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psnet.ahrq.gov/issue/costly-issues-uncommunicative-or
July 29, 2020 - September 29, 2017
Evaluation of clinical practice guidelines on fall prevention and … February 5, 2020
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Related Resources
Statement on the prevention
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psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
January 12, 2022 - Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall prevention … June 26, 2009
Ounce of prevention: to reduce errors, hospitals prescribe innovative designs
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
October 19, 2022 - March 14, 2022
Effect of an emergency department process improvement package on suicide prevention … February 3, 2011
Evaluation of clinical practice guidelines on fall prevention and management … March 30, 2016
Prevention of fall-related injuries in long-term care: a randomized controlled
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psnet.ahrq.gov/issue/medical-errors-orthopaedics-results-aaos-member-survey
August 04, 2021 - March 19, 2019
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/factors-associated-diagnostic-error-analysis-closed-medical-malpractice-claims
July 13, 2022 - October 25, 2017
WebM&M Cases
Falling Between the Cracks … November 1, 2017
Patient and caregiver perspectives on causes and prevention of ambulatory … September 26, 2012
Prevention of surgical malpractice claims by a surgical safety checklist
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psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
October 20, 2010 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls … 30, 2022
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Related Resources
Guidelines in Practice: prevention … August 3, 2022
Guideline implementation: prevention of retained surgical items. … September 29, 2017
Statement on the prevention of retained foreign bodies after surgery … September 12, 2012
Implementing AORN recommended practices for prevention of retained
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - We are interested in whole healthcare, quality of life, patient experience, and
prevention of patient … safety events and adverse events such as medication issues, falls, pressure ulcers,
and infections. … As we all experience healthcare, we consider how we can minimize unplanned care and
maximize prevention … Healthcare Effectiveness Data
and Information Set (HEDIS) measures that we use, including chronic care prevention
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep3.html
June 01, 2010 - following three subdomains: functioning in daily activities; social role functioning; and health promotion/prevention … events that reflect a consensus regarding client health and safety, such as suicide, assault, injurious falls … Finally, with regard to avoidable hospitalizations, AHRQ has developed a set of Prevention Quality Indicators … The Prevention Quality Indicators would require additional testing and/or modification to determine their
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psnet.ahrq.gov/issue/children-admitted-hospital-what-interventions-improve-medication-safety-ward-rounds
July 29, 2020 - 7, 2022
Six major steps to make investigations of suicide valuable for learning and prevention … February 2, 2022
Sitters as a patient safety strategy to reduce hospital falls: a systematic … March 23, 2022
Potentially inappropriate medications and their effect on falls during
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psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
March 03, 2021 - February 2, 2022
Fall prevention implementation strategies in use at 60 United States … February 22, 2023
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Related Resources
Patient falls in … October 26, 2022
Patient falls in the operating room setting: an analysis of reported
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psnet.ahrq.gov/issue/how-providers-can-optimize-effective-and-safe-scribe-use-qualitative-study
November 18, 2020 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … February 7, 2024
Cost of inpatient falls and cost-benefit analysis of implementation … of an evidence-based fall prevention program.
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psnet.ahrq.gov/issue/patients-experience-patient-safety-information-and-participation-care-during-hospital-stay
April 05, 2023 - August 25, 2021
Do falls and other safety issues occur more often during handovers when … June 14, 2023
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023
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psnet.ahrq.gov/issue/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Related Resources
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023
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psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
March 14, 2022 - November 1, 2023
Cost of inpatient falls and cost-benefit analysis of implementation … of an evidence-based fall prevention program. … Exploring organizational context and structure as predictors of medication errors and patient falls
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hcup-us.ahrq.gov/reports/statbriefs/sb19.pdf
November 01, 2006 - definition of injury used in this statistical brief is consistent with the State and
Territorial Injury Prevention … Over 38 per-
f injury stays were the
of falls. … By far, the most frequent
cause of injury was falls. … Statistical Brief, injuries were defined in a manner consistent with the State and Territorial Injury
Prevention … State and Territorial Injury Prevention Directors Association. http://stipda.org/associations/5805/files
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psnet.ahrq.gov/node/42083/psn-pdf
March 13, 2013 - Progress in patient safety improvement has been hindered by a lack of high-quality research on error
prevention … certain health care–associated infections and surgical
complications, bundled interventions to reduce falls … surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/node/43444/psn-pdf
August 27, 2014 - Kingdom revealed that the most common events included failure to recognize clinical deterioration, falls … improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety
https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/node/47349/psn-pdf
January 30, 2019 - information sharing and advice networks on several patient safety outcomes, including medication errors,
falls … //psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or31.jsp
August 01, 2014 - Motor vehicle crashes account for majority of unintentional injury deaths
Injury prevention … Falls: AI/AN 8.5, white 27.6. Accidental drowning:AI/AN 4.2, white 3.2. … projects at NPAIHB
Injury Prevention Program
NW Tribal Injury Prevention … Coalition → 5-year Tribal Injury Prevention Action Plan
Focus on motor vehicle safety & elder falls … Bridget Canniff & Luella Azule, Injury Prevention Program
Tam Lutz, Jodi Lapidus, & Nicole Smith, Native
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psnet.ahrq.gov/issue/clinicians-perceptions-opioid-error-contributing-factors-inpatient-palliative-care-services
June 01, 2016 - The impact of safety culture, quality of care, missed care and nurse staffing on patient falls … 27, 2024
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023