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Showing results for "falls".
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  1. Slide 1 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/resource/Governance_Considerations.pdf
    June 16, 2021 - Slide 1 Governance Considerations Includes suggested state structure, general guidelines considered in Memphis, and guidelines adopted by Memphis leadership • Cross Region Issue Resolution • Decision Making • Communication National Technology Advisory Panel – AHRQ Requirement Governor’s Health Informa…

  2. Dedicated teams to optimize quality and safety of surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review
    October 27, 2021 - Review Dedicated teams to optimize quality and safety of surgery: a systematic review. Citation Text: Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.…

  3. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. | PSNet

    psnet.ahrq.gov/issue/nature-and-timing-incidents-intercepted-surpass-checklist-surgical-patients
    September 20, 2011 - Study Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. Citation Text: de Vries EN, Prins HA, Bennink C, et al. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. BMJ Qual Saf. 2012;21(6):503-8. doi:10.1136/…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852700/psn-pdf
    August 30, 2023 - since experienced higher rates of preventable infections, as well as increases in pressure ulcers and falls … performance measures are associated with measuring and reporting specific harms, such as an infection, falls

  5. Preparing for Health Reform: The Federal Government and the Nursing Workforce | PSNet

    psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
    September 01, 2012 - Patients are at risk of falls. … The "solution" is an assessment form and an action plan related to the risk of falls.

  6. In Conversation With… Jack Needleman, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
    September 01, 2012 - Patients are at risk of falls. … The "solution" is an assessment form and an action plan related to the risk of falls.

  7. Healthcare Safety Competencies Affinity Group Environmental Scan (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/healthcare-safety-competency-environmental-scan.pdf
    March 27, 2025 - bloodstream infections, ventilator-associated events, hospital-acquired pressure injuries, patient falls … rather than individual improvement efforts in specific areas such as healthcare-associated infections, falls

  8. Improving Patient Safety with the Military Electronic Health Record (pdf file)

    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

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49816/psn-pdf
    January 01, 2018 - The Case A 56-year-old woman with a history of alcohol dependence was admitted to the hospital after falling

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49712/psn-pdf
    June 01, 2014 - He did volunteer that he typically had difficulty falling asleep, often taking a single dose of diphenhydramine

  11. Context-Aware Knowledge Delivery into Electronic Health Records - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/k01hs018352-del-fiol-final-report-2013.pdf
    January 01, 2013 - Context-Aware Knowledge Delivery into Electronic Health Records - Final Report Grant Final Report Grant ID: 5K01HS018352 Context-Aware Knowledge Delivery into Electronic Health Records Inclusive Project Dates: 09/30/09 – 08/31/13 Principal Investigator: Guilherme Del Fiol, MD, PhD T…

  12. Misidentifying the Unidentified – John Doe and the EHR | PSNet

    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

  13. Cancer-Anemia-Update Executive (pdf file)

    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

  14. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/slides.html
    December 01, 2014 - Falls Prevention. Prevention of Avoidable Hospitalizations.

  15. Create a Safe Medicine List Together: Role Play Scenarios (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-roleplay-final508.pdf
    June 02, 2025 - He did have a few falls from his bike and has started using a stationary bike instead.

  16. Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
    January 01, 2020 - treatment S Safety Concerns Critical lab values/reports, socioeconomic factors, allergies, and alerts (falls

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865698/psn-pdf
    April 24, 2024 - Although differences have been reported on patient variables like hospital-acquired pressure ulcers, falls

  18. Mixup Beyond the Medication Label | PSNet

    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

  19. Psn-Pdf (pdf file)

    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

  20. A Picture Speaks 1000 Words | PSNet

    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
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