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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/846564/psn-pdf
March 29, 2023 - A vision-based approach for fall detection using multiple
cameras and convolutional neural networks: … a case study using the UP-Fall detection dataset.
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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/periodic-issue/periodic-issue-291
May 26, 2021 - Study
Universal protection: operationalizing infection prevention guidance in the COVID … describes the development of the Universal Protection Framework, which builds upon traditional infection prevention … practices and consists of four domains (infection prevention, access control, distancing, and patient … Level III trauma center to a Level I trauma center with lower extremity paralysis after a ground level fall
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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/node/72586/psn-pdf
December 23, 2020 - With the development of EHR, more clerical and administrative tasks fall on all healthcare
providers
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psnet.ahrq.gov/web-mm/overdose-oxygen
August 02, 2023 - July 2, 2019
A randomized trial of a multifactorial strategy to prevent serious fall … March 6, 2005
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - minimize CSF leak, mimic the compliance of dura, and be biologically inert.48
Currently, the options fall … suture repair.
26
26
Intraoperative Management – Sealants (2)
Commercially available sealants fall … Closed continuous drainage of cerebrospinal fluid via a lumbar subarachnoid catheter for treatment or prevention
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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/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/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/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/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/periodic-issue/periodic-issue-352
July 08, 2022 - July 27, 2022 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, reports, …
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psnet.ahrq.gov/periodic-issue/periodic-issue-394
June 28, 2023 - June 7, 2023 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, reports, a…
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psnet.ahrq.gov/periodic-issue/periodic-issue-432
March 27, 2024 - March 20, 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, reports,…
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psnet.ahrq.gov/node/49705/psn-pdf
January 01, 2020 - A "Reflexive" Diagnosis in Primary Care
April 1, 2014
Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
Case Objectives
Appreciate that primary care doctors may be caring for an increasing number of patients wi…
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psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
July 19, 2023 - Liem et al. determined to be about 37%. 12 Risk of Infection The Centers for Disease Control and Prevention … need for vigilance by hospital staff in appropriate line selection and adherence to sound infection prevention … , CNL, NEA-BC, FACHE Executive Director Patient Care Services, Quality & Safety, Hospital Infection Prevention … Guidelines for the prevention of intravascular catheter-related infections. … Consensus conference on prevention of central line-associated bloodstream infections: 2009.
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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/innovation/critical-radiology-alert-process
November 16, 2022 - Journal Article
Study
Catching those who fall … July 23, 2024
Patient Safety Innovations
Suicide Prevention