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3521. Archived: Evidence Summary: Osteoporosis to Prevent Fractures: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary1/osteoporosis-screening-june-2018
      June 26, 2018 - The Screening for Osteoporosis in Older Women for the Prevention of Fracture (SCOOP) trial randomized … The prevention of early postmenopausal bone loss by cyclical etidronate therapy: a 2-year, double-blind … Denosumab for prevention of fractures in postmenopausal women with osteoporosis. … 1 69 (n = 765) 0.69 (0.64-0.73) FRISK 70 Age, weight, height, prior fracture, prior falls … c Adjusted for age, falls, and fracture history. d Adjusted for age.

3522. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33861/psn-pdf
      July 01, 2018 - You could not easily miss that a patient had a falling hematocrit.

3523. Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care | PSNet
      psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
      July 23, 2024 - May 29, 2024 Patient Safety Innovations Suicide Prevention … May 31, 2023 Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

3524. Communication and Optimal Resolution (CANDOR) Toolkit Module 3: Preparing for Implementation: Change Readiness and Gap Analysis
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/module3-assessment-change-readiness-gap-analysis.pptx
      August 25, 2015 - Establish shared mental model of the importance of safety and prevention measures. … of safety includes a focus on mutual trust and a shared mental model of the importance of safety and prevention … Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.

3525. Final Progress Report: Disseminating a Web-Enabled Safety Risk Assessment (SRA) Toolkit for Designing Safer Healthcare Facilities (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
      January 01, 2025 - Scope: The SRA toolkit covers six safety areas – infection control, medication safety, falls, patient … Validation testing took place in conference rooms at three sites, one study session in Falls Church, … One study session took place in Falls Church, VA, and two were in in Philadelphia, PA. … SME Regulatory Compliance Manager/Privacy Officer 5+ current; 20 total C6 SME Director, Infection Prevention … Different members of the team mentioned ergonomics, security, safe patient handling, infection prevention

3526. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
      December 21, 2021 - Falls … Dashboard The Falls Dashboard details the extent of harm due to falls, the presence of fall assistance … of Falls in Hospitalized and Institutionalized Older People Summary of Evidence Update (all patients … Advances in the Prevention and Control of HAIs. … Advances in the Prevention and Control of HAIs.

3527. Addressing Workplace Violence and Creating a Safer Workplace | PSNet
      psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
      October 31, 2023 - When reviewing the effectiveness of violence prevention training for nurses, research has found that … Centers for Disease Control and Prevention; 2002. Accessed October 3, 2023. … Workplace Violence Prevention Standards . R3 Report: Requirement, Rationale, Reference. 2021. … Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

3528. Screening for Postmenopausal Osteoporosis: A Summary of the Evidence (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/2kM7LY6ccceVo8bmdUXhYm
      September 01, 2002 - risk factors, such as psychomotor impairment, poor gait, and other factors that increase the risk for falling … effect on hip fracture rates among women 80 years of age or older who had one or more risk factors for falls … Osteoporosis: Clinical Guidelines for Prevention and Treatment. … Predictors for falls and fractures in the Longitudinal Aging Study Amsterdam. … Physician’s Guide to Prevention and Treatment of Osteoporosis.

3529. Readmissions and Adverse Events After Discharge | PSNet
      psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
      April 27, 2022 - weakness and increased stress that may leave patients vulnerable to clinical adverse events such as falls

3530. Organizational Embrace of CUSP to Improve Patient Safety (Slide Presentation) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/org-embrace-slides/slides.html
      June 01, 2013 - immunization OR universal protocol Patient Safety Committee Root cause analysis, FMEA Fall prevention

3531. Physical Diagnosis: A Lost Art? | PSNet
      psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
      January 17, 2018 - the 80-hour work week imposed on physicians in training might compound the risk of patients like this falling … June 21, 2016 Evaluation of clinical practice guidelines on fall prevention and management

3532. Automated-Entry Patient Generated Health Data for Chronic Conditions: The Evidence on Health Outcomes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-generated-health-data-protocol-chronic-conditions.pdf
      March 17, 2020 - related to consumer health technologies that provide patient-generated health data (PGHD) for the prevention … Therefore, this report does not include medical devices that perform remote patient monitoring, which falls … INCLUDE: Individuals with one or more of the following 11 chronic conditions: obesity, diabetes prevention … 'diabetes mellitus'/exp/dm_pc OR ('diabetes mellitus'/exp AND ('primary prevention'/exp/mj OR 'secondary … prevention'/exp/mj OR 'tertiary prevention'/exp/mj OR 'prevention'/mj)) OR (diabet* AND prevent*)

3533. Patient Safety Events Involving Opioid Dose Stacking | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
      July 08, 2022 - specifically, post-operative pain management encompasses a balance of adequate pain control and the prevention … While this topic falls outside of the scope of this commentary, it remains critical to treat the whole … Implementing standardized sedation assessments, such as POSS, aids nurses in the prediction and prevention

3534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33734/psn-pdf
      August 01, 2012 - We looked at the outcomes on falls, pressure ulcers, and restraint use. … We found that places with the worst patient safety culture scores had an association with falls and … case mix adjust in the nursing home environment good enough that you can make sense of differences in falls

3535. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
      January 01, 2024 - of problems most typically recognized and identified as problematic (medication errors and patient falls … encountered only medication-related errors (the wrong time, dose, drug, or mode of delivery), patient falls … hospital detailed organizational efforts to reduce medication errors and, to a lesser degree, patient falls … conditions influence behavior was showcased by a nurse in our study who had attended a seminar on prevention … context, most errors are attributed to the nursing staff, so overall responsibility for patient safety falls

3536. CDS Connect Work Group Agenda - December 2021 (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_WG_December_2021_Summary.pdf
      January 01, 2021 - and Brigham and Women’s Hospital) next described her work on developing CDS for evidence-based fall prevention … Dykes has conducted patient interviews to ascertain why fall-prevention efforts are not regularly undertaken

3537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49468/psn-pdf
      December 16, 2004 - The Joint Commission's Universal Protocol for the Prevention of Wrong Site, Wrong Procedure, and Wrong

3538. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
      December 01, 2017 - Followup SAY: As with any reporting mechanism, it’s important to ensure that the completed PSSAs are not falling

3539. A symptom-checker for adult patients visiting an interdisciplinary emergency care center and the safety of patient self-triage: real-life prospective evaluation. | PSNet
      psnet.ahrq.gov/issue/symptom-checker-adult-patients-visiting-interdisciplinary-emergency-care-center-and-safety
      April 21, 2021 - Study A symptom-checker for adult patients visiting an interdisciplinary emergency care center and the safety of patient self-triage: real-life prospective evaluation. Citation Text: Meer A, Rahm P, Schwendinger M, et al. A symptom-checker for adult patients visiting an interdisciplinary…

3540. Use and impact of virtual primary care on quality and safety: the public's perspectives during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/use-and-impact-virtual-primary-care-quality-and-safety-publics-perspectives-during-covid-19
      July 08, 2020 - February 26, 2020 Evaluation of clinical practice guidelines on fall prevention and management