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psnet.ahrq.gov/issue/facing-ambiguous-threats
December 24, 2008 - Commentary
Facing ambiguous threats.
Citation Text:
Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157.
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psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through-pragmatic
May 23, 2018 - Study
Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis.
Citation Text:
Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …
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psnet.ahrq.gov/issue/misdiagnosis-mistreatment-and-harm-when-medical-care-ignores-social-forces
November 16, 2022 - Commentary
Emerging Classic
Misdiagnosis, mistreatment, and harm - when medical care ignores social forces.
Citation Text:
Holmes SM, Hansen H, Jenks A, et al. Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. N Engl J Med. 2020;382…
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psnet.ahrq.gov/issue/clinical-reasoning-assessment-methods-scoping-review-and-practical-guidance
August 15, 2018 - Review
Clinical reasoning assessment methods: a scoping review and practical guidance.
Citation Text:
Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. Acad Med. 2019;94(6):902-912. doi:10.1097/ACM.0000000000002618.
C…
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effectivehealthcare.ahrq.gov/sites/default/files/crosscutting_hi_impact.pdf
January 01, 2012 - lighting, soft colors, and noise abatement
features, handrails, flooring that is less likely to cause falls … available resources.
35
However, this design poses many risks to the elderly population, including falls
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/vitamin-d-calcium_executive.pdf
September 01, 2014 - Fractures, Falls, or Performance Measures of Strength
The current report did not identify any new RCTs … An association
was seen between lower 25(OH)D concentrations and
increased risk for falls over a year … report concluded that the associations between serum
25(OH)D concentrations and risk of fractures, falls … Rickets, Fractures, Falls, or Performance Measures
For the current report, we identified no new studies … We identified one new RCT that assessed effects of
supplementation on risk for falling: This study found
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cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Summary.pdf
January 01, 2021 - According to
the method, a task falls into one of the following categories.1
• Must Have: The most
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
December 01, 2017 - Reports in Development
Falls Prevention.
Prevention of Avoidable Hospitalizations.
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - Impaired mobility from deconditioning increases the risk of falls,
as well as preventing the patient
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
September 01, 2017 - Falls Prevention.
Preventable Hospital and ED Visits.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/018-revision-summary-contact-precautions.docx
October 01, 2024 - worker contact, changes in care that contribute to delays and non-infectious adverse events (e.g., falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - Events
Available Reports:
Pressure Ulcer Prevention
Pressure Ulcer Healing
Reports in Development:
Falls
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www.ahrq.gov/ncepcr/tools/workforce-financing/exec-summary.html
July 01, 2019 - specific health-related issues receive intensive monitoring, for example elderly patients at risk for falls
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psnet.ahrq.gov/node/33640/psn-pdf
September 01, 2006 - include increasing disclosure of adverse events; root cause analyses; and programs for preventing falls
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - May 31, 2023
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/node/49443/psn-pdf
May 01, 2004 - a monitoring
device, we should have an alarm (19) for automatically indicating when that parameter falls
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - achieved performance goals but also supports accountability and data
transparency when performance falls
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/screening-for-prediabetes-and-type-2-diabetes
November 15, 2018 - counseling or pharmacotherapy interventions for glycemic control
Counseling interventions aimed at falls
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psnet.ahrq.gov/primers-0
March 15, 2025 - 2)
Medical Complications
(10)
Nosocomial Infections
(6)
Patient Falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
January 01, 2012 - family engagement, the center saw a 62 percent reduction in medication errors, a 40 percent reduction in falls