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psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
August 28, 2024 - Commentary
Patient safety: moving the bar in prison health care standards.
Citation Text:
Stern MF, Greifinger RB, Mellow J. Patient safety: moving the bar in prison health care standards. Am J Public Health. 2010;100(11):2103-2110. doi:10.2105/AJPH.2009.184242.
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psnet.ahrq.gov/issue/high-reliability-leadership-conceptual-framework
March 09, 2022 - Commentary
High reliability leadership: a conceptual framework.
Citation Text:
Martínez-Córcoles M. High reliability leadership: A conceptual framework. J Contingencies Crisis Manage. 2017;26(2):237-246. doi:10.1111/1468-5973.12187.
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psnet.ahrq.gov/issue/bar-code-technology-medication-administration-medication-errors-and-nurse-satisfaction
July 29, 2020 - Study
Bar-code technology for medication administration: medication errors and nurse satisfaction.
Citation Text:
Fowler SB, Sohler P, Zarillo DF. Bar-code technology for medication administration: medication errors and nurse satisfaction. Medsurg Nurs. 2009;18(2):103-9.
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psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
September 24, 2010 - Study
Using a quantitative risk register to promote learning from a patient safety reporting system.
Citation Text:
Mansfield JG, Caplan RA, Campos JS, et al. Using a quantitative risk register to promote learning from a patient safety reporting system. Jt Comm J Qual Patient Saf. 2015;4…
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psnet.ahrq.gov/issue/economics-health-care-quality-and-medical-errors
August 19, 2020 - Commentary
The economics of health care quality and medical errors.
Citation Text:
Andel C, Davidow SL, Hollander M, et al. The economics of health care quality and medical errors. J Health Care Finance. 2012;39(1):39-50.
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psnet.ahrq.gov/issue/advancing-more-health-literate-approach-patient-safety
May 31, 2017 - Journal Article
Advancing a More Health-Literate Approach to Patient Safety
Citation Text:
Sanders LM. Advancing a More Health-Literate Approach to Patient Safety. J Pediatr. 2019;214:10-11. doi:10.1016/j.jpeds.2019.07.003.
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psnet.ahrq.gov/issue/improving-patient-safety-patient-focused-high-reliability-team-training
January 07, 2011 - Commentary
Improving patient safety: patient-focused, high-reliability team training.
Citation Text:
McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595.
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psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites
August 02, 2015 - Study
Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites.
Citation Text:
Bisset GS, Crowe J. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. Pediatr Radiol. 2014;44(5):552-7. doi:10.1007…
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psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
November 04, 2020 - Commentary
Patient safety and leadership: do you walk the walk?
Citation Text:
Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Appendix D. Sample Production Agenda for the In-Person Training
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. R…
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cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_Work_Group_December_2021.pdf
January 01, 2021 - December 2021 CDS Connect Work Group Call
December 2021 CDS Connect Work Group Call
Agenda
Schedule Topic
3:00 – 3:02 Roll Call, Michelle Lenox (MITRE)
3:02 – 3:05 Review of the Agenda, Michelle Lenox (MITRE)
3:05 – 3:10 Kick-off “One More Step” in Patient Partnering, Michelle Lenox (MITRE)
3:10 – 3:50
Roundt…
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psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - The
fall occurred as she attempted to sit down in the bathroom and missed the toilet, falling backwards
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psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
January 01, 2016 - December 2, 2020
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … February 22, 2023
Cost of inpatient falls and cost-benefit analysis of implementation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
July 01, 2013 - “If you are concerned about falling (or the family is concerned) please let the hospital staff know because … your movement in bed and in your room and may actually make it more difficult to walk and/or lead to falls
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www.ahrq.gov/faqs/index.html?page=13
What type of information falls under FOIA?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/nurse_empower-slides/How-CUSP-Enables-Nurse-Empowerment-Nov-15-2011-508.ppt
January 01, 2011 - frequently
Permits daily focus on unit outcomes and lets recovery begin immediately from defects (i.e., falls
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psnet.ahrq.gov/node/33811/psn-pdf
June 01, 2016 - When a patient falls victim to a
medication error, the employees may experience heightened emotions
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integrationacademy.ahrq.gov/sites/default/files/2021-04/State_of_Opioid_Use_Among_Older_Adults.pdf
January 01, 2021 - Opioid Use, Misuse, and
Opioid Use Disorder among Older Adults
It is well-established that
Frailty/Falls
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digital.ahrq.gov/ahrq-funded-projects/bettering-lives-utilizing-electronic-systems-blues-project-improving-diabetes/annual-summary/2010
January 01, 2010 - Management of the clinic now falls under Jackson-Hinds Comprehensive Healthcare, rather than the University
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integrationacademy.ahrq.gov/about/initiatives/older-adult-opioid-initiative
July 01, 2024 - Prevention of opioid-related harms and adverse events (e.g., respiratory depression and fractures from falls