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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
September 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case September 2005
Double Trouble
Source and Credits
This presentation is based on the Sept. 2005
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Jerry H. Gurwitz, MD, University of…
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psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
August 31, 2020 - Providers and patients are navigating the use of distancing procedures and other prevention strategies … Additionally, it is essential to ensure that other critical patient safety efforts do not fall by the … Centers for Disease Control and Prevention. Updated January 4, 2021. Accessed February 24, 2021. … Centers for Disease Control and Prevention. Published January 11, 2021. … Centers for Disease Control and Prevention. Published July 16, 2020. Accessed March 22, 2021.
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - Reducing falls and fall-related injuries in the VA system. J Healthc Saf Q. 2003;1:25-33.
8. … January 1, 2015
Perspective
How Does Infection Prevention … February 1, 2014
Perspective
Implementing a Fall … Prevention Program
December 1, 2011
Medical Errors and Safety Systems.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/depression-brain-injury_executive.pdf
April 01, 2011 - Active screening
is essential to recognition, treatment, and
prevention of recurrence. … The Centers
for Disease Control and Prevention estimates that up to
75 percent of TBIs are mild in terms … Suicide Prevention
Strategies: A Systematic Review. JAMA 2005 October
26;294(16):2064–2074.
2. … J Neuropsychiatry
Clin Neurosci 1993 Fall;5(4):369–374.
14. … J
Neuropsychiatry Clin Neurosci 2009 Fall;21(4):420–429.
124. Ponsford J and Schönberger M.
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psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
December 01, 2007 - know health care delivery backwards and forwards—are themselves not immune from seeing these issues fall … Interview
In Conversation with Edwin Boudreaux about Suicide Prevention … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-ok.pdf
November 01, 2017 - practices have the evidence they need to help their patients adopt the
ABCS of cardiovascular disease prevention … Health, 2017]
• Quality Improvement through Collaboration [Breakout
Workshop CPC Face-to-Face, OCHI Fall
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psnet.ahrq.gov/issue/second-victim-review
June 26, 2019 - May 18, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
January 19, 2011 - December 9, 2020
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/intravenous-chemotherapy-compounding-errors-follow-pan-canadian-observational-study
March 18, 2011 - May 18, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
July 29, 2020 - the Same Author(s)
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
December 27, 2018 - March 14, 2023
Selected medication safety risks to manage in 2016 that might otherwise fall
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psnet.ahrq.gov/issue/only-1-5-people-opioid-addiction-get-medications-treat-it-study-finds
October 21, 2020 - August 9, 2023
‘I felt like I was dying’: how women with postpartum depression fall through
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psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
April 03, 2019 - April 3, 2019
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/pediatric-rapid-response-teams-academic-medical-center
November 21, 2016 - Study
Pediatric rapid response teams in the academic medical center.
Citation Text:
Mistry KP, Turi J, Hueckel RM, et al. Pediatric Rapid Response Teams in the Academic Medical Center. Clin Pediatr Emerg Med. 2006;7(4). doi:10.1016/j.cpem.2006.08.010.
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Format:
…
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psnet.ahrq.gov/issue/hospital-ratings-guide-perplexed
June 01, 2011 - Commentary
Hospital ratings: a guide for the perplexed.
Citation Text:
Zuger A. Hospital ratings: a guide for the perplexed. JAMA. 2015;313(19):1911-2. doi:10.1001/jama.2015.5269.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…
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psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable
March 19, 2014 - Study
Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization.
Citation Text:
Perla RJ, Hohmann S, Annis K. Whole-patient measure of safety: using administrative data to assess the probability of highly und…
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psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
July 23, 2014 - November 21, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
April 24, 2018 - March 4, 2020
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/effect-safe-zone-nurse-interruptions-distractions-and-medication-administration-errors
October 19, 2022 - Study
The effect of a safe zone on nurse interruptions, distractions, and medication administration errors.
Citation Text:
Yoder M, Schadewald D, Dietrich K. The effect of a safe zone on nurse interruptions, distractions, and medication administration errors. J Infus Nurs. 2015;38(2):140…
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psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
January 30, 2019 - Commentary
Classic
Risk mitigation in large scale systems: lessons from high reliability organizations.
Citation Text:
Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…