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psnet.ahrq.gov/issue/ensuring-correct-surgery
May 24, 2017 - May 24, 2017
National Center for Patient Safety Falls Toolkit 2004.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1concl.html
October 01, 2014 - affecting the way a resident walks, urination and bowel patterns, skin changes, level of weakness, falls
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psnet.ahrq.gov/issue/patient-safety-curriculum-2nd-edition
July 12, 2017 - October 24, 2018
Pressure Injury Prevention in Hospitals Training Program. … October 18, 2017
Fall Prevention in Hospitals Training Program.
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psnet.ahrq.gov/issue/team-performance-measurement-model-continuous-improvement
February 26, 2025 - January 18, 2012
An inpatient fall prevention initiative in a tertiary care hospital.
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psnet.ahrq.gov/issue/root-cause-analysis
June 15, 2016 - June 1, 2015
Prevention of a wrong-location misadministration through the use of an intradepartmental … January 16, 2013
Accident prevention in day-to-day clinical radiation therapy practice
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psnet.ahrq.gov/issue/iatrogenic-delirium-and-coma-near-miss
September 23, 2020 - May 27, 2011
Effect of computer order entry on prevention of serious medication errors … May 26, 2011
Centers for Disease Control and Prevention Guideline for the Prevention
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psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
January 12, 2022 - Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall prevention … February 9, 2011
Wrong-site craniotomy: analysis of 35 cases and systems for prevention
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hcup-us.ahrq.gov/reports/methods/2004_6.pdf
January 01, 2004 - unintentional injuries, we simplified the 17 different
mechanisms into six collapsed categories (i.e., falls … For the
HCUP NIS, unintentional injuries were classified in terms of the following causes:
• Falls … Within unintentional injuries, the proportion of records by mechanism
(e.g., falls, motor vehicle traffic … The unintentional injuries in the hospital-based ambulatory surgery facilities tend to be for falls, … Atlanta (GA): Centers of Disease
Control and Prevention, National Center for Injury Prevention and Control
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psnet.ahrq.gov/node/865585/psn-pdf
April 17, 2024 - psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
https://psnet.ahrq.gov/web-mm/falling-between-cracks-software
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psnet.ahrq.gov/node/44658/psn-pdf
November 18, 2015 - home could affect various quality and
safety indicators (such as safety culture, pressure ulcers, and falls
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psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
November 27, 2018 - December 9, 2015
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care
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psnet.ahrq.gov/issue/heed-warning-dont-miss-important-computer-alerts
May 07, 2018 - Newspaper/Magazine Article
Heed this warning! Don't miss important computer alerts.
Citation Text:
Heed this warning! Don't miss important computer alerts. ISMP Medication Safety Alert! Acute Care Edition. February 8, 2007;12:1-2.
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psnet.ahrq.gov/issue/national-patient-safety-goals
May 30, 2012 - hospital-acquired infections , medication errors, inpatient suicide , and specific clinical harms such as falls
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www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
January 01, 2024 - Nurses
reported struggling to stay awake once
every five shifts worked (2285/11,329
shifts) and falling … Nurses who reported struggling to stay awake on duty and/or actually falling asleep
on duty obtained … US workers.33
The high frequency of which nurses reported struggling to stay awake and/or actual
falling … Participants in the AACN study who reported falling asleep on duty obtained on
average 6.6 hours sleep … Incidence of adverse drug events and
potential adverse drug events: Implications for prevention.
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psnet.ahrq.gov/issue/methods-assessing-preventability-adverse-drug-events-systematic-review
July 24, 2013 - August 24, 2022
Patient falls in the operating room: why is this still a problem in 2024
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psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
February 03, 2011 - Study
Patient reports of preventable problems and harms in primary health care.
Citation Text:
Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004;2(4):333-40.
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psnet.ahrq.gov/issue/life-mother-how-abortion-bans-lead-preventable-deaths
October 02, 2024 - May 3, 2017
Fall risk and prevention agreement: engaging patients and families with a
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psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
June 21, 2016 - May 21, 2019
Preventing Patient Falls: A Systematic Approach From the Joint Commission
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Stroke Education
• STK-10 Assessed for Rehabilitation
IQI 19 Hip Fracture Mortality Rate
• Fall prevention
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - monitoring device, we should have an alarm ( 19 ) for automatically indicating when that parameter falls … Planning
August 1, 2018
Evaluation of clinical practice guidelines on fall prevention