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441. Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. | PSNet
     psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine
     November 09, 2022 - Opioid use by older adults increases the risk of falls. … May 15, 2024 Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

442. CHIPRA 201: Section 5, Table 3 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-asthma-section-5-table-3.pdf
     February 19, 2016 - National Asthma Education and Prevention Program. … After training, inhaler technique falls off with time, so checking and re- training must be repeated … Global Strategy for Asthma Management and Prevention. 2014.

443. High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? | PSNet
     psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
     May 18, 2022 - Falls in hospitalized older adults represent a source of serious preventable patient harm . … Although limited evidence supports fall prevention strategies, the use of certain high-risk medications … Investigators examined 328 falls and found that more than 60% of the older patients who fell had received

444. Vitamin D and Calcium Supplementation to Prevent Fractures in Adults: Clinical Summary of USPSTF Recommendation (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/7xVc9J-YMc29PbLBU2K-Pq
     is lacking regarding the benefit of daily vitamin D and calcium supplementation for the primary prevention … benefit of daily supplementation with >400 IU of vitamin D3 and >1,000 mg of calcium for the primary prevention … supplementation with ≤400 IU of vitamin D3 and ≤1,000 mg of calcium has no net benefit for the primary prevention … USPSTF has made recommendations on screening for osteoporosis and vitamin D supplementation to prevent falls

445. AHRQ Patient Safety Tools and Resources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
     January 01, 2024 - https://research.jefferson.edu/connected- care-center/uncertainty-communication- toolkit.html Falls … Fall TIPS: A Patient-Centered Fall Prevention Toolkit consists of a formal risk assessment and tailored … The toolkit has reduced falls by 25 percent in acute care hospitals and is used in more than 100 hospitals … Web: ahrq.gov/patient-safety/settings/hospital/ fall-tips Falls Management Program: A Quality Improvement … Web: ahrq.gov/pressureulcertoolkit The Pressure Injury Prevention in Hospitals Training Program supports

446. AHRQ Slide Template 2019-Widescreen (pdf file)
     pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
     January 01, 2020 - Acuity, Size, IRF/IRU Quarterly conference calls/Safe Tables • General webinar and Infection Prevention … Measures • Discharges to Acute Care o Early, Late, Planned, Unplanned • Restraint Utilization • Falls … /Unassisted Falls o By Diagnosis Group • Injuries Resulting from Falls/Unassisted Falls o By Diagnosis … Writing an Infection Control Plan for Joint Commission Survey • Durability of Outcomes/Readmission Prevention … • Teammate appreciation and engagement Source: statnews.com Restraint Utilization Unassisted Falls

447. Final Research Plan: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Preventive Medication | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/vitamin-d-calcium-or-combined-supplementation-for-the-primary-prevention-of-fractures-in-adults-preventive-medication
     June 23, 2016 - Final Research Plan Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention … osteoporosis (e.g., aromatase inhibitors, androgen deprivation therapy, antiretrovirals) Have a history of falls … or are considered at high risk for falls Have a medical condition associated with vitamin D deficiency … as focusing on vitamin D–deficient populations and populations with osteoporosis or at high risk for falls … Screening for vitamin D deficiency, screening for osteoporosis, and providing interventions to prevent falls

448. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-results.html
     November 01, 2017 - It is possible that these HACs have been met with extensive in-hospital tracking and prevention efforts … resulting from admissions due to a fall in the community and 2) articles studied the impact of fall-prevention … programs and protocols on the incidence of in-hospital falls. … base their costs calculations on the Bates article. 49 Costs associated with prevention efforts, as … leading to an admission and falls occurring in the institution.

449. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members
     February 15, 2011 - Examining patient safety in home hospice care, the authors found that falls and inadequate symptom … Related Resources Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

450. Negligence, genuine error, and litigation. | PSNet
     psnet.ahrq.gov/issue/negligence-genuine-error-and-litigation
     July 10, 2024 - August 20, 2018 Evaluation of clinical practice guidelines on fall prevention and management … May 22, 2013 Minnesota Hospital Association Statewide Project: SAFE from FALLS. … September 20, 2011 Medicare nonpayment, hospital falls, and unintended consequences.

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852463/psn-pdf
     August 16, 2023 - what-do-patients-and-their-carers-do-support-safety-cancer-treatment-and-care-scoping-review https://psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention

452. In Conversation With... Heidi Wald, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-heidi-wald-md
     November 26, 2019 - In the health system I’m at right now, we’re increasingly marrying our falls prevention work with our … Our prior approach to falls was, “if we keep them in bed they won’t fall.” … We placed fall prevention above safe mobility. … We don’t want patients falling and breaking a bone while in the hospital under nurse supervision. … For example, prolonged length of stay, falls, and malnutrition.

453. Patient Safety in Frail Older Patients | PSNet
     psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
     November 26, 2019 - In the health system I’m at right now, we’re increasingly marrying our falls prevention work with our … Our prior approach to falls was, “if we keep them in bed they won’t fall.” … We placed fall prevention above safe mobility. … We don’t want patients falling and breaking a bone while in the hospital under nurse supervision. … For example, prolonged length of stay, falls, and malnutrition.

454. Statistical Brief #96: Potentially Preventable Hospitalizations among Medicare-Medicaid Dual Eligibles, 2008 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
     September 01, 2010 - However, elderly patients ages 85 and over accounted for one-third of stays for injurious falls and … Seven of these conditions are selected from the Prevention Quality Indicators (PQI) developed by the … For other Medicare beneficiaries, it was injurious falls (1,109 stays per 100,000 enrollees). … Prevention Quality Indicators (PQIs) The PQIs are part of a set of AHRQ Quality Indicators (QIs) developed … Stanford University, Center for Primary Care and Outcomes Research for their efforts in refining the AHRQ Prevention

455. Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/health-outcomes-deprescribing-interventions-among-older-residents-nursing-homes-systematic
     March 01, 2023 - medications were reviewed according to prespecified criteria resulted in reduced mortality and fewer falls … 2020 Impact of a clinical decision support system for high-alert medications on the prevention … WebM&M Cases Failure to Ensure Patient Safety Leads to Patient Falls

456. The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. | PSNet
     psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
     January 12, 2022 - enhanced accreditation procedures in the United Kingdom did not improve rates of either pressure ulcers or falls … Resources From the Same Author(s) Evaluation of clinical practice guidelines on fall prevention … single room hospital accommodation associated with differences in healthcare-associated infection, falls

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855440/psn-pdf
     November 15, 2023 - https://psnet.ahrq.gov/issue/npsd-data-spotlight-patterns-fall-interventions Falls are a frequently … network-patient-safety-databases https://psnet.ahrq.gov/issue/network-patient-safety-databases https://psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates

458. Field Guide to Collaborative Care: Implementing the Future of Health Care. | PSNet
     psnet.ahrq.gov/issue/field-guide-collaborative-care-implementing-future-health-care
     March 09, 2018 - Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention … Resources Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40311/psn-pdf
     March 23, 2011 - military hospitals, greater nursing experience and skill mix was associated with a lower incidence of falls … issue/association-shift-level-nurse-staffing-adverse-patient-events https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861882/psn-pdf
     January 31, 2024 - is essential to improve health outcomes, to decrease mortality from chronic disease, and to promote prevention … But challenges in office-based care settings, such as falls, diagnostic issues, and complications related … and may be approached in similar ways in both acute and office-based settings, for example patient falls … AHRQ published a primer on fall prevention summarizing evidence on fall reduction in a variety of healthcare … strategy of incorporating individualized fall risk screening to identify patients most at risk for falling