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461. Using stakeholder intervention refinement teams to develop approaches for real-time integration of patient-reported safety information during older adults’ hospital-to-home-health care transitions. | PSNet
     psnet.ahrq.gov/issue/using-stakeholder-intervention-refinement-teams-develop-approaches-real-time-integration
     January 21, 2019 - August 31, 2016 Evaluation of clinical practice guidelines on fall prevention and management … March 12, 2014 Talking about falls: a qualitative exploration of spoken communication … of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention … Strategies to improve the patient safety outcome indicator: preventing or reducing falls

462. Eighth Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services (pdf file)
     www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/usptf-annual-report-congress-2018%20(1).pdf
     January 01, 2018 - B Falls Prevention in Community-Dwelling Older Adults: Interventions in Adults Age 65 Years and Older … falls. … D Falls Prevention in Community-Dwelling Older Adults Age 65 Years and Older: Interventions The USPSTF … Falls Prevention in Community-Dwelling Older Adults: Interventions The USPSTF recommends exercise … risk for falls.

463. Patient and Family Engagement in Long Term Care | PSNet
     psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
     April 10, 2024 - Patient falls are an ongoing patient safety concern, yet mitigating falls among inpatients remains challenging … Patient falls are an ongoing patient safety concern, yet mitigating falls among inpatients remains challenging … The program, which emphasizes tailored fall-prevention and patient-family engagement, resulted in a decrease … in the rate of falls and injuries. … This report examined the costs of avoidable problems in long term care and suggests prevention strategies

464. Motor Vehicle Crash Mortality among Northwest AI/AN (pdf file)
     hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or31.pdf
     October 08, 2012 - deaths • Motor vehicle crashes account for majority of unintentional injury deaths • Injury prevention … 17.0% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% Motor vehicle crashes Accidental poisoning Falls … projects at NPAIHB  Injury Prevention Program • NW Tribal Injury Prevention Coalition  5-year … Tribal Injury Prevention Action Plan • Focus on motor vehicle safety & elder falls  Native CARS … ) • Bridget Canniff & Luella Azule, Injury Prevention Program • Tam Lutz, Jodi Lapidus, & Nicole

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41682/psn-pdf
     September 19, 2012 - implemented on a surgical unit at an academic medical center that had a persistently high rate of falls … https://psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43151/psn-pdf
     April 30, 2014 - The initiative aims to build collaborative programs across New Zealand to reduce falls, health care–associated … https://psnet.ahrq.gov/issue/serious-adverse-events-reports https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43026/psn-pdf
     March 05, 2014 - common formats for surveillance of adverse events in hospitals, such as venous thromboembolism and falls … electronic-alerts-prevent-venous-thromboembolism-among-hospitalized-patients https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial

468. Medical Error: What Do We Know? What Do We Do? | PSNet
     psnet.ahrq.gov/issue/medical-error-what-do-we-know-what-do-we-do
     May 06, 2016 - Related Resources Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023 … December 15, 2017 Partnering to prevent falls: using a multimodal multidisciplinary team

469. Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report. | PSNet
     psnet.ahrq.gov/issue/partnership-patients-pfp-hospital-engagement-network-hen-20-final-report
     May 06, 2015 - December 24, 2008 Preventing Patient Falls: A Systematic Approach From the Joint Commission … Related Resources Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846763/psn-pdf
     March 29, 2023 - This article discusses the potential that improved technology use has in reducing medication errors, falls … //psnet.ahrq.gov/issue/two-decades-err-human-progress-still-chasm https://psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37312/psn-pdf
     January 05, 2012 - community-based patients and discovered that the most frequent risks identified were mobility, fall prevention … delineation-risk-through-exploration-culture-safety-community-home-health https://psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit

472. A Systems Approach to Quality Improvement in Long-Term Care: Safe Medication Practices Workbook. | PSNet
     psnet.ahrq.gov/issue/systems-approach-quality-improvement-long-term-care-safe-medication-practices-workbook
     December 27, 2014 - Massachusetts Coalition for the Prevention of Medical Errors, MassPRO, Massachusetts Extended Care Foundation … Linkedin Copy URL November 19, 2014 Massachusetts Coalition for the Prevention … May 24, 2015 Massachusetts Coalition for the Prevention of Medical Errors. … Related Resources Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

473. Contemporary View of Medication-Related Harm. A New Paradigm. | PSNet
     psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
     July 20, 2012 - National Coordinating Council for Medication Error Reporting and Prevention; NCCMERP. … April 15, 2015 National Coordinating Council for Medication Error Reporting and Prevention … National Coordinating Council for Medication Error Reporting and Prevention; NCCMERP. … July 12, 2010 Medication incident recovery and prevention utilising an Australian community … February 10, 2016 Preventing Falls With Injury.

474. Nurses and patients: natural partners to advance patient safety | PSNet
     psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
     July 11, 2018 - May 28, 2015 Infection prevention in the operating room anesthesia work area. … Resources Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

475. The Physical Environment: An Often Unconsidered Patient Safety Tool | PSNet
     psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
     November 21, 2018 - Patient Falls It is widely accepted that the physical environment—including environmental features, … Because most studies in this area have involved multifaceted-interventions to reduce falls ( 17-19 ), … The impact of healthcare environmental design on patient falls. … Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process … December 1, 2012 Perspective Implementing a Fall Prevention

476. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. | PSNet
     psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items
     March 20, 2019 - September 28, 2022 A longitudinal study of a multifaceted intervention to reduce newborn falls … Patient Safety Primers Retained Surgical Items: Causation and Prevention … Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Patient falls

477. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
     October 06, 2021 - July 27, 2022 Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care. … Patient Safety Primers Retained Surgical Items: Causation and Prevention

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865816/psn-pdf
     May 08, 2024 - registered-nurses-efforts-ensure-safety-home-dwelling-older-patients https://psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care … https://psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43585/psn-pdf
     July 16, 2015 - one hospital's effort to decrease readmissions and adverse events involving inpatients at risk for falls … reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43524/psn-pdf
     October 29, 2014 - diagnostic codes in administrative data for hospital-related complications such as pressure ulcers, falls … preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial