-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - Errors were reported in several domains: prevention,
diagnosis, treatment, patient identification, communication … , falls, equipment, and
administration. … Patient falls within the clinic setting
Equipment Equipment maintenance, functioning, availability … (Problem type: Communication)
Falls “Pt. got tetanus shot. Claimed to be OK after. … Incidence of adverse
drug events and potential adverse drug events:
implications for prevention.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-slides.html
December 01, 2017 - Inappropriate Catheter Indications
Limited mobility or debility
Catheters do not prevent falls … Slide 15
Inappropriate Catheter Indications
Dementia or confusion
Catheters do not prevent falls
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psnet.ahrq.gov/issue/outbreak-investigation-covid-19-among-residents-and-staff-independent-and-assisted-living
October 19, 2022 - challenges of detecting COVID-19 in asymptomatic persons and the importance of early surveillance and prevention … Approach
October 1, 2007
Evaluation of clinical practice guidelines on fall prevention
-
psnet.ahrq.gov/issue/impact-primary-care-nurse-manager-nurse-intent-leave-and-staff-perception-patient-safety
November 01, 2023 - July 8, 2020
Design and implementation of the infection prevention program into risk
-
psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-facilities-costs
March 29, 2010 - April 28, 2021
Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care.
-
psnet.ahrq.gov/issue/structural-racism-60-year-old-black-woman-breast-cancer
December 17, 2020 - December 17, 2020
Prevention of opioid overdose. … February 17, 2011
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list
January 12, 2022 - Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall prevention
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psnet.ahrq.gov/issue/there-relationship-between-high-quality-performance-major-teaching-hospitals-and-residents
July 21, 2010 - March 18, 2019
Evaluation of clinical practice guidelines on fall prevention and management
-
psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
July 19, 2023 - July 19, 2023
Evaluation of clinical practice guidelines on fall prevention and management
-
psnet.ahrq.gov/issue/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and
September 23, 2020 - November 3, 2015
Evaluation of clinical practice guidelines on fall prevention and management
-
psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
July 06, 2011 - potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention
-
psnet.ahrq.gov/issue/six-ways-lower-errors-and-unnecessary-surgeries-radiology-exams
February 10, 2021 - September 28, 2022
Home health staff perspectives on infection prevention and control … September 6, 2006
‘Fear of falling’: how hospitals do even more harm by keeping patients
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www.ahrq.gov/opioids/implementing-what-works/compendium.html
November 01, 2024 - Assessment
Use appropriate tools and workflows to assess the risks of opioid treatments: delirium, falls … workflows
Develop specific workflows to screen for opioid use related risks in older adults, such as falls … Train/Educate Clinicians & Staff - Train staff on workflow
Train staff on workflow to screen for falls … Staff - Train about opioid related risks
Train clinicians and staff about opioid related risks (e.g., falls … management and reviews into pain visits:
- screening appropriate for older adults on opioids such as falls
-
psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
January 24, 2024 - January 24, 2024
Reducing falls in hospitalized children and adolescents with cancer … June 7, 2023
A longitudinal study of a multifaceted intervention to reduce newborn falls
-
psnet.ahrq.gov/issue/value-library-and-information-services-patient-care-results-multisite-study
April 24, 2018 - November 3, 2021
Evaluation of clinical practice guidelines on fall prevention and management
-
psnet.ahrq.gov/issue/lehigh-valley-hospital-engaging-patients-and-families
January 04, 2017 - 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/learning-samples-one-or-fewer
December 21, 2017 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention … December 19, 2007
Ounce of prevention: to reduce errors, hospitals prescribe innovative
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
February 01, 2023 - 15,447
12,117
Pressure Ulcer
2,935
1,376
2,649
2,045
3,140
1,790
Injurious Falls … 13,885
11,778
15,231
12,519
Pressure Ulcer
2,200
2,447
3,298
1,833
Injurious Falls
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
February 01, 2023 - 26,330
18,086
Pressure Ulcer
4,583
2,937
4,303
3,638
4,774
3,353
Injurious Falls … 21,408
21,005
25,803
19,316
Pressure Ulcer
4,098
3,440
4,727
3,530
Injurious Falls
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
February 01, 2023 - 6,245
5,000
Pressure Ulcer
1,619
1,071
1,367
1,440
1,749
1,185
Injurious Falls … 5,719
5,011
6,399
5,136
Pressure Ulcer
1,498
1,217
1,890
1,213
Injurious Falls