effect of bedrails on falls and injury: a systematic review of clinical studies. … March 15, 2016 Falls in English and Welsh hospitals: a national observational study based … January 7, 2009 Talking about falls: a qualitative exploration of spoken communication

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867091/psn-pdf
     November 06, 2024 - Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls … risk drugs for older adults presenting to the emergency department after falls. … initiative-deprescribe-high-risk-drugs-older-adults-presenting-emergency- department-after Inappropriate medications can increase the risk of falls … evaluated the impact of medication reconciliation that targets high-risk medications to reduce future falls … https://psnet.ahrq.gov/primer/falls

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73396/psn-pdf
     June 16, 2021 - The impact of the built environment on patient falls in hospital rooms: an integrative review. … The impact of the built environment on patient falls in hospital rooms: an integrative review. … https://psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review … Decreasing inpatient falls requires improvements in both processes of care and the care environment … https://psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review

298. Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. | PSNet
     psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
     December 02, 2020 - , traumatic brain injury, or stroke) are particularly vulnerable to patient safety events, such as falls … along a cognition continuum, make proactive changes to the care plan, and decrease the risk of patient falls … and use corresponding interventions to improve care planning, patient safety, and reduce the risk of falls … By December 2020, the fall rate was reduced to 0 falls per 1,000 admissions. … December 15, 2021 Do falls and other safety issues occur more often during handovers

299. A randomized trial of a multifactorial strategy to prevent serious fall injuries. | PSNet
     psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries
     August 04, 2021 - ten health care systems to evaluate the effectiveness of a multifactorial intervention to prevent falls … December 16, 2020 Evaluation of a patient-centered fall-prevention tool kit to reduce falls … November 15, 2018 Cost of inpatient falls and cost-benefit analysis of implementation … November 16, 2022 Potentially inappropriate medications and their effect on falls during … perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls

300. Fall prevention in acute care hospitals: a randomized trial. | PSNet
     psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
     February 01, 2023 - Patient falls are among the preventable complications of hospital care for which hospitals no longer … Experts in the field have questioned the wisdom of this policy; even though falls are common, little … controlled trial offers an advance in fall prevention, as it demonstrated a significant reduction in falls … Download Citation Related Resources From the Same Author(s) Cost of inpatient falls … November 23, 2016 Patient education to prevent falls among older hospital inpatients: