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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/perspective/safety-across-board
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/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
January 01, 2024 - Human errors and their prevention in
healthcare. … Human errors and their prevention in healthcare.
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psnet.ahrq.gov/node/861738/psn-pdf
January 31, 2024 - Human errors and their prevention in healthcare. … Human errors and their prevention in healthcare.
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psnet.ahrq.gov/periodic-issue/periodic-issue-293
May 26, 2021 - 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/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/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/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/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/node/866622/psn-pdf
August 28, 2024 - For example,
most people don't fall or get a wrong site surgery.
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psnet.ahrq.gov/web-mm/pregnant-danger
January 12, 2011 - In the present case, the patient would fall into Category V (medical complaint not related to pregnancy
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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/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/issue/language-games-and-tragedy-bristol-royal-infirmary-disaster-revisited
August 25, 2010 - June 5, 2019
Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building
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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/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/nstemi-curbside-consultation
August 04, 2021 - patients with MI, 21 and additional monitoring of cTn might have led to the recognition of a “rise and fall … case exemplifies many of the following known major disparities in CVD between men and women:
Under-prevention … Blumenthal RS, Albert MA, Buroker AB, Goldberger ZD, Hahn EJ, et al. 2019 ACC/AHA Guideline on the Primary Prevention … Summary of Updated Recommendations for Primary Prevention of Cardiovascular Disease in Women. … Effectiveness-based guidelines for the prevention of cardiovascular disease in women--2011 update: a
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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.
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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