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psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-management-paediatrics-scoping-review
April 24, 2018 - June 28, 2017
The impact of post-fall huddles on repeat fall rates and perceptions of
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psnet.ahrq.gov/issue/pediatric-trainee-perspectives-decision-disclose-medical-errors
April 27, 2022 - Study
Pediatric trainee perspectives on the decision to disclose medical errors.
Citation Text:
Lin M, Horwitz LI, Gross RS, et al. Pediatric trainee perspectives on the decision to disclose medical errors. J Patient Saf. 2022;18(2):e470-e476. doi:10.1097/pts.0000000000000848.
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psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
June 21, 2017 - Study
An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system.
Citation Text:
Hagley GW, Mills PD, Shiner B, et al. An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause Analysis…
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psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
December 21, 2016 - June 26, 2019
Making infection prevention and control everyone's business?
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumhalp.html
October 01, 2014 - Future Plans: Data collection will continue through the summer and fall and the clinician interview
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psnet.ahrq.gov/issue/heed-warning-dont-miss-important-computer-alerts
May 07, 2018 - March 14, 2023
Selected medication safety risks to manage in 2016 that might otherwise fall
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psnet.ahrq.gov/issue/national-patient-safety-goals
May 30, 2012 - Organizational Policy/Guidelines
National Patient Safety Goals.
Citation Text:
National Patient Safety Goals. The Joint Commission.
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psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies
November 27, 2018 - Toolkit
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies.
Citation Text:
Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. Oakbrook, IL: Joint Commission Resources; January 2014.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Comparing these data with other sources of information, such as the Centers
for Disease Control and Prevention … measured with MPSMS, the AHRQ Patient Safety Indicators
(PSIs), the Centers for Disease Control and Prevention
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psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
February 03, 2011 - February 17, 2011
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
June 21, 2016 - Book/Report
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm.
Citation Text:
RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015.
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psnet.ahrq.gov/issue/methods-assessing-preventability-adverse-drug-events-systematic-review
July 24, 2013 - Review
Methods for assessing the preventability of adverse drug events: a systematic review.
Citation Text:
Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
June 01, 2023 - Lane-Fall, et al., have done extensive work examining both the effectiveness of a standardized OR-to-ICU … Subsequent work by Lane-Fall, et al., expands on these findings in an ongoing larger hybrid effectiveness-implementation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - data
collection and reporting by States) and “identify a set of patient safety practices
critical to prevention
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integrationacademy.ahrq.gov/about/initiatives/older-adult-opioid-initiative
July 01, 2024 - (AHRQ) launched an initiative in September 2019 to identify and implement strategies to improve the prevention … The tools and resources address: Pain management, Opioid treatment, Prevention of opioid-related harms … level change strategies to assist with appropriate prescribing and management of opioid use and the prevention … Resources
(PDF 760K)
List of tools and resources addressing pain management, opioid treatment, and prevention
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psnet.ahrq.gov/issue/promoting-medication-safety-older-adults-upon-hospital-discharge-guiding-principles
July 31, 2019 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and
September 01, 2018 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/identifying-hospitalized-patients-risk-harm-comparison-nurse-perceptions-vs-electronic-risk
November 03, 2015 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - Care Planning
August 1, 2018
Evaluation of clinical practice guidelines on fall … prevention and management for older adults: a systematic review. … January 12, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/improving-general-practice-computer-systems-patient-safety-qualitative-study-key-stakeholders
October 16, 2012 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention