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2541. In Conversation With… Charles Vincent, MPhil, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
      July 10, 2024 - April 1, 2014 Perspective How Does Infection Prevention

2542. Psn-Pdf (pdf file)
      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

2543. Psn-Pdf (pdf file)
      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

2544. Selling soap. | PSNet
      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

2545. Medication Errors and Adverse Drug Events | PSNet
      psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
      September 07, 2019 - 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.

2546. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet
      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

2547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49720/psn-pdf
      December 01, 2014 - year-old man with a history of untreated hypertension presented to the emergency department (ED) after a fall

2548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49568/psn-pdf
      September 01, 2008 - The infant was nursing frequently for 30–45 minutes at a time, was quite fussy, and tended to fall asleep … Center for Disease Control and Prevention Web site. Available at: www.cdc.gov/breastfeeding. 3. … Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention;

2549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49712/psn-pdf
      June 01, 2014 - He noted that the diphenhydramine made him somewhat drowsy, but not enough to fall asleep. … Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274:29-34. [go to PubMed] 2.

2550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49760/psn-pdf
      May 01, 2016 - The care of a person with dementia should be focused on prevention of delirium (for example, promotion … Delirium in elderly adults: diagnosis, prevention and treatment. Nat Rev Neurol. 2009;5:210-220.

2551. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet
      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. Copy Cit…

2552. A salutary tale of mistaken identity in testicular cancer. | PSNet
      psnet.ahrq.gov/issue/salutary-tale-mistaken-identity-testicular-cancer
      June 01, 2022 - June 9, 2021 Potentially harmful medication dispenses after a fall or hip fracture: a … lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention … September 1, 2021 Nursing guidelines for comprehensive harm prevention strategies for … 1, 2018 Using risk stratification to reduce medical errors in cervical cancer prevention

2553. Failure to Rescue the Mother | PSNet
      psnet.ahrq.gov/web-mm/failure-rescue-mother
      September 23, 2020 - Atlanta, GA: Centers for Disease Control and Prevention. [Available at] 2. … Recognition and Prevention Transfusion of 5 units of blood in the antepartum period. … Recognition and Prevention Patient had multiple risk factors for a significant hemorrhage; it is unclear … Recognition and Prevention Response Inadequate blood products were available. … January 15, 2017 Evaluation of clinical practice guidelines on fall prevention and management

2554. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-375
      December 14, 2022 - January 25, 2023 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

2555. Environmental changes increase hospital safety for dementia patients. | PSNet
      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

2556. Medication administration errors and the pediatric population: a systematic search of the literature. | PSNet
      psnet.ahrq.gov/issue/medication-administration-errors-and-pediatric-population-systematic-search-literature
      September 16, 2015 - April 1, 2015 Guideline for prevention of retained surgical items.

2557. Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx (pdf file)
      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

2558. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-305
      August 25, 2021 - Application of human factors methods to ensure appropriate infant identification and abduction prevention

2559. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-433
      March 27, 2024 - The majority of studies reported improvements in dose error prevention with use of CPOE-CDS systems,

2560. Learning and sharing safety lessons to improve patient care. | PSNet
      psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
      August 07, 2019 - Commentary Learning and sharing safety lessons to improve patient care. Citation Text: Woodward S. Learning and sharing safety lessons to improve patient care. Nursing Standard. 2016;20(18). doi:10.7748/ns.20.18.49.s52. Copy Citation Format: DOI Google Scholar BibTeX EndNot…