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psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies
May 07, 2018 - May 7, 2018
Selected medication safety risks to manage in 2016 that might otherwise fall
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psnet.ahrq.gov/issue/improving-patient-safety-culture-through-teamwork-and-communication-teamstepps
November 21, 2016 - Book/Report
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS.
Citation Text:
Improving Patient Safety Culture Through Teamwork and Communication: TeamSTEPPS. Chicago, IL: Health Research & Educational Trust; June 2015.
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psnet.ahrq.gov/issue/survey-shows-recession-has-weakened-patient-safety-net
June 10, 2018 - February 1, 2023
Selected medication safety risks to manage in 2016 that might otherwise fall
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psnet.ahrq.gov/issue/machine-learning-booming-medicine-its-also-facing-credibility-crisis
May 22, 2019 - March 8, 2023
‘I felt like I was dying’: how women with postpartum depression fall through
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psnet.ahrq.gov/issue/follow-ismp-guidelines-safeguard-design-and-use-automated-dispensing-cabinets-adcs
May 07, 2018 - March 10, 2021
Selected medication safety risks to manage in 2016 that might otherwise fall
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psnet.ahrq.gov/issue/care-compare
May 26, 2021 - Multi-use Website
Care Compare.
Citation Text:
Care Compare. Centers for Medicare and Medicaid Services.
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psnet.ahrq.gov/issue/geriatric-medication-reconciliation-home-setting
September 01, 2021 - Newspaper/Magazine Article
Geriatric medication reconciliation in the home setting.
Citation Text:
Geriatric medication reconciliation in the home setting. Taylor K. American Nurse J. 2021;16(7):14-17.
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psnet.ahrq.gov/issue/medical-abbreviations-have-contradictory-or-ambiguous-meanings
November 18, 2020 - January 27, 2021
Selected medication safety risks to manage in 2016 that might otherwise fall
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psnet.ahrq.gov/issue/neurologic-patient-safety-depth-study-malpractice-claims
November 11, 2015 - November 26, 2014
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/hospital-internet-site-content-patient-safety-and-medical-errors
August 17, 2022 - Study
Hospital internet site content on patient safety and medical errors.
Citation Text:
Hospital internet site content on patient safety and medical errors. Heffner JE, Webster L, Ellis R. J Patient Saf. 2006;2(2):72-77.
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Infection rates from hospital epidemiology and infection prevention also present known complications. … The patient is not assessed for fall risk, and no preventive measures are taken.
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psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
October 09, 2024 - Study
What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management?
Citation Text:
Hogan H, Olsen S, Scobie S, et al. What can we learn about patient safety from information sources within an acute hospital…
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psnet.ahrq.gov/issue/preventing-iatrogenic-overdose-review-emergency-department-opioid-related-adverse-drug-events
August 12, 2020 - 2019
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Balancing safety, comfort, and fall
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psnet.ahrq.gov/issue/spreading-strategy-prevent-suicide-after-psychiatric-hospitalization-results-quality
May 04, 2022 - Study
Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative.
Citation Text:
Riblet NB, Varela M, Ashby W, et al. Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improve…
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psnet.ahrq.gov/issue/adverse-drug-events-resulting-patient-errors-older-adults
March 11, 2011 - Study
Adverse drug events resulting from patient errors in older adults.
Citation Text:
Field TS, Mazor KM, Briesacher BA, et al. Adverse Drug Events Resulting from Patient Errors in Older Adults. J Am Geriatr Soc. 2007;55(2):271-276. doi:10.1111/j.1532-5415.2007.01047.x.
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psnet.ahrq.gov/issue/magnitude-and-modifiers-weekend-effect-hospital-admissions-systematic-review-and-meta
November 25, 2020 - Review
Emerging Classic
Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis.
Citation Text:
Chen Y-F, Armoiry X, Higenbottam C, et al. Magnitude and modifiers of the weekend effect in hospital admissions: a…
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www.uspreventiveservicestaskforce.org/uspstf/document/how-did-the-uspstf-arrive-at-this-recommendation-/prostate-cancer-screening-2012
May 11, 2012 - death rate from prostate cancer had been climbing for two decades until about 1992, and then began to fall … Cancer Screening PDQ® (National Cancer Institute)
Prostate Cancer (Centers for Disease Control and Prevention … The Task Force is made up of 16 volunteer members who are experts in prevention and evidence based medicine … The USPSTF has 16 volunteer members who are experts in prevention and evidence-based medicine.
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Infection rates from hospital epidemiology and infection prevention also present known complications. … The patient is not assessed for fall risk, and no preventive measures are taken.
5.
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psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
March 13, 2013 - Study
Retained guidewires in the Veterans Health Administration: getting to the root of the problem.
Citation Text:
Cherara L, Sculli GL, Paull DE, et al. Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. J Patient Saf. 2021;17(8):e991-e928. d…