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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61082/psn-pdf
    July 23, 2020 - or Medicaid have in place an Infection Prevention and Control Program and an Infection Preventionist … Rural LTC facilities in particular may suffer from a dearth of infection prevention expertise. … Weaknesses in infection prevention and control expertise, coupled with the unprecedented nature of a … Centers for Disease Control and Prevention. https://www.cdc.gov/covid/risk- factors/? … Changes in US nursing home infection prevention and control programs from 2014 to 2018.
  2. psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
    August 21, 2016 - s Bureau Learning and Coordination Center (CBLCC) , Prevent Child Abuse America , The Child Abuse Prevention … Lesson from the VA's Team Training Program November 1, 2011 Detection and prevention
  3. psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
    October 19, 2022 - December 11, 2024 A randomized trial of a multifactorial strategy to prevent serious fall
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852699/psn-pdf
    August 30, 2023 - Safer Together: A National Action Plan to Advance Patient Safety was released in fall 2020.
  5. psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
    September 14, 2016 - August 24, 2016 Selected medication safety risks to manage in 2016 that might otherwise fall
  6. psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-district-health-boards-200607
    March 05, 2008 - Book/Report Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. Citation Text: Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. National Health Epidemiology and Quality Assurance Advisory Committee. Wellington, Ne…
  7. psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
    August 01, 2012 - Audiovisual Presentation The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. Citation Text: The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality;…
  8. psnet.ahrq.gov/innovation/assessing-impact-virtual-medication-history-technicians-medication-reconciliation
    December 01, 2021 - May 29, 2024 Patient Safety Innovations Suicide Prevention
  9. psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
    April 12, 2019 - Study Sharing lessons learned to prevent adverse events in anesthesiology nationwide. Citation Text: Soncrant C, Neily J, Sum-Ping SJT, et al. Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. J Patient Saf. 2021;17(4):e343-e349. doi:10.1097/PTS.000000000000…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74867/psn-pdf
    February 23, 2022 - Health care safety during the pandemic and beyond-- building a system that ensures resilience. February 23, 2022 Fleisher LA, Schreiber M, Cardo D, et al. Health care safety during the pandemic and beyond--building a system that ensures resilience. N Engl J Med. 2022;386(7):609-611. doi:10.1056/nejmp2118285. https…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60228/psn-pdf
    April 15, 2020 - How safety is compromised when hospital equipment is a poor fit for patients who are obese. April 15, 2020 Kukielka E. How safety is compromised when hospital equipment is a poor fit for patients who are obese. Patient Saf J. 2020;2(1):48-56. doi:10.33940/data/2020.3.4. https://psnet.ahrq.gov/issue/how-safety-comp…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74833/psn-pdf
    February 16, 2022 - Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial. February 16, 2022 Zerah L, Henrard S, Thevelin S, et al. Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial. Age Ag…
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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

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