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1961. Comparison of computerized surveillance and manual chart review for adverse events. | PSNet
      psnet.ahrq.gov/issue/comparison-computerized-surveillance-and-manual-chart-review-adverse-events
      August 31, 2011 - September 27, 2017 Evaluation of clinical practice guidelines on fall prevention and … rates in six community hospitals and the potential impact of computerized physician order entry for prevention

1962. Creating a highly reliable neonatal intensive care unit through safer systems of care. | PSNet
      psnet.ahrq.gov/issue/creating-highly-reliable-neonatal-intensive-care-unit-through-safer-systems-care
      January 12, 2011 - November 11, 2009 Evaluation of clinical practice guidelines on fall prevention and management … June 3, 2020 Guidelines for the prevention of intravascular catheter-related infections

1963. How do physicians conduct medication reviews? | PSNet
      psnet.ahrq.gov/issue/how-do-physicians-conduct-medication-reviews
      September 02, 2010 - February 24, 2011 Evaluation of clinical practice guidelines on fall prevention and management … February 13, 2008 Challenges with implementing the Centers for Disease Control and Prevention

1964. People are more error-prone after committing an error. | PSNet
      psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
      June 29, 2011 - 2020 Impact of a clinical decision support system for high-alert medications on the prevention … September 18, 2024 ROI for a fall prevention intervention: invest a little, save a lot

1965. A leadership framework for culture change in health care. | PSNet
      psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care
      January 02, 2017 - August 4, 2021 Evaluation of clinical practice guidelines on fall prevention and management … February 26, 2025 Patient Safety Innovations Suicide Prevention

1966. Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study | PSNet
      psnet.ahrq.gov/issue/implementing-survey-patients-provide-safety-experience-feedback-following-care-transition
      January 08, 2020 - with diabetes being discharged from hospital October 16, 2019 The impact of post-fall … huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a

1967. Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet
      psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
      July 29, 2020 - the Same Author(s) A randomized trial of a multifactorial strategy to prevent serious fall

1968. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. | PSNet
      psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
      July 06, 2022 - Study Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Citation Text: Kepner S, Adkins JA, Jones RM. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Patient Saf. 2022;4(2):6-17. doi:10.33940/data/2022.6.1. C…

1969. Patient safety culture in care homes for older people: a scoping review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-culture-care-homes-older-people-scoping-review
      January 08, 2020 - Review Patient safety culture in care homes for older people: a scoping review. Citation Text: Gartshore E, Waring J, Timmons S. Patient safety culture in care homes for older people: a scoping review. BMC Health Serv Res. 2017;17(1):752. doi:10.1186/s12913-017-2713-2. Copy Citation …

1970. A mixed methods evaluation of medication reconciliation in the primary care setting. | PSNet
      psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
      November 16, 2022 - September 7, 2022 Potentially harmful medication dispenses after a fall or hip fracture

1971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865585/psn-pdf
      April 17, 2024 - Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. April 17, 2024 Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription information in the English NHS. …

1972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44658/psn-pdf
      November 18, 2015 - The relationship between registered nurses and nursing home quality: an integrative review (2008–2014). November 18, 2015 Dellefield ME, Castle NG, McGilton KS, et al. The Relationship Between Registered Nurses and Nursing Home Quality: An Integrative Review (2008-2014). Nurs Econ. 2015;33(2):95-108, 116. https://…

1973. Root cause analysis. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis
      June 15, 2016 - October 13, 2010 Balancing safety, comfort, and fall risk: an intervention to limit opioid … June 1, 2015 Prevention of a wrong-location misadministration through the use of an intradepartmental … January 16, 2013 Accident prevention in day-to-day clinical radiation therapy practice

1974. Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens. | PSNet
      psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
      July 06, 2011 - potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention … May 28, 2015 A randomized trial of a multifactorial strategy to prevent serious fall … : Topics in Medication Safety March 31, 2022 6-PACK programme to decrease fall

1975. Environmental changes increase hospital safety for dementia patients. | PSNet
      psnet.ahrq.gov/issue/environmental-changes-increase-hospital-safety-dementia-patients
      January 10, 2011 - Related Resources Patient Safety Innovations Suicide Prevention … Emergency Department Population: ED-SAFE April 24, 2024 Systems approach to suicide prevention … December 2, 2015 Reducing falls and fall-related injuries in mental health: a 1-year

1976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35572/psn-pdf
      February 03, 2011 - in patient safety programs, drug administration and safety procedures, error reporting processes, prevention … However, the authors point out that the overall findings fall short of the IOM recommendations and necessitate

1977. Major congenital malformations after first-trimester exposure to ACE inhibitors. | PSNet
      psnet.ahrq.gov/issue/major-congenital-malformations-after-first-trimester-exposure-ace-inhibitors
      July 10, 2008 - RIS Download Citation Related Resources From the Same Author(s) Prevention … of fall-related injuries in long-term care: a randomized controlled trial of staff education. … systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened

1978. Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. | PSNet
      psnet.ahrq.gov/issue/inter-professional-clinical-handover-post-anaesthetic-care-units-tools-improve-quality-and
      April 24, 2013 - April 24, 2013 Barriers and enablers to nurses' use of harm prevention strategies for … August 17, 2022 Nurses' harm prevention practices during admission of an older person … September 13, 2017 Nursing guidelines for comprehensive harm prevention strategies for … January 19, 2022 6-PACK programme to decrease fall injuries in acute hospitals: cluster

1979. Reported medication errors after introducing an electronic medication management system. | PSNet
      psnet.ahrq.gov/issue/reported-medication-errors-after-introducing-electronic-medication-management-system
      November 18, 2016 - November 18, 2016 Barriers and enablers to nurses' use of harm prevention strategies … August 17, 2022 Nurses' harm prevention practices during admission of an older person … September 13, 2017 Nursing guidelines for comprehensive harm prevention strategies for … January 19, 2022 6-PACK programme to decrease fall injuries in acute hospitals: cluster

1980. Are apologies a way to reduce malpractice risks?. | PSNet
      psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks
      October 23, 2018 - Related Resources From the Same Author(s) Centers for Disease Control and Prevention … Guideline for the Prevention of Surgical Site Infection, 2017. … February 22, 2017 Balancing safety, comfort, and fall risk: an intervention to limit