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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - For example, the Centers for Disease Control and Prevention has produced guidance for optimizing PPE … of pressure injuries , all of which are specifically focused on harm prevention in COVID-19 patients … Our hospitals have great protocols in place for pressure injury prevention, but prone positioning brought … They had been a common strategy for fall prevention, but with the requirement to put on PPE, there was … a delay before a staff person could respond to the alarm and prevent a fall.
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - Our hospitals have great protocols in place for pressure injury prevention, but prone positioning brought … They had been a common strategy for fall prevention, but with the requirement to put on PPE, there was … a delay before a staff person could respond to the alarm and prevent a fall. … For example, the Centers for Disease Control and Prevention has produced guidance for optimizing PPE … of pressure injuries , all of which are specifically focused on harm prevention in COVID-19 patients
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psnet.ahrq.gov/issue/brief-american-hospital-association-and-federation-american-hospitals-amici-curiae-supporting
October 24, 2022 - Counterfeit drug prevention and identification. … August 4, 2010
ANA CAUTI Prevention Tool. … May 27, 2020
Prevention of medication errors in the pediatric inpatient setting. … February 15, 2006
Statement on the prevention of retained foreign bodies after surgery
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - How to Monitor Patients
Receiving Direct Oral Anticoagulants for Stroke Prevention in Atrial Fibrillation
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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 … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/periodic-issue/periodic-issue-380
March 15, 2023 - management in long-term care residents is associated with improved hospital readmission rates and reduced fall … or monitor medications, and this cluster randomized controlled trial evaluated the effect of PIPs on fall … After six months of PIP involvement, fall rates (the primary outcome) were not statistically different
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
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 … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
October 27, 2022 - outcomes and safety, it is important to focus on the needs of vulnerable patients with challenges that fall … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Center for Disease Control and Prevention. … February 1, 2012
Evaluation of clinical practice guidelines on fall prevention and management
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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/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/node/49466/psn-pdf
October 14, 2004 - specific written protocol, certain medical
information can be assumed because the patient observations fall … Hospitals and
clinicians should be cautious of quick fixes or reliance on a single prevention technique
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.137_slideshow.ppt
November 01, 2006 - Surgical Infection Prevention
• Prophylactic antibiotic received within 1 hour prior to surgical incision … publicly reporting hospital specific mortality following coronary bypass surgery, rates were observed to fall … with reported measures may entail unintended consequences
Systems should be in place for monitoring, prevention
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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/node/74713/psn-pdf
January 26, 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 … Points
Implementing standardized sedation assessments, such as POSS, aids nurses in the prediction and
prevention
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psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
March 01, 2009 - 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.
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psnet.ahrq.gov/issue/emedication-monitoring
April 25, 2018 - September 14, 2005
Prevention Quality Indicators Overview. … January 16, 2019
Selected medication safety risks that can easily fall off the radar
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psnet.ahrq.gov/issue/defining-and-classifying-medical-error-lessons-patient-safety-reporting-systems
October 13, 2010 - June 23, 2015
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following
October 24, 2018 - Study
Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training.
Citation Text:
West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team…
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psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety
October 19, 2022 - March 15, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/supporting-psychiatric-hospital-culture-safety
March 11, 2020 - April 29, 2018
A randomized trial of a multifactorial strategy to prevent serious fall