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psnet.ahrq.gov/issue/triggers-contributing-health-care-clinicians-disruptive-behaviors
June 24, 2020 - Study
Triggers contributing to health care clinicians' disruptive behaviors.
Citation Text:
Bae S-H, Dang D, Karlowicz KA, et al. Triggers contributing to health care clinicians' disruptive behaviors. J Patient Saf. 2020;16(3):e148-e155. doi:10.1097/pts.0000000000000288.
Copy Citation …
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psnet.ahrq.gov/node/33824/psn-pdf
January 01, 2016 - This year, the Centers for Disease Control and Prevention (CDC) reported a 200% increase
in opioid overdose
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psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
April 04, 2018 - serious adverse effects including death.( 1,19 ) In 2012, the Centers for Disease Control and Prevention … Patients with concurrent substance abuse and high risk for abusing the prescription opiates fall under … Centers for Disease Control and Prevention. … Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. … Centers for Disease Control and Prevention.
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psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - Organizations often develop error prevention strategies following a serious event that focus solely on … The
error occurs when individuals fall victim to the flaws within the system and mistakes are made.
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - June 21, 2016
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - 16,17
Due to the high incidence of delirium among hospitalized patients, strategies for surveillance, prevention … , and management should be implemented for older adults. 16,17 Delirium prevention and care bundles, … delirium or worsening agitation. 19
Currently, there are no recommended pharmacologic treatments for prevention
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www.ahrq.gov/patient-safety/reports/liability/sands.html
August 01, 2017 - of Registration in Medicine, the Massachusetts Bar Association, the Massachusetts Coalition for the Prevention … study period ended in December 2015, and analysis continues with publication of the data expected in Fall … Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
3.
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psnet.ahrq.gov/web-mm/discharged-blindly
October 26, 2022 - National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - Provider-level (and area-level * ) indicators
Risk-adjusted (age, sex, birth weight, MS-DRG, MDCs, CCS)
Prevention … Pneumothorax *
PSI 07: Central Venous Catheter-‐Related Bloodstream Infection
PSI 08: In-‐Hospital Fall
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
December 01, 2017 - operational event or situation that you would not want to happen again—an unsafe condition, a patient fall
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hcup-us.ahrq.gov/reports/statbriefs/sb75.pdf
June 01, 2009 - Hyattsville, MD: National Center for Health Statistics. 2008.
2 Centers for Disease Control and Prevention … External Cause of Injury Codes (commonly referred to as E-codes):
E886.0: Tackles in sports that cause fall … E917.0: Striking against or struck accidentally by objects or persons in sports without subsequent fall … E917.5: Striking against or struck accidentally by objects or persons in sports with subsequent fall
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdf
January 01, 2008 - Key Words: pressure ulcer prevention, nursing home quality improvement, nursing home HIT
The authors … daily practice to monitor resident status and adjust care plans for improved
resident care, including prevention … how reports are used for
end of shift or end of day review, and how reports are linked directly to prevention … to delegate responsibilities to CNAs so that the tasks to implement the intervention
did not all fall … Siobhan Sharkey participated in a panel titled Pressure
Ulcer Prevention and Treatment- Tried, True,
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Blood Culture Practices and Stewardship
ICU & Non-ICU
Slide … contamination, which are important components of methicillin-resistant Staphylococcus aureus (MRSA) prevention … They do not fall into any specific strategic area but are both interrelated with all four key strategies … The Infection Prevention and Antimicrobial Stewardship committees are also included in reports, along … Blood culture stewardship is a fundamental best practice in patient safety and the prevention of MRSA
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/2kM7LY6ccceVo8bmdUXhYm
September 01, 2002 - same
bone density because of increasing risk from other
factors, such as bone quality and tendency to fall … having been hospitalized in the
previous year, previous fall,
body mass.
Table 2. … Osteoporosis: Clinical
Guidelines for Prevention and Treatment. … Consensus statement on prevention
and treatment of osteoporosis. … Physician’s Guide
to Prevention and Treatment of Osteoporosis.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
January 01, 2017 - the barriers to compliance.25 Barriers to implementation of evidence-based interventions
commonly fall … A defect is anything you don’t want to happen again–an
unsafe condition, a patient fall, a venous thromboembolism … Centers for Disease Control and Prevention. … Evidence-
based clinical practice guideline for the
prevention of ventilator-associated pneumonia. … A European
care bundle for prevention of ventilator-
associated pneumonia.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
April 02, 2008 - For example, searching on “medication reconciliation” (the third most common search term as of
fall
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psnet.ahrq.gov/node/73146/psn-pdf
April 28, 2021 - Open Communication between the Clinic and Patient
Clear communication provides a critical role in the prevention … Centers for Disease Control and Prevention.
Reviewed March 11, 2019.
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - Preventing Hospital-acquired pneumonia (HAP) Outside of the Ventilator-associated Pneumonia Bundle,” Prevention … May 29, 2024
Patient Safety Innovations
Suicide Prevention
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psnet.ahrq.gov/node/72624/psn-pdf
January 05, 2021 - Preventing Hospital-acquired pneumonia (HAP)
Outside of the Ventilator-associated Pneumonia Bundle,” Prevention
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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