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5001. Safety in the Prehospital Emergency Medical Services Setting | PSNet
      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

5002. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
      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.

5003. Spotlight
      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

5004. Implementation of Systems Redesign: Approaches to Spread and Sustain Adoption (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hagg_80.pdf
      January 01, 2007 - own workflow processes through the PDSA cycles ensures that the resulting process and system changes fall … glycemic control bundles) 5 Implement central line bundle 1 Implement MRSA bundle 6 Patient fall

5005. Team Training: Classroom Training vs. High-Fidelity Simulation | PSNet
      psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
      January 12, 2011 - Fall 2002;Q4:20-24. 7. Gaba DM. The future vision of simulation in health care.

5006. Hiding in Plain Sight | PSNet
      psnet.ahrq.gov/web-mm/hiding-plain-sight
      April 24, 2019 - April 24, 2019 An inpatient fall prevention initiative in a tertiary care hospital.

5007. Establishing a Policy-Relevant Research Agenda for the Patient-Centered Medical Home: A Multi-Disciplinary Approach - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r13hs017995-landon-final-report-2010.pdf
      January 01, 2010 - Methods The Steering Committee met in the fall of 2008 to develop a list of focused areas of interest

5008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33712/psn-pdf
      June 01, 2011 - Or are there ways to prospectively anticipate that something is likely to fall off the back of the truck

5009. A Potent Medication Administered in a Not So Viable Route | PSNet
      psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
      July 20, 2016 - starting vasopressors peripherally, or, alternatively, why they allowed the patient's blood pressure to fall

5010. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/sops/international/hospital/translators.html
      October 01, 2014 - Things "fall between the cracks" when transferring patients from one unit to another.

5011. Pocket Syringe Swap | PSNet
      psnet.ahrq.gov/web-mm/pocket-syringe-swap
      July 01, 2006 - drugs used by anesthesia practitioners are administered by IV push or IV infusion, and many of them fall

5012. Late Anemia Following Rh Disease in a Newborn | PSNet
      psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
      June 17, 2010 - providers who all noted that the hemoglobin remained stable at 12 g/dL, and the bilirubin continued to fall

5013. Myasthenia Crisis after a Delayed Diagnosis in a Medically Complex Patient. | PSNet
      psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
      February 21, 2020 - October 18, 2023 Assessment of a wearable fall prevention system at a Veterans Health

5014. Ch 9-User-Guide-To-Ocer 130129 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/ch_9-user-guide-to-ocer_130129.pdf
      September 21, 2012 - For example, database studies may identify small excess risks of about 5 percent that would fall below

5015. Departure From Central Line Ritual | PSNet
      psnet.ahrq.gov/web-mm/departure-central-line-ritual
      October 13, 2018 - June 26, 2019 Evaluation of clinical practice guidelines on fall prevention and management

5016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49804/psn-pdf
      September 01, 2017 - In such cases, the hemoglobin tends to fall precipitously and waiting can result in delayed and insufficient

5017. Hospital Survey on Patient Safety Culture: Background and Information for Translators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
      September 01, 2009 - Things "fall between the cracks" when transferring patients from one unit to another.

5018. Shortcuts to Acetaminophen-induced Liver Failure | PSNet
      psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
      July 01, 2017 - dL) postingestion than at 4 hours (150 mg/dL).( 11 ) This is because the measured concentration will fall

5019. Established Child Health Care Quality Measures: AHRQ Quality Indicators | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-3.html
      November 01, 2017 - AHRQ QIs fall into three modules called: Prevention Quality Indicators (PQIs).

5020. Add-on Case and the Missing Checklist | PSNet
      psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
      September 01, 2012 - addressed through a thorough understanding of the barriers to adherence.( 16 ) Sometimes a process will fall