-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/case-management_research-protocol.pdf
June 06, 2011 - also has been interest in
case management as a means to prevent adverse clinical events, such as falls
-
psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
March 01, 2018 - likely to rate their hospital well ( 7 ), and there is an increased risk of adverse events and patient falls
-
psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
July 01, 2011 - psychiatric units were medication errors (17.2 per 100 discharges), adverse drug events (4.1), and falls
-
psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - We have individuals going out
into individual homes, where some serious events occur, like patient falls
-
www.ahrq.gov/sites/default/files/2024-07/nuckols-report.pdf
January 01, 2024 - Individualizing Assessments of Risk to Reduce Falls in UC Hospitals.
-
psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - customize the site based on your own interests (perhaps you're a nurse interested in research on preventing falls
-
psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - customize the site based on your own interests (perhaps you're a nurse interested in research on preventing falls
-
psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - specific things, like the
safety harm scenarios that nurses commonly experience related to things like falls
-
www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
January 01, 2024 - complications of hospitalization, NIs account for 50%; the
remaining are medication errors, patient falls
-
psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - May 31, 2023
Patient Safety Innovations
Preventing Falls
-
psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - significantly improve a number of patient outcomes, including lower rates of surgical site infections , falls
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/visual-impairment-in-children-ages-1-5-screening-2011
January 15, 2011 - tests (Random Dot E test, Lea symbols test, and SureSight autorefractor [Welch Allyn, Inc, Skaneateles Falls
-
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-guide.pdf
June 02, 2025 - During intake, the patient collapses
and falls to the floor.
-
www.ahrq.gov/patient-safety/reports/advances/index.html
July 01, 2022 - Nozick
Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure
-
psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - found a 37% increase in reporting, and decreases in preventable harm: 39% decrease in injuries with falls
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-260-improved-cancer-outcomes-disposition-comments.pdf
May 22, 2023 - changes were made in response:
• Intervention categories were labeled and clear descriptions of what falls
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - The taxonometric classification falls in one of four
levels:
1.
-
psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - testing. 18 In looking at the second case through the lens of preventing medical errors, this likely falls
-
psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - August 1, 2009
WebM&M Cases
A Tale of Two Falls
-
integrationacademy.ahrq.gov/products/playbooks/behavioral-health-and-primary-care/implementing-plan/secure-financial-support-behavioral-health-services
August 01, 2025 - If the total cost of care falls below the bundled payment, providers may share in the savings, while