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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
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. Accessed February 13, 2020. … May 8, 2024
The challenge of risk prevention in home healthcare-an interview study with
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psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph
May 01, 2019 - I have seen in the field and as an EMS physician (but also on the receiving end of the EMS patient) fall … And that's one thing that makes it really hard, because 1% of the patients they're going to see will fall … Occupational injury prevention and management. In: Cone DC, Brice JH, Delbridge TR, Myers JB, eds. … Interview
In Conversation with Edwin Boudreaux about Suicide Prevention
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - suggested actions for mitigating violence. 5 The Joint Commission released new workplace violence prevention … When reviewing the effectiveness of violence prevention training for nurses, research has found that … Centers for Disease Control and Prevention; 2002. Accessed October 3, 2023. … Workplace Violence Prevention Standards . R3 Report: Requirement, Rationale, Reference. 2021. … Congress has introduced a bill called the Workplace Violence Prevention for Health Care and Social Service
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psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
May 01, 2013 - measures, it's pretty hard to measure diagnostic errors for example, and some of the other issues that fall … 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/node/866621/psn-pdf
August 28, 2024 - Application of Safety-II Principles
August 28, 2024
Venkatesan C, Helak K, Sousane Z, et al. Application of Safety-II Principles. PSNet [internet]. 2024.
https://psnet.ahrq.gov/perspective/application-safety-ii-principles
Traditional approaches to patient safety have often been reactive rather than proactive, seeki…
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - 2019, also requires a prescriber to provide education to a patient and his or her designee on overdose prevention
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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. June 11, 2024. … Centers for Disease Control and Prevention. June 28, 2024. … Centers for Disease Control and Prevention. December 13, 2023. … Medical Error Reduction and Prevention. [Updated 2024 Feb 12]. In: StatPearls [Internet].
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psnet.ahrq.gov/web-mm/other-hand
December 12, 2012 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/web-mm/myasthenia-crisis-after-delayed-diagnosis-medically-complex-patient
February 21, 2020 - October 18, 2023
Assessment of a wearable fall prevention system at a Veterans Health
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psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
September 01, 2012 - addressed through a thorough understanding of the barriers to adherence.( 16 ) Sometimes a process will fall … Perioperative management of antithrombotic therapy: Antithrombotic Therapy and Prevention of Thrombosis
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psnet.ahrq.gov/node/49799/psn-pdf
July 01, 2017 - with confirmation is mandated by accreditation bodies, but even with
mandates in place, results can fall … Notification of public health authorities allows for monitoring, control, and prevention of communicable
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psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
January 31, 2024 - Reasons, consequences, prevention, and interventions. … No Pain
July 1, 2003
WebM&M Cases
Another Fall
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - October 11, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - minimize CSF leak, mimic the compliance of dura, and be biologically inert. 48 Currently, the options fall … Commercially available sealants fall into two categories as either synthetic, consisting of polyethylene … Closed continuous drainage of cerebrospinal fluid via a lumbar subarachnoid catheter for treatment or prevention … May 20, 2019
Infection prevention in the operating room anesthesia work area.
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psnet.ahrq.gov/node/867849/psn-pdf
February 26, 2025 - High Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet
[internet]. 2025.
https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
In To Err I…
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - reconciliation : For sites seeking to improve the medication reconciliation as part of readmission prevention … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - Centers for Disease Control and Prevention. July 31,
2024. [Free full text]
3. … Centers for Disease Control and Prevention. June 11, 2024.
Accessed December 6, 2024. … Centers for Disease Control and Prevention. June 28, 2024.
Accessed December 6, 2024. … Centers for Disease Control and Prevention. December 13, 2023.
Accessed December 6, 2024. … Medical Error Reduction and Prevention. [Updated
2024 Feb 12]. In: StatPearls [Internet].
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention … STORM is one of several VHA overdose prevention initiatives that include the distribution of naloxone … Targeted Prevention Program Implementation: The implementation of the STORM targeted prevention program … Office of Mental Health and Suicide Prevention, US Dept of Veterans Affairs; 2021. … Office of Mental Health and Suicide Prevention, US Dept of Veterans Affairs; 2021.
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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - Many of the steps and techniques described above fall under the field of medication safety engineering