-
psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
May 06, 2009 - January 2, 2017
Evaluation of clinical practice guidelines on fall prevention and management
-
psnet.ahrq.gov/issue/improving-operating-room-and-perioperative-safety-background-and-specific-recommendations
August 29, 2011 - August 19, 2020
Evaluation of clinical practice guidelines on fall prevention and management
-
psnet.ahrq.gov/issue/safety-hospital-stroke-care
December 02, 2020 - December 2, 2020
Evaluation of clinical practice guidelines on fall prevention and management
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
February 01, 2023 - Pressure Ulcer
Yes
6,274
3,455
1,049
No
3,338
3,486
3,662
Injurious Falls … 16,992
19,479
Pressure Ulcer
1,013
6,793
2,359
3,765
2,949
3,511
Injurious Falls
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
December 27, 2021 - analysis will require input from a clinician, as many of the factors that contribute to a patient’s
falling … these patients’ medical records and other related documents to
identify potential causes for their falling
-
psnet.ahrq.gov/issue/using-smart-iv-infusion-pumps-outside-patient-rooms
September 23, 2020 - 2022
Human-based errors involving smart infusion pumps: a catalog of error types and prevention … interoperability on patient safety and finances at a community hospital
August 25, 2021
Fall prevention … , and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention
-
psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review
May 18, 2022 - Most of the studies focused on decreasing risk of falls and/or medication errors, mostly in the home … The authors recommend future research focus on safety targets beyond falls and medication safety and
-
psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using
June 29, 2022 - June 29, 2022
Evaluation of clinical practice guidelines on fall prevention and management … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention
-
psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
November 16, 2022 - Voluntary error reporting systems (VERS) are an indispensable tool for identification, analysis, and prevention … 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
-
psnet.ahrq.gov/issue/relationship-between-computerized-physician-order-entry-and-pediatric-adverse-drug-events
July 13, 2009 - 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 … March 8, 2023
A new patient safety smartphone application for prevention of "forgotten
-
psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
April 12, 2011 - 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
-
psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - addition, CMS works closely with many other Federal
partners such as Centers for Disease Control and Prevention … gains
made in the past 10 years—improvements in healthcare-acquired infections, decreases in patient falls … Falls and pressure ulcers also went up – in skilled
nursing facilities, we saw rates of falls causing … behavioral health, kidney health and organ procurement programs, nursing homes and
long-term care, and prevention … including healthcare-
acquired infections, complications, medication safety, safety of the EMR, patient falls
-
psnet.ahrq.gov/issue/delirium-hospitalized-older-adults
December 15, 2008 - May 24, 2015
Reducing falls and fall-related injuries in mental health: a 1-year multihospital … falls collaborative.
-
digital.ahrq.gov/care-setting/long-term-care-facility
January 01, 2023 - Long-Term Care Facility
A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP)
Description
This conference convenes interdisciplinary experts from the United States and abroad to define priorities and goals for research…
-
psnet.ahrq.gov/web-mm/empty-bag
June 01, 2018 - Evolution and Progress
May 1, 2007
WebM&M Cases
Falling … February 14, 2024
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023
-
psnet.ahrq.gov/node/848823/psn-pdf
May 10, 2023 - Individual characteristics that promote or prevent
psychological safety and error reporting in healthcare: a
systematic review.
May 10, 2023
Wawersik DM, Boutin ER, Gore T, et al. Individual characteristics that promote or prevent psychological
safety and error reporting in healthcare: a systematic review. J Healt…
-
psnet.ahrq.gov/issue/improving-patient-safety-culture-primary-care-systematic-review
June 17, 2015 - January 8, 2014
Examining causes and prevention strategies of adverse events in deceased … February 10, 2012
Primary care–relevant interventions to prevent falling in older adults
-
psnet.ahrq.gov/issue/taxonomy-advancing-systematic-error-analysis-multi-site-electronic-health-record-based
March 24, 2019 - June 15, 2022
Effect of an emergency department process improvement package on suicide prevention … December 15, 2021
Primary care–relevant interventions to prevent falling in older adults
-
psnet.ahrq.gov/issue/prevention-fatal-opioid-overdose
October 03, 2018 - Commentary
Prevention of fatal opioid overdose. … Prevention of fatal opioid overdose. JAMA. 2012;308(18):1863-4. doi:10.1001/jama.2012.14205. … Prevention of fatal opioid overdose. JAMA. 2012;308(18):1863-4. doi:10.1001/jama.2012.14205. … June 12, 2019
Challenges with implementing the Centers for Disease Control and Prevention
-
cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_Work_Group_December_2021.pdf
January 01, 2021 - Coach Technical Diagram
9
Patti Dykes and ASPIRE*
Goal: To develop and integrate fall prevention … routine primary care practice
Impact:
• Guide primary care providers to the most effective fall
prevention … strategies for an individual patient
• Engage patients and family in fall prevention
decision-making