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psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
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. … Then some of these tools, either through Internet or mobile phone programs, can fall on fertile ground
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psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
February 01, 2013 - Hospitalized patients' attitudes about and participation in error prevention.
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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - In Conversation with Jessica Behrhorst about The
Evolution of Root Cause Analysis
February 26, 2025
Behrhorst J, Gale B, Van CM. In Conversation with Jessica Behrhorst about The Evolution of Root Cause
Analysis. PSNet [internet]. 2025.
https://psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evoluti…
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - admitted to a major trauma center for a pathologic pelvic fracture (secondary to osteoporosis) after a fall … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings.
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psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
March 27, 2024 - dangerous mechanism (i.e., pedestrian struck by motor vehicle, occupant ejected from motor vehicle, or fall … negative CT interpretation would result in a treatment plan that does not include measures aimed at prevention
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psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
May 01, 2017 - treatment of chronic pain in primary care, such as those developed by the Centers for Disease Control and Prevention … Atlanta, GA: Centers for Disease Control and Prevention, National Center for Health Statistics, National … Atlanta, GA: Centers for Disease Control and Prevention. Available at [ Available at ] 8. … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention
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psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - treatment of chronic pain in primary care, such as those developed by the Centers for Disease Control and Prevention … Atlanta, GA: Centers for Disease Control and Prevention, National Center for Health Statistics, National … Atlanta, GA: Centers for Disease Control and Prevention. Available at [ Available at ] 8. … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - SPOTLIGHT CASE
Standard Deviations
Citation Text:
Sabin JE. Standard Deviations. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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psnet.ahrq.gov/web-mm/ecg-not-normal
November 10, 2015 - SPOTLIGHT CASE
The ECG Is Not Normal
Citation Text:
Zuger A. The ECG Is Not Normal. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-safety-older-adults
April 10, 2024 - [Free full text] Centers for Disease Control and Prevention. … Baltimore, MD: US Centers for Disease Control and Prevention; April 30, 2020. … Centers for Disease Control and Prevention. Accessed March 11,2022. … Centers for Disease Control and Prevention. Accessed March 11, 2022. … Centers for Disease Control and Prevention. Accessed December 2021.
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - patient was incidentally diagnosed with prostate cancer, metastatic to bone, when he was admitted for a fall
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - analysis, which provide a thorough, well-rounded review of patient safety concepts needed for harm prevention … Neonatal heparin overdose-a multidisciplinary team approach to medication error prevention. … Interview
In Conversation with Edwin Boudreaux about Suicide Prevention
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - setting, hospitals continue to struggle with suboptimal rates of compliance with this basic infection prevention … remarkable given widespread agreement that hand hygiene is the most important intervention for infection prevention … include insufficient time, work overload, inadequate knowledge, skepticism about hand hygiene as a prevention … Infection prevention promotion program based on the PRECEDE model: improving hand hygiene behaviors among
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psnet.ahrq.gov/perspective/remote-patient-monitoring
March 15, 2023 - These data tend to fall in a different category than the data we collect in the clinical setting, like
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psnet.ahrq.gov/node/33769/psn-pdf
June 01, 2014 - Community prevention: the program of the People's Medical Society.
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psnet.ahrq.gov/node/49632/psn-pdf
July 01, 2011 - A Seasonal Care Transition Failure
July 1, 2011
Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
The Case
A 70-year-old healthy man presented to his primary care doctor—a third-year internal medicine
resident—for routine follow-up…
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psnet.ahrq.gov/node/49707/psn-pdf
April 01, 2014 - CYP450 Drugs: Expect the Unexpected
April 1, 2014
Gonzalez CJ. CYP450 Drugs: Expect the Unexpected. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
The Case
A 42-year-old man with acquired immunodeficiency syndrome (AIDS) (CD4 count 198), hip dystocia, and
generalized anxiety …
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psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - October 11, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - January 1, 2004
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - patient was incidentally diagnosed with prostate cancer,
metastatic to bone, when he was admitted for a fall