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Showing results for "falls".
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  1. Measuring and Responding to Deaths From Medical Errors | PSNet

    psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
    April 01, 2008 - Agreement September 24, 2024 Patient Safety Primers Falls

  2. Final Research Plan: Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: Behavioral Counseling Interventions | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd
    September 13, 2018 - Interventions providing controlled diets Counseling interventions aimed at diabetes prevention, falls

  3. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
    March 07, 2008 - average); and the very top and bottom bars are considered an unlikely INR value for the patient that falls

  4. 3. What Is the Clinical-Community Relationships Measurement Framework? | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas3.html
    March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas 3. What Is the Clinical-Community Relationships Measurement Framework? Previous Page Next Page Table of Contents Clinical-Community Relationships Measures (CCRM) Atlas Introduction Acknowledgments 1. Why Was the Clinical-Community Relation…

  5. Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
    April 01, 2021 - Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) Principal Investigators: Ann Scheck McAlearney, Sc.D., M.S., The Ohio State University, Columbus, OH; formerly Susan Moffatt-Bruce, M.D., Royal College of Physicians and Surgeons of Canada, Ottawa AHRQ Grant No.: HS024379 Proj…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860050/psn-pdf
    January 04, 2024 - While falling asleep, he was noted to have eye-rolling and he did not respond to his name, shaking his … On physical exam, the patient was asleep, arousing briefly with stimulation but then falling back to

  7. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
    December 01, 2017 - Say: As with any reporting mechanism, it’s important to ensure that the completed PSSAs are not falling

  8. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
    March 10, 2008 - denominator exclusions for this indicator, which are intended to exclude patients at high risk of falling … patients excluded are precisely those for whom a “safe” hospital could institute safeguards to prevent falls … AHRQ should revisit the large block of denominator exclusions identifying patients at risk for falls … no discernible effect on, or association with, alertness and presumably no effect on the risk of falling … exclusion criteria, even though such intoxications are likely to be associated with increased risk of falling

  9. The Dangerous Detour | PSNet

    psnet.ahrq.gov/web-mm/dangerous-detour
    November 28, 2018 - 27, 2023 Patient Safety Innovations Preventing Falls

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49466/psn-pdf
    October 14, 2004 - However, the responsibility hardly falls on the speech therapist alone.

  11. Medication Reconciliation Pitfalls | PSNet

    psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
    May 01, 2006 - The patient denied any history of arrhythmia, syncope, presyncope, dementia, or prior falls.

  12. Seeking answers, hearing silence. | PSNet

    psnet.ahrq.gov/issue/seeking-answers-hearing-silence
    October 09, 2024 - Commentary Seeking answers, hearing silence. Citation Text: Hemmelgarn C. Seeking Answers, Hearing Silence. Health Aff (Millwood). 2018;37(8):1332-1334. doi:10.1377/hlthaff.2017.1535. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  13. The second victim: a review. | PSNet

    psnet.ahrq.gov/issue/second-victim-review
    June 26, 2019 - Review The second victim: a review. Citation Text: Coughlan B, Powell D, Higgins MF. The Second Victim: a Review. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16. doi:10.1016/j.ejogrb.2017.04.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  14. Patient safety: threats and solutions. | PSNet

    psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
    January 19, 2011 - Commentary Patient safety: threats and solutions. Citation Text: McCaughan D, Kaufman G. Patient safety: threats and solutions. Nurs Stand. 2013;27(44):48-55; quiz 56, 58. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  15. Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. | PSNet

    psnet.ahrq.gov/issue/intravenous-chemotherapy-compounding-errors-follow-pan-canadian-observational-study
    March 18, 2011 - Study Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study. Citation Text: Gilbert RE, Kozak MC, Dobish RB, et al. Intravenous Chemotherapy Compounding Errors in a Follow-Up Pan-Canadian Observational Study. J Oncol Pract. 2018;14(5):e295-e303. doi:…

  16. A statewide voluntary patient safety initiative: the Georgia experience. | PSNet

    psnet.ahrq.gov/issue/statewide-voluntary-patient-safety-initiative-georgia-experience
    October 04, 2011 - Commentary A statewide voluntary patient safety initiative: the Georgia experience. Citation Text: Rask KJ, Schuessler LD, Naylor DV. A statewide voluntary patient safety initiative: the Georgia experiene. Jt Comm J Qual Patient Saf. 2006;32(10):564-72. Copy Citation Format: …

  17. National Nursing Home COVID Action Network. | PSNet

    psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
    October 23, 2019 - Multi-use Website National Nursing Home COVID Action Network. Citation Text: National Nursing Home COVID Action Network. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. Copy Citation Save Save to your library Print Download P…

  18. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. | PSNet

    psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
    July 29, 2020 - Study Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. Citation Text: Zhan C, Correa-de-Araujo R, Bierman AS, et al. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. J A…

  19. Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke. | PSNet

    psnet.ahrq.gov/issue/implicit-bias-stroke-care-recurring-old-problem-rising-incidence-young-stroke
    June 08, 2010 - Review Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke. Citation Text: Bhat A, Mahajan V, Wolfe N. Implicit bias in stroke care: A recurring old problem in the rising incidence of young stroke. J Clin Neurosci. 2021;85(Mar):27-35. doi:10.1016…

  20. An elusive balance — residents' work hours and the continuity of care. | PSNet

    psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care
    July 19, 2017 - Commentary An elusive balance — residents' work hours and the continuity of care. Citation Text: Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med. 2007;356(26):2665-2667. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …
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