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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.
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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
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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
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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.
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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
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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…
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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;…
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psnet.ahrq.gov/innovation/assessing-impact-virtual-medication-history-technicians-medication-reconciliation
December 01, 2021 - May 29, 2024
Patient Safety Innovations
Suicide Prevention
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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…
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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…
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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…
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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…
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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
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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
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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
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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
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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
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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
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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
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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