-
psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - The patient denied any history of arrhythmia, syncope,
presyncope, dementia, or prior falls.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
August 01, 2010 - improves patient safety
and service delivery.2,3 For example, one study showed a decrease in patient falls … during change of shift, dropping from one to two patient falls per month to one
patient fall in six … number of call
lights by the end of shift report within 2 months” or “reduce the number of patient
falls … vascular catheter-associated infections by
10 percent in 3 months
• Reduce the incidence of patient falls
-
meps.ahrq.gov/data_stats/summ_tables/insr/state/series_9/2004/ic04_ixa_e.pdf
January 01, 2004 - 47.9% 83.2% 69.7% 81.1% 56.5%
Remainder of state 49.6% 83.5% 78.5% 78.6% 61.7%
SOUTH DAKOTA
Sioux Falls … 5.02% 4.23% 7.10% 4.14% 7.20%
Remainder of state 2.19% 3.80% 2.41% 1.99% 3.26%
SOUTH DAKOTA
Sioux Falls … 1,742
10,766
9,877
2,559
2,776
SOUTH DAKOTA
Sioux Falls … SOUTH DAKOTA
Sioux Falls
-
meps.ahrq.gov/data_stats/summ_tables/insr/state/series_9/2003/ic03_ixa_e.pdf
January 01, 2003 - state
56.9%
54.2%
86.6%
85.4%
81.1%
77.5%
76.9%
85.1%
62.3%
66.0%
SOUTH DAKOTA
Sioux Falls … state
8.75%
3.33%
5.45%
1.61%
4.26%
1.97%
5.35%
1.53%
4.76%
2.40%
SOUTH DAKOTA
Sioux Falls … SOUTH CAROLINA
Columbia 3,266 691 5,758
Remainder of state 3,390 664 6,395
SOUTH DAKOTA
Sioux Falls … Columbia 264 106 747 253 419 341
Remainder of state 160 53 180 218 248 195
SOUTH DAKOTA
Sioux Falls
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-workplace-safety-report-ptI.pdf
January 01, 2024 - ile Max
Item 1 36% 12.26 8% 10% 25% 35% 49% 62% 96%
If your hospital’s score is 55%, your score falls … here:
If your hospital’s score is 65%, your score falls here:
If your hospital’s score is 55 percent … positive, it falls above the 75th percentile (but below the
90th), meaning that your hospital scored … If your hospital’s score is 65 percent positive, it falls above the 90th percentile, meaning your
hospital
-
psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
August 10, 2025 - An elderly man had iron deficiency anemia with progressively falling … Linkedin
Copy URL
An elderly man had iron deficiency anemia with progressively falling
-
psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - seen frequently with virtual teams where a diagnosis isn’t communicated quickly enough, or something falls … Perspective
The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
-
psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - We looked at the outcomes on falls, pressure ulcers, and restraint use. … We found that places with the worst patient safety culture scores had an association with falls and use … case mix adjust in the nursing home environment good enough that you can make sense of differences in falls
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/cognitive-impairment-in-older-adults-screening-2014
March 18, 2014 - impairment, including counseling on tobacco cessation, alcohol use, healthful diet, physical activity, and falls … impairment, including counseling on tobacco cessation, alcohol use, healthful diet, physical activity, and falls … Bradycardia and adverse effects related to bradycardia (such as falls and syncope) may result from taking
-
psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - The rates of infection, bleeding, blood clots, and falls were increasing—in addition to the risk of whatever … Impaired mobility from deconditioning increases the risk of falls, as well as preventing the patient … 26, 2025
Patient Safety Innovations
Preventing Falls
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthful-diet-and-physical-activity-for-cardiovascular-disease-prevention-in-adults-without-known-risk-factors-behavioral-counseling-july-2017
July 11, 2017 - Eight trials reported on the incidence of important patient events, including falls, injuries, and cardiovascular … This trial also reported more falls in the intervention group (37% vs 29%; P < 0.001). 21 Four other … trials reporting falls, 2 in older adults and 2 in general primary care populations, found no difference
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/impaired-visual-acuity-screening-older-adults
May 24, 2022 - 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
-
www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/cancer_older_adults.pdf
September 28, 2012 - A has a history of falls, mild cognitive impairment, and
had a recent heart attack shortly after his … Although
he qualifies for screening by age, his recent heart attack, falls,
and cognitive impairment … , urinary urgency due to prostate resection may be
inconvenient in a middle-aged man, but may cause falls
-
www.ahrq.gov/teamstepps-program/curriculum/implement/pre/measure.html
January 01, 2024 - physician, nurse, pharmacist), and sometimes the grouping is based on the level the object or action falls
-
www.ahrq.gov/news/newsroom/case-studies/cquips0611.html
October 01, 2014 - County Health Department in Oregon Launches Performance Improvement Activities With AHRQ's Patient Safety Culture Survey
Search All Impact Case Studies
September 2006
The Multnomah County Health Department in Portland, Oregon, initiated a patient safety culture project in 2005 using AHRQ's Hospital Survey o…
-
psnet.ahrq.gov/node/40578/psn-pdf
July 06, 2011 - Implementing the 2009 Institute of Medicine
recommendations on resident physician work hours,
supervision, and safety.
July 6, 2011
Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on
resident physician work hours, supervision, and safety. Nat Sci Sleep. 2011;3:47-8…
-
psnet.ahrq.gov/node/40707/psn-pdf
March 11, 2013 - More than words: patients' views on apology and
disclosure when things go wrong in cancer care.
March 11, 2013
Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure
when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341-346.
doi:10.1016/j.pec.2011.07.010…
-
psnet.ahrq.gov/node/49768/psn-pdf
September 01, 2016 - drug–disease interactions problematic for older adults, placing them at increased risk for delirium, falls … Yes/No
Does the patient have a history of falls?
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
September 01, 2022 - symptoms reviewed earlier may also be associated with delirium, there is no evidence that delirium, falls … genitourinary symptoms or systemic signs of infection, older patients with bacteriuria experiencing delirium or falls
-
digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-4.pdf
June 16, 2021 - An IRB and its representatives
may be helpful in determining whether your
project falls into either … review involves identifying relevant materials in peer-reviewed or gray literature
(information that falls … Measures falling into this box
receive an overall rank or analysis value of 1. … Measures falling into this
box receive an overall rank or quadrant analysis value of 5.