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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
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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…
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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
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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
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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…
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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-…
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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
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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
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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
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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
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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
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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…
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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 …
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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
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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…
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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…
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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-…
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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.
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Format…
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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…
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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…