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  1. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
    October 01, 2022 - Implement the VTE Prevention Protocol Chapter 6. Track Performance with Metrics Chapter 7. … A venous thromboembolism (VTE) prevention protocol is a standardized VTE risk assessment, linked to a … The ideal VTE prevention protocol would have these characteristics: Accurately detect all patients … Most medical and surgical patients fall into the middle category, qualifying for anticoagulant thromboprophylaxis … Prevention of VTE in nonorthopedic surgical patients: antithrombotic therapy and prevention of thrombosis

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49583/psn-pdf
    April 01, 2009 - Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274:29-34. [go to PubMed] 3. … ADE Prevention Study Group. JAMA. 1995;274:35-43. [go to PubMed] 4. … Effect of computerized physician order entry and a team intervention on prevention of serious medication … The impact of computerized physician order entry on medication error prevention.

  3. Medication/Drug Errors | PSNet

    psnet.ahrq.gov/curated-library/medicationdrug-errors
    March 12, 2021 - Twitter Linkedin Copy URL Atlanta, GA: Centers for Disease Control and Prevention

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867652/psn-pdf
    February 26, 2025 - Root Cause Analysis and Medical Error Prevention. StatPearls Publishing; 2024. 3.

  5. Funding Opportunities to Address Opioid and Other Substance Use Disorders | Agency for Healthcare Research and Quality

    www.ahrq.gov/opioids/funding-opportunities.html
    February 01, 2023 - Epidemic Drug overdose deaths and morbidity from substance use disorder continue to risk despite the fall

  6. Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
    December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS P…

  7. Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. | PSNet

    psnet.ahrq.gov/issue/systematic-review-prevalence-frequency-and-comparative-value-adverse-events-data-social-media
    October 06, 2021 - Review Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Citation Text: Golder S, Norman G, Loke YK. Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Br J Clin Pharmacol…

  8. The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
    October 31, 2011 - December 22, 2010 A randomized trial of a multifactorial strategy to prevent serious fall

  9. Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/effect-world-health-organization-checklist-patient-outcomes-stepped-wedge-cluster-randomized
    June 03, 2020 - Study Classic Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. Citation Text: Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outc…

  10. What does 'safe care' mean in the context of community-based mental health services? A qualitative exploration of the perspectives of service users, carers, and healthcare providers in England. | PSNet

    psnet.ahrq.gov/issue/what-does-safe-care-mean-context-community-based-mental-health-services-qualitative
    December 07, 2022 - August 9, 2023 ‘I felt like I was dying’: how women with postpartum depression fall through

  11. Randomised controlled trial to assess the effect of a Just-in-Time training on procedural performance: a proof-of-concept study to address procedural skill decay. | PSNet

    psnet.ahrq.gov/issue/randomised-controlled-trial-assess-effect-just-time-training-procedural-performance-proof
    May 31, 2017 - December 30, 2008 A randomized trial of a multifactorial strategy to prevent serious fall

  12. Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. | PSNet

    psnet.ahrq.gov/issue/near-miss-transcription-errors-comparison-reporting-rates-between-novel-error-reporting
    January 31, 2018 - March 17, 2021 A randomized trial of a multifactorial strategy to prevent serious fall

  13. Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. | PSNet

    psnet.ahrq.gov/issue/concept-and-development-discharge-alert-filter-abnormal-laboratory-values-coupled
    June 27, 2018 - Study Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management. Citation Text: Mathew G, Kho A, Dexter P, et al. Concept and development of a discharge a…

  14. Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. | PSNet

    psnet.ahrq.gov/issue/nurse-staffing-levels-missed-vital-signs-and-mortality-hospitals-retrospective-longitudinal
    July 19, 2019 - December 21, 2017 A randomized trial of a multifactorial strategy to prevent serious fall

  15. ED overcrowding is associated with an increased frequency of medication errors. | PSNet

    psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors
    August 20, 2018 - Study ED overcrowding is associated with an increased frequency of medication errors. Citation Text: Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. …

  16. The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. | PSNet

    psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
    February 16, 2022 - Review The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Citation Text: Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medicat…

  17. Implementing medication reconciliation in outpatient pediatrics. | PSNet

    psnet.ahrq.gov/issue/implementing-medication-reconciliation-outpatient-pediatrics
    September 23, 2020 - September 23, 2020 A randomized trial of a multifactorial strategy to prevent serious fall

  18. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. | PSNet

    psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia
    January 11, 2023 - Study The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. Citation Text: Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesth…

  19. A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary
    August 24, 2022 - January 19, 2022 A randomized trial of a multifactorial strategy to prevent serious fall

  20. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. | PSNet

    psnet.ahrq.gov/issue/self-reported-medical-medication-and-laboratory-error-eight-countries-risk-factors
    September 19, 2012 - Study Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Citation Text: Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Int J Qual Health Care. 2…
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