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1701. Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey. | PSNet
      psnet.ahrq.gov/issue/assessment-patients-ability-review-electronic-health-record-information-identify-potential
      July 27, 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

1702. A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. | PSNet
      psnet.ahrq.gov/issue/6-year-thematic-review-reported-incidents-associated-cardiopulmonary-resuscitation-calls
      June 15, 2022 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls … interventions to reduce duration and variability in delays to identification of serious injury after falls

1703. Electronic health record nudges and health care quality and outcomes in primary care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic
      March 09, 2022 - February 5, 2020 Fall prevention implementation strategies in use at 60 United States … December 9, 2020 Evaluation of clinical practice guidelines on fall prevention and management

1704. Exploring approaches to patient safety: the case of spinal manipulation therapy. | PSNet
      psnet.ahrq.gov/issue/exploring-approaches-patient-safety-case-spinal-manipulation-therapy
      September 11, 2024 - 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

1705. Clinical Practice Update: Notable USPSTF 2024 Final Recommendations | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/clinical-practice-update-notable-uspstf-2024-final-recommendations
      January 17, 2025 - Cancer Interventions for High Body Mass Index in Children and Adolescents Interventions to Prevent Falls

1706. Clinical Practice Update: Notable USPSTF 2024 Final Recommendations | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/announcements/clinical-practice-update-notable-uspstf-2024-final-recommendations
      January 01, 2024 - Cancer Interventions for High Body Mass Index in Children and Adolescents Interventions to Prevent Falls

1707. Unique Challenges in Approaching Diagnostic Safety in Older Adults | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
      September 01, 2024 - infection in older adults include lethargy, tachypnea, loss of appetite, dehydration, weakness, dizziness, falls … Geriatric syndromes (e.g., delirium, falls, reduced/loss of appetite or anorexia, or functional impairment … elderly patient: a case report A 72-year-old male presented to his physical therapist 23 days after falling … He was initially diagnosed with a labyrinthine concussion due to ongoing symptoms of “falling backwards … Recent research from the Centers for Disease Control and Prevention suggests that about 10 percent of

1708. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
      January 01, 2019 - Missed nursing care is linked to patient harm, including falls and infections. … Because the Center’s Culture of Safety is based on prevention, not punishment, RCA teams investigate … dpils&utm_term=&utm_content=1&utm_campaign=ahrq_fallprevent_2017 This website provides AHRQ’s Fall Prevention … • Patient Falls Reduction. • RCA Resource Guide. • SBAR. 15. … Its goal is the nationwide reduction and prevention of inadvertent harm to patients as a result of their

1709. Home Health Care Patients and Safety Hazards in the Home: Preliminary Findings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Gershon_88.pdf
      January 01, 2012 - relationship between HHCW health and safety in general, and the safety of patients (e.g., patient falls … Reports of hazards that could lead to slips, trips, and falls—such as excessive clutter, loose rags, … Childhood injury prevention at home and play. Curr Opin Pediatr 1999; 11: 578-582. 6. … Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention. … Iowa City: University of Iowa, Iowa Injury Prevention Research Center; 2001. 52 .

1710. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851870/psn-pdf
      July 31, 2023 - Every long-term care facility also has an infection prevention advisor from our team assigned to them … Our advisors have decades of experience in patient safety and infection prevention and come from varied … We were working not on falls or adverse drug reactions, but on the overarching issues that could make

1711. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
      April 01, 2023 - Missed nursing care is linked to patient harm, including falls and infections. … • Patient Falls Reduction. • RCA Resource Guide. • SBAR. 6. … Infection Prevention Training for Ambulatory Surgical Centers Composite Measure 6. … Infection Prevention Checklist for Outpatient Settings: Minimum Expectations for Safe Care 11. … Oregon Ambulatory Surgery Center Infection Prevention and Control Toolkit 13.

1712. Managing Ascites: Hazards of Fluid Removal | PSNet
      psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
      June 01, 2018 - As you drain fluid, the pressure in the abdomen falls exponentially and very rapidly, leading to a rapid … Good Night's Sleep Gone Wrong February 1, 2016 Guidelines for prevention

1713. Archived: Postmenopausal Osteoporosis: Screening, 1996 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/postmenopausal-osteoporosis-screening-1996
      January 01, 1996 - patients who develop a fracture and those who do not. 44 Other risk factors that independently influence falls … For most women, osteoporosis prevention is only one of many factors that go into the decision whether … Elderly persons should also receive counseling regarding preventive measures to reduce the risk of falls … The prevention and treatment of osteoporosis. N Engl J Med . 1992;327:620–627. [ PubMed ] 41. … Strategies for prevention of osteoporosis and hip fracture.

1714. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846171/psn-pdf
      July 26, 2022 - .16,17 Due to the high incidence of delirium among hospitalized patients, strategies for surveillance, prevention … , and management should be implemented for older adults.16,17 Delirium prevention and care bundles, … Physical restraints have limited value as they may help to prevent removal of equipment or falls, but … delirium or worsening agitation.19 Currently, there are no recommended pharmacologic treatments for prevention … isolation of patients, feelings of anxiety and depression, medication errors and missed diagnoses, falls

1715. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73106/psn-pdf
      April 01, 2021 - Therefore, although the institution's CLABSI rates are falling, there is room for improvement. … psnet.ahrq.gov/primer/health-care-associated-infections https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program … Points falling above the upper control limit indicate months when the process was out of control.

1716. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61083/psn-pdf
      October 28, 2020 - In putting all of this in place, did you see reductions in harms like pressure injuries, resident falls … LP: It was the falls. … Falls is a really easy one to apply that thinking to. … Are they falling because the environment is unsafe, or are they falling because they're on too many … Are they falling because they're not well hydrated and it's 98 degrees outside and the ambient temperature

1717. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60231/psn-pdf
      April 15, 2020 - regret-among-primary-care-physicians-survey-diagnostic-decisions Healthcare providers may feel regret when the care they provide falls

1718. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
      psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
      September 01, 2011 - Several types of events, such as falls and peri-partum incidents, have dedicated forms with checkboxes … Falls are a classic example of something that there's almost no point in reporting. … Falls are a common enough problem at every hospital that you should stop doing incident reports. … Had they had a history of falls? That's a very structured type of data collection. … For some of them like medications and falls, where if there can be more structured data gathering, it's

1719. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/treat-release.html
      September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Electronic Reports Table 4. Sample ED Treat and Release Report Facility Name: Month: Average Daily Census 30 Total Transfers (Obs, ED) 11 Resident Days (including bed holds) 300 Tot…

1720. One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs. | PSNet
      psnet.ahrq.gov/issue/one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
      July 01, 2016 - single room hospital accommodation associated with differences in healthcare-associated infection, falls