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psnet.ahrq.gov/web-mm/moving-pains
August 17, 2017 - What is the expected level of intervention (eg, replace an oxygen mask if it falls off, silence an IV … July 31, 2023
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023
-
psnet.ahrq.gov/node/840141/psn-pdf
November 16, 2022 - incident reporting and improvements in safety culture, as well as decreases in adverse events such
as falls
-
psnet.ahrq.gov/node/36530/psn-pdf
January 07, 2011 - were much more
likely to report both significant preventable errors and attentional failures (eg, falling
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psnet.ahrq.gov/issue/clinical-uncertainty-primary-care-challenge-collaborative-engagement
December 23, 2008 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention
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psnet.ahrq.gov/issue/leadership-committed-safety
December 23, 2016 - February 10, 2021
Preventing falls and fall-related injuries in health care facilities
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psnet.ahrq.gov/issue/towards-framework-select-techniques-error-prediction-supporting-novice-users-healthcare
March 28, 2011 - Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention
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psnet.ahrq.gov/issue/disclosure-and-apology-nursing-and-risk-management-working-together
August 21, 2015 - November 30, 2022
Reducing falls with a safety spotter program.
-
psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was-misdiagnosed
April 11, 2018 - Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention
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psnet.ahrq.gov/issue/nurse-driven-system-improving-patient-quality-outcomes
October 12, 2011 - of a staff-driven reporting program to collect data on indicators such as medication errors, patient falls … May 14, 2014
Influence of unit-level staffing on medication errors and falls in military
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
April 01, 2022 - -5
2009 HICPAC Guidelines American Nurses Association’s Streamlined Evidence-Based RN Tool: CAUTI Prevention … Davies because it will prevent skin breakdown and reduce her risk of falling. … Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009. … Streamlined Evidence-Based RN Tool: Catheter Associated Urinary Tract Infection (CAUTI) Prevention. https … www.nursingworld.org/~4aede8/globalassets/practiceandpolicy/innovation--evidence/clinical-practice-material/cauti-prevention-tool
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psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - We're able to, like you mentioned, track and record things like falls in EMS, a patient falling from … organization are tracking any patient safety errors, but I would like to know what the percentage of falls … leaders, and it enables us to say that we need to be at the table to talk about things like patient falls
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - We're able to, like you mentioned, track and record things like falls in EMS, a patient falling from … organization are tracking any patient safety errors, but I would like to know what the percentage of falls … leaders, and it enables us to say that we need to be at the table to talk about things like patient falls
-
psnet.ahrq.gov/issue/nursing-care-quality-nqf
September 06, 2011 - Related Resources
Organisational strategies to implement hospital pressure ulcer prevention … September 22, 2017
ANA CAUTI Prevention Tool. … November 16, 2015
Fall prevention in hospitals: an integrative review.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - data
collection and reporting by States) and “identify a set of patient safety practices
critical to prevention … Use of identification bracelets to alert providers of patients who are susceptible to falls.
2. … Use of specialized hospital flooring to reduce injury from patient falls.
3. … Use of medical device alarms to prevent falls.
12. … shield hip protectors padded or constructed with foam-type
materials to prevent harm from patient falls
-
psnet.ahrq.gov/node/45933/psn-pdf
March 08, 2017 - efforts to address hospital design concerns can augment infection control, patient-
centeredness, fall prevention
-
www.ahrq.gov/gam/summaries/domain-definitions/index.html
July 01, 2018 - Example: Whether a practice has a policy to ensure the prevention of fraud and has defined levels of … The responsibility for "performance" typically falls to public officials, public health agencies, or … health knowledge is the awareness and understanding of health-related information such as risk factors, prevention … Example: The mean response score to a set of questions about human immunodeficiency virus (HIV) prevention
-
digital.ahrq.gov/population/rural-populations
January 01, 2025 - Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall Assessment and Prevention
-
psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
contribute to delirium, hypotension, falls … polypharmacy,
and fall risk
CMS will be
posting new tools
on specific topics
such as
polypharmacy,
falls
-
psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery
July 16, 2015 - July 16, 2015
Root cause analysis of reported patient falls in ORs in the Veterans Health
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - Leadership and staff perceptions of resident harms such as CAUTIs or falls,
AHRQ SAFETY PROGRAM FOR … E and A Unit Guide to Infection
Prevention for Long-Term Care Staff. … substitute for care of the resident
• Morbid obesity or immobility
• Attempting to reduce the risk for falls … Guideline for prevention of catheter-associated
urinary tract infections 2009. … Centers for
Disease Control and Prevention; January 2016.