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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - Twitter
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Atlanta, GA: Centers for Disease Control and Prevention
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psnet.ahrq.gov/node/33861/psn-pdf
July 01, 2018 - The thoracic surgeon said
I "shouldn't fall on my sword" because the delay didn't really change her … We have annual conferences, the 11th is coming up
this fall in New Orleans.
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psnet.ahrq.gov/issue/panel-discussion-error-proofing-your-pharmacy
April 05, 2006 - February 14, 2018
Prevention of intravenous drug incompatibilities in an intensive care … October 22, 2008
Prioritising the prevention of medication handling errors. … May 5, 2021
Medication incident recovery and prevention utilising an Australian community
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psnet.ahrq.gov/periodic-issue/periodic-issue-329
February 23, 2022 - February 16, 2022 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, repor…
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psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
July 08, 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 … Implementing standardized sedation assessments, such as POSS, aids nurses in the prediction and prevention
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psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - 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/primer/high-reliability
January 29, 2020 - High Reliability
Citation Text:
High Reliability. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Downl…
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psnet.ahrq.gov/node/49714/psn-pdf
August 21, 2014 - Although the ED physicians felt he had simple
bruising from the fall, they noted that he was in severe … soft tissue infections (as in this
case, where it appeared the patient had simple bruising after his fall … Necrotizing fasciitis caused by Vibrio vulnificus: epidemiology,
clinical findings, treatment and prevention
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psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - .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/node/33824/psn-pdf
January 01, 2016 - This year, the Centers for Disease Control and Prevention (CDC) reported a 200% increase
in opioid overdose
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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/web-mm/painful-medication-reconciliation-mishap
May 01, 2008 - After the fall, a CT scan revealed a fracture of the cervical spine, which required spinal fusion surgery … in patients with alcohol dependence in a double-blind, placebo-controlled trial: the role of patient prevention … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to 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/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/49816/psn-pdf
January 01, 2018 - After the fall, a CT scan revealed a fracture of the cervical spine, which required
spinal fusion surgery … patients
with alcohol dependence in a double-blind, placebo-controlled trial: the role of patient prevention
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psnet.ahrq.gov/node/860050/psn-pdf
January 04, 2024 - Children’s Bureau Learning and Coordination Center (CBLCC), Prevent Child Abuse
America, The Child Abuse Prevention
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - We are interested in whole healthcare, quality of life, patient experience, and
prevention of patient … As we all experience healthcare, we consider how we can minimize unplanned care and
maximize prevention … Healthcare Effectiveness Data
and Information Set (HEDIS) measures that we use, including chronic care prevention
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psnet.ahrq.gov/node/33734/psn-pdf
August 01, 2012 - In Conversation With… Nicholas G. Castle, MHA, PhD
August 1, 2012
In Conversation With… Nicholas G. Castle, MHA, PhD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
Editor's note: The topic of patient safety in long-term care facilities has not received the attent…
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psnet.ahrq.gov/issue/relationships-within-inpatient-physician-housestaff-teams-and-their-association-hospitalized
December 18, 2013 - December 18, 2014
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and
December 23, 2020 - June 30, 2021
Call to action: addressing pediatric fall safety in ambulatory environments