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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/web-mm/bleeding-risk
November 01, 2003 - Take-Home Points Oral warfarin is safe and effective in the treatment and prevention of many thromboembolic
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psnet.ahrq.gov/periodic-issue/periodic-issue-317
November 30, 2021 - Review
Prevention of failure to rescue in obstetric patients: a realist review. … The patient subsequently presented to Emergency Department after a fall at home and was found to have
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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/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce
Peter I. Buerhaus, PhD, RN | September 1, 2012
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Buerhaus P. Preparing for Health Reform: The Federal G…
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psnet.ahrq.gov/continuing-education
February 26, 2025 - Continuing Education
What is PSNet Continuing Education? PSNet Continuing Education offerings include WebM&M Spotlight Cases and Commentaries, which are certified for Continuing Medical Education/Continuing Education Units (CME/CEU) and Maintenance of Certification (MOC) credit through the University of Calif…
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - and a thoracic aortic aneurysm presented to the Emergency Department (ED) after a syncopal event and fall
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - and a thoracic aortic aneurysm presented to the Emergency Department (ED) after a syncopal event and
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/node/837784/psn-pdf
August 05, 2022 - I am core faculty of the Johns
Hopkins Ciccarone Center for the Prevention of Cardiovascular Disease … devices or have internet access but for people who don’t have those things; it is for people who might
fall … plenty of use cases for smartphone applications in the cardiology space demonstrating that
secondary prevention
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psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
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/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/becoming-patient-safety-organization
July 01, 2011 - March 8, 2023
6-PACK programme to decrease fall injuries in acute hospitals: cluster
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psnet.ahrq.gov/periodic-issue/periodic-issue-444
May 29, 2024 - June 12, 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/web-mm/wrong-route-nutrients
September 04, 2010 - Air
October 1, 2004
WebM&M Cases
Another Fall
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psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
July 01, 2003 - The Case An 85-year-old woman with dementia took a mechanical fall at her skilled nursing facility
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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
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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/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-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