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psnet.ahrq.gov/issue/distractions-operating-room-survey-healthcare-team
November 16, 2022 - Study
Distractions in the operating room: a survey of the healthcare team.
Citation Text:
Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
July 01, 2011 - Cost-effectiveness of dabigatran compared with warfarin for stroke prevention in atrial fibrillation.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/health-careassociated-infections_research-protocol.pdf
August 26, 2011 - J Surg Orthop Adv 2010 Fall;19(3):174-6. PMID: 21086932.
7. Ouslander JG, Greengold B, Chen S. … Centers for Disease Control and Prevention. Vital Signs. … Volume 6—Prevention of Healthcare–Associated Infections. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention.
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psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
June 01, 2014 - National Action Plan for Adverse Drug Event Prevention. … Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health … July 28, 2021
Medication incident recovery and prevention utilising an Australian
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psnet.ahrq.gov/node/865658/psn-pdf
April 24, 2024 - discuss the frequent
fecal leakage and perhaps the medication could have been adjusted, avoiding the fall
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psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
April 27, 2022 - Readmissions and Adverse Events After Discharge
Citation Text:
Readmissions and Adverse Events After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
June 01, 2023 - Massa S, Wu J, Wang C, Peifer H, Lane-Fall MB. … Raiten JM, Lane-Fall M, Gutsche JT, Kohl BA, Fabbro M, Sophocles A, Chern SY, Al-Ghofaily L, Augoustides … Lane-Fall MB, Christakos A, Russell GC, Hose BZ, Dauer ED, Greilich PE, Hong Mershon B, Potestio CP, … Lane-Fall MB, Pascual JL, Peifer HG, Di Taranti LJ, Collard ML, Jablonski J, Gutsche JT, Halpern SD, … Lane-Fall MB, Cobb BT, Cené CW, Beidas RS. Implementation science in perioperative care.
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www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdf
January 01, 2024 - Aim 4: Apply standard risk evaluation techniques and taxonomies to 3-4 AE themes amenable to prevention … of physicians (may influence culture of
the practice) Payer Type
Mean PS climate score of staff (Fall … 2005; and
Fall, 2006)
Utilization intensity (including number
of ambulatory care visits to the PCP … )
Mean PS climate score of physicians (Fall 2005;
and Fall 2006)
7
Preliminary results have … Boundary Situations for Prevention of AEs
Trigger Category Subsets of Adverse Events
(Number of AEs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.pdf
August 01, 2014 - These are distinct areas that also work together as part of an
Prevention & Chronic Care Program
I … M P R O V I N G P R I M A R Y C A R E
Prevention & Care Management Portfolio
I M P R O V I N G P … The pilot course was offered in summer 2013, followed by a second course in fall 2013 and a third
course … Practice Facilitation Handbook. http://www.ahrq.gov/
professionals/prevention-chronic-care/improve/system … /improve/system/pfhandbook/index.html
http://www.ahrq.gov/professionals/prevention-chronic-care/improve
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digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
January 01, 2020 - These include challenges related to prevention, such as containment strategies to prevent spread; preparation
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psnet.ahrq.gov/node/50844/psn-pdf
January 29, 2020 - //psnet.ahrq.gov//#2
https://psnet.ahrq.gov//#2
https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
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hcup-us.ahrq.gov/reports/methods/2015-06.pdf
January 01, 2015 - into well
E883.2 Accidental fall into storm drain or manhole
E884.0 Fall from playground equipment … E884.1 Fall from cliff
E885.0 Fall from (nonmotorized) scooter
E885.1 Fall from roller skates … E885.2 Fall from skateboard
E885.3 Fall from skis
E885.4 Fall from snowboard
HCUP (09/01/15 … ) 31 Examination of POA Coding
Exempt
Diagnosis
Codes
Description
E886.0
Fall on same … Striking against or struck accidentally by objects or persons, in running water
without subsequent fall
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
November 01, 2013 - Measures in the Child Core Set cover a range of health domains, including prevention and health promotion
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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - January 1, 2015
Perspective
How Does Infection Prevention … February 1, 2012
Perspective
Implementing a Fall … Prevention Program
December 1, 2011
Interview
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
June 02, 2025 - taken as prescribed
Presenter
Presentation Notes
According to the Centers for Disease Control and Prevention … Martin – 63-year-old
female following up after
reconstructive surgery for
fractured skull from a fall
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ems-911-workforce-topic-development-brief.pdf
February 01, 2022 - International journal of emergency mental
health. 2007 Fall;9(4):291-8. … The Journal of
neuropsychiatry and clinical neurosciences.
2005 Fall;17(4):526-32. doi:
10.1176/jnp … International
journal of emergency mental health. 2009
Fall;11(4):235-48. … Assessment of a prevention program for
work-related stress among urban police
officers. … Suicide prevention in a deployed military
unit.
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psnet.ahrq.gov/innovation/critical-radiology-alert-process
November 16, 2022 - Journal Article
Study
Catching those who fall … July 23, 2024
Patient Safety Innovations
Suicide Prevention
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-health-equity.html
May 01, 2024 - Using Integrated Social and Medical Risk Data Dashboards To Improve Chronic Disease Management and Prevention … References
The Centers for Disease Control and Prevention (CDC) defines health equity
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psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety
Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Essay
View more articles from the same authors.
Citation Text:
Savitz LA, S…
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psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
February 26, 2025 - Learning Health Systems for Patient Safety
Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Savitz LA, Sousane Z, Mossburg SE. Learning …