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Showing results for "falls in hospitals".
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2541. Overview of Patient Safety Learning Laboratory Projects. | PSNet
      psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects
      December 24, 2008 - team-focused learning laboratories to test and apply systems engineering approaches to improve safety in … December 24, 2008 AHRQ Health Information Technology Research: 2018 Year in Review. … May 1, 2017 Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. … May 24, 2015 Training of Hospital Staff To Respond to a Mass Casualty Incident. … August 15, 2018 Fall Prevention in Hospitals Training Program.

2542. Survey shows recession has weakened patient safety net. | PSNet
      psnet.ahrq.gov/issue/survey-shows-recession-has-weakened-patient-safety-net
      June 10, 2018 - United States hospitals. … February 1, 2023 Selected medication safety risks to manage in 2016 that might otherwise … September 7, 2016 Impact of pharmacist involvement in the transitional care of high-risk … December 3, 2008 View More See More About The Topic Hospitals Health … Care Executives and Administrators General Internal Medicine Hospital Medicine Hospital Pharmacy

2543. How DeKalb Medical fixed drug safety problems after fatal error. | PSNet
      psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
      October 11, 2017 - Overreliance on technology can result in harmful medication mistakes. … October 19, 2016 Health systems and hospitals in pursuit of high reliability. … October 23, 2019 Malnourishment 'epidemic' plagues hospitals? Really? … October 11, 2016 After a medical error, patients could become hospital insiders. … April 11, 2018 When There's Harm in the Hospital: Can Transparency Replace "Deny and

2544. Prevention, Diagnosis, and Management of Opioids, Opioid Misuse and Opioid Use Disorder in Older Adults: Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/opioids-oa-protocol.pdf
      June 29, 2019 - even at doses considered therapeutic or appropriate.6 Studies have demonstrated an increased rate of falls … drug-drug interactions), compromised respiration, hypogonadism, osteoporosis, falls with resulting … untreated pain has been associated with many negative consequences, including depression, anxiety, falls … What outcomes should be captured specifically for older adults (falls, cognitive function, cardiovascular … income-level/high-income 8 ● Any outcome, including: o Person-level clinical outcomes (e.g., death, falls

2545. Disclosure of harmful medical errors in out-of-hospital care. | PSNet
      psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-out-hospital-care
      June 18, 2014 - Review Disclosure of harmful medical errors in out-of-hospital care. … Disclosure of harmful medical errors in out-of-hospital care. … Disclosure of harmful medical errors in out-of-hospital care. … February 22, 2017 Clinical handovers between prehospital and hospital staff: literature … June 11, 2014 Review article: improving the hospital clinical handover between paramedics

2546. Medication safety infrastructure in critical-access hospitals in Florida. | PSNet
      psnet.ahrq.gov/issue/medication-safety-infrastructure-critical-access-hospitals-florida
      December 06, 2017 - Study Medication safety infrastructure in critical-access hospitals in Florida. … Medication safety infrastructure in critical-access hospitals in Florida. … Medication safety infrastructure in critical-access hospitals in Florida. … a multistate hospital network--13 academic medical centers, April-June 2020. … pneumonia in 284 US hospitals using electronic surveillance criteria.

2547. The 100,000 Lives Campaign: crystallizing standards of care for hospitals. | PSNet
      psnet.ahrq.gov/issue/100000-lives-campaign-crystallizing-standards-care-hospitals
      August 20, 2018 - The 100,000 lives campaign: crystallizing standards of care for hospitals. … COVID-19 pandemic on cancer survival in the UK: a modelling study. … May 1, 2022 Hospital cultural competency and attributes of patient safety culture: a … study of U.S. hospitals. … July 8, 2020 Hospital image repair strategies, organizational apology, and medical errors

2548. Blood Thinner Pills: Your Guide to Using Them Safely (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
      September 01, 2015 - Please take time to read all of the information in this booklet. … Mark the missed dose in a diary or on a calendar. … Dizziness or weakness. 6 Stay Safe While Taking Your Blood Thinner Call your doctor and go to the hospital … If you like to work in the yard, you still can. … Testing your blood helps your doctor keep you in a safe range.

2549. Archived: Final Evidence Summary: Impaired Visual Acuity in Older Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary50/impaired-visual-acuity-in-older-adults-screening-2009
      July 15, 2009 - was not associated with a reduction in incidence of falls or fractures, although statistical power was … Visual impairment and falls in older adults: the Blue Mountains Eye Study. … Improving vision to prevent falls in frail older people: a randomized trial. … Falls and health status in elderly women following first eye cataract surgery: a randomised controlled … High dose zinc increases hospital admissions due to genitourinary complications.

2550. A Seasonal Care Transition Failure | PSNet
      psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
      June 01, 2016 - focused on transitions necessitated by transfer to a different setting of care (e.g., discharge from the hospital … "falling through the cracks" compared with other types of transfers. … Handoffs in which the patient resides in the clinical setting (e.g., nursing homes, acute hospital) do … Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital … January 15, 2025 Patient Safety Innovations Preventing Falls

2551. Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. | PSNet
      psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
      February 24, 2016 - This newsletter article describes the experience of one hospital system that worked to ensure safe insulin … March 14, 2023 Survey shows room for improvement with three new best practices for hospitals … the hospital setting. … April 23, 2014 Medication errors common for hospital diabetes. … January 1, 2009 View More See More About The Topic Hospitals

2552. Simulation Articles of Influence. | PSNet
      psnet.ahrq.gov/issue/simulation-articles-influence
      April 20, 2022 - Society for Simulation in Healthcare. 2017-2023. … Society for Simulation in Healthcare. 2017-2023. … April 20, 2022 Simulation in Healthcare. … August 19, 2020 Fall Prevention in Hospitals Training Program. … March 17, 2011 View More See More About The Topic Hospitals Ambulatory

2553. PQMP 2.0 Journal Supplement | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/publications/2-0-journal-supplement.html
      September 01, 2021 - Journal Supplement The second phase of the Pediatric Quality Measures Program (PQMP) was launched in … levels (State, payer, hospital, provider), accessing data, and reporting. … [ The supplement is expected to be published in fall 2021. … Commentaries PQMP: Advancing Measurement and Quality Improvement in Pediatric Care. … Integrating Youth Voice in Health Plan Quality Improvement.

2554. Patient safety in dentistry: development of a candidate 'never event' list for primary care. | PSNet
      psnet.ahrq.gov/issue/patient-safety-dentistry-development-candidate-never-event-list-primary-care
      April 12, 2017 - Study Patient safety in dentistry: development of a candidate 'never event' list … Patient safety in dentistry: development of a candidate 'never event' list for primary care. … November 22, 2017 Insights into the climate of safety towards the prevention of falls … among hospital staff. … January 13, 2021 Diagnostic overshadowing in dentistry.

2555. Nursing home safety: does financial performance matter? | PSNet
      psnet.ahrq.gov/issue/nursing-home-safety-does-financial-performance-matter
      November 05, 2008 - Interestingly, nursing homes in the top two financial categories also had noted deficiencies , whereas … RIS Download Citation Related Resources From the Same Author(s) Hospital … February 15, 2023 Safety climate, safety climate strength, and length of stay in the … November 20, 2019 Clinical practice guideline: safe medication use in the ICU. … review of root cause analyses of falls leading to adverse events.

2556. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. | PSNet
      psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings
      December 21, 2014 - ; assessment and impact on the first 32 facilities in the programme. … April 12, 2019 Root cause analysis of reported patient falls in ORs in the Veterans Health … April 24, 2011 Communication failure in the operating room. … ; assessment and impact on the first 32 facilities in the programme. … August 18, 2010 Surgical team training: the Northwestern Memorial Hospital experience

2557. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. | PSNet
      psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
      September 29, 2017 - October 9, 2024 Patient education to prevent falls among older hospital inpatients: a … 2011 Effects of a team-based assessment and intervention on patient safety culture in … January 8, 2014 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … 5, 2022 Patients' experiences and perspectives of patient-reported outcome measures in … November 15, 2017 Countering cognitive biases in minimising low value care.

2558. Archived: Osteoporosis to Prevent Fractures: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening-june-2018
      June 26, 2018 - Other Relevant USPSTF Recommendations The USPSTF has made recommendations on interventions to prevent falls … in community-dwelling adults 65 years and older at increased risk of falls and selectively offering … falls or those using certain medications (such as aromatase inhibitors) that may increase one’s risk … Kemper, MD, MPH, MS (Nationwide Children’s Hospital, Columbus, Ohio); Martha Kubik, PhD, RN (Temple University … Interventions to prevent falls in community-dwelling older adults: US Preventive Services Task Force

2559. Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania. | PSNet
      psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
      March 03, 2011 - : a survey of adults in Pennsylvania. … Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices. … Patients are increasingly being asked to assume a role in ensuring their own safety.  … study's findings are similar to a prior AHRQ-funded study of patients recently discharged from the hospital … Resources Perspective The Ongoing Journey to Prevent Patient Falls

2560. Screening for Impaired Visual Acuity in Older Adults: Updated Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/DCfAJZvNDzSYu7NqLJX2bv
      March 01, 2016 - falls (2.45 falls/patient vs 1.68 falls/patient; rate ratio, 1.57; 95% CI, 1.20-2.05) along with a non–statistically … , Royal National Institute of Blind People, London; Gianni Virgili, MD, Careggi Hospital Eye Clinic, … Visual risk factors for falls in older people. J Am Geriatr Soc. 2001;49(5):508-515. 5. … Visual impairment and falls in older adults: the Blue Mountains Eye Study. … Improving vision to prevent falls in frail older people: a randomized trial.