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4641. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2024 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-ptI.pdf
      January 01, 2024 - When the distribution of hospital scores follows a normal bell-shaped curve (where most of the scores fall … When the distribution of hospital scores follows a normal bell-shaped curve (where most of the scores fall

4642. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
      January 01, 2025 - the distribution of nursing home scores follows a normal bell-shaped curve (where most of the scores fall … the distribution of nursing home scores follows a normal bell-shaped curve (where most of the scores fall

4643. Nursing Home Survey on Patient Safety Culture: 2019 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2019-nhsops-dbreport-parti-rev091721.pdf
      January 01, 2019 - distribution of nursing home scores follows a normal, bell-shaped curve (where most of the scores fall … the distribution of nursing home scores follows a normal bell-shaped curve (where most of the scores fall

4644. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
      January 01, 2023 - the distribution of nursing home scores follows a normal bell-shaped curve (where most of the scores fall … the distribution of nursing home scores follows a normal bell-shaped curve (where most of the scores fall

4645. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I-rev.pdf
      January 01, 2023 - When the distribution of ASC scores follows a normal bell-shaped curve (where most of the scores fall … When the distribution of ASC scores follows a normal bell-shaped curve (where most of the scores fall

4646. Final Progress Report: Evaluating e-Prescribing in a Community-Based, Integrated Health System (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
      January 01, 2024 - Devine has concurrently conducted research projects that all fall broadly under the rubric of health … Since Fall 2008, Dr. … This Fall, the University of Washington School of Pharmacy has implemented a newly revised curriculum

4647. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations | PSNet
      psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
      October 27, 2022 - 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 … February 1, 2012 Evaluation of clinical practice guidelines on fall prevention and management

4648. The AHRQ Health IT Value Grant Initiative: A Programmatic Review of the Peer-Reviewed Literature (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
      June 01, 2010 - Four of the grants concluded in fall 2007 after 3 years; 16 grants exercised their option for a fourth … no-cost extension year and concluded in fall 2008; and in fall 2009, the 4 remaining grants, which … e-prescribing (6 articles). 7   The nine remaining articles fall

4649. May I Have Another?—Medication Error | PSNet
      psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
      March 01, 2009 - He noted that the diphenhydramine made him somewhat drowsy, but not enough to fall asleep.

4650. Pregnant With Danger | PSNet
      psnet.ahrq.gov/web-mm/pregnant-danger
      January 12, 2011 - In the present case, the patient would fall into Category V (medical complaint not related to pregnancy

4651. Mismanagement of Delirium | PSNet
      psnet.ahrq.gov/web-mm/mismanagement-delirium
      February 13, 2014 - Mismanagement of Delirium Citation Text: Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

4652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74713/psn-pdf
      January 26, 2022 - male with a history of chronic opioid use, anxiety disorder, and major depression presented after a fall

4653. Final Progress Report: Patient-centered approach to reducing harm from VTE (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
      January 01, 2024 - intraarticular or pericardial, or intramuscular with compartment syndrome, and/or 3. bleeding causing a fall

4654. A Painful Medication Reconciliation Mishap | PSNet
      psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
      May 01, 2008 - After the fall, a CT scan revealed a fracture of the cervical spine, which required spinal fusion surgery

4655. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
      June 30, 2025 - ► Expectation that every hospital-acquired infection was reviewed using LFD ► LFD used for post-fall

4656. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61082/psn-pdf
      July 23, 2020 - Long-Term Care and the Response to COVID-19 October 28, 2020 Popejoy LL, Crecelius CA, Fitall E, et al. Long-Term Care and the Response to COVID-19. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19 The COVID-19 pandemic has had far-reaching consequences on how the hea…

4657. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/zero_clabsis-slides/Sustaining-Zero-CLABSIs-May-8-2012-508.ppt
      January 01, 2012 - advance for unstable ambulatory patients Stretcher-locking mechanism failure noted and prevented patient fall

4658. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
      September 01, 2022 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections Ambulatory Care Slide Title …

4659. Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/methods.html
      March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Methods Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of the Enviro…

4660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866622/psn-pdf
      August 28, 2024 - For example, most people don't fall or get a wrong site surgery.