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psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - What was their mobility and functional status prior to the fall, including any prior falls or hospitalizations
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digital.ahrq.gov/sites/default/files/docs/July%20Teleconference%20Transcript.pdf
June 16, 2021 - So now we did – we followed that up with
calibration on falls in the hospital. … And we didn’t want falls that were not related to it – we didn’t want falls
related to admission, so … And our results as shown here, we found 1400 visits with falls out of about half a
million or a rate … measurements
increase in frequency, there’s probably something wrong, the patient’s
predictability is falling
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - Judging from the criteria of this case study, this looks like an insertion issue and again that falls … This is our super falls huddle form, and it follows the learn from a defect structure. … These learn from a defect, or super falls huddles, take place very quickly after a fall.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - Judging from the criteria of this case study, this looks like an insertion issue and again that falls … This is our super falls huddle form, and it follows the learn from a defect structure. … These learn from a defect, or super falls huddles, take place very quickly after a fall.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/disruptive-behavior-disorder_consumer.pdf
August 01, 2016 - Ritalin®,
Ritalin LA®, Ritalin SR®)
��Stomach ache
��Decreased appetite
��Weight loss
��Trouble falling … pressure
��Slow heart rate
��Feeling tired or sleepy
��Nausea and vomiting
��Stomach ache
��Trouble falling
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psnet.ahrq.gov/node/865658/psn-pdf
April 24, 2024 - the patient, who is
now weak and disoriented, to the toilet, but the patient sits down prematurely, falling
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb3.html
December 01, 2013 - Abnormal Growth
Infants whose growth curve plateaus or growth trajectory falls off, and those who
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb3.html
December 01, 2013 - Abnormal Growth
Infants whose growth curve plateaus or growth trajectory falls off, and those who
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psnet.ahrq.gov/web-mm/returning-home-safely
December 22, 2018 - Returning Home Safely
Citation Text:
Toles M. Returning Home Safely. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/index.html
October 01, 2020 - What We Learned
The CHIPRA quality demonstration States are pursuing innovative strategies to improve health care for children.
Learn about the CHIPRA quality demonstration States' strategies, lessons learned, and outcomes from these National Evaluation products:
Final Summary
Final Project Report
Spe…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4n
Selected Best Practices and Suggestions for Improvement
IQI: Mortality Review of Select Procedures and Conditions
Why Focus on Mortality Review? …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/disabilities-quality-improvement-outcomes_disposition-comments.pdf
October 15, 2012 - social services”, does
research aimed at preventing secondary conditions or negative
events like falls … However, we feel that Alzheimer’s, osteoarthritis, and osteoporosis
(including falls) should also be … Peer Reviewer
#4
Results Table 7- Balance and falls are not really activities nor is upper limb- … limb- “Activities involving the upper limb” and
for balance “activities involving balance” and delete falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
June 02, 2025 - He did have a few falls from his bike and has started using a stationary bike instead.
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psnet.ahrq.gov/issue/medical-abbreviations-have-contradictory-or-ambiguous-meanings
November 18, 2020 - Newspaper/Magazine Article
Medical abbreviations that have contradictory or ambiguous meanings.
Citation Text:
Medical abbreviations that have contradictory or ambiguous meanings. Davis N. ISMP Medication Safety Alert! Acute care edition! January 30, 2020;25(2):1-5.
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psnet.ahrq.gov/issue/machine-learning-booming-medicine-its-also-facing-credibility-crisis
May 22, 2019 - Newspaper/Magazine Article
Machine learning is booming in medicine. It’s also facing a credibility crisis.
Citation Text:
Machine learning is booming in medicine. It’s also facing a credibility crisis. Ross C. STAT. June 2, 2021.
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psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies
May 07, 2018 - Newspaper/Magazine Article
Reporting and second-order problem solving can turn short-term fixes into long-term remedies.
Citation Text:
Reporting and second-order problem solving can turn short-term fixes into long-term remedies. ISMP Medication Safety Alert! Acute Care Edition. May 19, …
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psnet.ahrq.gov/issue/first-annual-review-data-submitted-ismp-national-vaccine-errors-reporting-program-verp
June 10, 2018 - Newspaper/Magazine Article
First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP).
Citation Text:
First annual review of data submitted to the ISMP National Vaccine Errors Reporting Program (VERP). ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/widows-mission-change-nc-dental-sedation-rules
March 10, 2021 - Newspaper/Magazine Article
A widow’s mission to change NC dental sedation rules.
Citation Text:
A widow’s mission to change NC dental sedation rules. Blythe A. NC Health News. March 10, 2022
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…
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psnet.ahrq.gov/issue/he-thought-what-he-was-doing-was-good-people-why-it-so-difficult-prevent-unnecessary-medical
September 02, 2020 - Newspaper/Magazine Article
‘He thought what he was doing was good for people.’ Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system?
Citation Text:
‘He thought what he was doing was good for people.’ Why is it so difficult to prevent unnecessa…
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psnet.ahrq.gov/issue/guidelines-timely-medication-administration-response-cms-30-minute-rule
June 10, 2018 - Newspaper/Magazine Article
Guidelines for timely medication administration: response to the CMS "30-minute rule."
Citation Text:
Guidelines for timely medication administration: response to the CMS "30-minute rule." ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-…