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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - 91-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 … other barbiturates Highly addictive, high risk of adverse events including sedation, risk of falls
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psnet.ahrq.gov/node/48067/psn-pdf
June 12, 2019 - Maternal sleepiness and risk of infant drops in the
postpartum period.
June 12, 2019
Bittle MD, Knapp H, Polomano RC, et al. Maternal Sleepiness and Risk of Infant Drops in the Postpartum
Period. Jt Comm J Qual Patient Saf. 2019;45(5):337-347. doi:10.1016/j.jcjq.2018.12.001.
https://psnet.ahrq.gov/issue/maternal-s…
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psnet.ahrq.gov/node/43016/psn-pdf
May 28, 2014 - Identification of serious and reportable events in home
care: a Delphi survey to develop consensus.
May 28, 2014
Doran DM, Baker R, Szabo C, et al. Identification of serious and reportable events in home care: a Delphi
survey to develop consensus. Int J Health Care Qual. 2014;26(2):136-143. doi:10.1093/intqhc/mzu00…
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - While falling asleep, he was noted to have eye-rolling and he did not respond to his name, shaking his … On physical exam, the patient was asleep, arousing briefly with stimulation but then falling back to … s Bureau Learning and Coordination Center (CBLCC) , Prevent Child Abuse America , The Child Abuse Prevention … Related Resources From the Same Author(s)
WebM&M Cases
Falling … Lesson from the VA's Team Training Program
November 1, 2011
Detection and prevention
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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
September 01, 2011 - worked, both in the United States and Canada, probably the single most commonly reported incident is falls … 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
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hcup-us.ahrq.gov/db/vars/injury_fire/nedsnote.jsp
May 01, 2015 - ECODEn) and is consistent with the classification system used by the Centers for Disease Control and Prevention … HCUP includes 11 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling
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hcup-us.ahrq.gov/db/vars/injury_cut/nedsnote.jsp
May 01, 2015 - ECODEn) and is consistent with the classification system used by the Centers for Disease Control and Prevention … HCUP includes 11 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling
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hcup-us.ahrq.gov/db/vars/injury_struck/nedsnote.jsp
May 01, 2015 - ECODEn) and is consistent with the classification system used by the Centers for Disease Control and Prevention … HCUP includes 11 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling
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hcup-us.ahrq.gov/db/vars/injury_drown/nedsnote.jsp
May 01, 2015 - ECODEn) and is consistent with the classification system used by the Centers for Disease Control and Prevention … HCUP includes 11 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling
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hcup-us.ahrq.gov/db/vars/injury_suffocation/nedsnote.jsp
May 01, 2015 - ECODEn) and is consistent with the classification system used by the Centers for Disease Control and Prevention … HCUP includes 11 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling
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hcup-us.ahrq.gov/db/vars/intent_assault/nedsnote.jsp
May 01, 2015 - Codes) and is consistent with the classification system used by the Centers for Disease Control and Prevention … also includes 11 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling
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hcup-us.ahrq.gov/db/vars/intent_unintentional/nedsnote.jsp
May 01, 2015 - Codes) and is consistent with the classification system used by the Centers for Disease Control and Prevention … also includes 11 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling
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hcup-us.ahrq.gov/db/vars/injury_nature/nedsnote.jsp
May 01, 2015 - ECODEn) and is consistent with the classification system used by the Centers for Disease Control and Prevention … HCUP includes 11 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling
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hcup-us.ahrq.gov/db/vars/injury_machinery/nedsnote.jsp
May 01, 2015 - ECODEn) and is consistent with the classification system used by the Centers for Disease Control and Prevention … HCUP includes 11 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling
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hcup-us.ahrq.gov/db/vars/injury_firearm/nedsnote.jsp
May 01, 2015 - ECODEn) and is consistent with the classification system used by the Centers for Disease Control and Prevention … HCUP includes 11 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling
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hcup-us.ahrq.gov/db/vars/injury_poison/nedsnote.jsp
May 01, 2015 - ECODEn) and is consistent with the classification system used by the Centers for Disease Control and Prevention … HCUP includes 11 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling
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psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
December 24, 2008 - October 25, 2017
Fall Prevention in Hospitals Training Program.
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psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
December 24, 2008 - May 11, 2016
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/DTRggkjEPQ5-ALArTjrhKT
July 11, 2017 - There was no evidence of greater
incidence of serious adverse events, injuries, or falls in intervention … Seven physical activity–
focused trials (n = 3565) reported the incidence of injuries, frac-
tures, or falls … trial among women aged 40 to 74 years re-
ported significantly more injuries (19% vs 14%, P = .03) and falls … known cardiovas-
cular risk factors or to prevent or manage other health risks and
conditions (eg, falls … Hypertension Prevention Phase II.
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psnet.ahrq.gov/issue/drive-deprescribe
August 19, 2020 - March 24, 2021
Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care.