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psnet.ahrq.gov/issue/safety-concerns-hospital-based-new-practice-registered-nurses-and-their-preceptors
September 24, 2016 - March 2, 2016
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/transitional-chaos-or-enduring-harm-ehr-and-disruption-medicine
August 02, 2015 - July 19, 2023
Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building
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psnet.ahrq.gov/issue/spectrum-hospitalization-associated-harm-elderly
April 06, 2022 - Commentary
The spectrum of hospitalization-associated harm in the elderly.
Citation Text:
Schattner A. The spectrum of hospitalization-associated harm in the elderly. Eur J Intern Med. 2023;115(Sept):29-33. doi:10.1016/j.ejim.2023.05.025.
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psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
November 15, 2018 - Review
Reframing the morbidity and mortality conference: the impact of a just culture.
Citation Text:
Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224.
Co…
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psnet.ahrq.gov/issue/interdisciplinary-icu-cardiac-arrest-debriefing-improves-survival-outcomes
September 02, 2020 - August 4, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/health-care-consumers-inclination-engage-selected-patient-safety-practices-survey-adults
March 03, 2011 - Study
Health care consumers' inclination to engage in selected patient safety practices: a survey of adults in Pennsylvania.
Citation Text:
Marella WM, Finley E, Thomas AD, et al. Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices. J Patient Saf. 2008;3(4…
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psnet.ahrq.gov/issue/five-strategies-how-patients-and-families-can-improve-patient-safety-world-patient-safety-day
July 07, 2021 - September 18, 2024
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/supporting-second-victims-patient-safety-events-shouldnt-these-communications-be-covered
November 06, 2019 - August 5, 2020
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - In Conversation With… Mark Chassin, MD, MPP, MPH
April 1, 2017
Citation Text:
In Conversation With… Mark Chassin, MD, MPP, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - • Due to the high incidence of delirium among hospitalized patients, strategies for
surveillance, prevention … , and management should be implemented for older
adults.16,17
• Delirium prevention and care bundles … Delirium in the Acute Care Setting (4)
• Currently, there are no recommended pharmacologic treatments for prevention
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psnet.ahrq.gov/node/33674/psn-pdf
February 01, 2009 - In Conversation with…Robert M. Wachter, MD
October 1, 2008
In Conversation with…Robert M. Wachter, MD. PSNet [internet]. 2008.
https://psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
Editor's note: At the University of California, San Francisco, Robert M. Wachter, MD, is Professor and
Chief of the…
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - Strategies and Approaches for Tracking Improvements in Patient Safety
Citation Text:
Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
August 01, 2012 - October 11, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/node/33742/psn-pdf
December 01, 2012 - Delirium often sets off a spiral where someone is very confused and a
fall risk, so they get assigned … RW: Can you talk a little bit about what you've learned about prevention strategies? … of those markers could be adapted to be very helpful for appropriate process measures
for delirium prevention … SI: The highest bar would be the presence of HELP (Hospital Elder Life Program) or some delirium
prevention … If we had a delirium prevention program in every hospital and staff that were
trained to recognize delirium
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - Prevention of Adverse Drug Events The pathway connecting a clinician's decision to prescribe a medication … Safety Goal for both hospitals and ambulatory clinics, and the Partnership for Patients included ADE prevention … The Office of Disease Prevention and Health Promotion issued the National Action Plan for Adverse Drug … Event Prevention in 2014, which identified ways to align the efforts of federal health agencies to … April 17, 2024
Prevention of adverse drug events in hospitals.
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psnet.ahrq.gov/issue/randomized-clinical-trial-compare-use-safety-net-enclosures-standard-restraints-agitated
September 07, 2022 - May 4, 2022
A randomized trial of a multifactorial strategy to prevent serious fall injuries
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psnet.ahrq.gov/issue/busy-day-effect-perinatal-complications-delivery-weekends-retrospective-cohort-study
January 16, 2019 - June 7, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
November 20, 2013 - July 17, 2019
Modification of potentially inappropriate prescribing following fall-related
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psnet.ahrq.gov/issue/high-nursing-staff-turnover-nursing-homes-offers-important-quality-information
September 16, 2020 - Study
Classic
High nursing staff turnover in nursing homes offers important quality information.
Citation Text:
Gandhi A, Yu H, Grabowski DC. High nursing staff turnover in nursing homes offers important quality information. Health Aff (Millwood). 2021;40(3):384…
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psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
October 31, 2017 - October 7, 2013
A randomized trial of a multifactorial strategy to prevent serious fall