-
psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - adoption of evidence-based guidelines, including catheter-associated urinary tract infections and falls
-
psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - less harmful if care
had been different;
Adverse events due to negligence: those due to care that falls
-
psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - generally the responsibility of nurses or other trained staff;
in ambulatory care the responsibility falls
-
digital.ahrq.gov/ahrq-funded-projects/implementation-and-evaluation-pspro-person-specific-patient-reported-outcome
August 31, 2023 - conditions such as pulmonary disease, diabetes, and opioid use and age-related factors such as frailty, falls
-
psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - Examples include patients who may be on medications that could increase their risk of falls or bleeding
-
psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - patients of similar age arrived at the same time to the emergency department (ED) after sustaining falls
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-anemia-update_executive.pdf
April 01, 2013 - patients randomized to early (when
chemotherapy or radiotherapy begins) and late (when
hemoglobin falls
-
psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
January 01, 2015 - In this sense, the opioid epidemic is iatrogenic, and thus falls within the scope of patient safety.
-
digital.ahrq.gov/sites/default/files/docs/citation/r03hs025043-ellis-final-report-2019.pdf
January 01, 2019 - As education level and age increase, change in WAB score
falls.
-
hcup-us.ahrq.gov/reports/race/GeographicInfoIB.pdf
April 01, 2011 - times higher than the average.9 In the
hardest hit census blocks in Providence, Pawtucket, Central Falls
-
psnet.ahrq.gov/node/867652/psn-pdf
February 26, 2025 - to examine patterns across multiple events within a category (such as medication
errors or patient falls
-
psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Perspective
The Ongoing Journey to Prevent Patient Falls
-
psnet.ahrq.gov/node/865698/psn-pdf
April 24, 2024 - Although differences have been
reported on patient variables like hospital-acquired pressure ulcers, falls
-
psnet.ahrq.gov/web-mm/picture-speaks-1000-words
July 16, 2015 - June 21, 2017
Root cause analysis of reported patient falls in ORs in the Veterans Health
-
psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdf
January 01, 2020 - This class of drugs is frequently associated with errors that can
result in adverse events including falls
-
psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
June 01, 2014 - medications such as sulfonylureas (including glimepiride) as they can cause hypoglycemia and result in falls
-
psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - found a 37%
increase in reporting, and decreases in preventable harm: 39%
decrease in injuries with falls
-
www.ahrq.gov/sops/international/nursing-home/translators.html
October 01, 2014 - More about this dimension: Typical errors/mistakes/incidents include medication errors, preventable falls
-
psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - Case & Commentary—Part 1: A frail 80-year-old man with a past medical history of dementia, falls, and
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
January 24, 2004 - Department of Defense (Health Affairs), Falls Church, VA
(MJC, PSJ, BJH). … Department of Defense (Health Affairs), 5111 Leesburg Pike, Suite 810, Falls Church, VA 22041;
phone