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Showing results for "falls prevention".
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2201. Where are my instruments? Hazards in delivery of surgical instruments. | PSNet
      psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments
      September 25, 2008 - September 25, 2008 Evaluation of clinical practice guidelines on fall prevention and … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention

2202. A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. | PSNet
      psnet.ahrq.gov/issue/web-application-involve-patients-medication-reconciliation-process-user-centered-usability
      August 18, 2021 - March 5, 2025 Evaluation of clinical practice guidelines on fall prevention and management

2203. Reported medication errors after introducing an electronic medication management system. | PSNet
      psnet.ahrq.gov/issue/reported-medication-errors-after-introducing-electronic-medication-management-system
      November 18, 2016 - November 18, 2016 Barriers and enablers to nurses' use of harm prevention strategies … August 17, 2022 Nurses' harm prevention practices during admission of an older person … September 13, 2017 Nursing guidelines for comprehensive harm prevention strategies for

2204. Using patient safety reporting systems to understand the clinical learning environment: a content analysis. | PSNet
      psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content
      June 19, 2024 - September 24, 2017 Centers for Disease Control and Prevention Guideline for the Prevention … August 4, 2021 Evaluation of clinical practice guidelines on fall prevention and management

2205. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. | PSNet
      psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
      June 16, 2021 - Review Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. Citation Text: McGraw C, Drennan VM. Evaluation of the suitability of root cause analysis frameworks for the i…

2206. Active surveillance of vaccine safety: a system to detect early signs of adverse events. | PSNet
      psnet.ahrq.gov/issue/active-surveillance-vaccine-safety-system-detect-early-signs-adverse-events
      March 29, 2010 - December 16, 2020 Evaluation of clinical practice guidelines on fall prevention and management … Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention … May 22, 2019 Practice advisory for the prevention and management of operating room fires

2207. Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet
      psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
      March 13, 2013 - March 13, 2013 Root cause analysis of reported patient falls in ORs in the Veterans Health

2208. Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system. | PSNet
      psnet.ahrq.gov/issue/trends-prevalence-intraoperative-adverse-events-two-academic-hospitals-after-implementation
      August 09, 2017 - May 4, 2012 Evaluation of clinical practice guidelines on fall prevention and management

2209. Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review. | PSNet
      psnet.ahrq.gov/issue/individual-characteristics-promote-or-prevent-psychological-safety-and-error-reporting
      September 14, 2022 - September 14, 2022 Evaluation of clinical practice guidelines on fall prevention and

2210. Adverse drug event nonrecognition in emergency departments: an exploratory study on factors related to patients and drugs. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related
      April 12, 2011 - September 27, 2023 Evaluation of clinical practice guidelines on fall prevention and

2211. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. | PSNet
      psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps-and-challenges
      November 18, 2020 - Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention

2212. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet
      psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among
      June 22, 2022 - November 30, 2022 Evaluation of clinical practice guidelines on fall prevention and management

2213. In Conversation With… Paul H. O'Neill, MPA | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
      January 01, 2017 - is important to recognize conditions that lead to injury, such as a wet floor leading to slips and falls … to lifting heavy linen bags Explore using smaller linen bags Attendant mops floor Trips & Falls … Slips and falls on wet floor Planned change to microfiber mop leaving floor drier than string mop … Attendant cleans & replaces step stools Trips & Falls Tripping and falling on stools Step … Trips/falls Explore options (other than blankets) to cover/secure cords Check & replace oxygen

2214. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
      January 01, 2022 - challenge, in 2001, CMS created the MPSMS in coordination with AHRQ, the Centers for Disease Control and Prevention … national efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls … two or more of the same AE for the same patient during a single hospitalization (e.g., two or more falls … For some AEs, such as falls, every patient is considered at risk.

2215. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
      January 01, 2022 - challenge, in 2001, CMS created the MPSMS in coordination with AHRQ, the Centers for Disease Control and Prevention … national efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls … two or more of the same AE for the same patient during a single hospitalization (e.g., two or more falls … For some AEs, such as falls, every patient is considered at risk.

2216. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
      January 01, 2022 - challenge, in 2001, CMS created the MPSMS in coordination with AHRQ, the Centers for Disease Control and Prevention … national efforts to reduce hospital-acquired conditions such as adverse drug events and injuries from falls … two or more of the same AE for the same patient during a single hospitalization (e.g., two or more falls … For some AEs, such as falls, every patient is considered at risk.

2217. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - Liem et al. determined to be about 37%. 12 Risk of Infection   The Centers for Disease Control and Prevention … Guidelines for the prevention of intravascular catheter-related infections. … Consensus conference on prevention of central line-associated bloodstream infections: 2009.  … Related Resources Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

2218. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867359/psn-pdf
      December 18, 2024 - testing.18 In looking at the second case through the lens of preventing medical errors, this likely falls … Centers for Disease Control and Prevention. July 31, 2024. [Free full text] 3. … Centers for Disease Control and Prevention. June 11, 2024. Accessed December 6, 2024. … Centers for Disease Control and Prevention. June 28, 2024. Accessed December 6, 2024. … Centers for Disease Control and Prevention. December 13, 2023. Accessed December 6, 2024.

2219. Indwelling Urinary Catheter Indications Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
      April 01, 2022 - Davies because it will prevent skin breakdown and reduce her risk of falling.

2220. 6 Tk1 T5-Suspect A Urinary Tract Infection Brochure Ma Coalition Final (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
      June 02, 2025 - is Sounding The Alarm About The Overuse of Antibiotics Developed by the Massachusetts Infection Prevention … Partnership © Massachusetts Coalition for the Prevention of Medical Errors – used with permission of … from the Coalition and the Massachusetts Infection Prevention Partnership Antibiotics Are Powerful … Tom Frieden, Director of the Centers for Disease Control and Prevention (CDC) Spotlight on Urinary Tract … Partnership Massachusetts Department of Public Health Massachusetts Coalition for the Prevention of