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psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
August 31, 2020 - When I began looking for my next position in 2005/2006, I was already very focused on safety, prevention … December 18, 2024
Patient Safety Innovations
Suicide Prevention
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
January 01, 2021 - outcomes and safety, it is
important to focus on the needs of vulnerable patients with challenges that
fall … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Center for Disease Control and Prevention. … Centers for Disease Control and Prevention.
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psnet.ahrq.gov/node/33766/psn-pdf
May 01, 2014 - Nevertheless,
https://cdn.who.int/media/docs/default-source/integrated-health-services-(ihs)/infection-prevention-and-control
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psnet.ahrq.gov/node/867656/psn-pdf
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health
Systems for Patient Safety
February 26, 2025
Savitz LA, Sousane Z, Mossburg SE. In Conversation with Lucy Savitz about Learning Health Systems for
Patient Safety. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learnin…
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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - Center for Disease Control and Prevention. United States cancer statistics: data visualization.
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psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - Cultural Competence and Patient Safety
December 27, 2019
Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
Background
Culture can be defined as the “personal identification, language, thoughts, co…
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psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - In Conversation With… Christine Cassel, MD
June 1, 2015
In Conversation With… Christine Cassel, MD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-christine-cassel-md
Editor's note: Christine Cassel, MD, is President and CEO of the National Quality Forum (NQF). Dr.
Cassel, one of the foun…
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psnet.ahrq.gov/web-mm/shortcuts-acetaminophen-induced-liver-failure
July 01, 2017 - dL) postingestion than at 4 hours (150 mg/dL).( 11 ) This is because the measured concentration will fall
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psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
August 21, 2007 - SPOTLIGHT CASE
Wandering Off the Floors: Safety and Security Risks of Patient Wandering
Citation Text:
Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Huma…
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 15, 2024 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
May 01, 2005 - References
Center for Disease Control and Prevention.
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - remember most vividly was that the focus of people in the C-suite was very much on lawsuits: lawsuit prevention … First, in the mid-1990s, RMF's loss prevention staff saw an alarming trend in malpractice cases related … More recent evidence comes from the Malpractice Insurers Medical Error Prevention Study, a large study … MA
William Berry, MD, MPH Surgical Consultant, CRICO/RMF
Kathy Dwyer Program Director, Loss Prevention … MS
August 1, 2009
Council recommendation on patient safety, including the prevention
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psnet.ahrq.gov/web-mm/picking-cause-stroke
August 07, 2024 - Use of designated nurse PICC teams and CLABSI prevention practices among U.S. hospitals: a survey-based
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psnet.ahrq.gov/node/33715/psn-pdf
July 01, 2011 - Becoming a Patient Safety Organization
July 1, 2011
Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/becoming-patient-safety-organization
Perspective
While I was the first employee of the California Hospital Patient Safety Organization (CHPSO), its story
…
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psnet.ahrq.gov/node/49520/psn-pdf
September 01, 2006 - psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
The Case
An 85-year-old woman with dementia took a mechanical fall
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psnet.ahrq.gov/topics-0
March 03, 2025 - Topics
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Featured Topics in Patient Safety
Updated Date: March 3, 2025
…
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - 20 hours before there is any significant change in the INR (because factor VII levels first have to fall
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psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - Francisco,
Director of the UCSF Center for Vulnerable Populations, and Chief of the California Diabetes Prevention … thinking about the period of time between visits as an
opportunity to be proactive before patients fall
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psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
May 01, 2019 - Occupational injury prevention and management. In: Cone DC, Brice JH, Delbridge TR, Myers JB, eds. … 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
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - the process of developing, similar perinatal collaboratives. 22 The Centers for Disease Control and Prevention … Centers for Disease Control and Prevention. … Accessed March 3, 2022. [9] Department of Health and Human Services Office of Disease Prevention and … The Annals of Family Medicine . 2021 May 1;19(3):249-57. [22] Centers for Disease Control and Prevention … Accessed May 12, 2022. [23] Centers for Disease Control and Prevention.