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psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
December 12, 2018 - August 2, 2023
‘I felt like I was dying’: how women with postpartum depression fall through
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psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
January 06, 2017 - June 7, 2008
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
January 22, 2016 - January 22, 2016
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
January 16, 2008 - August 4, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
September 23, 2020 - January 23, 2019
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/saying-sorry-some-strategies-effective-apology-within-workplace
August 11, 2021 - June 25, 2010
Improving hospital safety culture for falls prevention through interdisciplinary
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psnet.ahrq.gov/issue/anesthesia-workspaces-safe-medication-practices-design-guidelines
November 29, 2017 - Patient Safety Primers
Retained Surgical Items: Causation and Prevention
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psnet.ahrq.gov/issue/patient-safety-psychiatric-inpatient-care-literature-review
September 27, 2017 - 2022
Shared understanding of resilient practices in the context of inpatient suicide prevention
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psnet.ahrq.gov/issue/plan-achieving-significant-improvement-patient-safety
September 23, 2020 - Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention
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psnet.ahrq.gov/issue/patient-safety-culture-factors-influence-clinician-involvement-patient-safety-behaviours
April 16, 2014 - November 9, 2011
Insights into the climate of safety towards the prevention of falls
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psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-good
February 03, 2021 - September 29, 2017
National Action Plan for Adverse Drug Event Prevention: recommendations
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psnet.ahrq.gov/issue/hand-communications
January 04, 2017 - September 18, 2019
Root cause analysis and actions for the prevention of medical errors
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psnet.ahrq.gov/issue/prospective-review-adverse-events-during-interhospital-transfers-neonates-dedicated-neonatal
March 03, 2011 - human errors contribute to the majority of adverse events around interhospital transfers, and targeted prevention
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psnet.ahrq.gov/issue/review-bringing-patient-safety-forefront-through-structured-computerisation-during-clinical
January 13, 2021 - September 5, 2018
Defining the critical role of nurses in diagnostic error prevention
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psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-patient-outcomes-systematic-review
March 11, 2020 - December 29, 2014
Positive deviance: a new tool for infection prevention and patient
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www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
January 01, 2024 - Enables the user to evaluate the organization’s falls prevention program,
develop an improvement plan … letter
submitted by Kenneth Thorpe on September 17, 2002, demonstration project evaluation
activities fall … Key Words: error reporting, medication errors, patient safety, voluntary
Publications:
Fall 2003 … Presentation at GHA State Patient Safety
Conference
Spring 2004 GHA SMU Telnet Presentation
Fall … error.htm
II.B “Assessment and Development of a Patient Safety Health Communication Plan
for the Prevention
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www.ahrq.gov/talkingquality/measures/setting/physician/examples.html
September 01, 2019 - Examples of Physician Quality Measures for Consumers
Following are a few examples of physician quality measures that research evidence and practical experience suggest are appropriate for reporting to consumers. The list is categorized by the Institute of Medicine’s domains for a quality health care system; for…
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psnet.ahrq.gov/issue/patient-safety-ed
August 11, 2010 - Newspaper/Magazine Article
Patient safety in the ED.
Citation Text:
Patient safety in the ED. Hospitals & health networks. 2006;80(5):6 p. following 48, 2.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling
November 16, 2022 - Newspaper/Magazine Article
Alarm fatigue hazards: the sirens are calling.
Citation Text:
Alarm fatigue hazards: the sirens are calling. Welch J.
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psnet.ahrq.gov/issue/root-cause-analysis-playbook
July 05, 2017 - Book/Report
Root Cause Analysis Playbook.
Citation Text:
Root Cause Analysis Playbook. Chicago, IL: American Society for Healthcare Risk Management; 2015.
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