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Showing results for "falls prevention".
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  1. Use of simulation to measure the effects of just-in-time information to prevent nursing medication errors: a randomized controlled study. | PSNet

    psnet.ahrq.gov/issue/use-simulation-measure-effects-just-time-information-prevent-nursing-medication-errors
    August 04, 2021 - March 16, 2022 Development and implementation of a suicide prevention checklist to create

  2. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - Infection rates from hospital epidemiology and infection prevention also present known complications. … Say: In the case of an elderly woman falling down in her hospital room, let’s list some factors that … The patient tries to get to the bathroom during the night and falls. … occurs rarely but has a singular impact on this particular defect, consider working on a factor that falls

  3. Nutrition Research Series: Volume 3: Reporting of Systematic Reviews of Micronutrients and Health: A Critical Appraisa (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp3.pdf
    March 01, 2009 - Effect of Vitamin D on falls: a meta-analysis. JAMA 2004;291:1999-2006. 34. … Effects of vitamin D supplementation on strength, physical performance, and falls in older persons: … The role of vitamin E in the prevention of coronary events and stroke. … Primary and secondary prevention of neural tube defects. … Other outcomes include, falls, diarrhea, hemoglobin level, “any morbidity”, growth, healing of chronic

  4. Adherence to Surgical Care Improvement Project measures and the association with postoperative infections. | PSNet

    psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association-postoperative-infections
    November 25, 2020 - May 27, 2020 Primary care–relevant interventions to prevent falling in older adults:

  5. Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. | PSNet

    psnet.ahrq.gov/issue/eight-years-decreased-methicillin-resistant-staphylococcus-aureus-health-care-associated
    March 23, 2012 - methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention … methicillin-resistant Staphylococcus aureus health care-associated infections associated with a Veterans Affairs prevention … Researchers attribute these results to implementation of the Veterans Affairs MRSA Prevention Initiative … methicillin-resistant Staphylococcus aureus health care-associated infections associated with a Veterans Affairs prevention … March 14, 2018 Evaluation of clinical practice guidelines on fall prevention and management

  6. A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients. | PSNet

    psnet.ahrq.gov/issue/new-patient-safety-smartphone-application-prevention-forgotten-ureteral-stents-results
    July 01, 2015 - Study A new patient safety smartphone application for prevention of "forgotten" ureteral … A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from … A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from … October 5, 2022 Evaluation of clinical practice guidelines on fall prevention and management … June 10, 2010 Prevention of retained surgical sponges: a decision-analytic model predicting

  7. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. | PSNet

    psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
    January 16, 2008 - Study Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. Citation Text: Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…

  8. Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. | PSNet

    psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
    September 23, 2020 - Study Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. Citation Text: Guru V, Tu J, Etchells E, et al. Relationship between preventability of death after coronary artery bypass graft surgery and all-cau…

  9. The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
    January 22, 2016 - Review The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. Citation Text: Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review. J Am Board Fam …

  10. Common formats for patient safety data collection and event reporting. | PSNet

    psnet.ahrq.gov/issue/common-formats-patient-safety-data-collection-and-event-reporting-1
    July 03, 2013 - common formats for surveillance of adverse events in hospitals, such as venous thromboembolism and falls

  11. Malnutrition in Hospitalized Adults: A Systematic Review. | PSNet

    psnet.ahrq.gov/issue/malnutrition-hospitalized-adults-systematic-review
    December 21, 2022 - Book/Report Malnutrition in Hospitalized Adults: A Systematic Review. Citation Text: Malnutrition in Hospitalized Adults: A Systematic Review. Uhl S, Siddique SM, McKeever L, et al. Rockville, MD: Agency for Healthcare Research and Quality; October 2021.  AHRQ Publication No. 21(22)…

  12. High-risk, high-alert medication management practices in a regional state psychiatric facility. | PSNet

    psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
    January 06, 2017 - Study High-risk, high-alert medication management practices in a regional state psychiatric facility. Citation Text: McKee J, Cleary S. High-Risk, High-Alert Medication Management Practices in a Regional State Psychiatric Facility. Hosp Pharm. 2007;42(4):323-330. doi:10.1310/hpj4204-323.…

  13. Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis. | PSNet

    psnet.ahrq.gov/issue/dangers-and-deaths-around-black-pregnancies-seen-completely-preventable-health-crisis
    August 16, 2023 - Newspaper/Magazine Article Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis. Citation Text: Dangers and deaths around black pregnancies seen as a ‘completely preventable’ health crisis. West S. KFF Health News. August 24, 2023. Copy Citatio…

  14. Theorizing about systems: an ecological task for patient safety research. | PSNet

    psnet.ahrq.gov/issue/theorizing-about-systems-ecological-task-patient-safety-research
    August 20, 2008 - Commentary Theorizing about systems: an ecological task for patient safety research. Citation Text: Marck PB. Theorizing About Systems. Clin Nurs Res. 2005;14(2). doi:10.1177/1054773804274255. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

  15. Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. | PSNet

    psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility
    July 27, 2016 - April 29, 2018 Technology and error-prevention strategies: why are we still overlooking

  16. Medication errors: the year in review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-year-review
    May 02, 2018 - Medication error prevention is an evolving goal for health care. … September 30, 2020 Fall prevention implementation strategies in use at 60 United States

  17. Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. | PSNet

    psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
    December 12, 2018 - Newspaper/Magazine Article Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. Citation Text: Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. McGrory K, Bedi N. ProPublica, January 6, 2024. Copy…

  18. Physician communication when prescribing new medications. | PSNet

    psnet.ahrq.gov/issue/physician-communication-when-prescribing-new-medications
    December 16, 2009 - Study Physician communication when prescribing new medications. Citation Text: Tarn DM, Heritage J, Paterniti DA, et al. Physician communication when prescribing new medications. Arch Intern Med. 2006;166(17):1855-1862. Copy Citation Format: Google Scholar PubMed BibTeX E…

  19. Sounding the alarm. Nurses, organizations work to address alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
    July 19, 2017 - November 9, 2017 Evaluation of clinical practice guidelines on fall prevention and management

  20. Dangerous deception--hiding the evidence of adverse drug events. | PSNet

    psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
    November 09, 2022 - Commentary Dangerous deception--hiding the evidence of adverse drug events. Citation Text: Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med. 2006;355(21):2169-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…
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