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4001. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
      September 24, 2024 - Combine this prevention strategy with a spirit of continuous learning from successes and failures, and … Ideally, an industry would mobilize itself to take a stand on safety and harm prevention issues.

4002. Use of mHealth Technology for Supporting Symptom Management in Underserved Persons Living with HIV - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs023963-schnall-final-report-2018.pdf
      January 01, 2018 - As such mHealth technology has the potential to be a highly valuable tool in the management and prevention … The organization provides prevention and support services to over 10,600 individuals who are living

4003. Recurrent Hypoglycemia: A Care Transition Failure? | PSNet
      psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
      December 23, 2020 - Take-Home Points An EHR facilitates error prevention at the point of care, as a first layer of protection … Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

4004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50615/psn-pdf
      October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR October 30, 2019 Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr The Case  Two male patients of similar age arrived at the same …

4005. CHIPRA - Spotlight on Colorado (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/co-statesum.pdf
      July 01, 2015 - The State analyzed 10 medical records at each of the 11 participating SBHCs in the fall of their first

4006. Spotlight on New Mexico | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/statesummaries/nm-spotlight.html
      July 01, 2015 - The State analyzed 10 medical records for each of the 11 SBHCs participating in New Mexico in the fall

4007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49667/psn-pdf
      October 01, 2012 - Many of the steps and techniques described above fall under the field of medication safety engineering

4008. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
      February 01, 2017 - PowerPoint Presentation Spotlight The Hazards of Distraction: Ticking All the EHR Boxes * Source and Credits This presentation is based on the February 2017 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Anthony C. Easty, PhD, Adjunct Pr…

4009. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
      June 01, 2014 - PowerPoint Presentation Spotlight Wandering Off the Floors: Safety and Security Risks of Patient Wandering 1 This presentation is based on the June 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…

4010. Patient Safety in Home Dialysis | PSNet
      psnet.ahrq.gov/perspective/patient-safety-home-dialysis
      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. Accessed February 13, 2020. … May 8, 2024 The challenge of risk prevention in home healthcare-an interview study with

4011. 12th Annual Report to Congress on High-Priority Evidence Gaps for Clinical Preventive Services (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/2022-annual-report-to-congress.pdf
      January 01, 2022 - Murray, PhD Associate Director for Prevention Director, Office of Disease Prevention National Institutes … Centers for Disease Control and Prevention. … Atlanta, GA: Centers for Disease Control and Prevention; 2020. 30. … Centers for Disease Control and Prevention. … Atlanta, GA: Centers for Disease Control and Prevention; 2019. 37.

4012. Module 2. Communicating Change in a Resident's Condition | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod2.html
      October 01, 2014 - Falls Prevention Appendix 1-A. Suggested Slides for Module 1 Appendix 1-B.

4013. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
      October 01, 2007 - Professional Health Take-Home Points Professionalism is a core competency for all physicians Prevention

4014. Minding the Gaps: Creating Resilience in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Nemeth_116.pdf
      April 27, 2008 - for top-quality care among 439 measures, ranging from common chronic and acute conditions to disease prevention … all but life-threatening illness is an example of what some practitioners have described as a “free fall … recognize and anticipate the trend and reorganize 7 described this situation as a feeling of “free fall … Barrier analysis and accident prevention. Aldershot, UK: Ashgate Publishing; 2004. p. 46. 3.

4015. Central Venous Catheter Indications and Alternatives Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
      April 01, 2022 - Central Venous Catheter Indications and Alternatives Facilitator Notes CAUTI Module: Indwelling Urinary Catheter Alternatives Facilitator Guide Slide Number and Image This module, titled “Indwelling Urinary Catheter Alternatives,” is part of the Agency for Healthcare Research and Quality’s Safety Program for in…

4016. Residual Anesthesia: Tepid Burn | PSNet
      psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
      February 10, 2010 - Ambulatory Surgery Anesthesia for ambulatory surgery focuses on (i) rapid emergence and awakening, (ii) prevention

4017. Elopement | PSNet
      psnet.ahrq.gov/web-mm/elopement
      July 14, 2010 - These protocols should include assessment and prevention procedures to reduce the risk of harm for patients … Miscarriage June 1, 2003 WebM&M Cases Another Fall

4018. Improving Communication and Teamwork in the Surgical Environment
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
      May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment Sustainability Module AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-2-EF May 2017 Sustainability | ‹#› AHRQ Safety Program for Ambulatory Surgery 1 Learning Objectives Sustainability | ‹#› AHRQ Safety Program for Ambula…

4019. A Pill Organizing Plight | PSNet
      psnet.ahrq.gov/web-mm/pill-organizing-plight
      June 19, 2018 - SPOTLIGHT CASE A Pill Organizing Plight Citation Text: McGalliard B, Shane R, Rosen S. A Pill Organizing Plight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTe…

4020. Trauma-Interventions-Maltreatment-Child Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/trauma-interventions-maltreatment-child_executive.pdf
      April 01, 2013 - Safety (i.e., prevention of maltreatment recurrence) b. … Epidemiological perspectives on maltreatment prevention. Future Child. 2009 Fall;19(2):39-66. … Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and … Dev Psychopathol. 2002 Fall;14(4):877-908. PMID: 12549708. 43. … Prevention Science. 2011 Sep;12(3):269-77. PMID: 21475990. 68.