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2201. High Reliability in Health Care. | PSNet
      psnet.ahrq.gov/issue/high-reliability-health-care
      May 06, 2015 - Measurement Tool/Indicator High Reliability in Health Care. Citation Text: High Reliability in Health Care. Joint Commission Center for Transforming Healthcare. Copy Citation Save Save to your library Print Download PDF Share Facebook T…

2202. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet
      psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
      November 01, 2008 - Accordingly, a technological solution might seem to be the desired approach to prevention. … Prevention of nosocomial catheter-associated urinary tract infections through computerized feedback to … Guideline for the prevention of catheter-associated urinary tract infections. … RW : There may be some trade-offs in terms of patients being forced out of bed and an increased fall … SS : Well, I think that infection prevention in many ways is a paradigm for patient safety, at least

2203. In Conversation With… Harlan Krumholz, MD, SM | PSNet
      psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
      April 01, 2018 - health care system more positive and focused not only on acute management but also on recovery and prevention … We need to be able to use digital to make sure that people don't fall off during the time in between … Interview In Conversation with Edwin Boudreaux about Suicide Prevention … Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2204. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. | PSNet
      psnet.ahrq.gov/issue/ozis-and-politics-safety-using-ict-create-regionally-accessible-patient-medication-record
      February 04, 2009 - June 16, 2019 Selected medication safety risks that can easily fall off the radar screen—part

2205. Examining markers of safety in homecare using the international classification for patient safety. | PSNet
      psnet.ahrq.gov/issue/examining-markers-safety-homecare-using-international-classification-patient-safety
      March 02, 2016 - Review Examining markers of safety in homecare using the international classification for patient safety. Citation Text: Macdonald M, Lang A, Storch J, et al. Examining markers of safety in homecare using the international classification for patient safety. BMC Health Serv Res. 2013;13:…

2206. Defining patient safety in hospice: principles to guide measurement and public reporting. | PSNet
      psnet.ahrq.gov/issue/defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting
      September 23, 2020 - Commentary Defining patient safety in hospice: principles to guide measurement and public reporting. Citation Text: Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10…

2207. Disclosure of harmful medical errors in out-of-hospital care. | PSNet
      psnet.ahrq.gov/issue/disclosure-harmful-medical-errors-out-hospital-care
      June 18, 2014 - August 4, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

2208. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. | PSNet
      psnet.ahrq.gov/issue/effect-pharmacist-adverse-drug-events-and-medication-errors-outpatients-cardiovascular
      July 31, 2013 - April 24, 2018 A randomized trial of a multifactorial strategy to prevent serious fall

2209. Promoting collaboration and transparency in patient safety. | PSNet
      psnet.ahrq.gov/issue/promoting-collaboration-and-transparency-patient-safety
      June 21, 2016 - Commentary Promoting collaboration and transparency in patient safety. Citation Text: Apold J, Daniels T, Sonneborn M. Promoting collaboration and transparency in patient safety. Jt Comm J Qual Patient Saf. 2006;32(12):672-675. Copy Citation Format: Google Scholar PubMed Bi…

2210. Eliminating perioperative adverse events at Ascension Health. | PSNet
      psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
      November 16, 2022 - Commentary Eliminating perioperative adverse events at Ascension Health. Citation Text: Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66. Copy Citation Format: Google Scholar PubM…

2211. Using simulation to improve systems. | PSNet
      psnet.ahrq.gov/issue/using-simulation-improve-systems
      May 29, 2014 - November 10, 2010 A randomized trial of a multifactorial strategy to prevent serious fall

2212. Reducing pediatric medication errors: children are especially at risk for medication errors. | PSNet
      psnet.ahrq.gov/issue/reducing-pediatric-medication-errors-children-are-especially-risk-medication-errors
      May 18, 2022 - Commentary Reducing pediatric medication errors: children are especially at risk for medication errors. Citation Text: Hughes RG, Edgerton EA. Reducing pediatric medication errors: children are especially at risk for medication errors. Am J Nurs. 2005;105(5):79-80, 82, 85 passim. Cop…

2213. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. | PSNet
      psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
      November 16, 2016 - Commentary Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Citation Text: Ewen BM, Combs R, Popelas C, et al. Chemotherapy in home care: one team's performance improvement journey toward reducing medication errors. Home Healthc N…

2214. Human factors considerations relevant to CPOE implementations. | PSNet
      psnet.ahrq.gov/issue/human-factors-considerations-relevant-cpoe-implementations
      October 23, 2024 - Review Human factors considerations relevant to CPOE implementations. Citation Text: Saathoff A. Human factors considerations relevant to CPOE implementations. J Healthc Inf Manag. 2005;19(3):71-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

2215. Implementing AORN recommended practices for transfer of patient care information. | PSNet
      psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-transfer-patient-care-information
      October 07, 2013 - June 13, 2018 A randomized trial of a multifactorial strategy to prevent serious fall

2216. Pharmacist-supported medication review training for general practitioners: feasibility and acceptability. | PSNet
      psnet.ahrq.gov/issue/pharmacist-supported-medication-review-training-general-practitioners-feasibility-and
      July 29, 2020 - the Same Author(s) A randomized trial of a multifactorial strategy to prevent serious fall

2217. Close calls in patient safety: should we be paying closer attention? | PSNet
      psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
      November 08, 2013 - September 19, 2016 A randomized trial of a multifactorial strategy to prevent serious fall

2218. A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department. | PSNet
      psnet.ahrq.gov/issue/prospective-multicenter-study-pharmacist-activities-resulting-medication-error-interception
      December 14, 2011 - April 24, 2018 A randomized trial of a multifactorial strategy to prevent serious fall

2219. How safety is compromised when hospital equipment is a poor fit for patients who are obese. | PSNet
      psnet.ahrq.gov/issue/how-safety-compromised-when-hospital-equipment-poor-fit-patients-who-are-obese
      October 07, 2020 - Study How safety is compromised when hospital equipment is a poor fit for patients who are obese. Citation Text: 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. Copy Cita…

2220. Creating a safety culture at the Children's and Women's Health Centre of British Columbia. | PSNet
      psnet.ahrq.gov/issue/creating-safety-culture-childrens-and-womens-health-centre-british-columbia
      June 03, 2020 - June 3, 2020 A randomized trial of a multifactorial strategy to prevent serious fall