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psnet.ahrq.gov/issue/free-lessons-aviation-safety
October 19, 2022 - April 24, 2019
Evaluation of clinical practice guidelines on fall prevention and management … learned,
October 27, 2021
Early warning systems and rapid response systems for the prevention … May 12, 2021
Medication incident recovery and prevention utilising an Australian community
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psnet.ahrq.gov/issue/international-society-quality-health-care-conference
September 26, 2023 - Health-Care–Associated Infections in Hospitals: Continuing Leadership Needed from HHS to Prioritize Prevention … Counterfeit drug prevention and identification. … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/web-mm/mark-my-limb
February 10, 2015 - The Joint Commission's Universal Protocol for the Prevention of Wrong Site, Wrong Procedure, and Wrong … Most systems, even simple ones, operating in health care organizations today fall short of this characterization
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - Reducing falls and fall-related injuries in the VA system. J Healthc Saf Q. 2003;1:25-33.
8. … January 1, 2015
Perspective
How Does Infection Prevention … February 1, 2014
Perspective
Implementing a Fall … Prevention Program
December 1, 2011
Medical Errors and Safety Systems.
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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/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/missing-trauma
March 03, 2011 - William Haddon, widely recognized as the father of modern injury prevention strategies, may be responsible … probably tops this list, followed closely by missing a transient neurologic event that precipitates a fall … The changing approach to the epidemiology, prevention, and amelioration of trauma: the transition to
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psnet.ahrq.gov/periodic-issue/periodic-issue-414
October 31, 2023 - who had a myocardial infarction, this study examined the use of outpatient medications for secondary prevention … The researchers found that medication omissions, duplications and delays in prescribing of secondary 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/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - Annual Perspective
Measuring and Responding to Deaths From Medical Errors
Sumant Ranji, MD | March 22, 2016
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Citation Text:
Ranji SR. Measuring and Responding to Deaths From Medical Errors. PSNet [internet]. Rockville…
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psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-underestimated-public-health
December 15, 2021 - Review
Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic.
Citation Text:
Gualano MR, Lo Moro G, Voglino G, et al. Wrong administration route of medications in the domestic setting: a review of an underestimated public hea…
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psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach
July 07, 2021 - Study
Reducing near miss medication events using an evidence-based approach.
Citation Text:
Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630.
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psnet.ahrq.gov/issue/use-paediatric-early-warning-systems-great-britain-has-there-been-change-practice-last-7
September 23, 2020 - May 18, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/assessment-adverse-events-medical-care-lack-consistency-between-experienced-teams-using
October 09, 2013 - Study
Assessment of adverse events in medical care: lack of consistency between experienced teams using the Global Trigger Tool.
Citation Text:
Schildmeijer K, Nilsson L, Årestedt K, et al. Assessment of adverse events in medical care: lack of consistency between experienced teams usin…
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psnet.ahrq.gov/issue/interunit-handoffs-emergency-department-inpatient-care-cross-sectional-survey-physicians
September 23, 2020 - January 20, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/early-cost-and-safety-benefits-inpatient-electronic-health-record
August 04, 2021 - January 6, 2018
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/assessment-patient-medication-adherence-medical-record-accuracy-and-medication-blood
April 15, 2019 - August 4, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/prescription-opioid-analgesics-commonly-unused-after-surgery-systematic-review
March 30, 2022 - August 4, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
March 01, 2011 - Study
Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium.
Citation Text:
Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatr…
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psnet.ahrq.gov/issue/no-harm-found-when-nurse-anesthetists-work-without-supervision-physicians
August 04, 2021 - October 11, 2023
A randomized trial of a multifactorial strategy to prevent serious fall