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psnet.ahrq.gov/issue/medical-error-malpractice-and-complications-moral-geography
August 20, 2018 - August 20, 2018
Evaluation of clinical practice guidelines on fall prevention and management
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
February 01, 2023 - Pressure Ulcer
Yes
5,006
4,208
4,833
No
2,960
3,348
3,127
Injurious Falls … 19,184
20,443
Pressure Ulcer
4,195
4,249
2,476
3,395
3,286
3,764
Injurious Falls
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb8txt.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B27: … Living Space Inspection
Previous Page Next Page
Table of Contents
The Falls Management … Falls Engineer Instructions
Text Description of Form
The Living Space Inspection has
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: On-Time
Preventable Hospital and Emergency Department Visits
Transfer Note and Intake Note
Transfer Notes and Intake Notes are not required, but the elements included in them must be in
the nursing home’s electronic medical record (EMR) to generate all components of the re…
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psnet.ahrq.gov/node/45164/psn-pdf
May 25, 2016 - Engagement Network to prevent harm associated with the use of central
lines, adverse drug events, and falls
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psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
May 26, 2021 - this class of drugs is frequently associated with errors that can result in adverse events including falls … May 26, 2021
WebM&M Cases
Falling Between the Cracks … 28, 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/web-mm/suicidal-ideation-family-medicine-clinic
October 01, 2007 - Recognize the importance of a systems approach to suicide prevention. … Courts will usually respect a medical decision if a rationale that falls within a reasonable range of … Talk Saves Lives: An Introduction to Suicide Prevention. … Suicide Prevention Toolkit for Rural Primary Care Practices. … Reformulating suicide risk formulation: from prediction to prevention.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/h5Tt4jScmQJeHeztmo93hu
February 25, 2020 - associated with adverse effects, which overall are small but occasionally serious, including
syncope or falls … harms, some of which are serious, including central nervous sys-
tem disturbances, bradycardia, and falls … individual studies
reported increased rates of serious adverse events, such as brady-
cardia, syncope, falls … Some of the suggested stud-
ies investigated the prevention of cognitive impairment by control-
ling … Dementia prevention, intervention, and care.
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psnet.ahrq.gov/issue/relationship-adverse-events-and-support-rn-burnout
February 08, 2023 - January 20, 2021
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics
November 21, 2021 - Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
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psnet.ahrq.gov/issue/stand-alone-artificial-intelligence-breast-cancer-detection-mammography-comparison-101
November 15, 2023 - November 15, 2023
Evaluation of clinical practice guidelines on fall prevention and management
-
psnet.ahrq.gov/issue/systems-approach-sharp-end
April 21, 2021 - Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
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psnet.ahrq.gov/issue/active-shooter-response-health-care-facility
January 18, 2012 - November 27, 2012
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/evidence-summary-and-recommendations-improved-communication-during-care-transitions
October 19, 2022 - 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 … Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention
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psnet.ahrq.gov/issue/vital-sign-abnormalities-rapid-response-and-adverse-outcomes-hospitalized-patients
December 21, 2014 - March 27, 2014
Effects of an intervention to increase bed alarm use to prevent falls
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psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition-and-dictation
December 21, 2022 - September 6, 2023
Evaluation of clinical practice guidelines on fall prevention and management … Medication Mix-Up: From Bad to Worse
March 1, 2015
Fall prevention
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psnet.ahrq.gov/issue/quality-improvement-implementation-and-hospital-performance-patient-safety-indicators
January 12, 2022 - Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall prevention … February 13, 2019
Guidelines for the prevention of intravascular catheter-related infections
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psnet.ahrq.gov/issue/crib-horrors-one-hospitals-approach-promoting-culture-safety
December 22, 2018 - Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention
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psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
March 01, 2023 - November 16, 2022
Patient education to prevent falls among older hospital inpatients:
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digital.ahrq.gov/organization/brigham-and-womens-hospital
January 01, 2023 - Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall Assessment and Prevention … decision support resource to aid primary care practices in instituting routine fall risk assessment and prevention