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psnet.ahrq.gov/node/45533/psn-pdf
November 02, 2016 - issues: venous thromboembolism, pressure ulcers, catheter–associated urinary
tract infections, and falls … preventability-hospital-acquired-venous-thromboembolism
https://psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings … program-prevent-catheter-associated-urinary-tract-infection-acute-care
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-need-know-about-psychiatric
January 30, 2019 - October 27, 2021
Patient safety and suicide prevention in mental health services: time … March 18, 2015
Reducing falls and fall-related injuries in mental health: a 1-year multihospital … falls collaborative.
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psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions
June 03, 2013 - August 23, 2023
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023 … November 21, 2016
Applying root cause analysis to improve patient safety: decreasing falls
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psnet.ahrq.gov/issue/human-factors-home-health-care-conceptual-model-examining-safety-and-quality-concerns
November 21, 2018 - November 15, 2023
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023 … April 22, 2011
The patient who falls: "It's always a trade-off."
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psnet.ahrq.gov/issue/health-outcomes-associated-potentially-inappropriate-medication-use-older-adults
June 29, 2011 - November 16, 2022
Effects of an intervention to increase bed alarm use to prevent falls … December 12, 2012
Is it possible to identify risks for injurious falls in hospitalized … September 23, 2020
Fall prevention implementation strategies in use at 60 United States
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psnet.ahrq.gov/node/844555/psn-pdf
February 15, 2023 - medication-safety-messages-patients-web-portal-medcheck-intervention
https://psnet.ahrq.gov/issue/evaluation-patient-centered-fall-prevention-tool-kit-reduce-falls-and-injuries-nonrandomized
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening-june-2018
June 26, 2018 - in community-dwelling adults 65 years and older at increased risk of falls and selectively offering … Centers for Disease Control and Prevention. Physical activity and health. … Interventions to prevent falls in community-dwelling older adults: US Preventive Services Task Force … Denosumab for prevention of fractures in postmenopausal women with osteoporosis. … Clinician's Guide to Prevention and Treatment of Osteoporosis.
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psnet.ahrq.gov/issue/surgical-count-practice-variability-and-potential-retained-surgical-items
October 20, 2010 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls … 30, 2022
View More
Related Resources
Guidelines in Practice: prevention … August 3, 2022
Guideline implementation: prevention of retained surgical items. … September 29, 2017
Statement on the prevention of retained foreign bodies after surgery … September 12, 2012
Implementing AORN recommended practices for prevention of retained
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psnet.ahrq.gov/issue/children-admitted-hospital-what-interventions-improve-medication-safety-ward-rounds
July 29, 2020 - 7, 2022
Six major steps to make investigations of suicide valuable for learning and prevention … February 2, 2022
Sitters as a patient safety strategy to reduce hospital falls: a systematic … March 23, 2022
Potentially inappropriate medications and their effect on falls during
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psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
March 03, 2021 - February 2, 2022
Fall prevention implementation strategies in use at 60 United States … February 22, 2023
View More
Related Resources
Patient falls in … October 26, 2022
Patient falls in the operating room setting: an analysis of reported
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psnet.ahrq.gov/issue/how-providers-can-optimize-effective-and-safe-scribe-use-qualitative-study
November 18, 2020 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … February 7, 2024
Cost of inpatient falls and cost-benefit analysis of implementation … of an evidence-based fall prevention program.
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psnet.ahrq.gov/issue/patients-experience-patient-safety-information-and-participation-care-during-hospital-stay
April 05, 2023 - August 25, 2021
Do falls and other safety issues occur more often during handovers when … June 14, 2023
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/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … 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/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
March 14, 2022 - November 1, 2023
Cost of inpatient falls and cost-benefit analysis of implementation … of an evidence-based fall prevention program. … Exploring organizational context and structure as predictors of medication errors and patient falls
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hcup-us.ahrq.gov/reports/statbriefs/sb19.pdf
November 01, 2006 - definition of injury used in this statistical brief is consistent with the State and
Territorial Injury Prevention … Over 38 per-
f injury stays were the
of falls. … By far, the most frequent
cause of injury was falls. … Statistical Brief, injuries were defined in a manner consistent with the State and Territorial Injury
Prevention … State and Territorial Injury Prevention Directors Association. http://stipda.org/associations/5805/files
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psnet.ahrq.gov/node/42083/psn-pdf
March 13, 2013 - Progress in patient safety improvement has been hindered by a lack of high-quality research on error
prevention … certain health care–associated infections and surgical
complications, bundled interventions to reduce falls … surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/node/43444/psn-pdf
August 27, 2014 - Kingdom revealed that the most common events included failure to recognize clinical deterioration, falls … improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety
https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/node/47349/psn-pdf
January 30, 2019 - information sharing and advice networks on several patient safety outcomes, including medication errors,
falls … //psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or31.jsp
August 01, 2014 - Motor vehicle crashes account for majority of unintentional injury deaths
Injury prevention … Falls: AI/AN 8.5, white 27.6. Accidental drowning:AI/AN 4.2, white 3.2. … 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 … Bridget Canniff & Luella Azule, Injury Prevention Program
Tam Lutz, Jodi Lapidus, & Nicole Smith, Native
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psnet.ahrq.gov/issue/clinicians-perceptions-opioid-error-contributing-factors-inpatient-palliative-care-services
June 01, 2016 - The impact of safety culture, quality of care, missed care and nurse staffing on patient falls … 27, 2024
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023