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  1. psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
    June 16, 2012 - Book/Report The Future of Emergency Care in the United States Health System. Citation Text: The Future of Emergency Care in the United States Health System. Institute of Medicine. Washington DC; National Academies Press: 2007. Copy Citation Save Save to your l…
  2. psnet.ahrq.gov/issue/reversing-rise-maternal-mortality
    January 18, 2017 - Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention
  3. psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
    March 02, 2012 - Download Citation Related Resources From the Same Author(s) Fall prevention
  4. psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
    January 18, 2023 - August 20, 2018 Evaluation of clinical practice guidelines on fall prevention and management … August 17, 2016 Prevention of surgical malpractice claims by a surgical safety checklist
  5. psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
    November 16, 2016 - Strategies to improve the patient safety outcome indicator: preventing or reducing falls
  6. psnet.ahrq.gov/issue/potential-medication-dosing-errors-outpatient-pediatrics
    July 29, 2020 - Study Potential medication dosing errors in outpatient pediatrics. Citation Text: McPhillips HA, Stille CJ, Smith DH, et al. Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…
  7. psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
    April 24, 2018 - April 24, 2018 Evaluation of clinical practice guidelines on fall prevention and management
  8. psnet.ahrq.gov/issue/nighttime-and-weekend-medication-error-rates-inpatient-pediatric-population
    October 19, 2022 - Study Nighttime and weekend medication error rates in an inpatient pediatric population. Citation Text: Miller AD, Piro CC, Rudisill CN, et al. Nighttime and weekend medication error rates in an inpatient pediatric population. Ann Pharmacother. 2010;44(11):1739-46. doi:10.1345/aph.1P25…
  9. psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2007
    April 24, 2007 - November 14, 2011 An inpatient fall prevention initiative in a tertiary care hospital
  10. psnet.ahrq.gov/issue/prospective-multicenter-study-pharmacist-activities-resulting-medication-error-interception
    December 14, 2011 - Study A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department. Citation Text: Patanwala AE, Sanders AB, Thomas MC, et al. A prospective, multicenter study of pharmacist activities resulting in medication error int…
  11. psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
    June 09, 2021 - September 13, 2023 Information flow during pediatric trauma care transitions: things falling
  12. psnet.ahrq.gov/issue/prospects-blame-free-medical-culture
    November 16, 2022 - 2014 Wrong-site nerve blocks: a systematic literature review to guide principles for prevention
  13. psnet.ahrq.gov/issue/care-transitions-and-home-health-care
    August 25, 2011 - Review Care transitions and home health care. Citation Text: Boling PA. Care transitions and home health care. Clin Geriatr Med. 2009;25(1):135-48, viii. doi:10.1016/j.cger.2008.11.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…
  14. psnet.ahrq.gov/issue/appropriateness-use-medicines-elderly-inpatients-qualitative-study
    December 14, 2016 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls
  15. psnet.ahrq.gov/issue/routinely-recorded-patient-safety-events-primary-care-literature-review
    April 18, 2012 - May 2, 2012 Primary care–relevant interventions to prevent falling in older adults: a
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/3.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications … Specifications for Each Pressure Ulcer Prevention Report (continued) 3.3. … Return to Functional Specifications Contents   Proceed to Next Section Return to Pressure Ulcer Prevention
  17. psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
    April 01, 2018 - Impaired mobility from deconditioning increases the risk of falls, as well as preventing the patient … 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 … 15, 2024 Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023
  18. hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.jsp
    August 01, 2011 - The second most common CMS HAC examined was falls or trauma, which accounted for another 20 percent of … non-maternal) Vascular catheter-associated infection 8,959,419 11,435 48.7 127.6 FallsFalls and trauma: private insurance: 0.37; Medicaid: 0.41. … For example, those 85 years and older had nearly six times the rate of CMS HACs for falls and trauma … Falls and trauma: 45-64 year olds: 2.12; 65-84 year olds: 4.35; 85 years and older: 5.80.
  19. effectivehealthcare.ahrq.gov/sites/default/files/pdf/home-based-care_research-protocol.pdf
    November 19, 2014 - and urgent care use when acute incidents are prevented or addressed in the home; 4) potential for prevention … generally well elderly to severely disabled patients, and have stated goals that span from preventing falls … • Function o Physical, psychological, and cognitive • Mortality • Morbidities o Examples: falls
  20. www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
    June 01, 2018 - Confronting Quality Problems There are several areas where the quality of American health care is falling … receive high-quality health care services, there are a number of areas where the quality of care is falling