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psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - Patient Safety in Primary Care
February 21, 2020
Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/patient-safety-primary-care
Introduction
A strong primary care system is foundational to achieving high-quality, accessible, efficient healthcare …
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www.ahrq.gov/hai/tools/mvp/modules/cusp/patient-family-care-slides.html
March 01, 2017 - Patient and Family Involvement in Care of Mechanically Ventilated Patients: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Patient and Family Involvement in Care of Mechanically Ventilated Patients
Slide 2: Le…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
March 01, 2022 - Toolkit Prelaunch Activities
Decolonization of
Non-ICU Patients With Devices
Section 8 – Toolkit Prelaunch Activities
We recommend that you follow the prelaunch checklist below (Table 8-1) for successful
implementation. As is the case with many infection prevention programs, it will take time to
achie…
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psnet.ahrq.gov/node/33661/psn-pdf
December 01, 2007 - Care Transitions
December 1, 2007
Kripalani S. Care Transitions. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/care-transitions
Perspective
Hospital discharge is often viewed as the end of an acute medical event. Goodbyes are said as patients
pack their belongings and return home. Physicians scratch …
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psnet.ahrq.gov/web-mm/bowel-prep
March 01, 2017 - Bowel Prep
Citation Text:
Nelson D. Bowel Prep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downloa…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-234-headaches-pregnancy-summary.pdf
November 01, 2020 - Comparative Effectiveness Review No. 234 Evidence Summary: Management of Primary Headaches in Pregnancy
Comparative Effectiveness Review
Number 234
Management of Primary Headaches
in Pregnancy
Evidence Summary
Main Points
• Prevention of primary headache in women who are pregnant (or attempting to
become pre…
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psnet.ahrq.gov/perspective/patient-safety-primary-care
January 31, 2020 - Annual Perspective
Patient Safety in Primary Care
February 21, 2020
View more articles from the same authors.
Citation Text:
Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…
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www.ahrq.gov/patient-safety/reports/hotline/implement3.html
May 01, 2016 - Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events
III. Hotline Implementation and Refinement
Previous Page Next Page
Table of Contents
Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for…
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psnet.ahrq.gov/web-mm/dangerous-detour
November 28, 2018 - The Dangerous Detour
Citation Text:
Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
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digital.ahrq.gov/sites/default/files/docs/page/D_ITPrivacyandSecurityPrimer_1.pdf
March 20, 1997 - One-time training is not adequate
to reasonably ensure that the workforce is adhering to appropriate … In the context of health care, physical
security is largely aimed at providing adequate safeguards … For example, it may be adequate to secure a workstation by keeping it in a locked room
with limited
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digital.ahrq.gov/sites/default/files/docs/page/D_ITPrivacyandSecurityPrimer_0.pdf
March 20, 1997 - One-time training is not adequate
to reasonably ensure that the workforce is adhering to appropriate … In the context of health care, physical
security is largely aimed at providing adequate safeguards … For example, it may be adequate to secure a workstation by keeping it in a locked room
with limited
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/CW23r2jqogvTG2_-kBjRxH
January 01, 2007 - be
prescribed a low-fat, low-cholesterol diet because their rapid growth and development
require adequate … Screening strategies for ensuring
adequate assessment of minorities and those with unknown family history … In the general population of children there have not been adequate studies
to determine these characteristics … controlled trials (RCTs) and cohort studies
Criteria:
• Initial assembly of comparable groups: RCTs—adequate
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-xii-summary-evidence-table-evidence-reviews
July 01, 2017 - the USPSTF's six critical appraisal questions to determine the adequacy of the evidence (convincing, adequate
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psnet.ahrq.gov/node/33671/psn-pdf
July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root
Cause Analysis
July 1, 2008
Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet
[internet]. 2008.
https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
Perspective
Throughout most of his life, …
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
December 01, 2007 - products/safeplaceed/
Successful Prevention
Overarching goal is safe patient care
Must link adequate
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-d-calcium-or-combined-supplementation-for-the-primary-prevention-of-fractures-in-adults-preventive-medication
April 17, 2018 - The USPSTF found adequate evidence that daily supplementation with 400 IU or less of vitamin D combined … Harms of Preventive Medication
The USPSTF found adequate evidence that supplementation with vitamin … The USPSTF found adequate evidence that vitamin D supplementation does not prevent falls. … the National Academy of Medicine) 37 and the World Health Organization 38 recommend standards for adequate
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psnet.ahrq.gov/node/49420/psn-pdf
October 01, 2003 - not receive important information directly from the referring provider, the ED failed to obtain an
adequate
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psnet.ahrq.gov/node/50606/psn-pdf
October 30, 2019 - One doctor. 25 deaths. How could it have happened?
October 30, 2019
Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019.
https://psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
Systemic failures persistently undermine processes meant to keep patients safe. This news story discu…
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psnet.ahrq.gov/node/37246/psn-pdf
December 16, 2011 - Nurses' experiences of drug administration errors.
December 16, 2011
Schelbred A-B, Nord R. Nurses' experiences of drug administration errors. J Adv Nurs. 2007;60(3):317-24.
https://psnet.ahrq.gov/issue/nurses-experiences-drug-administration-errors
This qualitative study describes the experiences of nurses who comm…
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psnet.ahrq.gov/node/35671/psn-pdf
June 25, 2010 - Nursing Homes: Despite Increased Oversight, Challenges
Remain in Ensuring High-Quality Care and Resident
Safety.
June 25, 2010
Washington DC; Government Accountability Office; 2005. Report no. GAO-06-117.
https://psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high-
quali…