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psnet.ahrq.gov/node/48130/psn-pdf
August 07, 2019 - Adverse events in long-term care residents transitioning
from hospital back to nursing home. … Adverse Events in Long-term Care Residents Transitioning From
Hospital Back to Nursing Home. … -
home
Transitions from hospitals to long-term care facilities are associated with safety hazards. … Common adverse events included falls, pressure
ulcers, health care–associated infections, and adverse … The authors conclude that improved communication and coordination between
discharging hospitals and
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psnet.ahrq.gov/node/38760/psn-pdf
July 08, 2009 - Nurses' perceptions of safety culture in long-term care
settings. … Nurses' perceptions of safety culture in long-term care settings. … care facilities are particularly vulnerable to patient safety problems such as
medication errors and falls … Mirroring an issue previously identified in hospitals, nurse managers had a considerably
more optimistic … incidence-adverse-drug-events-two-large-academic-long-term-care-facilities
https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
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psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events
October 06, 2016 - In this study conducted at military hospitals, greater nursing experience and skill mix was associated … December 12, 2012
Families as partners in hospital error and adverse event surveillance … May 4, 2015
Influence of unit-level staffing on medication errors and falls in military … hospitals. … care hospital units.
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psnet.ahrq.gov/node/837430/psn-pdf
June 15, 2022 - /issue/stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission
Bedrails are used in … hospitals and at home to minimize falls despite the potential to contribute to patient
harm. … stop-using-these-adult-bed-rails-warns-consumer-product-safety-commission
https://psnet.ahrq.gov/issue/fda-guidance-document-hospital-bed-system-dimensional-and-assessment-guidance-reduce … do-split-side-rails-present-increased-risk-patient-safety
https://psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
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psnet.ahrq.gov/issue/environmental-changes-increase-hospital-safety-dementia-patients
January 10, 2011 - Improving patients' perceptions of safety in hospitals. … August 24, 2022
Care quality, patient safety, and nurse outcomes at hospitals serving … in a Canadian regional hospital system: a retrospective time series analysis. … December 2, 2015
Reducing falls and fall-related injuries in mental health: a 1-year … multihospital falls collaborative.
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psnet.ahrq.gov/issue/npsd-data-spotlight-patterns-fall-interventions
September 13, 2023 - Falls are a frequently reported sentinel event. … Free full text (PDF)
Related dashboard
Related resource: NPSD Data Spotlight - Falls: Associated … January 14, 2024
Burnout in Primary Care: Assessing and Addressing It in Your Practice … October 27, 2021
View More
See More About The Topic
Hospitals
Hospital … Medicine
Nurse Care
Patient Falls
Error Reporting and Analysis
View More
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psnet.ahrq.gov/node/838011/psn-pdf
January 01, 2023 - Fall prevention with the Smart Socks System reduces
hospital fall rates. … is a safety priority in hospital settings. … sensors that detect when a patient is trying to stand up – reduced fall rates among patients at risk
of falls … in one hospital’s neurological and neurosurgical department. … /primer/falls
https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study
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psnet.ahrq.gov/issue/6-year-thematic-review-reported-incidents-associated-cardiopulmonary-resuscitation-calls
June 15, 2022 - review of root cause analyses of falls leading to adverse events. … delays to identification of serious injury after falls in hospital inpatients. … 5 teaching hospitals. … in a Canadian regional hospital system: a retrospective time series analysis. … February 23, 2022
Medication safety in mental health hospitals: a mixed-methods analysis
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psnet.ahrq.gov/issue/internet-things-healthcare-patient-safety-empirical-study
March 18, 2020 - connect and exchange data with other devices, such as RFID technology) is effective at reducing patient falls … hematology day hospitals. … April 12, 2023
Why hospitals still make serious medical errors—and how they are trying … February 10, 2021
Effects of an intervention to increase bed alarm use to prevent falls … December 12, 2012
View More
See More About The Topic
Hospitals
Information
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psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case-conferences
June 15, 2022 - receiving home hospice services is growing, and this descriptive study found that medication errors and falls … August 20, 2018
How hospitals select their patient safety priorities: an exploratory … study of four Veterans Health Administration hospitals. … December 11, 2024
Interventions to prevent falls in older adults: updated evidence report … July 1, 2020
Adverse drug events and medication problems in "Hospital at Home" patients
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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 … Researchers found that the greater the patient’s confidence in their ability to perform
a high fall-risk … psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores
https://psnet.ahrq.gov/primer/falls … https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
September 23, 2020 - August 10, 2022
Hospital Compare. … May 13, 2020
Assessment of nursing home reporting of major injury falls for quality measurement … February 5, 2020
Are teaching hospitals treated fairly in the Hospital-Acquired Condition … April 16, 2014
HealthGrades Sixth Annual Patient Safety in American Hospitals Study. … Makers
Nosocomial Infections
Patient Falls
Epidemiology of Errors and Adverse Events
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psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
August 03, 2022 - Among the individual PSIs, only in-hospital falls with hip fractures were significantly higher during … March 31, 2021
Families as partners in hospital error and adverse event surveillance. … : a medical record review across nine Swiss hospitals. … awaiting long-term care in hospital. … pandemic in a Canadian regional hospital system: a retrospective time series analysis.
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psnet.ahrq.gov/issue/effect-promoting-high-quality-staff-interactions-fall-prevention-nursing-homes-cluster
July 13, 2010 - Falls represent a significant cause of patient injury in the hospital setting, and evidence suggests … multistate hospital network--13 academic medical centers, April-June 2020. … hospitals. … February 17, 2021
Partnering to prevent falls: using a multimodal multidisciplinary team … See More About The Topic
Long-Term Care
Health Care Providers
Geriatrics
Patient Falls
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psnet.ahrq.gov/issue/under-mined
October 27, 2010 - Hospitals & health networks. 2006;80(12):38-40, 42, 44, 1. … Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls … the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. … hospital discharge. … April 21, 2010
Falls in English and Welsh hospitals: a national observational study based
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psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - hospital and ambulatory care
settings. … SNFs as in hospitals. … A WebM&M commentary highlights falls that occur in SNF
patients in more detail and gives evidence-based … Unfortunately, safety culture
in many long-term care facilities is poorer than that found in hospitals … These
require SNFs to have measures in place to prevent specific clinical harms (such as falls, pressure
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psnet.ahrq.gov/issue/patient-safety-perception-within-hospitals-examination-job-type-handoffs-and-information
December 18, 2014 - and information exchange, and hospital management support. … , and hospital management support. … , and hospital management support. … August 19, 2020
Using human factors and ergonomics principles to prevent inpatient falls … May 31, 2023
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
July 06, 2022 - Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals … environment: a study of 484 COVID-19-related event reports across 94 hospitals
September 1, 2021 … July 8, 2009
Utilizing quality improvement methods to prevent falls and injury from falls … from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals … long-term care hospitals and their relationship to Joint Commission accreditation.
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psnet.ahrq.gov/node/838916/psn-pdf
October 26, 2022 - Falling through the cracks: the invisible hospital cleaning
workforce. … Falling through the cracks: the invisible hospital cleaning
workforce. … https://psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
Disinfection … and cleaning of the hospital environment can promote a reduction in healthcare-associated
infections … https://psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/performance-trigger-tool-detecting-drug-related-hospital-admissions-older-people-analysis
December 21, 2022 - Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis … Triggers were related to diagnoses (e.g., falls, bleeding, thromboembolic events), laboratory values … Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis … mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) … hospital admissions in Multimorbid older people (OPERAM) trial.