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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - October 11, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - while being
cared for in a health care facility
Patient death or serious disability associated with a fall
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - They had been a common strategy for fall prevention, but with the requirement to put on PPE, there was … a delay before a staff person could respond to the alarm and prevent a fall.
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - They had been a common strategy for fall prevention, but with the requirement to put on PPE, there was … a delay before a staff person could respond to the alarm and prevent a fall.
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psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
May 01, 2019 - I have seen in the field and as an EMS physician (but also on the receiving end of the EMS patient) fall … And that's one thing that makes it really hard, because 1% of the patients they're going to see will fall
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psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
May 01, 2019 - I have seen in the field and as an EMS physician (but also on the receiving end of the EMS patient) fall … And that's one thing that makes it really hard, because 1% of the patients they're going to see will fall
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - minimize CSF leak, mimic the compliance of dura, and be biologically inert.48
Currently, the options fall … suture repair.
26
26
Intraoperative Management – Sealants (2)
Commercially available sealants fall
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psnet.ahrq.gov/Webmm
May 01, 2021 - Level III trauma center to a Level I trauma center with lower extremity paralysis after a ground level fall
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psnet.ahrq.gov/webmm
May 01, 2021 - Level III trauma center to a Level I trauma center with lower extremity paralysis after a ground level fall
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce
Peter I. Buerhaus, PhD, RN | September 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Buerhaus P. Preparing for Health Reform: The Federal G…
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - SPOTLIGHT CASE
Premature Closure: Was It Just Syncope?
Citation Text:
Maurier D, Barnes DK. Premature Closure: Was It Just Syncope?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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psnet.ahrq.gov/curated-library/medicationdrug-errorsqqrysd
March 12, 2021 - Breadcrumb
My PSNet Account
My Libraries
Subscribed
Medication/Drug Errors'qQRysd<'">AVbUfV
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Last Updated: August 22, 2022
Created By: Dr. Yan Xiao, AHRQ TE…
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psnet.ahrq.gov/issue/health-care-crossroads-strategies-improving-medical-liability-system-and-preventing-patient
September 07, 2005 - Book/Report
Health Care at the Crossroads: Strategies for Improving the Medical Liability System and Preventing Patient Injury.
Citation Text:
Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005.
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psnet.ahrq.gov/issue/international-society-quality-health-care-conference
September 26, 2023 - International Meeting/Conference
International Society for Quality in Health Care Conference.
Citation Text:
International Society for Quality in Health Care, Korean Society for Quality in Health Care, Health Insurance Review and Assessment Service, and the Korea Institute for Healthcare…
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psnet.ahrq.gov/issue/door-doc-patient-safety-toolkit
August 17, 2011 - Multi-use Website
Door-to-Doc Patient Safety Toolkit.
Citation Text:
Banner Health.
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January 9, 2008
Banner Health.
Th…
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psnet.ahrq.gov/periodic-issue/periodic-issue-444
May 29, 2024 - June 12, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
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psnet.ahrq.gov/web-mm/toxic-tachycardia
March 01, 2005 - Toxic Tachycardia
Citation Text:
Wartofsky L. Toxic Tachycardia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm
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January 5, 2021
Innovation
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