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1441. Radiation risks of diagnostic imaging and fluoroscopy. | PSNet
      psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
      June 18, 2021 - February 10, 2021 Preventing falls and fall-related injuries in health care facilities

1442. The costs associated with adverse drug events among older adults in the ambulatory setting. | PSNet
      psnet.ahrq.gov/issue/costs-associated-adverse-drug-events-among-older-adults-ambulatory-setting
      May 20, 2020 - medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention … July 20, 2011 Primary care–relevant interventions to prevent falling in older adults:

1443. Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/expanding-frontiers-risk-management-care-safety-nursing-home-during-covid-19-pandemic
      February 15, 2023 - This article presents a COVID-19 infection prevention and control plan for nursing homes , emphasizing … protections for healthcare professionals, prevention of infection spread among residents, management … Resources From the Same Author(s) Patient safety implications of wearing a face mask for prevention … Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention … COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention

1444. Analysing potential harm in Australian general practice: an incident-monitoring study. | PSNet
      psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study
      July 29, 2020 - June 28, 2017 Patient education to prevent falls among older hospital inpatients: a randomized

1445. Using inpatient hospital discharge data to monitor patient safety events. | PSNet
      psnet.ahrq.gov/issue/using-inpatient-hospital-discharge-data-monitor-patient-safety-events
      March 02, 2011 - Related Resources From the Same Author(s) Primary care–relevant interventions to prevent falling

1446. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
      November 21, 2012 - November 21, 2012 Root cause analysis of reported patient falls in ORs in the Veterans … January 17, 2019 Root cause analysis of reported patient falls in ORs in the Veterans

1447. Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
      January 01, 2023 - • Due to the high incidence of delirium among hospitalized patients, strategies for surveillance, prevention … , and management should be implemented for older adults.16,17 • Delirium prevention and care bundles … • Physical restraints have limited value as they may help to prevent removal of equipment or falls … Delirium in the Acute Care Setting (4) • Currently, there are no recommended pharmacologic treatments for prevention … isolation of patients, feelings of anxiety and depression, medication errors and missed diagnoses, falls

1448. Appendix D. Falls Engineer Instructions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
      December 01, 2017 - Falls Engineer Instructions Previous Page   Table of Contents The Falls Management … Falls Engineer Instructions The Falls Management Program is designed to prevent falls … The Falls Nurse Coordinator will give it to you and explain each task. … Make Other Changes for High-Risk Residents as Requested by the Falls Team The Falls Therapist and Nurse … ask you to make additional changes to rooms and bathrooms of residents who are at very high risk of falling

1449. Safe chemotherapy administration: using failure mode and effects analysis in computerized prescriber order entry. | PSNet
      psnet.ahrq.gov/issue/safe-chemotherapy-administration-using-failure-mode-and-effects-analysis-computerized
      October 19, 2022 - September 2, 2015 Evaluation of clinical practice guidelines on fall prevention and management

1450. Safe Administration of Medication in School: Policy Statement. | PSNet
      psnet.ahrq.gov/issue/safe-administration-medication-school-policy-statement
      May 31, 2023 - Same Author(s) Effect of an emergency department process improvement package on suicide prevention … January 3, 2017 Comparing catheter-associated urinary tract infection prevention programs … Assessing the effectiveness of engaging patients and their families in the three-step fall prevention … process across modalities of an evidence-based fall prevention toolkit: an implementation science study

1451. Module 2: How To Manage Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
      October 01, 2017 - in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention … be applied to other quality improvement efforts in a hospital, such as preventing: Hospital falls … Members who influence the areas involved in pressure injury prevention. … You will likely need an administrative champion for the Pressure Injury Prevention Program. … Review pressure injury prevention training webinars.

1452. Module 2: How To Manage Change (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
      June 02, 2025 - in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention … to other quality improvement efforts in a hospital, such as preventing: Hospital falls. … Members who influence the areas involved in pressure injury prevention. … You will likely need an administrative champion for the Pressure Injury Prevention Program. … Review pressure injury prevention training webinars.

1453. 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

1454. JAMA (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/DQgVKNYn6gFtXLfwthuRBU
      June 12, 2020 - ability to perform activities of daily living, work, and drive safely, as well as increased risk of falls … ability to perform activities of daily living, work, and drive safely, as well as increased risk of falls … Centers for Disease Control and Prevention. Vision loss: a public health problem. … Centers for Disease Control and Prevention, National Center for Health Statistics. … Prevention strategies for age-related cataract: present limitations and future possibilities.

1455. 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

1456. 10 Patient Safety Tips for Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
      December 01, 2009 - Prevent patient falls by providing well-designed patient rooms and bathrooms and creating decentralized … Ordering information for Problems and Prevention: Chest Tube Insertion (AHRQ Publication No. 06-0069-

1457. Combining multiple large language models improves diagnostic accuracy. | PSNet
      psnet.ahrq.gov/issue/combining-multiple-large-language-models-improves-diagnostic-accuracy
      March 02, 2011 - Related Resources From the Same Author(s) Primary care–relevant interventions to prevent falling … November 25, 2020 Effect of an emergency department process improvement package on suicide prevention

1458. Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. | PSNet
      psnet.ahrq.gov/issue/single-room-hospital-accommodation-associated-differences-healthcare-associated-infection
      June 21, 2016 - single room hospital accommodation associated with differences in healthcare-associated infection, falls … single room hospital accommodation associated with differences in healthcare-associated infection, falls … Falls , pressure ulcers, and Clostridium difficile infections increased in the older patients' ward … On the acute assessment unit, falls and medication errors temporarily increased for the first 6 months … single room hospital accommodation associated with differences in healthcare-associated infection, falls

1459. Chapter 4. Long Term Management | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
      December 01, 2017 - for falls risk Falls Assessment Fall Interventions Plan Fall Interventions Monitor … Those with a history of falls. … occurred during the previous three months or since the last quarterly MDS is considered at higher risk of falling … Falls Assessment The Falls Assessment is a two step process. … Interim Plan of Care for New Admissions Most residents are at a higher risk of falling in the first

1460. Chapter 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/resources/vision2.html
      October 01, 2002 - While important strides have been made in the prevention and treatment of eye disease, there is no cure … geriatric care more generally, including the restoration and maintenance of functional independence; prevention … associated functional impairments associated with high mortality and acute and chronic morbidity, including falls