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psnet.ahrq.gov/perspective/evolution-root-cause-analysis
February 26, 2025 - Root Cause Analysis and Medical Error Prevention. StatPearls Publishing; 2024.
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psnet.ahrq.gov/node/49708/psn-pdf
May 01, 2014 - across different points of care.(23)
Pharmacists, who have been shown to play an important role in the prevention … To date, such cost-
benefit studies have tended to fall on the side of benefit.(29,30) This case illustrates
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psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
November 15, 2023 - Appropriate Medication Use
March 31, 2021
Home health staff perspectives on infection prevention
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psnet.ahrq.gov/node/33771/psn-pdf
August 22, 2014 - Every outpatient clinical setting needs to
have active tracking systems for things that we know can fall
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psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
March 24, 2025 - Interview
In Conversation with Edwin Boudreaux about Suicide Prevention
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psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
November 01, 2016 - of Electronic Order Sets
November 1, 2016
Centers for Disease Control and Prevention … Guideline for the Prevention of Surgical Site Infection, 2017. … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - reporting hospital-specific mortality following coronary bypass surgery, mortality rates were observed to fall … Smoking cessation advice/counseling Appropriate Initial Antibiotic Selection Surgical Infection Prevention
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - April 27, 2016
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
January 31, 2024 - February 26, 2025
Patient Safety Innovations
Suicide Prevention … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/node/49474/psn-pdf
March 01, 2005 - pulse oximetry monitoring, wound care, blood draws, intravenous catheter placement,
skin care and prevention … //#references
Taken together, these studies indicate that obese patients' medical care might well fall
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - while being cared for in a health care facility
Patient death or serious disability associated with a fall … February 25, 2015
Exploring the causes of adverse events in hospitals and potential prevention
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - and pulse oximetry monitoring, wound care, blood draws, intravenous catheter placement, skin care and prevention … behavior.( 19 ) Taken together, these studies indicate that obese patients' medical care might well fall
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - Patient Safety Primers
Retained Surgical Items: Causation and Prevention … Patient Safety Primers
Retained Surgical Items: Causation and Prevention
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psnet.ahrq.gov/node/33855/psn-pdf
April 01, 2018 - health care system more positive and
focused not only on acute management but also on recovery and prevention … We need to be able to use
digital to make sure that people don't fall off during the time in between
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psnet.ahrq.gov/node/33776/psn-pdf
January 01, 2015 - He still had
moments where he would fall back into traditional management behaviors and sometimes he … We still fall back on old habits and old
behaviors, but it's starting to take a life where it would
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psnet.ahrq.gov/web-mm/late-anemia-following-rh-disease-newborn
June 17, 2010 - providers who all noted that the hemoglobin remained stable at 12 g/dL, and the bilirubin continued to fall
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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - When the Indications for Drug Administration Blur
June 24, 2020
Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accre…
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - Lane-Fall MB, Beidas RS, Pascual JL, et al.
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - at
discharge.(3) When the costs exceed this payment the hospital incurs a loss, and when the costs fall
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psnet.ahrq.gov/node/33640/psn-pdf
September 01, 2006 - What Can the Rest of the Health Care System Learn from
the VA's Quality and Safety Transformation?
September 1, 2006
Jha AK. What Can the Rest of the Health Care System Learn from the VA's Quality and Safety
Transformation? PSNet [internet]. 2006.
https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system…