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psnet.ahrq.gov/node/844785/psn-pdf
September 11, 2019 - Information flow during pediatric trauma care transitions:
things falling through the cracks.
September 11, 2019
Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions:
things falling through the cracks. Intern Emerg Med. 2019;14(5):797-805. doi:10.1007/s11739-019-0…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
April 01, 2003 - Lessons in Safety Climate and Safety Practices from a California Hospital Consortium
411
Lessons in Safety Climate
and Safety Practices from a
California Hospital Consortium
Sara J. Singer, Kelly M. Dunham, Jennie D. Bowen, Jeffrey J. Geppert,
David M. Gaba, Kathryn M. McDonald, Laurence C. Baker
Abstract…
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www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
June 01, 2020 - Non-HSR clinical trials that examine patient health outcomes (which would otherwise fall under Quality … care providers (e.g., doctors or medical residents), and therefore measures related to them do not fall
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024330-ye-final-report-2018.pdf
January 01, 2018 - A Sleep Promotion Toolkit for Hospitalized Patients - Final Report
A Sleep Promotion Toolkit for Hospitalized Patients
Principal Investigator: Lichuan Ye, PhD, RN
Co-Investigator: Patricia C. Dykes, PhD, RN, FAAN, FACMI
Grant No.: R21 HS24330
Project Period: 09/30/2015 - 09/29/2018
Or…
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cds.ahrq.gov/sites/default/files/workgroups/241/jun-2017-cholesterol-wg-notes.docx
January 01, 2017 - this population do not take in to account scenarios where patients who are well controlled on statins fall
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www.ahrq.gov/teamstepps-program/curriculum/team/teach/index.html
August 01, 2023 - A new version of the app will be available in fall 2023.
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www.ahrq.gov/teamstepps-program/curriculum/situation/teach/index.html
August 01, 2023 - A new version of the app will be available in fall 2023.
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www.ahrq.gov/teamstepps-program/curriculum/mutual/teach/index.html
August 01, 2023 - A new version of the app will be available in fall 2023.
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psnet.ahrq.gov/node/40454/psn-pdf
June 01, 2012 - Influence of unit-level staffing on medication errors and
falls in military hospitals.
June 1, 2012
Breckenridge-Sproat S, Johantgen M, Patrician PA. Influence of unit-level staffing on medication errors and
falls in military hospitals. West J Nurs Res. 2012;34(4):455-74. doi:10.1177/0193945911407090.
https://psne…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
January 01, 2025 - ■ An AHRQ Patient Safety Learning Labiiiii (PSLL) developed an electronic Fall TIPS Tool to help
patients … Key Findings/Impact: Investigators found that implementing the Fall TIPS
toolkit reduced patient fall … into both the electronic and print versions, because patients
are more likely to believe they need a fall … sites/default/files/2024-07/bates3-report.pdf
https://www.ahrq.gov/patient-safety/settings/hospital/fall-tips … /index.html
https://www.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
https://www.ahrq.gov
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/timeline-checklist-nc.pdf
April 01, 2018 - will be randomly assigned a start date for the intervention, with the
earliest start date to occur in Fall
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www.ahrq.gov/professionals/systems/system/delivery-system-initiative/casalino/paper/idkeydsr1.html
February 01, 2014 - are encouraging: four of the six evaluation grants and all four of the demonstration grants arguably fall
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www.ahrq.gov/teamstepps-program/curriculum/communication/teach/index.html
December 01, 2023 - Information about the new version of the app will be available in fall 2023 on the TeamSTEPPS Pocket
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www.ahrq.gov/teamstepps-program/curriculum/intro/teach/half-day.html
August 01, 2023 - A new version of the app will be available in fall 2023.
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www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
September 01, 2015 - If by chance you do injure yourself, whether it be from a fall or hard bump to the head, call your clinician
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cdsic.ahrq.gov/cdsic/cdsic-stakeholder-community-outreach-center/cds-standards-regulatory-framework
January 02, 2025 - Through Fall of 2024, the Workgroup will be focusing efforts on: Developing a taxonomy of reasons for
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/ma.html
March 01, 2019 - twice, with the first report produced by the spring of 2014 and the second report targeted for the fall
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psnet.ahrq.gov/node/39255/psn-pdf
February 02, 2011 - The patient who falls: "It's always a trade-off."
February 2, 2011
Tinetti ME, Kumar C. The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66.
doi:10.1001/jama.2009.2024.
https://psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
Through a case study, this article reviews evidence on risk…
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psnet.ahrq.gov/node/47508/psn-pdf
October 24, 2018 - Root cause analysis of reported patient falls in ORs in the
Veterans Health Administration.
October 24, 2018
Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the
Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/41554/psn-pdf
January 03, 2017 - Using root cause analysis to reduce falls with injury in
community settings.
January 3, 2017
Lee A, Mills PD, Neily J. Using root cause analysis to reduce falls with injury in community settings. Jt
Comm J Qual Patient Saf. 2012;38(8):366-374.
https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-inj…