-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - with all of you this afternoon to talk about preventing CAUTI and what happens when your rates aren’t falling … discuss in the past and then I’ll leave it to Sarah to talk about next steps when your CAUTI rates aren’t falling … patient to the bed which leads to increased immobility and therefore, pressure ulcers, VTE as well as falls … prevention on that same unit? … mindful approaches to prevent diagnostic error, or reduce other hospital acquired complications such as falls
-
psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety
August 02, 2015 - Commentary
Emerging Classic
Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem.
Citation Text:
Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10…
-
psnet.ahrq.gov/issue/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary
February 06, 2019 - September 16, 2020
Patient safety implications of wearing a face mask for prevention
-
psnet.ahrq.gov/issue/implementation-participatory-organizational-change-long-term-care-improve-safety
February 01, 2012 - on identifying and reducing musculoskeletal disorder hazards for employees, including slips, trips, falls … Related Resources From the Same Author(s)
Utilizing quality improvement methods to prevent falls … and injury from falls: enhancing resident safety in long-term care.
-
psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
September 15, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … Long-Term Care
Quality and Safety Professionals
Geriatrics
Pressure Ulcers
Patient Falls
-
psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
September 09, 2020 - EMERGING INNOVATIONS
Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.
Citation Text:
Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …
-
psnet.ahrq.gov/issue/instruments-and-warning-signs-identifying-and-evaluating-frequency-adverse-events
July 20, 2022 - tools are designed to identify specific adverse events or safety risks (such as medication errors, falls … WebM&M Cases
Failure to Ensure Patient Safety Leads to Patient Falls … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls
-
psnet.ahrq.gov/issue/healthcare-associated-infections-adult-intensive-care-units-multisource-study-examining
June 28, 2023 - The impact of safety culture, quality of care, missed care and nurse staffing on patient falls
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - catheters, based on the Ann Arbor Criteria,
include the following:
• Attempting to reduce risk for falls … patients with UTI
Indwelling urinary catheter use has not been found to be effective in reducing falls … catheter
• Routine use in ICU without an appropriate indication
• To attempt to reduce risk for falls … Centers for Disease
Control and Prevention. … Centers for Disease Control and Prevention.
-
www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
September 01, 2015 - catheters, based on the Ann Arbor Criteria,
include the following:
• Attempting to reduce risk for falls … patients with UTI
Indwelling urinary catheter use has not been found to be effective in reducing falls … catheter
• Routine use in ICU without an appropriate indication
• To attempt to reduce risk for falls … Centers for Disease
Control and Prevention. … Centers for Disease Control and Prevention.
-
psnet.ahrq.gov/node/49580/psn-pdf
March 21, 2009 - -year-old woman, previously active and independent, recently developed weight loss, confusion, and
falls … adults have a higher sensitivity to benzodiazepines, causing
sedation, weakness, and increased risk of falls … anticholinergic
antihistamines
High risk of anticholinergic adverse events, confusion, sedation,
risk of falls … Phenobarbital, other barbiturates
Highly addictive, high risk of adverse events including sedation,
risk of falls
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
March 01, 2017 - CAUTI Prevention in Long-Term Care Frequently Asked Questions
Appendix G. … Leadership and staff perceptions of resident harms such as CAUTIs or falls, and staff harm such as a … E and A Unit Guide to Infection Prevention for Long-Term Care Staff . … Attempting to reduce the risk for falls.
Confusion or dementia. … Guideline for prevention of catheter-associated urinary tract infections 2009.
-
www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - Blood Thinner Pills: Your Guide to Using Them Safely
Blood Thinner Pills:
Your Guide to Using
Them Safely
AHRQ Pub. No. 15-0047-C
Replaces AHRQ Pub. No. 09-0086-C
September 2015
The name of my blood thinner is:
_____________________________________________________________
Reminders:
Call your doctor or phar…
-
digital.ahrq.gov/sites/default/files/docs/publication/eaap_trainpresentfinalimplementation_080211comp.pdf
January 01, 2007 - Falling Short on Asthma Control
Daily impairment from asthma*
Missing school or work: 49% of children … Normal physical exertion (36%)
Social activities (25%)
* Researchers for Asthma in America™
Falling … in 1997
Revised in 2002 with a focus on several key
questions about medications, monitoring and
prevention … #2
eAAP Presentation for Providers with a Review of the Guidelines
Overview of Asthma Statistics
Falling … Short on Asthma Control
Falling Short on Asthma Control
Hennepin Health Service Summary Data
EPR-
-
psnet.ahrq.gov/node/44805/psn-pdf
January 27, 2016 - collection explores the
data collected on four types of health care–acquired conditions (pressure ulcers, falls
-
psnet.ahrq.gov/node/852447/psn-pdf
August 16, 2023 - in palliative care can include inappropriate pain management, preventable hospital
(re)admissions, falls
-
psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
April 06, 2022 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … March 17, 2021
Falling through the cracks: the invisible hospital cleaning workforce.
-
psnet.ahrq.gov/issue/medical-mistakes-no-longer-billable-bold-steps-taken-state-reduce-hospital-errors
August 06, 2008 - June 10, 2015
Man falls off surgical table; St. Joseph's Hospital sued.
-
psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention … Targeted Prevention Program Implementation: The implementation of the STORM targeted prevention program … Office of Mental Health and Suicide Prevention, US Dept of Veterans Affairs; 2021. … Office of Mental Health and Suicide Prevention, US Dept of Veterans Affairs; 2021. … May 31, 2023
Patient Safety Innovations
Preventing Falls
-
psnet.ahrq.gov/issue/tall-man-lettering-and-potential-prescription-errors-time-series-analysis-42-childrens
January 12, 2012 - June 7, 2023
Evaluation of clinical practice guidelines on fall prevention and management