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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40311/psn-pdf
    March 23, 2011 - psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73604/psn-pdf
    August 18, 2021 - The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. August 18, 2021 Damery S, Flanagan S, Jones J, et al. The effect of providing staff training and enhanced support to c…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43151/psn-pdf
    April 30, 2014 - https://psnet.ahrq.gov/issue/serious-adverse-events-reports https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36674/psn-pdf
    January 18, 2011 - authors describe an initiative to improve teamwork and staff engagement that resulted in reduced patient fall
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39650/psn-pdf
    June 30, 2010 - Negotiating safety when staffing falls short. June 30, 2010 Zolnierek CD, Steckel CM. Negotiating Safety when Staffing Falls Short. Crit Care Nurs Clin North Am. 2010;22(2). doi:10.1016/j.ccell.2010.03.014. https://psnet.ahrq.gov/issue/negotiating-safety-when-staffing-falls-short This commentary describes strategi…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37825/psn-pdf
    April 11, 2011 - The effect of bedrails on falls and injury: a systematic review of clinical studies. April 11, 2011 Healey F, Oliver D, Milne A, et al. The effect of bedrails on falls and injury: a systematic review of clinical studies. Age Ageing. 2008;37(4):368-78. doi:10.1093/ageing/afn112. https://psnet.ahrq.gov/issue/effect-…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43026/psn-pdf
    March 05, 2014 - electronic-alerts-prevent-venous-thromboembolism-among-hospitalized-patients https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35401/psn-pdf
    April 06, 2011 - the authors developed a definition of prescribing error as well as a list of the events that would fall
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41070/psn-pdf
    January 18, 2012 - confirmation-bias-why-psychiatrists-stick-wrong-preliminary-diagnoses This study found evidence that both psychiatrists and medical students fall
  10. psnet.ahrq.gov/issue/there-relationship-between-high-quality-performance-major-teaching-hospitals-and-residents
    July 21, 2010 - March 18, 2019 Evaluation of clinical practice guidelines on fall prevention and management … November 16, 2022 A randomized trial of a multifactorial strategy to prevent serious fall
  11. psnet.ahrq.gov/issue/tall-man-lettering-and-potential-prescription-errors-time-series-analysis-42-childrens
    January 12, 2012 - November 12, 2014 A randomized trial of a multifactorial strategy to prevent serious fall … June 7, 2023 Evaluation of clinical practice guidelines on fall prevention and management
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44845/psn-pdf
    July 01, 2016 - Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. July 1, 2016 Simon M, Maben J, Murrells T, et al. Is single room hospital accommodation associated with differences i…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866193/psn-pdf
    June 26, 2024 - Preventable or potentially inappropriate psychotropics and adverse health outcomes in older adults: systematic review and meta-analysis. June 26, 2024 Corvaisier M, Brangier A, Annweiler C, et al. Preventable or potentially inappropriate psychotropics and adverse health outcomes in older adults: systematic review …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35808/psn-pdf
    June 19, 2007 - 100K Lives falling short. June 19, 2007 Robeznieks A. https://psnet.ahrq.gov/issue/100k-lives-falling-short This article reports on the progress of the 100,000 Lives Campaign and what has been learned thus far. https://psnet.ahrq.gov/issue/100k-lives-falling-short
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39129/psn-pdf
    November 25, 2009 - How to avoid falling victim to a hospital mistake. November 25, 2009 Cohen E. https://psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake This news story describes an incident of patient misidentification and offers tips to help patients confirm their care during a hospitalization. https://psnet.ahrq.g…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39734/psn-pdf
    November 14, 2011 - Man falls off surgical table; St. Joseph's Hospital sued. November 14, 2011 Smith ML; Wolfe WA. https://psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued This newspaper article reports on a lawsuit regarding a safety incident that led to injury and subsequent death of a patient. https://psnet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850348/psn-pdf
    June 14, 2023 - Approaches to improving patient safety in integrated care: a scoping review. June 14, 2023 Lalani M, Wytrykowski S, Hogan H. Approaches to improving patient safety in integrated care: a scoping review. BMJ Open. 2023;13(4):e067441. doi:10.1136/bmjopen-2022-067441. https://psnet.ahrq.gov/issue/approaches-improving-…
  18. psnet.ahrq.gov/issue/nurses-perceptions-safety-culture-long-term-care-settings
    April 06, 2011 - Study Nurses' perceptions of safety culture in long-term care settings. Citation Text: Wagner LM, Capezuti E, Rice JC. Nurses' perceptions of safety culture in long-term care settings. J Nurs Scholarsh. 2009;41(2):184-192. doi:10.1111/j.1547-5069.2009.01270.x. Copy Citation Format…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44641/psn-pdf
    October 26, 2016 - Resident Safety Practices in Nursing Home Settings. October 26, 2016 Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-EHC022-EF. https://psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings E…
  20. psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
    August 02, 2015 - Study Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Citation Text: Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient…

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