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  1. 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…
  2. 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. Copy Citation Format: DOI …
  3. 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…
  4. 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…
  5. 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. Copy Citation Format: Google Scholar PubMed BibTe…
  6. 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. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…
  7. 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. Copy Ci…
  8. 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…
  9. 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
  10. 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.
  11. 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
  12. psnet.ahrq.gov/issue/health-information-technology
    August 21, 2016 - Related Resources From the Same Author(s) WebM&M Cases Falling
  13. psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
    February 10, 2021 - July 23, 2010 How to avoid falling victim to a hospital mistake.
  14. 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
  15. 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 ci de nt ra te The number of patient falls … There was a general trend toward fewer patient falls.
  16. 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
  17. psnet.ahrq.gov/issue/human-factors-patient-safety-innovation
    June 09, 2021 - January 20, 2021 Information flow during pediatric trauma care transitions: things falling
  18. psnet.ahrq.gov/issue/beyond-patient-safety-flatland
    September 04, 2024 - January 9, 2019 View More Related Resources Falling through the
  19. psnet.ahrq.gov/issue/medical-errors-should-you-apologize
    August 13, 2010 - July 19, 2010 How to avoid falling victim to a hospital mistake.
  20. 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…