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psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
June 01, 2011 - In Conversation with… Edward Tenner, PhD
June 1, 2011
Also Read an Essay
Citation Text:
In Conversation with… Edward Tenner, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Cop…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/R_cAa3AjFGQ2np_aQnzQGA
February 11, 2025 - factor
for osteoporosis and conducted DXA, vertebral fracture assess-
ment, blood chemistry analyses, falls … y
or older at high baseline
fracture risk; extensive
screening battery (imaging,
laboratory values, falls … y or
older at high baseline fracture
risk and extensive screening
(imaging, laboratory
assessment, falls … Preventing falls is
addressed by a separate USPSTF recommendation.216 This review
did not address DXA … Interventions to prevent falls in community-
dwelling older adults: US Preventive Services Task
Force
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pressure-ulcer-prevention_disposition-comments.pdf
May 08, 2013 - Peer Reviewer
#6
Results Page 94, integrated beds are very high and increase the risk of
falls and … injury from falls. … mattress, making the side rail ineffective
None of the trials of support surfaces/beds reported risk of
falls … by the reviewer were included
within the patient characteristics described (e.g. functional
status falls … Hyde P, Falls K, Morris JA, Schoenwald SK.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
June 04, 2008 - The
very large percentage of reported problems falling into the “potential for harm” category speaks
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psnet.ahrq.gov/perspective/care-transitions
December 01, 2007 - Number one, because there's a notion that this is not something that falls within our accountability.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
July 02, 2008 - For instance, patient safety designs can be thought of as falling into two types: those that are for
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-1.pdf
January 01, 2016 - Sample Percentile Statistics
• If your medical office’s score is 55 percent positive, it falls above … • If your medical office’s score is 65 percent positive, it falls above the 90th percentile,
meaning … 1 36% 17.43% 8% 10% 25% 35% 49% 62% 96%
If your medical office’s score is 55 percent, your score falls … here:
If your medical office’s score is 65 percent, your score falls here:
39
Table 6-3.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/structured-handoff-rapid-research.pdf
January 01, 2025 - The outcomes assessed
were a heterogenous mixture of specific events like falls or patient mortality … Other measures of harm
declined, but the rate of falls, medication errors, procedure-related errors, … Shift-to-shift nursing handover
interventions associated with improved
inpatient outcomes-falls, pressure … Shift-to-shift nursing handover
interventions associated with improved
inpatient outcomes-falls, pressure
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digital.ahrq.gov/sites/default/files/docs/page/health-information-technology-evaluation-toolkit-2009-update.pdf
January 01, 2009 - patient without
external risk factors
such as cancer, hyper-
coagulable state, and
so on)
• PE/DVT
• Falls … Post-op shock
• Pneumothorax
intracranial
hemorrhage
Watch out for documentation effect
(e.g., falls … may become more
reliably documented because the
measure makes it easier to
document falls). … The actual number of observations required in this example (i.e., the minimal sample size) falls
somewhere
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/colorectal-booklet.pdf
November 01, 2023 - Preparing for and Recovering After Colorectal Surgery
Preparing for and Recovering
After Colorectal Surgery
e
Colorectal Surgery Patient Education Guide 1
Preparing for and Recovering
After Colorectal Surgery
Patient Name ___________________________________________________________________
Surgeon Name __…
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psnet.ahrq.gov/node/49783/psn-pdf
February 01, 2017 - The patient was alert and
oriented when she arrived in the ED, but she did report falling and hitting
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www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
January 01, 2025 - performance, infection risk, increased risk of accidental disconnection of devices, and slips, trips and falls … performance, infection risk, increased risk of accidental
disconnection of devices, and slips, trips and falls … name when
communicating
information
6
- Blue cord not
covered by safety
mat
- Patient arm falling
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effectivehealthcare.ahrq.gov/health-topics/healthy-aging
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digital.ahrq.gov/sites/default/files/docs/phr-impact-chronic-disease-transcript-012512.pdf
August 01, 2012 - We have people sometimes during CPAP set ups falling asleep. … Often, the burden falls on the individual or their caregivers
to help connect those dots.
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hcup-us.ahrq.gov/db/nation/neds/NEDS_Introduction_2015.jsp
January 01, 2015 - or submersion, (1) injury by drowning or submersion
INJURY_FALL
E Codes indicate injury by falling … : (0) no injury by falling, (1) injury by falling
INJURY_FIRE
E Codes indicate injury by fire … or submersion, (1) injury by drowning or submersion
INJURY_FALL
E Codes indicate injury by falling … : (0) no injury by falling, (1) injury by falling
INJURY_FIRE
E Codes indicate injury by fire
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www.ahrq.gov/sites/default/files/2024-07/domino-report.pdf
January 01, 2024 - Risk management files that did not involve patient care (e.g.,
visitor falls) were not included
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/medication-therapy-management_research-protocol.pdf
January 01, 2014 - participation in the MTM
program)
o Patient-Centered Outcomes
Disease-specific morbidity, including falls
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psnet.ahrq.gov/node/49406/psn-pdf
June 01, 2003 - The Dangerous Detour
June 1, 2003
Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/dangerous-detour
The Case
Following an overdose of alcohol and Ativan, a 26-year-old woman was admitted to the Medicine service
for observation after being placed on a 72-hour hold by…
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psnet.ahrq.gov/node/49623/psn-pdf
March 01, 2011 - Are We Pushing Graduate Nurses Too Fast?
March 1, 2011
Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
The Case
A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - A Fumbled Handoff to Inpatient Rehab
September 1, 2015
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
The Case
An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…