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2141. Challenge Competition: Impact of Patient Safety Tools. | PSNet
      psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
      December 24, 2008 - Grant Recipient Challenge Competition: Impact of Patient Safety Tools. Citation Text: Challenge Competition: Impact of Patient Safety Tools. Rockville, MD: Agency for Healthcare Research and Quality; 2023. Copy Citation Save Save to your library Print…

2142. If safety is your yardstick, measuring culture from the top down must be a priority. | PSNet
      psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority
      April 29, 2018 - Newspaper/Magazine Article If safety is your yardstick, measuring culture from the top down must be a priority. Citation Text: If safety is your yardstick, measuring culture from the top down must be a priority. ISMP Medication Safety Alert! Acute care edition. March 22, 2007. Copy Cit…

2143. AHRQ Safety Program for MRSA Prevention. | PSNet
      psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention
      December 24, 2008 - Multi-use Website AHRQ Safety Program for MRSA Prevention. Citation Text: AHRQ Safety Program for MRSA Prevention. Rockville, MD: Agency for Healthcare Research and Quality. April 2022 – October 2023. Copy Citation Save Save to your library Print Downloa…

2144. Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). | PSNet
      psnet.ahrq.gov/issue/follow-ismp-guidelines-safeguard-design-and-use-automated-dispensing-cabinets-adcs
      May 07, 2018 - Newspaper/Magazine Article Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). Citation Text: Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs). ISMP Medication Safety Alert! Acute Care Edition. Febr…

2145. Adverse Health Events in Minnesota: Annual Reports. | PSNet
      psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
      February 28, 2015 - Book/Report Adverse Health Events in Minnesota: Annual Reports. Citation Text: Adverse Health Events in Minnesota: Annual Reports. St Paul, MN: Minnesota Department of Health. Copy Citation Save Save to your library Print Download PDF Share F…

2146. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
      psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
      June 28, 2023 - Physical restraints have limited value as they may help to prevent removal of equipment or falls, but … isolation of patients, feelings of anxiety and depression, medication errors and missed diagnoses, falls

2147. In Conversation with…Sanjay Saint, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
      November 01, 2008 - For many patient safety problems, that type of applied epidemiological approach is appropriate: falls … January 9, 2024 Patient Safety Innovations Preventing Falls

2148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865454/psn-pdf
      March 27, 2024 - significantly improve a number of patient outcomes, including lower rates of surgical site infections, falls … https://psnet.ahrq.gov/issue/impact-safety-culture-quality-care-missed-care-and-nurse-staffing-patient-falls-multisource

2149. Hospital at Home℠ Care Reduces Costs, Readmissions, and Complications and Enhances Satisfaction for Elderly Patients. | PSNet
      psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhances
      November 15, 2023 - In addition, hospitalized seniors are at risk of falls, fractures, and medical/medication errors. 2 … were less likely to receive IV fluids, sedatives (which can lead to complications such as delirium and falls

2150. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72516/psn-pdf
      November 25, 2020 - he had multiple ED visits with similar episodes of syncope in the preceding months all resulting in falls … Chart review or additional history-taking may have revealed the patient’s recent history of falls with

2151. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33686/psn-pdf
      August 01, 2009 - They started tackling some really tough problems: patient falls, surgical site infections, central line … region as a whole cut the infection rate 70%, and other hospitals eliminated other "never events" like falls

2152. Premature Closure: Was It Just Syncope? | PSNet
      psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
      February 10, 2021 - he had multiple ED visits with similar episodes of syncope in the preceding months all resulting in falls … Chart review or additional history-taking may have revealed the patient’s recent history of falls with

2153. EU to tackle issue of patient safety. | PSNet
      psnet.ahrq.gov/issue/eu-tackle-issue-patient-safety
      September 06, 2023 - Newspaper/Magazine Article EU to tackle issue of patient safety. Citation Text: Watson R. EU to tackle issue of patient safety. BMJ (Clinical research ed.). 2005;330(7496):866. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

2154. Medical error: the second victim. | PSNet
      psnet.ahrq.gov/issue/medical-error-second-victim-0
      February 17, 2017 - Commentary Medical error: the second victim. Citation Text: McCay L, Wu AW. Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…

2155. Understanding human over-reliance on technology. | PSNet
      psnet.ahrq.gov/issue/understanding-human-over-reliance-technology
      February 24, 2016 - Newspaper/Magazine Article Understanding human over-reliance on technology. Citation Text: Understanding human over-reliance on technology. ISMP Medication Safety Alert! Acute Care Edition. September 8, 2016;21:1-4. Copy Citation Save Save to your library Pr…

2156. Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. | PSNet
      psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
      February 24, 2016 - Newspaper/Magazine Article Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. Citation Text: Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. ISMP Medicatio…

2157. Is an indication-based prescribing system in our future? | PSNet
      psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
      February 24, 2016 - Newspaper/Magazine Article Is an indication-based prescribing system in our future? Citation Text: Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5. Copy Citation Save Save to your …

2158. Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. | PSNet
      psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices
      July 08, 2015 - Newspaper/Magazine Article Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. Citation Text: Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1…

2159. Network of Patient Safety Databases Chartbook. | PSNet
      psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook
      October 23, 2019 - Book/Report Network of Patient Safety Databases Chartbook. Citation Text: Network of Patient Safety Databases Chartbook. Rockville, MD: Agency for Healthcare Research and Quality; September 2023. AHRQ Publication no. 23-0082. Copy Citation Save Save to your libr…

2160. Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. | PSNet
      psnet.ahrq.gov/issue/nursing-home-workers-warned-government-about-safety-violations-covid-19-outbreaks-and-deaths
      September 15, 2021 - Newspaper/Magazine Article Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. Citation Text: Nursing home workers warned government about safety violations before COVID-19 outbreaks and deaths. Ellis B, Hicken M. CNN. May 14, 2020. Co…