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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - 16,17
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 or worsening agitation. 19
Currently, there are no recommended pharmacologic treatments for prevention
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psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/node/73146/psn-pdf
April 28, 2021 - Open Communication between the Clinic and Patient
Clear communication provides a critical role in the prevention … Centers for Disease Control and Prevention.
Reviewed March 11, 2019.
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - Preventing Hospital-acquired pneumonia (HAP) Outside of the Ventilator-associated Pneumonia Bundle,” Prevention … May 29, 2024
Patient Safety Innovations
Suicide Prevention
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - Preventing Hospital-acquired pneumonia (HAP)
Outside of the Ventilator-associated Pneumonia Bundle,” Prevention
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - dynamic reality, reorienting focus from performance measures of harm to measures that
reflect risk prevention … nursing homes across the United States to increase the implementation
of evidence-based infection prevention … leadership, and governance—ensuring that there is a core value and non-
negotiable commitment to the prevention … with our work to radically reorient our thinking and approach to safety to place more emphasis on
prevention
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psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
April 27, 2022 - Readmissions and Adverse Events After Discharge
Citation Text:
Readmissions and Adverse Events After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/865658/psn-pdf
April 24, 2024 - discuss the frequent
fecal leakage and perhaps the medication could have been adjusted, avoiding the fall
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
July 01, 2011 - Cost-effectiveness of dabigatran compared with warfarin for stroke prevention in atrial fibrillation.
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psnet.ahrq.gov/web-mm/hard-swallow
April 26, 2023 - 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/web-mm/mixup-beyond-medication-label
June 01, 2014 - National Action Plan for Adverse Drug Event Prevention. … Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health … July 28, 2021
Medication incident recovery and prevention utilising an Australian
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psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - //psnet.ahrq.gov//#2
https://psnet.ahrq.gov//#2
https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
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psnet.ahrq.gov/issue/systematic-review-prevalence-frequency-and-comparative-value-adverse-events-data-social-media
October 06, 2021 - Review
Systematic review on the prevalence, frequency and comparative value of adverse events data in social media.
Citation Text:
Golder S, Norman G, Loke YK. Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Br J Clin Pharmacol…
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
October 31, 2011 - December 22, 2010
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/effect-world-health-organization-checklist-patient-outcomes-stepped-wedge-cluster-randomized
June 03, 2020 - Study
Classic
Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial.
Citation Text:
Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outc…
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psnet.ahrq.gov/issue/what-does-safe-care-mean-context-community-based-mental-health-services-qualitative
December 07, 2022 - August 9, 2023
‘I felt like I was dying’: how women with postpartum depression fall through
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psnet.ahrq.gov/issue/randomised-controlled-trial-assess-effect-just-time-training-procedural-performance-proof
May 31, 2017 - December 30, 2008
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/near-miss-transcription-errors-comparison-reporting-rates-between-novel-error-reporting
January 31, 2018 - March 17, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
April 28, 2021 - Study
Adverse events in long-term care residents transitioning from hospital back to nursing home.
Citation Text:
Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:…
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psnet.ahrq.gov/issue/influencing-culture-quality-and-safety-through-huddles
April 05, 2023 - Study
Influencing a culture of quality and safety through huddles.
Citation Text:
McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642.
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