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psnet.ahrq.gov/node/865872/psn-pdf
May 15, 2024 - Speaking up and taking action: psychological safety and
joint problem-solving orientation in safety improvement.
May 15, 2024
Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and
joint problem-solving orientation in safety improvement. Healthcare (Basel). 2024;12(8):812.…
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psnet.ahrq.gov/node/867139/psn-pdf
November 13, 2024 - Workplace violence pervasiveness in the perioperative
environment: a multiprofessional survey.
November 13, 2024
Lin DM, Lane-Fall MB, Lea JA, et al. Workplace violence pervasiveness in the perioperative environment: a
multiprofessional survey. Jt Comm J Qual Patient Saf. 2024;50(11):764-774.
doi:10.1016/j.jcjq.20…
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psnet.ahrq.gov/node/836959/psn-pdf
April 20, 2022 - Safety of elderly fallers: identifying associated risk
factors for 30-day unplanned readmissions using a
clinical data warehouse.
April 20, 2022
El Abd A, Schwab C, Clementz A, et al. Safety of elderly fallers: identifying associated risk factors for 30-
day unplanned readmissions using a clinical data warehouse. …
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psnet.ahrq.gov/node/34732/psn-pdf
May 09, 2015 - A Tale of Two Stories: Contrasting Views of Patient
Safety.
May 9, 2015
Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997.
https://psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety
A report from a workshop, this document is a well-written look at the difference…
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psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
August 01, 2012 - We looked at the outcomes on falls, pressure ulcers, and restraint use. … We found that places with the worst patient safety culture scores had an association with falls and use … case mix adjust in the nursing home environment good enough that you can make sense of differences in falls
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psnet.ahrq.gov/web-mm/privacy-gone-awry
February 24, 2011 - monitoring device, we should have an alarm ( 19 ) for automatically indicating when that parameter falls
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psnet.ahrq.gov/node/844785/psn-pdf
September 11, 2019 - Information flow during pediatric trauma care transitions:
things falling through the cracks. … Information flow during pediatric trauma care transitions:
things falling through the cracks. … https://psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through … https://psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks … https://psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks
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psnet.ahrq.gov/node/41882/psn-pdf
November 28, 2012 - design and initial test of a large-scale initiative to track incidents involving
pressure ulcers, falls
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psnet.ahrq.gov/node/840139/psn-pdf
November 16, 2022 - CDC Clinical Practice Guideline for Prescribing Opioids
for Pain - United States, 2022.
November 16, 2022
Dowell D, Ragan KR, Jones CM, et al. CDC Clinical Practice Guideline for Prescribing Opioids for Pain —
United States, 2022. MMWR Recomm Rep. 2022;71(3):1-95. doi:10.15585/mmwr.rr7103a1.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/849129/psn-pdf
November 01, 2023 - Patient safety trends in 2022: an analysis of 256,679
serious events and incidents from the nation’s largest
event reporting database.
May 17, 2023
Kepner S, Jones RM. Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents
from the nation’s largest event reporting database. Patient Saf.…
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psnet.ahrq.gov/node/865484/psn-pdf
April 03, 2024 - Communication of incidental imaging findings on
inpatient discharge summaries after implementation of
electronic health record notification system.
April 3, 2024
Mattay G, Mallikarjun K, Grow P, et al. Communication of incidental imaging findings on inpatient discharge
summaries after implementation of electronic …
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psnet.ahrq.gov/node/35848/psn-pdf
July 21, 2010 - a staff-driven reporting program to collect data on indicators such
as medication errors, patient falls
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psnet.ahrq.gov/node/35870/psn-pdf
July 23, 2010 - Platform Model as a framework for implementing patient safety initiatives
and apply the model to a falls
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psnet.ahrq.gov/node/38209/psn-pdf
June 02, 2010 - effects-emergency-department-staff-rounding-patient-safety-and-satisfaction
Regularly scheduled rounds by nursing staff reduced falls
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psnet.ahrq.gov/node/34632/psn-pdf
March 28, 2005 - These
include protecting patients from hospital-acquired infection, minimizing falls and confusion,
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psnet.ahrq.gov/node/40311/psn-pdf
March 23, 2011 - military hospitals, greater nursing experience and skill mix was associated with a
lower incidence of falls
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psnet.ahrq.gov/node/46552/psn-pdf
October 25, 2017 - https://psnet.ahrq.gov/issue/power-regret
Clinicians may feel regret when the care they provide falls
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psnet.ahrq.gov/node/35009/psn-pdf
May 27, 2011 - prescription of recommended doses, decreased prescription of nonrecommended drugs, and fewer
inpatient falls
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psnet.ahrq.gov/node/838916/psn-pdf
October 26, 2022 - Falling through the cracks: the invisible hospital cleaning
workforce. … Falling through the cracks: the invisible hospital cleaning
workforce. … https://psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
Disinfection … https://psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/47858/psn-pdf
July 10, 2019 - patients in Ireland found that they were frequently prescribed medications
that increased their risk of falling