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Showing results for "falls".
Users also searched for: fall prevention

  1. Topics | PSNet

    psnet.ahrq.gov/topics-0
    March 03, 2025 - Delirium Go to this topic Nosocomial Infections Go to this topic Patient Falls

  2. Medication Errors and Adverse Drug Events | PSNet

    psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
    December 15, 2024 - generally the responsibility of nurses or other trained staff; in ambulatory care the responsibility falls

  3. Strategies to Improve Organizational Health Literacy. | PSNet

    psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
    August 30, 2023 - administration of medications for  children ; 3  incorrect use of inhalers and aerosol medications; 4  falls

  4. Medication/Drug Errors | PSNet

    psnet.ahrq.gov/curated-library/medicationdrug-errors
    March 12, 2021 - hospital-acquired infections, medication errors, inpatient suicide, and specific clinical harms such as falls

  5. The Effectiveness and Risks of Long-Term Opioid Treatment of Chronic Pain (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/chronic-pain-opioid-treatment_executive.pdf
    September 19, 2014 - including accidental overdose, abuse, addiction, diversion, and accidents involving injuries (such as falls … and related outcomes; (2) overdose; and (3) other harms, including gastrointestinal-related harms, falls … year of opioid therapy, with the exception of outcomes related to overdose and injuries (fractures, falls … and related outcomes; (2) overdose; and (3) other harms, including gastrointestinal-related harms, falls … Greater number of narcotic analgesic prescriptions for osteoarthritis is associated with falls and

  6. AHRQ Safety Program for Ambulatory Surgery Final Report (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
    May 01, 2017 - The patient falls measure was affected the most by this, with 334 facilities reporting at month 1 and

  7. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
    December 01, 2017 - Followup SAY: As with any reporting mechanism, it’s important to ensure that the completed PSSAs are not falling

  8. Missing Trauma | PSNet

    psnet.ahrq.gov/web-mm/missing-trauma
    March 03, 2011 - Blunt injuries are the result of falls, motor vehicle or motorcycle crashes, bicycle accidents, pedestrians

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33721/psn-pdf
    November 01, 2011 - Reducing falls and fall-related injuries in the VA system. J Healthc Saf Q. 2003;1:25-33. 8.

  10. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - Say: In the case of an elderly woman falling down in her hospital room, let’s list some factors that … The patient tries to get to the bathroom during the night and falls. … occurs rarely but has a singular impact on this particular defect, consider working on a factor that falls

  11. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
    May 12, 2021 - Study A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. Citation Text: Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized c…

  12. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

    psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication
    July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

  13. Drug-related problems among older people with dementia: a systematic review. | PSNet

    psnet.ahrq.gov/issue/drug-related-problems-among-older-people-dementia-systematic-review
    January 12, 2022 - Review Drug-related problems among older people with dementia: a systematic review. Citation Text: Xue Qin QN, Ming LC, Abd Wahab MS, et al. Drug-related problems among older people with dementia: a systematic review. Res Social Adm Pharm. 2023;19(6):873-881. doi:10.1016/j.sapharm.2023.0…

  14. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. | PSNet

    psnet.ahrq.gov/issue/probabilistic-risk-assessment-accidental-abo-incompatible-thoracic-organ-transplantation-and
    June 24, 2020 - Study Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. Citation Text: Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 200…

  15. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. | PSNet

    psnet.ahrq.gov/issue/safer-prescribing-and-care-elderly-space-cluster-randomised-controlled-trial-general-practice
    November 18, 2020 - Study Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. Citation Text: Wallis KA, Elley CR, Moyes SA, et al. Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. BJGP Open. …

  16. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality
    April 22, 2011 - Study The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Citation Text: Oake N, Taljaard M, van Walraven C, et al. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Arch Intern Med. 2010;170(20):1804-10. doi:1…

  17. Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet

    psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems
    August 04, 2021 - Study Beyond 'find and fix': improving quality and safety through resilient healthcare systems. Citation Text: Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10…

  18. Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. | PSNet

    psnet.ahrq.gov/issue/physician-transition-care-benefits-i-pass-and-electronic-handoff-system-community-pediatric
    November 02, 2022 - Study Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. Citation Text: Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic Handoff System in a Community Pediatri…

  19. Advanced practice nurses' experiences of patient safety: a focus group study. | PSNet

    psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
    March 06, 2024 - Study Advanced practice nurses' experiences of patient safety: a focus group study. Citation Text: Glarcher M, Rihari-Thomas J, Duffield C, et al. Advanced practice nurses’ experiences of patient safety: a focus group study. Contemp Nurse. 2024;Epub Jun 11. doi:10.1080/10376178.2024.2363…

  20. Unintended consequences of online consultations: a qualitative study in UK primary care. | PSNet

    psnet.ahrq.gov/issue/unintended-consequences-online-consultations-qualitative-study-uk-primary-care
    November 16, 2022 - Study Unintended consequences of online consultations: a qualitative study in UK primary care. Citation Text: Turner A, Morris R, Rakhra D, et al. Unintended consequences of online consultations: a qualitative study in UK primary care. Br J Gen Pract. 2021;72(715):e128-e137. doi:10.3399/…
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