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psnet.ahrq.gov/issue/improving-nurse-patient-staffing-ratios-cost-effective-safety-intervention
May 14, 2008 - February 17, 2011
Evaluation of clinical practice guidelines on fall prevention and management … April 12, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
April 12, 2011 - December 18, 2014
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … program to engage older adults in fall prevention in a nursing home.
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psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
August 20, 2018 - July 1, 2019
A randomized trial of a multifactorial strategy to prevent serious fall … July 29, 2020
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/clinical-handover-trauma-setting-qualitative-study-paramedics-and-trauma-team-members
January 28, 2010 - June 15, 2011
Evaluation of clinical practice guidelines on fall prevention and management … Journal Article
Study
Catching those who fall
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psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-management-paediatrics-scoping-review
April 24, 2018 - June 28, 2017
The impact of post-fall huddles on repeat fall rates and perceptions of
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psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-mortality
February 09, 2011 - Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation
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psnet.ahrq.gov/issue/relationship-between-computerized-physician-order-entry-and-pediatric-adverse-drug-events
July 13, 2009 - Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation
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psnet.ahrq.gov/issue/integration-prospective-and-retrospective-methods-risk-analysis-hospitals
June 23, 2010 - June 15, 2011
Evaluation of clinical practice guidelines on fall prevention and management … August 25, 2011
An inpatient fall prevention initiative in a tertiary care hospital.
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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/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/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
June 19, 2013 - Commentary
Falling through the cracks: the invisible hospital cleaning workforce.
Citation Text:
Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035.
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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/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/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/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/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…