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441. Clinical Summary: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/dkrTtgpcUKSk7ZxCxL4mcz
     Grade: D Risk Assessment Low bone mass, older age, and history of falls are major risk factors … Relevant USPSTF Recommendations The USPSTF recommends against vitamin D supplementation to prevent falls … The USPSTF recommends exercise interventions to prevent falls in community-dw elling older adults at … increased risk for falls; multifactorial interventions may also be effective in some persons as w

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49609/psn-pdf
     October 01, 2010 - patients have impaired ambulation and/or poor functional status, and thus there is a higher risk of falls … reuse entirely.(9) Considering the risks for errors associated with dialyzer reuse programs and the falling … Patient Falls and Medication Errors In addition to errors with the dialyzer or dialysis solution, a … Renal Physicians Association survey revealed that medication errors and patient falls can also be safety … Falls and fall-related injuries in older dialysis patients.

443. Appendix B25: Ways Families Can Help Reduce Fall Risk | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb8.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B25: … Families Can Help Reduce Fall Risk Previous Page Next Page Table of Contents The Falls … Falls Engineer Instructions Reduce clutter in the room and bathroom Take home items

444. Beyond error: a qualitative study of human factors in serious adverse events. | PSNet
     psnet.ahrq.gov/issue/beyond-error-qualitative-study-human-factors-serious-adverse-events
     December 18, 2024 - Resources Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls … 27, 2024 Patient Safety Innovations Preventing Falls

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44669/psn-pdf
     January 22, 2016 - safety-standards-implementing-fall-prevention-interventions-and-sustaining- lower-fall-rates Inpatient falls … safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates https://psnet.ahrq.gov/issue/preventing-falls-injury … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities https

446. Appendix | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
     October 01, 2015 - MPSMS (2013) Blood Stream Infections Associated With Central Venous Catheters 9,200 0.28 Falls … MPSMS (2013) In-Hospital Patient Falls 240,000 7.2 Obstetric Adverse Events PSI (2013 … Line-Associated Bloodstream Infections 18,000 9,200 8,800 49% $149,600,000 1,628 Falls … Central Line-Associated Bloodstream Infections 40,000 50% 50% 25% 10,000 $17,000 Falls … *Additional costs per HAC for Falls and Pressure Ulcers were modified in 2012 from earlier higher projections

447. Recommendation: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Preventive Medication | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-d-calcium-or-combined-supplementation-for-the-primary-prevention-of-fractures-in-adults-preventive-medication
     April 17, 2018 - Update in Progress for Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Falls … Grade: D Risk Assessment Low bone mass, older age, and history of falls are major risk factors … risk for falls; multifactorial interventions may also be effective in some persons as well. … The USPSTF found adequate evidence that vitamin D supplementation does not prevent falls. … Interventions to Prevent Falls in Older Adults: A Systematic Review for the U.S.

448. Fung CH 2006 "Computerized condition-specific templates for improving care of geriatric syndromes in a primary care setting." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/fung-ch-2006
     January 01, 2006 - (PCCs) will encounter more patients with geriatric syndromes, such as urinary incontinence (UI) and falls … DESCRIPTION: We developed and tested the usefulness of 2 condition-specific computerized templates (UI and falls … condition-specific templates resulted in improved history and physical exam assessment for both UI and falls … documentation and data collection for geriatric patients with conditions of urinary incontinence (UI) and falls … prompted clinicians to ask important questions and to perform physical exam elements related to Ul and falls

449. Appendix B30: Engineer Cane/Walker Inspection | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb30.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B30: … Engineer Cane/Walker Inspection Previous Page Next Page Table of Contents The Falls … Falls Engineer Instructions Engineer Cane Inspection Resident Name: _____________

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36110/psn-pdf
     April 04, 2024 - Falls, wrong surgery and unintended retained foreign bodies were among the most frequently submitted … sentinel-event-statistics-1995-2019 https://psnet.ahrq.gov/issue/sentinel-event https://psnet.ahrq.gov/primer/falls

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35088/psn-pdf
     January 01, 2025 - hospital-acquired infections, medication errors, inpatient suicide, and specific clinical harms such as falls … issue/patient-safety-inpatient-mental-health-settings-systematic-review https://psnet.ahrq.gov/primer/falls

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851658/psn-pdf
     July 26, 2023 - older adults, including unnecessary testing or procedures, nosocomial infections, medical errors, falls … assessment-overuse-medical-tests-and-treatments-us-hospitals-using-medicare-claims https://psnet.ahrq.gov/primer/falls

453. Network of Patient Safety Databases (NPSD) Data Spotlights | PSO
     pso.ahrq.gov/common-formats/npsd-data-spotlights
     November 01, 2024 - and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (PDF, 4.6 MB) Falls … : Falls: Associated Factors and Clinical Outcomes (PDF, 4.7 MB) Patterns of Fall Interventions (PDF

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837430/psn-pdf
     June 15, 2022 - stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission Bedrails are used in hospitals and at home to minimize falls … do-split-side-rails-present-increased-risk-patient-safety https://psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60727/psn-pdf
     July 29, 2020 - ten health care systems to evaluate the effectiveness of a multifactorial intervention to prevent falls … randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries https://psnet.ahrq.gov/primer/falls

456. The role of the chief executive officer in maximizing patient safety. | PSNet
     psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
     January 03, 2017 - Related Resources From the Same Author(s) Is it possible to identify risks for injurious falls … December 9, 2020 The tension between promoting mobility and preventing falls in the hospital … July 10, 2017 In-hospital sequelae of injurious falls in 24 medical/surgical units in … March 13, 2019 Effects of an intervention to increase bed alarm use to prevent falls

457. Partnering to Improve Patient Safety in Rural WV - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014920-bellamy-final-report-2007.pdf
     January 01, 2007 - The Falls Collaborative resulted in an overall decrease in the rate of falls. … The Falls collaborative grew out of the WV Patient Safety Improvement Corps (PSIC) falls- prevention … Rates were expressed as falls per 1,000 patient days. … The falls learning collaborative demonstrated the measurable impact on falls using the data generated … “RCAs in Falls Prevention,” Falls Collaborative, Flatwoods, WV. October 10, 2006. 26.

458. CER 215 Executive Summary: Adverse Effects of Pharmacologic Treatments of Major Depression in Older Adults (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-215-depression-older-adults-executive-summary.pdf
     March 01, 2019 - • Duloxetine most likely increases the risk of falls over longer treatment (<24 weeks) • Adverse events … reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) in older adults with a history of falls … Analytic framework Older adults with MDD Subgroups (KQ 2) • Age • Sex • Race or ethnicity • Risk of falls … SSRI 2 RCTs10,20 Any AE, blood pressure, falls, fractures, mortality, serious AE, weight, withdrawal … citalopram (++)20 Inconclusive: falls, fractures, mortality No data SSRI vs.

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50701/psn-pdf
     November 26, 2019 - consequences of a hypoglycemic event are really magnified on their cognitive function, their risk for falls … In the health system I’m at right now, we’re increasingly marrying our falls prevention work with our … Our prior approach to falls was, “if we keep them in bed they won’t fall.” … We don’t want patients falling and breaking a bone while in the hospital under nurse supervision. … For example, prolonged length of stay, falls, and malnutrition.

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846157/psn-pdf
     March 15, 2023 - https://psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores Falls in inpatient … psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores https://psnet.ahrq.gov/primer/falls