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psnet.ahrq.gov/issue/quality-pharmacologic-care-vulnerable-older-patients
August 27, 2012 - December 31, 2014
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/physical-environments-promote-safe-medication-use
December 19, 2018 - Related Resources From the Same Author(s)
Selected medication safety risks that can easily fall
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psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-improve-safety
June 15, 2022 - June 30, 2021
Selected medication safety risks to manage in 2016 that might otherwise fall
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psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
February 24, 2016 - Same Author(s)
Selected medication safety risks to manage in 2016 that might otherwise fall
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psnet.ahrq.gov/issue/where-should-patient-safety-be-installed
October 05, 2022 - Commentary
Where should patient safety be installed?
Citation Text:
Sine DM, Paull D. Where should patient safety be installed? J Healthc Risk Manag. 2017;37(3):14-17. doi:10.1002/jhrm.21285.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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psnet.ahrq.gov/issue/medical-error-second-victim-0
February 17, 2017 - February 17, 2017
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/re-engineered-discharge-red-toolkit
June 20, 2014 - Toolkit
Re-Engineered Discharge (RED) Toolkit.
Citation Text:
Re-Engineered Discharge (RED) Toolkit. Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; September 2015. AHRQ Publication No. 12(13)-0084.
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psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
April 03, 2019 - April 3, 2019
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
March 10, 2021 - March 10, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - June 27, 2018
Centers for Disease Control and Prevention Guideline for the Prevention … April 3, 2013
Perspective
Implementing a Fall Prevention
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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - Antithrombotic and thrombolytic therapy for valvular disease: Antithrombotic Therapy and Prevention of … Optimal level of oral anticoagulant therapy for the prevention of arterial thrombosis in patients with
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psnet.ahrq.gov/node/49714/psn-pdf
August 21, 2014 - Although the ED physicians felt he had simple
bruising from the fall, they noted that he was in severe … soft tissue infections (as in this
case, where it appeared the patient had simple bruising after his fall … Necrotizing fasciitis caused by Vibrio vulnificus: epidemiology,
clinical findings, treatment and prevention
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psnet.ahrq.gov/node/49839/psn-pdf
August 01, 2018 - National Action Plan for Adverse Drug Event Prevention. … Washington, DC: Office of Disease Prevention
and Health Promotion, United States Department of Health
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
September 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case September 2005
Double Trouble
Source and Credits
This presentation is based on the Sept. 2005
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Jerry H. Gurwitz, MD, University of…
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psnet.ahrq.gov/node/33717/psn-pdf
September 01, 2011 - Incident Reporting: More Attention to the Safety Action
Feedback Loop, Please
September 1, 2011
Nuckols TK. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please. PSNet
[internet]. 2011.
https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
…
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psnet.ahrq.gov/perspective/accountability-patient-safety
January 01, 2018 - patients believe clinicians should be held accountable for basic safety practices, such as hand hygiene, fall … Nevertheless, the scope of behaviors that fall under individual accountability is still controversial
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psnet.ahrq.gov/web-mm/dropping-new-lows
December 18, 2024 - SPOTLIGHT CASE
Dropping to New Lows
Citation Text:
Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - serious adverse effects including death.( 1,19 ) In 2012, the Centers for Disease Control and Prevention … Patients with concurrent substance abuse and high risk for abusing the prescription opiates fall under … Centers for Disease Control and Prevention. … Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. … Centers for Disease Control and Prevention.
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - May 8, 2017
Perspective
How Does Infection Prevention Fit … Journal Article
Study
Catching those who fall
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 2022 - male with a history of chronic opioid use, anxiety disorder, and major depression presented after a fall … specifically, post-operative pain management encompasses a balance of adequate pain control and the prevention … Implementing standardized sedation assessments, such as POSS, aids nurses in the prediction and prevention