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Showing results for "falls prevention".
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3481. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. | PSNet
      psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional
      March 30, 2022 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls

3482. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/does-overlapping-surgery-result-worse-surgical-outcomes-systematic-review-and-meta-analysis
      April 29, 2020 - January 29, 2020 Evaluation of clinical practice guidelines on fall prevention and management

3483. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
      July 29, 2020 - Study Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. Citation Text: Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital disch…

3484. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. | PSNet
      psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
      October 26, 2022 - Study Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. Citation Text: Lurvey LD, Fassett MJ, Kanter MH. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organiz…

3485. Organizational factors associated with high performance in quality and safety in academic medical centers. | PSNet
      psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical
      January 03, 2017 - February 16, 2011 Effect of promoting high-quality staff interactions on fall prevention

3486. Coworker abuse in healthcare: voices of mistreated workers. | PSNet
      psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistreated-workers
      March 22, 2023 - February 16, 2022 Falling through the cracks: the invisible hospital cleaning workforce

3487. Test result communication in primary care: a survey of current practice. | PSNet
      psnet.ahrq.gov/issue/test-result-communication-primary-care-survey-current-practice
      November 20, 2015 - June 26, 2019 Evaluation of clinical practice guidelines on fall prevention and management

3488. Resident supervision and patient safety: do different levels of resident supervision affect the rate of morbidity and mortality cases? | PSNet
      psnet.ahrq.gov/issue/resident-supervision-and-patient-safety-do-different-levels-resident-supervision-affect-rate
      November 16, 2022 - October 19, 2022 Evaluation of clinical practice guidelines on fall prevention and management

3489. Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. | PSNet
      psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent
      April 24, 2019 - November 23, 2016 Evaluation of clinical practice guidelines on fall prevention and management

3490. Rooting an error review process in just culture: lessons learned. | PSNet
      psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
      April 20, 2022 - March 10, 2021 Evaluation of clinical practice guidelines on fall prevention and management

3491. Changes in efficiency and safety culture after integration of an I-PASS-supported handoff process. | PSNet
      psnet.ahrq.gov/issue/changes-efficiency-and-safety-culture-after-integration-i-pass-supported-handoff-process
      June 25, 2018 - December 23, 2020 Information flow during pediatric trauma care transitions: things falling

3492. Measuring patient safety climate: a review of surveys. | PSNet
      psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys
      June 14, 2011 - Review Classic Measuring patient safety climate: a review of surveys. Citation Text: Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14(5):364-6. Copy Citation Format: Goog…

3493. Surgical safety does not happen by accident: learning from perioperative near miss case studies. | PSNet
      psnet.ahrq.gov/issue/surgical-safety-does-not-happen-accident-learning-perioperative-near-miss-case-studies
      August 04, 2021 - Commentary Surgical safety does not happen by accident: learning from perioperative near miss case studies. Citation Text: Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. …

3494. A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. | PSNet
      psnet.ahrq.gov/issue/scoping-review-legibility-hand-written-prescriptions-and-drug-orders-writing-wall
      January 12, 2022 - Resources From the Same Author(s) Evaluation of clinical practice guidelines on fall prevention

3495. Inappropriate medication in a national sample of US elderly patients receiving home health care. | PSNet
      psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
      September 09, 2020 - Study Inappropriate medication in a national sample of US elderly patients receiving home health care. Citation Text: Bao Y, Shao H, Bishop TF, et al. Inappropriate medication in a national sample of US elderly patients receiving home health care. J Gen Intern Med. 2012;27(3):304-310. do…

3496. Distractions in the operating room: a survey of the healthcare team. | PSNet
      psnet.ahrq.gov/issue/distractions-operating-room-survey-healthcare-team
      November 16, 2022 - January 8, 2025 Patient falls in the operating room: why is this still a problem in 2024

3497. The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study. | PSNet
      psnet.ahrq.gov/issue/impact-prolonged-continuous-wakefulness-resident-clinical-performance-intensive-care-unit
      November 21, 2016 - November 2, 2010 Evaluation of clinical practice guidelines on fall prevention and management

3498. Changing experience of adverse medical events in the National Health Service: comparison of two population surveys in 2001 and 2013. | PSNet
      psnet.ahrq.gov/issue/changing-experience-adverse-medical-events-national-health-service-comparison-two-population
      February 16, 2011 - November 12, 2014 Evaluation of clinical practice guidelines on fall prevention and management

3499. A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-initiative-using-peer-audit-and-feedback-improve-compliance-surgical
      March 24, 2021 - September 18, 2024 ROI for a fall prevention intervention: invest a little, save a lot

3500. Patient perspectives on test result communication in primary care: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/patient-perspectives-test-result-communication-primary-care-qualitative-study
      November 20, 2015 - June 26, 2019 Evaluation of clinical practice guidelines on fall prevention and management