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psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 2024 - The Ongoing Journey to Prevent Patient Falls
Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Dykes PC, Sousane Z, Mossb…
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psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - Hospital at Home? Care Reduces Costs, Readmissions,
and Complications and Enhances Satisfaction for Elderly
Patients.
April 7, 2021
https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-
and-enhances
Summary
The Hospital at Homesm program provides hospital-level care…
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - Getting to the Root of the Matter
June 1, 2005
Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/getting-root-matter
Case Objectives
Appreciate the goals and limitations of root cause analysis
Outline the steps to conduct root cause analysis
The Case
A…
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psnet.ahrq.gov/node/838079/psn-pdf
September 14, 2022 - Exploring the impact of employee engagement and
patient safety.
September 14, 2022
Scott G, Hogden A, Taylor R, et al. Exploring the impact of employee engagement and patient safety. Int J
Qual Health Care. 2022;34(3):mzac059. doi:10.1093/intqhc/mzac059.
https://psnet.ahrq.gov/issue/exploring-impact-employee-engag…
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psnet.ahrq.gov/node/36016/psn-pdf
September 27, 2016 - Strategies used by nurses to recover medical errors in an
academic emergency department setting.
September 27, 2016
Henneman EA, Blank FSJ, Gawlinski A, et al. Strategies used by nurses to recover medical errors in an
academic emergency department setting. Appl Nurs Res. 2006;19(2):70-7.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/45938/psn-pdf
September 29, 2017 - Is excessive resource utilization an adverse event?
September 29, 2017
Zapata JA, Lai AR, Moriates C. Is Excessive Resource Utilization an Adverse Event? JAMA.
2017;317(8):849-850. doi:10.1001/jama.2017.0698.
https://psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event
Overuse of therapies, medication…
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psnet.ahrq.gov/node/38521/psn-pdf
September 19, 2016 - Inpatient suicide: preventing a common sentinel event.
September 19, 2016
Tishler CL, Reiss NS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry.
2009;31(2):103-9. doi:10.1016/j.genhosppsych.2008.09.007.
https://psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event
Suici…
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psnet.ahrq.gov/node/60538/psn-pdf
May 27, 2020 - Diagnostic Safety Toolkit.
May 27, 2020
Child Health Patient Safety Organization. Diagnostic Safety Toolkit. Washington DC: Children's Hospital
Association. May 2020.
https://psnet.ahrq.gov/issue/diagnostic-safety-toolkit
Effective communication is an important component of diagnostic accuracy. Shaped with data co…
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psnet.ahrq.gov/node/40487/psn-pdf
June 01, 2011 - Developing and testing a tool to measure nurse/physician
communication in the intensive care unit.
June 1, 2011
Carbo AR, Tess AV, Roy CL, et al. Developing a High-Performance Team Training Framework for Internal
Medicine Residents. J Patient Saf. 2011;7(2). doi:10.1097/pts.0b013e31820dbe02.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/36935/psn-pdf
September 01, 2011 - When should a multicampus hospital be considered a
single entity for public reporting on patient safety issues?
September 1, 2011
Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single
entity for public reporting on patient safety issues? Qual Manag Health Care. 2007…
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psnet.ahrq.gov/node/73989/psn-pdf
October 20, 2021 - How is safety climate measured? A review and evaluation.
October 20, 2021
Shea T, De Cieri H, Vu T, et al. How is safety climate measured? A review and evaluation. Safety Sci.
2021;143:105413. doi:10.1016/j.ssci.2021.105413.
https://psnet.ahrq.gov/issue/how-safety-climate-measured-review-and-evaluation
Assessing s…
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psnet.ahrq.gov/node/40098/psn-pdf
December 18, 2014 - Iatrogenic events in neonates: beneficial effects of
prevention strategies and continuous monitoring.
December 18, 2014
Ligi I, Millet V, Sartor C, et al. Iatrogenic events in neonates: beneficial effects of prevention strategies and
continuous monitoring. Pediatrics. 2010;126(6):e1461-8. doi:10.1542/peds.2009-2872…
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psnet.ahrq.gov/node/38734/psn-pdf
July 01, 2009 - Safety and efficiency considerations for the introduction
of electronic ordering in a blood bank.
July 1, 2009
Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of
electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;133(6):933-7. doi:10.1043/1543-2165-
…
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psnet.ahrq.gov/node/36637/psn-pdf
January 14, 2011 - The effect of the fit between organizational culture and
structure on medication errors in medical group
practices.
January 14, 2011
Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on
medication errors in medical group practices. Health Care Manage Rev. 2007…
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psnet.ahrq.gov/node/36026/psn-pdf
March 28, 2011 - Inter- and intra-rater reliability for classification of
medication related events in paediatric inpatients.
March 28, 2011
Kunac DL, Reith DM, Kennedy J, et al. Inter- and intra-rater reliability for classification of medication related
events in paediatric inpatients. Qual Saf Health Care. 2006;15(3):196-201.
ht…
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psnet.ahrq.gov/node/43720/psn-pdf
November 26, 2014 - Hamilton father misdiagnosed with lung cancer demands
answers.
November 26, 2014
Carville O. The Star. November 14, 2014.
https://psnet.ahrq.gov/issue/hamilton-father-misdiagnosed-lung-cancer-demands-answers
This news article reports on a case involving a patient who was misdiagnosed with terminal cancer and
touc…
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psnet.ahrq.gov/node/866869/psn-pdf
October 02, 2024 - Core Elements of Hospital Diagnostic Excellence (DxEx).
October 2, 2024
Core Elements of Hospital Diagnostic Excellence (DxEx). Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex
Diagnostic excellence is an expansion of the diagnostic error red…
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psnet.ahrq.gov/node/43985/psn-pdf
December 06, 2017 - Development of a medication safety and quality survey
for small rural hospitals.
December 6, 2017
Winterstein AG, Johns TE, Campbell KN, et al. Development of a Medication Safety and Quality Survey for
Small Rural Hospitals. J Patient Saf. 2017;13(4):249-254. doi:10.1097/PTS.0000000000000154.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/60885/psn-pdf
September 02, 2020 - Becoming a High Reliability Organization.
September 2, 2020
VHA Forum. Summer 2020;1-12.
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization
High reliability attainment is a stated goal for health care organizations. This special issue covers
established initiatives at the United States Veterans He…