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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
September 18, 2019 - December 21, 2018
Suicide and suicide attempts on hospital grounds and clinic areas. … June 4, 2024
Suicide and suicide attempts on hospital grounds and clinic areas.
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psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational
March 10, 2021 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/interventions-improve-safe-and-effective-medicines-use-consumers-overview-systematic-reviews
July 19, 2023 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/transactional-second-victim-model-experiences-affected-healthcare-professionals-acute-somatic
April 20, 2022 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/hospital-covid-19-burden-and-adverse-event-rates
June 22, 2022 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
June 14, 2023 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/inpatient-patient-safety-events-vulnerable-populations-retrospective-cohort-study
October 27, 2021 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
October 27, 2021 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration
November 17, 2021 - November 24, 2021
Suicide and suicide attempts on hospital grounds and clinic areas. … April 24, 2024
Suicide and suicide attempts on hospital grounds and clinic areas
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psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
May 04, 2022 - September 5, 2018
Suicide and suicide attempts on hospital grounds and clinic areas. … April 12, 2023
Suicide and suicide attempts on hospital grounds and clinic areas.
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psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem
November 02, 2014 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/patient-safety-womens-health-care-framework-progress
January 12, 2011 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
May 07, 2014 - March 26, 2014
Some IV medications are diluted unnecessarily in patient care areas, creating … January 28, 2015
Some IV medications are diluted unnecessarily in patient care areas,
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psnet.ahrq.gov/sites/default/files/2022-12/spotlight_case_strongyloides_final_11.21.22.pdf
January 01, 2022 - parasite burden and
turnaround increase and accelerate)
- Disseminated Disease: Parasite
present in areas … process results in an ongoing low level of infection, affecting up to 30%
of the population in endemic areas … • In tropical and subtropical areas, people who live in rural areas with
poor sanitation have a greater … acquiring strongyloidiasis from
fecally contaminated soil than people who live in developed urban
areas
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - AJ: In the hospital, I think the other areas that are hugely impacted are the patient care units. … One big change that is happening is the role of the waiting areas in
these clinics and outpatient areas … Whether we need waiting areas in these settings, and even in the
inpatient settings, will be an ongoing … But there's naturally some overlap in these
areas, and when something like COVID-19 occurs, errors do … What does that look like in
rural areas?
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psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
April 01, 2010 - What we have essentially done with those priorities and goals is to identify "high-leverage" areas—by … which we mean that if we focus our improvement activities on those areas, we will achieve very sizeable … JC: We have numerous areas of performance that no individual clinician or even an individual hospital … The National Priorities Partnership has identified priorities and goals in six areas—population health … The goals in most of these areas are stretch goals—ones that are challenging to achieve, but have great
-
psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
April 01, 2010 - What we have essentially done with those priorities and goals is to identify "high-leverage" areas—by … which we mean that if we focus our improvement activities on those areas, we will achieve very sizeable … JC: We have numerous areas of performance that no individual clinician or even an individual hospital … The National Priorities Partnership has identified priorities and goals in six areas—population health … The goals in most of these areas are stretch goals—ones that are challenging to achieve, but have great
-
psnet.ahrq.gov/issue/patient-safety-achieving-new-standard-care
January 04, 2009 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
March 23, 2012 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
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psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-review-and-investigate-deaths
January 23, 2019 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas