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psnet.ahrq.gov/issue/clinical-handover-incident-reporting-one-uk-general-hospital
May 03, 2023 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/track-trigger-and-teamwork-communication-deterioration-acute-medical-and-surgical-wards
August 06, 2014 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/henry-ford-health-system-no-harm-campaign-comprehensive-model-reduce-harm-and-save-lives
May 11, 2019 - October 31, 2014
Positive deviance: a new tool for infection prevention and patient safety
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - event as preventable requires some judgment about the degree to which the
evidence supports specific prevention … Preventable adverse events: those that occurred due to error or failure to apply an accepted
strategy for prevention
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - We asked him to speak with us about how research on UTI prevention provides broader lessons for patient … RW : There may be some trade-offs in terms of patients being forced out of bed and an increased fall … SS : Well, I think that infection prevention in many ways is a paradigm for patient safety, at least … Accordingly, a technological solution might seem to be the desired approach to prevention. … Guideline for the prevention of catheter-associated urinary tract infections.
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psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - Education can focus on promoting a culture of safety, implementing error-prevention strategies, recognizing … Every long-term care facility also has an infection prevention advisor from our team assigned to them … Our advisors have decades of experience in patient safety and infection prevention and come from varied … at the Patient Safety Authority was reviewing newborn-related safety events and discovered a newborn fall … A newborn fall often means the baby was dropped, likely by exhausted parents who fall asleep holding
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psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - Every long-term care facility also has an infection prevention advisor from our team assigned to them … Our advisors have decades of experience in patient safety and infection prevention and come from varied … at the Patient Safety Authority was reviewing newborn-related safety events and discovered a newborn fall … A newborn fall often means the baby was dropped, likely by exhausted parents who fall asleep holding … Education can focus on promoting a culture of safety, implementing error-prevention strategies, recognizing
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psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - There are organizations where I’ve had a patient fall in my care and the first thing I had to do was … How do we shift the thinking to the idea that these are harms that may happen to the patient, be it a fall … stretcher, if we're trying to move them from bed to from stretcher to bed in the hospital and they fall … I've had a patient fall.
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psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - There are organizations where I’ve had a patient fall in my care and the first thing I had to do was … How do we shift the thinking to the idea that these are harms that may happen to the patient, be it a fall … stretcher, if we're trying to move them from bed to from stretcher to bed in the hospital and they fall … I've had a patient fall.
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psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital
January 13, 2021 - Study
Classic
Cost of medication-related problems at a university hospital.
Citation Text:
Cost of medication-related problems at a university hospital. Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE
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psnet.ahrq.gov/issue/paediatric-international-patient-safety-and-quality-community
September 30, 2015 - Multi-use Website
Paediatric International Patient Safety and Quality Community.
Citation Text:
Paediatric International Patient Safety and Quality Community. Paediatric International Patient Safety and Quality Community. 525 University Ave, Suite 630, Toronto, Ontario M5G 2L3, Canada.
…
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psnet.ahrq.gov/issue/drive-deprescribe
August 19, 2020 - Multi-use Website
Drive to Deprescribe.
Citation Text:
Drive to Deprescribe. The Society for Post-Acute and Long-Term Care Medicine.
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psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
March 18, 2020 - Related Resources
‘I felt like I was dying’: how women with postpartum depression fall
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psnet.ahrq.gov/issue/measurement-improvement-survey-current-practice-australian-public-hospitals
December 29, 2014 - January 12, 2011
A randomized trial of a multifactorial strategy to prevent serious fall … July 29, 2020
6-PACK programme to decrease fall injuries in acute hospitals: cluster
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psnet.ahrq.gov/issue/labeling-morphine-milligram-equivalents-opioid-packaging-potential-patient-safety
March 06, 2019 - October 7, 2020
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/frontline-hospital-workers-and-worker-safetypatient-safety-nexus
July 05, 2017 - Commentary
Frontline hospital workers and the worker safety/patient safety nexus.
Citation Text:
Sokas R, Braun B, Chenven L, et al. Frontline hospital workers and the worker safety/patient safety nexus. Jt Comm J Qual Patient Saf. 2013;39(4):185-192.
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psnet.ahrq.gov/issue/improving-medication-administration-safety-community-hospital-setting-using-lean-methodology
September 23, 2020 - Commentary
Improving medication administration safety in a community hospital setting using Lean methodology.
Citation Text:
Critchley S. Improving medication administration safety in a community hospital setting using Lean methodology. J Nurs Care Qual. 2015;30(4):345-351. doi:10.1097/N…
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psnet.ahrq.gov/issue/advancing-more-health-literate-approach-patient-safety
May 31, 2017 - October 23, 2019
The impact of post-fall huddles on repeat fall rates and perceptions
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psnet.ahrq.gov/issue/complexity-and-safety
February 01, 2012 - Commentary
Complexity and safety.
Citation Text:
Carrillo RA. Complexity and safety. J Safety Res. 2011;42(4):293-300. doi:10.1016/j.jsr.2011.06.003.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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psnet.ahrq.gov/issue/magnet-support-patient-safety
November 01, 2012 - March 2, 2016
Infection Prevention.