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psnet.ahrq.gov/node/867653/psn-pdf
February 26, 2025 - We have individuals going out
into individual homes, where some serious events occur, like patient falls
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psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
April 01, 2005 - customize the site based on your own interests (perhaps you're a nurse interested in research on preventing falls
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psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
April 01, 2005 - customize the site based on your own interests (perhaps you're a nurse interested in research on preventing falls
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psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - specific things, like the
safety harm scenarios that nurses commonly experience related to things like falls
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - May 31, 2023
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - August 1, 2009
WebM&M Cases
A Tale of Two Falls
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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - testing. 18 In looking at the second case through the lens of preventing medical errors, this likely falls
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psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
March 27, 2024 - significantly improve a number of patient outcomes, including lower rates of surgical site infections , falls
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psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - found a 37% increase in reporting, and decreases in preventable harm: 39% decrease in injuries with falls
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - an unsteady gait, suggesting pelvic muscle weakness and requiring use of a “tether” to keep her from falling
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psnet.ahrq.gov/node/865540/psn-pdf
April 11, 2024 - year-old woman presented to the Emergency Department (ED) for evaluation of “altered mental
status” after falling
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - lethargic, opening her eyes and mumbling incoherently in response to vigorous shaking
but quickly falling
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psnet.ahrq.gov/node/49846/psn-pdf
November 01, 2018 - The Case
A 65-year-old man was admitted with head and spine trauma after falling from a tree while doing
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psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
November 27, 2019 - alcohol use disorder, and cirrhosis of the liver was brought into the emergency department (ED) after falling
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psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - Team Training: Classroom Training vs. High-Fidelity Simulation
Stephen D. Pratt, MD and Benjamin P. Sachs, MB | March 1, 2006
View more articles from the same authors.
Citation Text:
Pratt SD, PSachs B. Team Training: Classroom Training vs. High-Fidelity Simulatio…
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psnet.ahrq.gov/web-mm/think-surgeon
December 04, 2024 - Think Like a Surgeon
Citation Text:
Cooper Z. Think Like a Surgeon. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - Are We Pushing Graduate Nurses Too Fast?
Citation Text:
Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
December 21, 2018 - A Fumbled Handoff to Inpatient Rehab
Citation Text:
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/web-mm/hiding-plain-sight
April 24, 2019 - Hiding in Plain Sight
Citation Text:
Weinberg JM. Hiding in Plain Sight. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - Video to Improve Patient Safety: Clinical and Educational Uses
Yan Xiao, PhD; Colin F. Mackenzie, MB, ChB; and F. Jacob Seagull, PhD | May 1, 2015
View more articles from the same authors.
Citation Text:
Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient S…