-
psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - Pretest Probability
Score
2 1 0
Thrombocytopenia (x 109/L) ____
Nadir 20–100, or
>50% platelet fall … from baseline
Nadir 10–19, or 30–50%
platelet fall from baseline
Nadir
Timing of onset of platelet … fall
after starting heparin
____
Day 5–10, or less
than or equal to day
1 if recent heparin*
>Day
-
psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - Probability Score
2
1
0
Thrombocytopenia (x 10 9 /L)
____
Nadir 20–100, or >50% platelet fall … from baseline
Nadir 10–19, or 30–50% platelet fall from baseline
Nadir
Timing of onset of … platelet fall after starting heparin
____
Day 5–10, or less than or equal to day 1 if recent heparin
-
psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - The thoracic surgeon said I "shouldn't fall on my sword" because the delay didn't really change her stage … We have annual conferences, the 11th is coming up this fall in New Orleans.
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psnet.ahrq.gov/node/33751/psn-pdf
January 01, 2014 - from Medicare's Inpatient Quality Reporting (IQR) program, including process measures focused on the
prevention … In 2014, the program will expand to include the prevention of catheter-associated urinary
tract infection … The impact of computerized physician order entry on medication error
prevention.
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psnet.ahrq.gov/issue/understanding-differences-electronic-health-record-ehr-use-linking-individual-physicians
November 17, 2015 - August 4, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/association-cataract-surgical-outcomes-late-surgeon-career-stages-population-based-cohort
September 23, 2020 - February 11, 2009
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274:29-34.
-
psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - Additionally, it is essential to ensure that other critical patient safety efforts do not
fall by the … Centers for Disease Control and Prevention. Updated January
4, 2021. … Centers for Disease
Control and Prevention. Published January 11, 2021. … Emergency call to action: for measles and polio outbreak prevention and response. … Centers for Disease Control and Prevention. Updated December 16, 2020.
-
psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - Update: Patient Engagement in Safety
January 1, 2018
Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/update-patient-engagement-safety
Annual Perspective 2018
Background
Patient engagement has become a cornerstone of patient safety. A Patient Saf…
-
psnet.ahrq.gov/node/49777/psn-pdf
December 01, 2016 - Recognize the importance of a systems approach to suicide prevention. … Talk Saves Lives: An Introduction to Suicide Prevention. … Suicide Prevention Toolkit for Rural Primary Care Practices. … Waltham, MA: Suicide
Prevention Resource Center; 2009. [Available at]
12. … Reformulating suicide risk formulation: from prediction to
prevention.
-
psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - The contributory factors in this event fall into the environmental category.
-
psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
April 24, 2024 - After the onset of the COVID-19 pandemic, and with a grant through the Centers for Disease Control and Prevention … the most important asset in organizations—the people who are delivering care—the other things will fall … If we fix the systems that impact the people that deliver care, many things may fall in place in terms
-
psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - After the onset of the COVID-19 pandemic, and with a grant through the Centers for Disease Control and Prevention … the most important asset in organizations—the people who are delivering care—the other things will fall … If we fix the systems that impact the people that deliver care, many things may fall in place in terms
-
psnet.ahrq.gov/node/49827/psn-pdf
April 01, 2018 - Although most
clinical practice guidelines focus on the prevention of infection, malposition, and hemorrhage
-
psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - Delirium often sets off a spiral where someone is very confused and a fall risk, so they get assigned … RW : Can you talk a little bit about what you've learned about prevention strategies? … As with these other important end-organ injuries, delirium is a clinical event for which prevention and … The next is to systematically implement effective screening, prevention, and management strategies. … The ABCDE model is an initial framework on which new prevention and treatment strategies can be added
-
psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - March 13, 2024
Patient and caregiver perspectives on causes and prevention of ambulatory
-
psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - limited to delayed recognition of and deterioration
following breakdown of an anastomosis, patient fall … identified as not being
structurally sound and hurt their arm while a nurse was trying to catch their fall
-
psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
-
psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274:29-34. [go to PubMed] 3. … ADE Prevention Study Group. JAMA. 1995;274:35-43. [go to PubMed] 4. … Effect of computerized physician order entry and a team intervention on prevention of serious medication … The impact of computerized physician order entry on medication error prevention.
-
psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - The contributory factors in this event fall into the environmental category.