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  1. Psn-Pdf (pdf file)

    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.…
  2. Psn-Pdf (pdf file)

    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…
  3. Psn-Pdf (pdf file)

    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. …
  4. Psn-Pdf (pdf file)

    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…
  5. 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
  6. 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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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…
  10. Psn-Pdf (pdf file)

    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.…
  11. Psn-Pdf (pdf file)

    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 …
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    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
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34632/psn-pdf
    March 28, 2005 - These include protecting patients from hospital-acquired infection, minimizing falls and confusion,
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35009/psn-pdf
    May 27, 2011 - prescription of recommended doses, decreased prescription of nonrecommended drugs, and fewer inpatient falls
  19. Psn-Pdf (pdf file)

    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
  20. Psn-Pdf (pdf file)

    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

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