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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
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/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - provider is unavailable or distracted, creating opportunities for critical pieces of information to fall
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - behavior.( 19 ) Taken together, these studies indicate that obese patients' medical care might well fall
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - 20 hours before there is any significant change in the INR (because factor VII levels first have to fall
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psnet.ahrq.gov/web-mm/errors-sepsis-management
November 03, 2015 - Since the creation of our sepsis team in fall 2012, our inpatient bundle compliance has increased from
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - Miscarriage
June 1, 2003
WebM&M Cases
Another Fall
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psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
November 16, 2022 - the second study, more detailed intervention components and descriptions were established which all fall
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - January 1, 2004
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/periodic-issue/periodic-issue-289
April 28, 2021 - The supplemental item set was released in time for the scheduled Fall 2021 MOSOPS data submission.
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psnet.ahrq.gov/periodic-issue/periodic-issue-292
May 26, 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/periodic-issue/periodic-issue-318
November 30, 2021 - The patient subsequently presented to Emergency Department after a fall at home and was found to have
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psnet.ahrq.gov/periodic-issue/periodic-issue-317
November 30, 2021 - The patient subsequently presented to Emergency Department after a fall at home and was found to have
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - April 3, 2013
Perspective
Implementing a Fall Prevention
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - outcomes and safety, it is important to focus on the needs of
vulnerable patients with challenges that fall … outcomes and safety, it is important to focus on the needs of
vulnerable patients with challenges that fall
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psnet.ahrq.gov/node/867429/psn-pdf
December 18, 2024 - minimize CSF leak, mimic the compliance of dura,
and be biologically inert.48 Currently, the options fall … Commercially available sealants fall into two categories as either synthetic, consisting of polyethylene
-
psnet.ahrq.gov/node/60242/psn-pdf
March 01, 2021 - Team-Developed Care Plan and Ongoing Care
Management by Social Workers and Nurse Practitioners
Result in Better Outcomes and Reduced Acute Care
Utilization in Low-Income Seniors and other High-Risk
Populations
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovatio…
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psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
July 23, 2024 - Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - Additionally, it is essential to ensure that other critical patient safety efforts do not fall by the
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psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
May 01, 2013 - measures, it's pretty hard to measure diagnostic errors for example, and some of the other issues that fall
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - Reducing falls and fall-related injuries in the VA system. J Healthc Saf Q. 2003;1:25-33.
8.