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psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts
November 21, 2021 - November 30, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/medication-related-emergency-department-visits-and-hospital-admissions-pediatric-patients
March 13, 2015 - November 16, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/comprehensive-method-develop-checklist-increase-safety-intra-hospital-transport-critically
March 15, 2016 - Study
A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients.
Citation Text:
Brunsveld-Reinders AH, Arbous S, Kuiper SG, et al. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of…
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psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
July 29, 2020 - the Same Author(s)
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/literature-review-individual-and-systems-factors-contribute-medication-errors-nursing
April 22, 2011 - Review
A literature review of the individual and systems factors that contribute to medication errors in nursing practice.
Citation Text:
Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice…
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psnet.ahrq.gov/issue/preventing-delayed-and-missed-care-applying-artificial-intelligence-trigger-radiology-imaging
April 06, 2022 - Journal Article
Study
Catching those who fall
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psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - William Haddon, widely recognized as the father of modern injury prevention strategies, may be responsible … probably tops this list, followed closely by missing a transient neurologic event that precipitates a fall … The changing approach to the epidemiology, prevention, and amelioration of trauma: the transition to
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - February 1, 2012
Perspective
Implementing a Fall … Prevention Program
December 1, 2011
Perspective
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psnet.ahrq.gov/node/49755/psn-pdf
February 01, 2016 - Good Night's Sleep Gone Wrong
February 1, 2016
Gillis CM, Degrado J, Anger KE. Good Night's Sleep Gone Wrong. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
The Case
A 64-year-old woman came to the emergency department complaining of cough and shortness of breath,
along with an…
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psnet.ahrq.gov/node/33831/psn-pdf
April 01, 2017 - In Conversation With… Mark Chassin, MD, MPP, MPH
April 1, 2017
In Conversation With… Mark Chassin, MD, MPP, MPH. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
Editor's note: Dr. Chassin is president and chief executive officer of The Joint Commission. He is also
p…
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psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse-events-or-end
June 30, 2021 - Commentary
Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric?
Citation Text:
Shojania KG, van de Mheen PJM-. Temporal trends in patient safety in the Netherlands: reductions in preventable advers…
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psnet.ahrq.gov/issue/standardized-assessment-medication-reconciliation-post-acute-care
December 16, 2020 - July 28, 2021
Potentially harmful medication dispenses after a fall or hip fracture:
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psnet.ahrq.gov/issue/regret-among-primary-care-physicians-survey-diagnostic-decisions
November 13, 2019 - Study
Regret among primary care physicians: a survey of diagnostic decisions.
Citation Text:
Müller BS, Donner-Banzhoff N, Beyer M, et al. Regret among primary care physicians: a survey of diagnostic decisions. BMC Fam Pract. 2020;21(1). doi:10.1186/s12875-020-01125-w.
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…
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psnet.ahrq.gov/issue/perinatal-care-quality-and-safety-initiative-are-there-financial-rewards-improved-quality
April 27, 2019 - August 4, 2010
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
November 15, 2023 - Study
Audibility of patient clinical alarms to hospital nursing personnel.
Citation Text:
Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil Med. 2006;171(4):306-10.
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Format:
Google Scholar PubMed Bib…
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psnet.ahrq.gov/issue/stepping-out-further-shadows-disclosure-harmful-radiologic-errors-patients
April 21, 2011 - September 25, 2019
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/using-information-optimize-medical-outcomes
August 04, 2021 - January 3, 2017
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety
January 31, 2024 - Commentary
AHRQ focuses on ambulatory patient safety.
Citation Text:
Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6. doi:10.1097/NCQ.0000000000000124.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…
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psnet.ahrq.gov/issue/medical-devices-and-patient-safety
February 22, 2012 - Commentary
Medical devices and patient safety.
Citation Text:
Mattox E. Medical devices and patient safety. Crit Care Nurse. 2012;32(4):60-8. doi:10.4037/ccn2012925.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
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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