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Showing results for "falls prevention".
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  1. When a surgeon should just say 'I'm sorry'. | PSNet

    psnet.ahrq.gov/issue/when-surgeon-should-just-say-im-sorry
    February 05, 2014 - February 5, 2014 How to avoid falling victim to a hospital mistake. … December 22, 2010 How to avoid falling victim to a hospital mistake.

  2. Hospital trustees shift their focus to medical safety. | PSNet

    psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
    July 30, 2014 - Resources Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

  3. Psn-Pdf (pdf file)

    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

  4. Psn-Pdf (pdf file)

    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

  5. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
    January 01, 2024 - of the National Coordinator for Health Information Technology CDC Centers for Disease Control and Prevention … DLS is working with the CDC Division of Heart Disease and Stroke Prevention, the National Association … This video will also be used in CDC infection control and prevention training programs for rural hospitals … • Education for the Patient and Caregiver on Fall Prevention at Home and in the Community.

  6. National Web-Based Teleconference on Health IT and Safety - Using Health IT to Prevent Adverse Events (pdf file)

    digital.ahrq.gov/sites/default/files/docs/Health_IT_and_Safety_070910_comp.pdf
    July 13, 2010 - http:1.40-1.58 Calibration via falls Falls • Calibrate database to literature … related to the admission – at least two days after admission Falls … processing Deep Natural Language Processing NLP at Columbia Demography of CXRs Calibration via falls … Falls Falls (cont'd.)

  7. Man falls off surgical table; St. Joseph's Hospital sued. | PSNet

    psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued
    May 13, 2020 - Newspaper/Magazine Article Man falls off surgical table; St. … Citation Text: Man falls off surgical table; St. Joseph's Hospital sued. Smith ML; Wolfe WA. … Linkedin Copy URL Cite Citation Citation Text: Man falls

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49760/psn-pdf
    May 01, 2016 - By history, this patient exhibited features of parkinsonism (shuffling gait and falls), disturbed nighttime … The care of a person with dementia should be focused on prevention of delirium (for example, promotion … Delirium in elderly adults: diagnosis, prevention and treatment. Nat Rev Neurol. 2009;5:210-220. … cognitive impairment Advancing age (> 65 years) History of delirium, stroke, neurological disease, falls

  9. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. | PSNet

    psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
    August 21, 2005 - The risk of thrombosis increases exponentially as the INR falls from 2.0 down to 1.0. 5 However, patients … If the INR value falls below a value of 1.8, and especially if the INR is <1.5, prompt addition of subcutaneously … Antithrombotic and thrombolytic therapy for valvular disease: Antithrombotic Therapy and Prevention of … Optimal level of oral anticoagulant therapy for the prevention of arterial thrombosis in patients with

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843054/psn-pdf
    January 25, 2023 - The most common types of nursing-sensitive events were falls, pressure injuries, healthcare-associated … staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study https://psnet.ahrq.gov/primer/nursing-and-patient-safety https://psnet.ahrq.gov/primer/falls

  11. Strategies to Better Engineer Safety into Healthcare Delivery (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
    March 06, 2025 - Product Safety Branch, Division of Healthcare Quality & Promotion, Centers for Disease Control and Prevention … Healthcare organizations can use established methods and tools to incorporate hazard anticipation, prevention … Implementation Support Resources AHRQ • Center for Disease Control and Prevention (CDC) Training: … competing design priorities and demonstrates how a participatory design process focused on preventing falls … By addressing these aspects, the study aims to improve patient room design and reduce the risk of falls

  12. Making Healthcare Safer IV Rapid Review: Examining the Impact of Implementing High-Reliability Organization Principles on Patient Safety Outcomes (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-rapid-research.pdf
    May 01, 2025 - *Mechanisms for harm prevention/mitigation. … o The Falls Management Program30: a set of educational and quality improvement tools to help nursing … The falls management program: A quality improvement initiative for nursing facilities. … Fall TIPS: A Patient-Centered Fall Prevention Toolkit. … Preventing Falls in Hospitals.

  13. Transcript: Senior Leadership Podcast – What Does It Mean To Be Engaged? (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
    June 01, 2017 - Senior Director Infection Prevention Novant Health Winston-Salem, NC Jennifer A. … They understand what our best practices are for prevention. … We look at falls, skin breakdown, CLABSI prevention, and CAUTI prevention. … Obviously CLABSI and CAUTI prevention are only relevant to those patients who have central line or intra-urinary

  14. Safely implementing health information and converging technologies. | PSNet

    psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
    May 14, 2018 - February 10, 2021 Preventing falls and fall-related injuries in health care facilities

  15. Back to basics: the Universal Protocol. | PSNet

    psnet.ahrq.gov/issue/back-basics-universal-protocol
    March 17, 2021 - November 9, 2022 Root cause analysis of reported patient falls in ORs in the Veterans … December 12, 2018 Root cause analysis of reported patient falls in ORs in the Veterans

  16. Physician Quality Officer: a new model for engaging physicians in quality improvement. | PSNet

    psnet.ahrq.gov/issue/physician-quality-officer-new-model-engaging-physicians-quality-improvement
    May 03, 2017 - May 27, 2011 Effect of computer order entry on prevention of serious medication errors … September 14, 2016 Safety standards: implementing fall prevention interventions and sustaining

  17. Medication safety: look-alike/sound-alike drugs in home care. | PSNet

    psnet.ahrq.gov/issue/medication-safety-look-alikesound-alike-drugs-home-care
    February 03, 2021 - Strategies to improve the patient safety outcome indicator: preventing or reducing falls … Strategies to improve the patient safety outcome indicator: preventing or reducing falls

  18. Standardizing hand-off processes. | PSNet

    psnet.ahrq.gov/issue/standardizing-hand-processes
    June 03, 2020 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention … Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention

  19. Motor Vehicle Crash Mortality among Northwest AI/AN.

    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

  20. Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. | PSNet

    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
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