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3041. Teamwork and total quality management: a durable partnership. | PSNet
      psnet.ahrq.gov/issue/teamwork-and-total-quality-management-durable-partnership
      September 11, 2019 - , and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention … February 2, 2022 Evaluation of clinical practice guidelines on fall prevention and management

3042. A quality improvement study: medication error leading to thyrotoxicosis and death. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-study-medication-error-leading-thyrotoxicosis-and-death
      September 13, 2017 - February 14, 2018 Evaluation of clinical practice guidelines on fall prevention and management

3043. Patient safety checklist: keys to successful implementation. | PSNet
      psnet.ahrq.gov/issue/patient-safety-checklist-keys-successful-implementation
      July 19, 2023 - July 8, 2015 Design and implementation of the infection prevention program into risk … randomised trial on the development and testing of an evidence based inpatient safety program for the prevention … Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … March 1, 2023 Surgical site infection prevention: a review. … October 26, 2022 Nurses' harm prevention practices during admission of an older person

3044. Beeline to Spine | PSNet
      psnet.ahrq.gov/web-mm/beeline-spine
      March 01, 2014 - responsibility in this case for ensuring that the patient receives SSI and VTE prophylaxis would normally fall … So we fall back to the history: did the patient mention the mass or abdominal pain? … Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic … The surgical infection prevention and surgical care improvement projects: national initiatives to improve

3045. Failure to Report | PSNet
      psnet.ahrq.gov/web-mm/failure-report
      July 01, 2008 - The contributory factors in this event fall into the environmental category.

3046. Suicidal Ideation in the Family Medicine Clinic | PSNet
      psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
      October 01, 2007 - 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.

3047. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33610/psn-pdf
      April 01, 2005 - Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) April 1, 2005 Wachter R. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet). PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet Editorial Five year…

3048. AHRQ Health Literacy Universal Precautions Toolkit. 2nd edition. | PSNet
      psnet.ahrq.gov/issue/ahrq-health-literacy-universal-precautions-toolkit-0
      May 26, 2010 - July 7, 2021 Environmental Cleaning for the Prevention of Healthcare-Associated Infections

3049. Evaluation of a healthcare safety climate measurement tool. | PSNet
      psnet.ahrq.gov/issue/evaluation-healthcare-safety-climate-measurement-tool
      August 08, 2018 - May 11, 2005 Prevention of fall-related injuries in long-term care: a randomized controlled … March 23, 2022 Complexity bias in the prevention of iatrogenic injury: why specific harms

3050. Patient safety and surgeons: why the resistance? | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-surgeons-why-resistance
      September 23, 2020 - March 8, 2017 A randomized trial of a multifactorial strategy to prevent serious fall … April 9, 2008 Effect of computerized physician order entry and a team intervention on prevention … October 31, 2018 Surgical fires: decreasing incidence relies on continued prevention

3051. Psn-Pdf (pdf file)
      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

3052. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-422
      January 04, 2024 - January 10, 2024 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, report…

3053. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33774/psn-pdf
      December 01, 2014 - The first one was on infection prevention and control and really working on hand hygiene. … Similarly in infection prevention we have one of the world's experts working on the team. … safe-surgery-saves-lives-second-global-patient-safety-challenge https://www.who.int/teams/integrated-health-services/infection-prevention-control … /hand-hygiene https://www.who.int/teams/integrated-health-services/infection-prevention-control/hand-hygiene … Then some of these tools, either through Internet or mobile phone programs, can fall on fertile ground

3054. Reporting adverse events in a war zone. | PSNet
      psnet.ahrq.gov/issue/reporting-adverse-events-war-zone
      February 01, 2023 - October 9, 2019 Iatrogenic events in neonates: beneficial effects of prevention strategies

3055. Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration | PSNet
      psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
      October 30, 2024 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

3056. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49690/psn-pdf
      September 01, 2013 - cause serious adverse effects including death.(1,19) In 2012, the Centers for Disease Control and Prevention … Patients with concurrent substance abuse and high risk for abusing the prescription opiates fall under … Centers for Disease Control and Prevention. CDC grand rounds: prescription drug overdoses—a U.S. … Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. … Centers for Disease Control and Prevention.

3057. Organizational learning and patient safety: hospital pharmacy settings. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-and-patient-safety-hospital-pharmacy-settings
      September 23, 2020 - June 14, 2023 Centers for Disease Control and Prevention Guideline for the Prevention … January 31, 2024 Effect of an emergency department process improvement package on suicide prevention

3058. A process for analysis of sentinel events due to health care–associated infection. | PSNet
      psnet.ahrq.gov/issue/process-analysis-sentinel-events-due-health-care-associated-infection
      January 22, 2014 - March 29, 2017 Effect of promoting high-quality staff interactions on fall prevention … June 7, 2017 Root cause analysis and actions for the prevention of medical errors: quality

3059. Video to Improve Patient Safety: Clinical and Educational Uses | PSNet
      psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
      March 01, 2004 - Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors … April 1, 2013 Perspective Implementing a Fall Prevention

3060. Perspectives
      psnet.ahrq.gov/perspectives
      May 01, 2021 - We spoke to them about the identification and prevention of adverse events in dentistry.    … COVID-19 pandemic, with a particular focus on visitor restrictions, staffing turnover, and infection prevention