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psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
October 30, 2019 - December 18, 2024
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Related Resources
Fall prevention
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/estalishing-maintaining-trust-commentary.pdf
May 26, 2023 - Keywords:
Communications, trust, evidence-based,
misinformation, prevention
Communicating … in adults, to falls prevention
in older people. … While prevention is an essential part of
health care, it is not always without harm. … References
Centers for Disease Control and Prevention
(2022). … The social-ecological model: a
framework for prevention.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
June 01, 2017 - Section 1: Screening for Hospital Transfer Risk
Section 2: Preventable Hospital and ED Visits - Prevention … Gastroenteritis
Yes |___|
No |___|
Section 2: Preventable Hospital Transfer and ED Visits - Prevention … Practices
This section of the assessment will help identify how your facility communicates the hospital prevention … Meeting
Hospital/ED Transfer Prevention Discussed (Yes/No)
Meeting Chair/Leader Name and Discipline
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psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients
September 11, 2019 - the Same Author(s)
Information flow during pediatric trauma care transitions: things falling … Related Resources
Perspectives on Safety
Suicide Prevention
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hcup-us.ahrq.gov/db/vars/injury_mvt/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/checklists-improve-patient-safety
July 31, 2013 - May 24, 2015
Preventing Patient Falls: A Systematic Approach From the Joint Commission
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psnet.ahrq.gov/issue/overview-patient-safety-learning-laboratory-projects
December 24, 2008 - August 15, 2018
Fall Prevention in Hospitals Training Program.
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psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety
October 23, 2019 - July 10, 2019
Fall Prevention in Hospitals Training Program.
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psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007
May 07, 2018 - Newspaper/Magazine Article
Anticoagulant safety takes center stage in 2007.
Citation Text:
Anticoagulant safety takes center stage in 2007. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2007;12:1-3.
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Pri…
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/cognitive-impairment-in-older-adults-screening-2014
March 18, 2014 - impairment, including counseling on tobacco cessation, alcohol use, healthful diet, physical activity, and falls … prevention and screening for high cholesterol, hypertension, and depression. … Other Approaches to Prevention
The USPSTF has published recommendations related to several of the … impairment, including counseling on tobacco cessation, alcohol use, healthful diet, physical activity, and falls … Bradycardia and adverse effects related to bradycardia (such as falls and syncope) may result from taking
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - The rates of infection, bleeding, blood clots, and falls were increasing—in addition to the risk of whatever … health care system more positive and focused not only on acute management but also on recovery and prevention … Impaired mobility from deconditioning increases the risk of falls, as well as preventing the patient … 26, 2025
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/impaired-visual-acuity-screening-older-adults
May 24, 2022 - ability to perform activities of daily living, work, and drive safely, as well as increased risk of falls … ability to perform activities of daily living, work, and drive safely, as well as increased risk of falls … Centers for Disease Control and Prevention. Vision loss: a public health problem. … Centers for Disease Control and Prevention, National Center for Health Statistics. … Prevention strategies for age-related cataract: present limitations and future possibilities.
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/cancer_older_adults.pdf
September 28, 2012 - A has a history of falls, mild cognitive impairment, and
had a recent heart attack shortly after his … Although
he qualifies for screening by age, his recent heart attack, falls,
and cognitive impairment … , urinary urgency due to prostate resection may be
inconvenient in a middle-aged man, but may cause falls … Reconsidering the approach
to prevention recommendations for older adults. … Screening in frail older people: an ounce of prevention or a
pound of trouble?
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psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - William Haddon, widely recognized as the father of modern injury prevention strategies, may be
responsible … Blunt
injuries are the result of falls, motor vehicle or motorcycle crashes, bicycle accidents, pedestrians … The changing approach to the epidemiology, prevention, and amelioration of trauma: the
transition to
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www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
January 01, 2017 - "A" represents the assessment, prevention, and management of pain. … with safety through protocolization, the ABCDEF bundle, and delirium monitoring and management for the prevention … of such errors as hospital-acquired infections, falls, deep vein thromboses, pressure ulcers, and medication
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psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - Related Resources
Perspectives on Safety
Suicide Prevention … Interview
In Conversation with Edwin Boudreaux about Suicide Prevention … Perspective
The Ongoing Journey to Prevent Patient Falls
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - Lucian Leape highlighted the issue and presented a framework for
error analysis and prevention that … include:
Preventable adverse events: those due to error or failure to apply an accepted strategy for
prevention … less harmful if care
had been different;
Adverse events due to negligence: those due to care that falls
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psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-reach-patient
March 14, 2023 - Newspaper/Magazine Article
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient.
Citation Text:
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. ISMP Medication Safety Alert! Acute care editi…
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psnet.ahrq.gov/node/865666/psn-pdf
April 24, 2024 - https://psnet.ahrq.gov/issue/impact-safety-culture-quality-care-missed-care-and-nurse-staffing-patient-falls-multisource
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psnet.ahrq.gov/issue/quality-and-safety-education-nurses-0
June 01, 2016 - November 8, 2017
Just Culture, Medication Error Prevention, and Second Victim Support … September 23, 2020
Fall Prevention in Hospitals Training Program.