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psnet.ahrq.gov/node/49704/psn-pdf
March 01, 2014 - 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/web-mm/recurrent-hypoglycemia-care-transition-failure
December 23, 2020 - Take-Home Points An EHR facilitates error prevention at the point of care, as a first layer of protection … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/surveys-patient-safety-culturetm-sopsr-ambulatory-surgery-center-survey-2021-user-database
June 01, 2022 - Choosing a Patient Safety Organization
March 1, 2020
NPSD Data Spotlight: Patterns of Fall
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - Open Communication between the Clinic and Patient Clear communication provides a critical role in the prevention … Centers for Disease Control and Prevention . Reviewed March 11, 2019. Accessed February 13, 2020. … May 8, 2024
The challenge of risk prevention in home healthcare-an interview study with
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psnet.ahrq.gov/Topics
February 26, 2021 - Services Risk Management Center for Medication Safety (VA MedSAFE) Centers for Disease Control and Prevention … Safety Center Massachusettes College of Pharmacy and Health Sciences Massachusetts Coalition for the Prevention … Services (HHS) Agency for Healthcare Research and Quality (AHRQ) Centers for Disease Control and Prevention … Safety Foundation Nursing Times Nursing Times Health Service Journal ODPHP Office of Disease Prevention
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March 17, 2021 - Services Risk Management Center for Medication Safety (VA MedSAFE) Centers for Disease Control and Prevention … Safety Center Massachusettes College of Pharmacy and Health Sciences Massachusetts Coalition for the Prevention … Services (HHS) Agency for Healthcare Research and Quality (AHRQ) Centers for Disease Control and Prevention … Safety Foundation Nursing Times Nursing Times Health Service Journal ODPHP Office of Disease Prevention
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psnet.ahrq.gov/node/867849/psn-pdf
February 26, 2025 - High Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet
[internet]. 2025.
https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
In To Err I…
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psnet.ahrq.gov/issue/risky-business-navigating-shifting-health-care-landscape
December 22, 2021 - Meeting/Conference Proceedings
Risky Business: Navigating a Shifting Health Care Landscape.
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Boston Children’s Hospital. April 15, 2021.
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March 09, 2022 - March 14, 2022
Call to action: addressing pediatric fall safety in ambulatory environments
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psnet.ahrq.gov/issue/evaluating-service-delivery-interventions-enhance-patient-safety
June 18, 2008 - Study
Evaluating service delivery interventions to enhance patient safety.
Citation Text:
Brown C, Lilford RJ. Evaluating service delivery interventions to enhance patient safety. BMJ. 2008;337:a2764. doi:10.1136/bmj.a2764.
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psnet.ahrq.gov/issue/mandatory-error-reporting-discourages-disclosure-information
October 26, 2011 - Newspaper/Magazine Article
Mandatory error reporting discourages disclosure of information.
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Tokarski C
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March 06, 2005 - Review
Medical errors: impact on clinical laboratories and other critical areas.
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Kalra J.
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November 10, 2015 - January 1, 2015
Perspective
How Does Infection Prevention … February 1, 2012
Perspective
Implementing a Fall … Prevention Program
December 1, 2011
Interview
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May 26, 2021 - The authors recommend further research into patient involvement with prevention of medication errors … Release/Announcement
AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention … Level III trauma center to a Level I trauma center with lower extremity paralysis after a ground level fall
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September 30, 2020 - With the development of EHR, more clerical and administrative tasks fall on all healthcare providers,
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July 22, 2020 - In a strong safety culture, error prevention and recovery programs are well developed, updated regularly … errors: teaching strategies that increase nursing students’ awareness of medication errors and their prevention … July 1, 2019
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/node/73899/psn-pdf
September 29, 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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February 10, 2010 - Ambulatory Surgery Anesthesia for ambulatory surgery focuses on (i) rapid emergence and awakening, (ii) prevention
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June 30, 2021 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs. … Centers for Disease Control and Prevention. Updated March 17, 2021. Accessed March 24, 2021. … In healthcare design, sometimes we can fall into a routine that we think we know the answer, but we have … WHO [World Health Organization] and CDC [Centers for Disease Control and Prevention] documents had mentioned … patient getting up to go to the bathroom without calling a nurse and putting themselves at risk for a fall
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psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
June 30, 2021 - In healthcare design, sometimes we can fall into a routine that we think we know the answer, but we have … WHO [World Health Organization] and CDC [Centers for Disease Control and Prevention] documents had mentioned … patient getting up to go to the bathroom without calling a nurse and putting themselves at risk for a fall … Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs. … Centers for Disease Control and Prevention. Updated March 17, 2021. Accessed March 24, 2021.