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Showing results for "falls".
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2261. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. | PSNet
      psnet.ahrq.gov/issue/better-not-knowing-improving-clinical-care-limiting-physician-access-unsolicited-diagnostic
      November 29, 2017 - Commentary Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Citation Text: Volk ML, Ubel PA. Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information. Arch Intern…

2262. Medication bar coding: to scan or not to scan? | PSNet
      psnet.ahrq.gov/issue/medication-bar-coding-scan-or-not-scan
      October 19, 2022 - Commentary Medication bar coding: to scan or not to scan? Citation Text: Galvin L, McBeth S, Hasdorff C, et al. Medication bar coding: to scan or not to scan? Comput Inform Nurs. 2007;25(2):86-92. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

2263. Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. | PSNet
      psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
      March 03, 2021 - Newspaper/Magazine Article Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. Citation Text: Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…

2264. Patient safety and acute care medicine: lessons for the future, insights from the past. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past
      April 27, 2022 - Review Patient safety and acute care medicine: lessons for the future, insights from the past. Citation Text: Brindley PG. Patient safety and acute care medicine: lessons for the future, insights from the past. Crit Care. 2010;14(2):217. doi:10.1186/cc8858. Copy Citation Format: …

2265. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. | PSNet
      psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
      December 01, 2010 - Commentary Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Citation Text: Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. Copy…

2266. Critical incident stress debriefing after adverse patient safety events. | PSNet
      psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
      April 03, 2019 - Review Critical incident stress debriefing after adverse patient safety events. Citation Text: Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312. Copy Citation Format: Google Scholar PubMed BibTeX E…

2267. Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. | PSNet
      psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
      February 24, 2016 - Newspaper/Magazine Article Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. Citation Text: Government and industry fail to protect the public when they suggest "carefully following instructions" i…

2268. Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. | PSNet
      psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging
      March 10, 2021 - Newspaper/Magazine Article Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. Citation Text: Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. ISMP Medication Safety Alert! Acute ca…

2269. Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet
      psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
      May 02, 2018 - Newspaper/Magazine Article Administration of concentrated potassium chloride for injection during a code: still deadly! Citation Text: Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …

2270. Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. | PSNet
      psnet.ahrq.gov/issue/advancing-diagnostic-excellence-maternal-health-care-proceedings-workshop-brief
      September 12, 2018 - Book/Report Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. Citation Text: Advancing Diagnostic Excellence for Maternal Health Care: Proceedings of a Workshop–in Brief. National Academies of Sciences, Engineering, and Medicine. Washington, DC…

2271. Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. | PSNet
      psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
      March 10, 2021 - Commentary Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. Citation Text: Dotan DB. Patient safety organizations. J Clin Engineer. 2013;34(3):142-146. doi:10.1097/jce.0b013e3181aae4b2. Copy Citation Format: DOI G…

2272. A concept analysis of systems thinking. | PSNet
      psnet.ahrq.gov/issue/concept-analysis-systems-thinking
      August 20, 2018 - Review A concept analysis of systems thinking. Citation Text: Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum. 2017;52(4):323-330. doi:10.1111/nuf.12196. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

2273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33715/psn-pdf
      July 01, 2011 - Common events (e.g., health care–associated infections, falls) may be so common that individual hospitals

2274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866217/psn-pdf
      July 10, 2024 - experience, and prevention of patient safety events and adverse events such as medication issues, falls

2275. Discharged Blindly | PSNet
      psnet.ahrq.gov/web-mm/discharged-blindly
      October 26, 2022 - Related Resources Patient Safety Innovations Preventing Falls

2276. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866621/psn-pdf
      August 28, 2024 - But it falls short because it emphasizes the few things that go wrong rather than seeking to understand

2277. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49827/psn-pdf
      April 01, 2018 - Although rare, adverse events during early mobilization have included falls, line dislodgement, ventilator

2278. Measuring and Responding to Deaths From Medical Errors | PSNet
      psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
      April 01, 2008 - Agreement September 24, 2024 Patient Safety Primers Falls

2279. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860050/psn-pdf
      January 04, 2024 - While falling asleep, he was noted to have eye-rolling and he did not respond to his name, shaking his … On physical exam, the patient was asleep, arousing briefly with stimulation but then falling back to

2280. The Dangerous Detour | PSNet
      psnet.ahrq.gov/web-mm/dangerous-detour
      November 28, 2018 - 27, 2023 Patient Safety Innovations Preventing Falls