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www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
December 01, 2017 - Designing a Scorecard for Sustainability: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Sustainability
Designing a Scorecard for Sustainability
Slide 2: Learning Objectives
After this session, you will be able to–
Assess objectively your unit’s curre…
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psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
December 20, 2023 - Study
Trend analysis of radiation therapy incidents over seven years.
Citation Text:
Bissonnette J-P, Medlam G. Trend analysis of radiation therapy incidents over seven years. Radiother Oncol. 2010;96(1):139-44. doi:10.1016/j.radonc.2010.05.002.
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Format:
DOI …
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psnet.ahrq.gov/issue/medical-emergency-team-and-rapid-response-system-finding-treating-and-preventing-hypoglycemia
September 23, 2020 - Commentary
The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia.
Citation Text:
DiNardo M, Noschese M, Korytkowski M, et al. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Jt Comm J Qua…
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psnet.ahrq.gov/issue/characteristics-quality-and-patient-safety-curricula-major-teaching-hospitals
February 16, 2011 - Study
Characteristics of quality and patient safety curricula in major teaching hospitals.
Citation Text:
Pingleton SK, Davis DA, Dickler RM. Characteristics of quality and patient safety curricula in major teaching hospitals. Am J Med Qual. 2010;25(4):305-11. doi:10.1177/1062860610367…
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psnet.ahrq.gov/issue/should-patients-have-role-patient-safety-safety-engineering-view
June 10, 2009 - Commentary
Should patients have a role in patient safety? A safety engineering view.
Citation Text:
Lyons M. Should patients have a role in patient safety? A safety engineering view. Qual Saf Health Care. 2007;16(2):140-2.
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Format:
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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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DOI Google Scholar PubMed BibTeX EndNote X3 X…
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psnet.ahrq.gov/issue/inappropriate-surgeries-resulting-misdiagnosis-early-amyotrophic-lateral-sclerosis
October 31, 2014 - Study
Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis.
Citation Text:
Srinivasan J, Scala S, Jones R, et al. Inappropriate surgeries resulting from misdiagnosis of early amyotrophic lateral sclerosis. Muscle Nerve. 2006;34(3):359-60.
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www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - Blood Thinner Pills: Your Guide to Using Them Safely
Blood Thinner Pills:
Your Guide to Using
Them Safely
AHRQ Pub. No. 15-0047-C
Replaces AHRQ Pub. No. 09-0086-C
September 2015
The name of my blood thinner is:
_____________________________________________________________
Reminders:
Call your doctor or phar…
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www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
January 01, 2024 - once during the
28-day data-gathering period, and
16.8% of the participants (152 nurses)
reported falling … Nurses
reported struggling to stay awake once
every five shifts worked (2285/11,329
shifts) and falling … Nurses who reported struggling to stay awake on duty and/or actually falling asleep
on duty obtained … US workers.33
The high frequency of which nurses reported struggling to stay awake and/or actual
falling … Participants in the AACN study who reported falling asleep on duty obtained on
average 6.6 hours sleep
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psnet.ahrq.gov/issue/be-sued-less-doctors-should-consider-talking-patients-more
September 13, 2006 - February 6, 2013
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/they-treat-me-im-old-and-stupid-seniors-decry-health-providers-age-bias
December 05, 2018 - March 3, 2021
‘Fear of falling’: how hospitals do even more harm by keeping patients
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psnet.ahrq.gov/issue/health-information-technology
August 21, 2016 - Related Resources From the Same Author(s)
WebM&M Cases
Falling
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psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
February 10, 2021 - July 23, 2010
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/so-much-care-it-hurts-unneeded-scans-therapy-surgery-only-add-patients-ills
January 15, 2020 - May 17, 2017
‘Fear of falling’: how hospitals do even more harm by keeping patients in
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015096-davison-final-report-2008.pdf
January 01, 2008 - Key Words: information technology, rural hospital, patient falls, electronic medication
administration … hours provided by temporary or agency nurses, patient days, and selected patient outcomes
(patient falls … From the CalNOC data, we
extracted patient falls per 1000 patient days, with and without injuries, for … Ja
n-0
7
May
-07
Sep
-07
Ja
n-0
8
May
-08
in
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The number of patient falls … There was a general trend toward fewer patient falls.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/wheelchair-users-amended-protocol.pdf
June 21, 2019 - index (BMI); weight; depression; quality of life; time to wheelchair use; amount of
wheelchair use; falls … of physical activity, such as injuries that are associated with
wheeled mobility device use (e.g., falls … obesity; BMI; weight; depression; quality of life; time to
wheelchair use; amount of wheelchair use; falls … body fat
Mental health
• Depression, quality of life, anxiety, stress, sleep
General function
• Falls … Some outcomes may occur across etiologies (e.g., falls,
BMI) and will be reported both overall and by
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psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
June 09, 2021 - January 20, 2021
Information flow during pediatric trauma care transitions: things falling
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psnet.ahrq.gov/issue/beyond-patient-safety-flatland
September 04, 2024 - January 9, 2019
View More
Related Resources
Falling through the
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psnet.ahrq.gov/issue/medical-errors-should-you-apologize
August 13, 2010 - July 19, 2010
How to avoid falling victim to a hospital mistake.
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psnet.ahrq.gov/issue/proactive-patient-safety-focusing-what-goes-right-perioperative-environment
April 26, 2023 - Study
Proactive patient safety: focusing on what goes right in the perioperative environment.
Citation Text:
Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.000000…