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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
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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
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psnet.ahrq.gov/issue/optimizing-medication-reconciliation-and-transitions-care-insights-pharmacist-and-pharmacy
July 25, 2023 - February 1, 2023
AHRQ Safety Program for MRSA Prevention. … March 22, 2023
During in-flight emergencies, sometimes airlines’ medical kits fall short
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psnet.ahrq.gov/node/49661/psn-pdf
August 01, 2012 - Ambulatory Surgery
Anesthesia for ambulatory surgery focuses on (i) rapid emergence and awakening, (ii) prevention
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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
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psnet.ahrq.gov/web-mm/language-barrier
February 28, 2024 - courses compared with enrollment in grades 9 to 12 in public secondary schools: Selected years, fall … 1948 to fall 2000.
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psnet.ahrq.gov/node/49508/psn-pdf
January 01, 2007 - language courses compared with
enrollment in grades 9 to 12 in public secondary schools: Selected years, fall … 1948 to fall 2000.
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psnet.ahrq.gov/node/49779/psn-pdf
January 01, 2017 - end-stage dementia was admitted to an acute care hospital for treatment of a
hip fracture after a fall … An infusion device that is equipped with safety features, e.g., alerts when the
pump's parameters fall
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psnet.ahrq.gov/node/49513/psn-pdf
July 01, 2006 - Partly because the issue of transport tends to "fall between the cracks" of divisions, departments, and … The time has come to rectify this, lest more patients fall victims to the risk
of moving around the
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - The role of critical incident monitoring in detection and prevention of human breast milk confusions. … December 9, 2020
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/effort-human-factors-performance-and-decision-making
August 31, 2022 - March 8, 2017
Surgical site infection prevention: a review.
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psnet.ahrq.gov/node/33742/psn-pdf
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? … of those markers could be adapted to be very helpful for appropriate process measures
for delirium prevention … SI: The highest bar would be the presence of HELP (Hospital Elder Life Program) or some delirium
prevention … If we had a delirium prevention program in every hospital and staff that were
trained to recognize delirium
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psnet.ahrq.gov/issue/patient-protect-thyself
November 01, 2017 - September 28, 2016
Selected medication safety risks to manage in 2016 that might otherwise fall
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psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
September 16, 2015 - The Lean management approach provides a useful taxonomy for such prevention of error propagation, termed … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - This way, the innovators would know when problems with RSI prevention bundle compliance occurred and … Practices to aid in the prevention of unintentionally retained surgical items. … Novel computer-aided diagnosis software for the prevention of retained surgical items. … September 23, 2024
Patient Safety Innovations
Suicide Prevention … July 23, 2024
Patient Safety Innovations
Suicide Prevention
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psnet.ahrq.gov/issue/practice-makes-perfect-planning-considerations-medical-simulation-centers
December 08, 2010 - December 8, 2010
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/root-cause-analysis-action-building-foundations
August 19, 2020 - Meeting/Conference
Root Cause Analysis-in-Action: Building Foundations.
Citation Text:
ECRI, Institute for Safe Medication Practices. September 12 and 14, 2023.
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psnet.ahrq.gov/perspective/update-patient-engagement-safety
January 01, 2017 - March 13, 2024
Patient and caregiver perspectives on causes and prevention of ambulatory
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
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 be … only the minimum effective amount of anesthesia in order to avoid leg weakness that could result in a fall … Every year, Virginia Mason takes care of close to 300, mostly elderly, patients who fall and need urgent
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March 08, 2023 - July 6, 2022
Prevention of failure to rescue in obstetric patients: a realist review. … Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention