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psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system
September 08, 2010 - November 9, 2016
6-PACK programme to decrease fall injuries in acute hospitals: cluster
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psnet.ahrq.gov/issue/systematic-review-evidence-misdiagnosis-dementia-and-its-impact-accessing-dementia-care
December 02, 2020 - Review
A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care.
Citation Text:
Giebel C, Silva‐Ribeiro W, Watson J, et al. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Int J Ge…
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psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes
March 12, 2025 - September 1, 2016
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/explanation-and-elaboration-squire-standards-quality-improvement-reporting-excellence
November 18, 2016 - September 23, 2020
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada
September 23, 2020 - March 5, 2025
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
December 31, 2014 - December 31, 2014
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-compliance-prescription-accuracy
May 27, 2011 - Study
Impact of a computerized physician order entry system on compliance with prescription accuracy requirements.
Citation Text:
Mir C, Gadri A, Zelger GL, et al. Impact of a computerized physician order entry system on compliance with prescription accuracy requirements. Pharm World Sc…
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psnet.ahrq.gov/issue/medical-malpractice-litigation-and-daylight-saving-time
March 24, 2019 - March 27, 2019
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings
March 03, 2021 - Commentary
How to do no harm: empowering local leaders to make care safer in low-resource settings.
Citation Text:
Vincent CA, Mboga M, Gathara D, et al. How to do no harm: empowering local leaders to make care safer in low-resource settings. Arch Dis Child. 2021;106(4):333-337. doi:10.1…
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psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
March 06, 2024 - November 16, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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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/node/44388/psn-pdf
October 14, 2015 - generally seeing patients with lower acuity levels, whereas the
authors speculate that the increased fall
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psnet.ahrq.gov/node/844785/psn-pdf
September 11, 2019 - Information flow during pediatric trauma care transitions:
things falling through the cracks.
September 11, 2019
Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions:
things falling through the cracks. Intern Emerg Med. 2019;14(5):797-805. doi:10.1007/s11739-019-0…
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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/web-mm/safety-and-quality-long-term-care
January 01, 2016 - She was found to have a left hip fracture as a result of the fall and underwent an uncomplicated surgical … Home Care Contributing to Adverse Events While it is difficult to know whether the patient's initial fall … report might have alerted staff about the resident's increased pressure ulcer risk so that aggressive prevention … In the current case, perhaps frontline caregivers would have spoken up about fall risk or pressure ulcer … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/node/44872/psn-pdf
February 12, 2016 - https://psnet.ahrq.gov/issue/partnership-patients
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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psnet.ahrq.gov/node/49609/psn-pdf
October 01, 2010 - risk in hemodialysis patients is higher than in the general population.(4)
Assessment of fall risk, … use of
neuropsychiatric medications, and avoiding hypotension in dialysis patients may all reduce fall … mandated by CMS under Medicare's conditions for coverage.(9)
Future investigation into the occurrence and prevention … Falls and fall-related injuries in older dialysis patients. … Centers for Disease
Control and Prevention
(CDC)
Sets standards for infection control in dialysis
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psnet.ahrq.gov/node/41985/psn-pdf
October 26, 2016 - The most common adverse events reported were pressure ulcers and fall-
related injuries or deaths. … /serious-reportable-events-healthcare-2011-update
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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psnet.ahrq.gov/issue/selling-soap
March 06, 2005 - January 13, 2021
Improving hospital safety culture for falls prevention through interdisciplinary … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … Plans
May 31, 2023
Impact of patient safety climate on infection prevention
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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