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1521. mHealth and mobile medical apps: a framework to assess risk and promote safer use. | PSNet
      psnet.ahrq.gov/issue/mhealth-and-mobile-medical-apps-framework-assess-risk-and-promote-safer-use
      October 01, 2014 - July 16, 2015 Evaluation of clinical practice guidelines on fall prevention and management

1522. Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system. | PSNet
      psnet.ahrq.gov/issue/implementation-integrated-computerized-prescriber-order-entry-system-chemotherapy-multisite
      August 30, 2023 - December 30, 2014 Primary care–relevant interventions to prevent falling in older adults … March 2, 2011 Effect of an emergency department process improvement package on suicide prevention

1523. Integration of prospective and retrospective methods for risk analysis in hospitals. | PSNet
      psnet.ahrq.gov/issue/integration-prospective-and-retrospective-methods-risk-analysis-hospitals
      June 23, 2010 - medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention … June 15, 2011 Evaluation of clinical practice guidelines on fall prevention and management … August 25, 2011 An inpatient fall prevention initiative in a tertiary care hospital.

1524. Why psychiatry is different--challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care. | PSNet
      psnet.ahrq.gov/issue/why-psychiatry-different-challenges-and-difficulties-managing-nosocomial-outbreak-coronavirus
      February 14, 2024 - susceptible to hospital-acquired COVID-19 due to treating high-risk populations, lower adherence to infection prevention … January 23, 2019 Evaluation of clinical practice guidelines on fall prevention and management … September 23, 2020 Design and implementation of the infection prevention program into

1525. Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module. | PSNet
      psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
      May 29, 2019 - 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

1526. ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. | PSNet
      psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
      February 15, 2023 - 2021 Patient safety culture as a space of social struggle: understanding infection prevention

1527. Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might-otherwise-fall-radar-screen-part-1-and
      March 09, 2016 - Newspaper/Magazine Article Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. Citation Text: Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. ISMP Medicat…

1528. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48130/psn-pdf
      August 07, 2019 - Common adverse events included falls, pressure ulcers, health care–associated infections, and adverse … tackling-communication-barriers-between-long-term-care-facility-and-emergency-department https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety https://psnet.ahrq.gov/primer/falls

1529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44571/psn-pdf
      June 21, 2016 - https://psnet.ahrq.gov/primer/health-care-associated-infections https://psnet.ahrq.gov/issue/preventing-falls-injury

1530. Making Healthcare Safer IV: Summary of Findings, 2023-2024 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-1-year-final-report-updated-title_0.pdf
      May 01, 2024 - Director of the Department of Defense Patient Safety Program Defense Health Agency Falls Church, VA … Interventions to improve prophylaxis for venous thromboembolism • Multicomponent interventions to reduce falls … o Most studies found no reduction in falls, but a systematic review reported that half of the included … studies reduced falls. … programs and found reduced falls.

1531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73146/psn-pdf
      April 28, 2021 - include infections, hypotension, electrolyte disturbances, blood loss, adverse drug effects, and patient falls … Open Communication between the Clinic and Patient Clear communication provides a critical role in the prevention … Centers for Disease Control and Prevention. Reviewed March 11, 2019.

1532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49839/psn-pdf
      August 01, 2018 - medications such as sulfonylureas (including glimepiride) as they can cause hypoglycemia and result in falls … National Action Plan for Adverse Drug Event Prevention. … Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health

1533. TO (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.docx
      January 01, 2016 - However, if your performance falls short on one or more implementation measures, you may want to consider … EXAMPLE: Catheter-Related Bloodstream Infection Prevention Measurement Instrument A. … _| Assessment of need |_| Site inspected |_| Neither Catheter-Related Bloodstream Infection Prevention

1534. VitaminD, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/Yc24U4wMLXGoqE5NjwRVA6
      April 17, 2018 - VitaminD, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling … Report and Systematic Review for the USPSTF VitaminD,Calcium,orCombinedSupplementationforthePrimary Prevention … Studies were excluded if participant enroll- ment was based on known high risk of fracture or falls or … community-dwelling popula- tions not known to have vitamin D deficiency, osteoporosis, high risk for falls … Effect of monthly high-dose vitamin D supplementation on falls and non-vertebral fractures: secondary

1535. Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial. | PSNet
      psnet.ahrq.gov/issue/performance-trigger-tool-detecting-drug-related-hospital-admissions-older-people-analysis
      December 21, 2022 - Triggers were related to diagnoses (e.g., falls, bleeding, thromboembolic events), laboratory values … November 2, 2022 Potentially inappropriate medications and their effect on falls during

1536. Report Organization | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal1.html
      January 01, 2013 - addition, AHRQ directed HRET to encourage participating hospital associations to coordinate their CLABSI prevention … stakeholders such as the QIO, Department of Health, Patient Safety Organization (PSO), local infection prevention … Many States used their regional HAI-prevention work groups developed as a result of the Centers for Disease … Control and Prevention (CDC) American Recovery and Reinvestment Act (ARRA) grants or other mechanisms … These included representatives from the State QIO, State health department, PSO, State infection prevention

1537. Archived: Final Evidence Summary: Vitamin D and Calcium to Prevent Fractures: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary52/vitamin-d-and-calcium-to-prevent-fractures-preventive-medication-2013
      December 10, 2011 - These functions suggest a possible role of vitamin D in cancer prevention. … vitamin D 3 of all included RCTs and demonstrated that the megadose increased the risk for fractures and falls … Should older people in residential care receive vitamin D to prevent falls? … Vitamin D supplementation and the prevention of fractures and falls: results of a randomised trial in … Annual high-dose oral vitamin D and falls and fractures in older women: a randomized controlled trial

1538. Pro/con debate: color-coded medication labels. | PSNet
      psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
      December 23, 2008 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention

1539. Three Australian whistleblowing sagas: lessons for internal and external regulation. | PSNet
      psnet.ahrq.gov/issue/three-australian-whistleblowing-sagas-lessons-internal-and-external-regulation
      August 17, 2005 - July 20, 2011 Evaluation of clinical practice guidelines on fall prevention and management

1540. Smart pumps: implications for nurse leaders. | PSNet
      psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
      February 02, 2022 - 2022 Human-based errors involving smart infusion pumps: a catalog of error types and prevention … September 11, 2009 Fall prevention with the Smart Socks System reduces hospital fall