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psnet.ahrq.gov/issue/top-patient-safety-strategies-can-be-encouraged-adoption-now
September 20, 2011 - Progress in patient safety improvement has been hindered by a lack of high-quality research on error prevention … health care–associated infections and surgical complications , bundled interventions to reduce falls … May 1, 2016
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … October 5, 2015
Inpatient fall prevention programs as a patient safety strategy: a systematic
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psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
August 05, 2020 - The most common types of nursing-sensitive events were falls , pressure injuries, healthcare-associated … December 1, 2021
View More
Related Resources
The challenge of risk prevention … single room hospital accommodation associated with differences in healthcare-associated infection, falls … Strategies to improve the patient safety outcome indicator: preventing or reducing falls
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psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator
July 19, 2023 - Rates of three nurse sensitive indicators - falls , healthcare associated pressure injuries, and healthcare … June 19, 2024
The impact of adding a 2-way video monitoring system on falls and costs … February 14, 2024
Remote patient monitoring improves patient falls and reduces harm. … October 18, 2023
Assessment of a wearable fall prevention system at a Veterans Health
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psnet.ahrq.gov/innovation/affordable-housing-community-offers-seniors-onsite-health-care-coordination-and-support
March 27, 2024 - to create a Community Healthy Living plan for the entire community, with a focus on evidence based prevention … Fewer falls: The number of residents experiencing falls declined by 22 percent in the first year after … implementation (30 resident falls the year before implementation, 16 resident falls a year later). … about Office-Based Patient Safety
January 31, 2024
The challenge of risk prevention … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014920-bellamy-final-report-2007.pdf
January 01, 2007 - prevention, and 6) a quasi return-on-investment analysis. … The Falls Collaborative resulted in an overall decrease in the rate
of falls. … The Falls collaborative grew out of the WV Patient Safety Improvement Corps (PSIC) falls-
prevention … Participants were invited to join a falls prevention
collaborative. … “RCAs in Falls Prevention,” Falls Collaborative, Flatwoods, WV. October 10, 2006.
26.
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www.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - Control [ti]) OR handwashing OR (hand [ti] AND (hygiene [ti] OR disinfection [ti] OR wash [ti]))) OR (Accidental … Falls [mh] OR (fall* [ti] AND (preventing [ab] OR prevention [ab] OR reducing [ab] OR reduction [ab]
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psnet.ahrq.gov/issue/medical-errors-and-patient-safety-palliative-care-review-current-literature
December 04, 2016 - July 10, 2019
A multicomponent fall prevention strategy reduces falls at an academic … Related Resources
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023
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psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
July 07, 2021 - June 2, 2021
Root cause analysis using the prevention and recovery information system … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … March 6, 2019
Root cause analysis of reported patient falls in ORs in the Veterans Health … October 24, 2018
Organisational strategies to implement hospital pressure ulcer prevention
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psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities
November 08, 2017 - Tools/Toolkit
Infection Prevention Compendium For Long-Term Care Facilities. … Citation Text:
Infection Prevention Compendium For Long-Term Care Facilities. … Copy URL
Cite
Citation
Citation Text:
Infection Prevention … December 19, 2012
Just Culture, Medication Error Prevention, and Second Victim Support … 2022
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Related Resources
The Nursing Home Expert Panel’s Falls
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psnet.ahrq.gov/issue/adverse-events-experienced-homecare-patients-scoping-review-literature
October 19, 2022 - included adverse drug events and line-related problems as well as the expected focus on wounds and falls … March 15, 2023
Cost of inpatient falls and cost-benefit analysis of implementation of … an evidence-based fall prevention program. … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls
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psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex
April 26, 2023 - Centers for Disease Control and Prevention. … Linkedin
Copy URL
October 2, 2024
Centers for Disease Control and Prevention … Centers for Disease Control and Prevention. … March 7, 2018
Pressure Injury Prevention in Hospitals Training Program. … October 18, 2017
Preventing Falls With Injury.
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psnet.ahrq.gov/issue/health-care-facility-design-safety-risk-assessment-toolkit
May 01, 2017 - The toolkit focuses on six areas of safety: infections , falls , medication errors , security, injuries … December 18, 2008
Fall Prevention in Hospitals Training Program. … December 9, 2015
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care
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www.ahrq.gov/patient-safety/about/areas.html
February 01, 2018 - Our areas of research and tools cover:
Healthcare Infections
Team Training
Falls
Pressure Ulcers … Diagnostic Safety
Blood Clot Prevention and Treatment
Adverse Drug Events
AHRQ Quality Indicators
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psnet.ahrq.gov/issue/nurses-perceived-skills-and-attitudes-about-updated-safety-concepts-impact-medication
January 03, 2017 - Related Resources From the Same Author(s)
Is it possible to identify risks for injurious falls … October 19, 2022
Fall prevention implementation strategies in use at 60 United States … December 9, 2020
In-hospital sequelae of injurious falls in 24 medical/surgical units … March 13, 2019
Effects of an intervention to increase bed alarm use to prevent falls
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psnet.ahrq.gov/issue/ethics-empowering-patients-partners-healthcare-associated-infection-prevention
January 04, 2019 - The ethics of empowering patients as partners in healthcare-associated infection prevention … The ethics of empowering patients as partners in healthcare-associated infection prevention. … Engaging patients in health care–acquired infection (HAI) prevention, such as asking providers about … The ethics of empowering patients as partners in healthcare-associated infection prevention. … Related Resources
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/node/35870/psn-pdf
July 23, 2010 - Platform Model as a framework for implementing patient safety initiatives
and apply the model to a falls … prevention program.
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www.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
October 01, 2020 - We traditionally thought that a catheter was helpful in preventing falls because patients didn’t have … catheter doesn’t eliminate the urge to urinate, and tubing can actually contribute to tripping and falling … Slide 73
Catheter misperceptions:
Facilitates I&O measurement
Protects patient from falls … Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009 . … Retrieved from the Centers for Disease Control and Prevention. website: CAUTI Guidelines.
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psnet.ahrq.gov/issue/front-line-defense-role-nurses-preventing-sentinel-events-third-edition
November 27, 2018 - provides strategies for nurses to identify and help prevent sentinel events, with each chapter discussing prevention … December 15, 2017
Organisational strategies to implement hospital pressure ulcer prevention … April 27, 2016
Special Issue on Falls. … December 16, 2015
ANA CAUTI Prevention Tool. … November 16, 2015
Infection Prevention.
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psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
February 28, 2018 - Falls , wrong surgery and unintended retained foreign bodies were among the most frequently submitted … April 17, 2013
Prevention of 3 "never events" in the operating room: fires, gossypiboma … Information Professionals
Retained Surgical Instruments and Sponges
Wrong-Site Surgery
Patient Falls
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/FaN-QvpDgnJh8KrdF4smmv
May 01, 2013 - concluded in a separate
recommendation that vitamin D supplementation is effec-
tive in preventing falls … in community-dwelling adults aged
65 years or older who are at increased risk for falls. … in community-dwelling adults
aged 65 years or older who are at increased risk for
falls because of a … history of recent falls or vitamin
D deficiency (B recommendation). … of
falls, cardiovascular disease, or overall mortality.