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2861. Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. | PSNet
      psnet.ahrq.gov/issue/exploring-changes-patient-safety-incidents-during-covid-19-pandemic-canadian-regional
      March 18, 2020 - , and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention

2862. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. | PSNet
      psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92
      September 01, 2021 - July 7, 2021 Design and implementation of the infection prevention program into risk

2863. Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? | PSNet
      psnet.ahrq.gov/issue/why-do-systems-responding-concerns-and-complaints-so-often-fail-patients-families-and
      June 16, 2021 - influence of organizational context on quality improvement and patient safety efforts in infection prevention

2864. Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals | PSNet
      psnet.ahrq.gov/issue/challenges-and-potential-solutions-patient-safety-infectious-agent-isolation-environment
      October 27, 2021 - Isolation for infection prevention and control – albeit necessary – may result in unintended consequences

2865. The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services. | PSNet
      psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause-analysis-not-best-model
      September 27, 2016 - 2023 Shared understanding of resilient practices in the context of inpatient suicide prevention

2866. Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic. | PSNet
      psnet.ahrq.gov/issue/unpacking-complexity-covid-19-fatalities-adverse-events-contributing-factors-single-center
      January 25, 2023 - Nursing Homes February 24, 2022 Home health staff perspectives on infection prevention

2867. Association between night-time surgery and occurrence of intraoperative adverse events and postoperative pulmonary complications. | PSNet
      psnet.ahrq.gov/issue/association-between-night-time-surgery-and-occurrence-intraoperative-adverse-events-and
      October 13, 2021 - July 25, 2012 Prevention of ventilator-associated pneumonia: an evidence-based systematic

2868. Whole-Body Vibration Therapy for Osteoporosis (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/osteoporosis-vibration-therapy_technical-brief.pdf
      January 01, 2020 - Claims about whole-body vibration therapy for the prevention and treatment of osteoporosis cannot be … This report’s scope is confined to whole-body vibration platforms designed and marketed for prevention … Studies should also focus on the optimal treatment protocol to achieve benefits for the prevention and … National Osteoporosis Foundation 2008 Clinician’s Guide to Prevention and Treatment of Osteoporosis … Maximizing bone mineral mass gain during growth for the prevention of fractures in the adolescents

2869. Making Healthcare Safer IV: Summary of Findings, 2023-2024 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-1-year-final-report-updated-title_0.pdf
      May 01, 2024 - Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms 6a. … April 30, 2023) o 1 systematic review, 5 studies • Evidence Summary o 3 studies examined PFE in fall … prevention programs and found reduced falls. … o Resources include toolkits on Fall Tailoring Interventions and Patient-Centered Discharge and multiple … Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms 6a.

2870. Best Practices for Promoting Emotional Well-Being in Nursing Home Residents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/promoting-emotional-wellbeing.pdf
      March 01, 2022 - staff can engage residents and reduce isolation while maintaining necessary infection control and prevention

2871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49755/psn-pdf
      February 01, 2016 - Good Night's Sleep Gone Wrong February 1, 2016 Gillis CM, Degrado J, Anger KE. Good Night's Sleep Gone Wrong. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong The Case A 64-year-old woman came to the emergency department complaining of cough and shortness of breath, along with an…

2872. Receipt and Referral Process | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/process/review/refproc.html
      March 01, 2019 - Applications are examined to determine if they fall broadly within the scope of the AHRQ mission and

2873. Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial. | PSNet
      psnet.ahrq.gov/issue/computerized-decision-support-reduce-potentially-inappropriate-prescribing-older-emergency
      December 17, 2010 - July 19, 2023 A randomized trial of a multifactorial strategy to prevent serious fall

2874. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. | PSNet
      psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
      January 02, 2017 - Study Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Citation Text: Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs…

2875. Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. | PSNet
      psnet.ahrq.gov/issue/epidemiology-and-risk-factors-coronavirus-infection-health-care-workers-living-rapid-review
      March 02, 2011 - Review Emerging Classic Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. Citation Text: Chou R, Dana T, Buckley DI, et al. Epidemiology of and risk factors for coronavirus infection in health care workers:…

2876. Drug shortage-associated increase in catheter-related blood stream infection in children. | PSNet
      psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection-children
      April 24, 2018 - September 23, 2020 A randomized trial of a multifactorial strategy to prevent serious fall

2877. FDA drug prescribing warnings: is the black box half empty or half full? | PSNet
      psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box-half-empty-or-half-full
      December 19, 2011 - August 11, 2010 A randomized trial of a multifactorial strategy to prevent serious fall

2878. Why do hospital prescribers continue antibiotics when it is safe to stop? Results of a choice experiment survey. | PSNet
      psnet.ahrq.gov/issue/why-do-hospital-prescribers-continue-antibiotics-when-it-safe-stop-results-choice-experiment
      October 28, 2020 - October 13, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

2879. Impact of weekend effect on postoperative mortality in patients undergoing emergency General surgery procedures: meta-analysis of prospectively maintained national databases across the world. | PSNet
      psnet.ahrq.gov/issue/impact-weekend-effect-postoperative-mortality-patients-undergoing-emergency-general-surgery
      December 04, 2016 - April 12, 2023 A randomized trial of a multifactorial strategy to prevent serious fall

2880. Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. | PSNet
      psnet.ahrq.gov/issue/determining-skills-needed-frontline-nhs-staff-deliver-quality-improvement-findings-six-case
      March 30, 2022 - Study Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. Citation Text: Wright DJ, Gabbay J, Le May A. Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. BM…