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effectivehealthcare.ahrq.gov/products/safety-emerging-methods/overview
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2018-updated-2021.xlsx
January 01, 2021 - 81 11 10 6 5 4 4 2 1 403 16573 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
HSI00000068 Avera Health Sioux Falls … 16 16 1 1 1 1 103 4045 0 0 0 0 0 0 0 0 0 0 0 0 0
HSI00000107 Benefis Healthcare System Great Falls … 17773639 191 69 93 15 57 1 1 18 1 285 11876 0 0 0 0 0 0 0 0 0 1 1 133 0 20
HSI00000401 Glens Falls … Hospital Glens Falls NY 1 0 18156853 130 44 28 53 29 1 1 0 1 507 11567 0 0 0 0 0 0 0 1 1 0 0 0 0 … Memorial Medical Center Niagara Falls NY 1 0 18407987 53 19 15 13 14 1 1 1 1 133 5064 11.92 0 0 0 0
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www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/chsp-compendium-2018-updated-2021.csv
January 01, 2021 - 81 11 10 6 5 4 4 2 1 403 16573 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
HSI00000068 Avera Health Sioux Falls … 16 16 1 1 1 1 103 4045 0 0 0 0 0 0 0 0 0 0 0 0 0
HSI00000107 Benefis Healthcare System Great Falls … 17773639 191 69 93 15 57 1 1 18 1 285 11876 0 0 0 0 0 0 0 0 0 1 1 133 0 20
HSI00000401 Glens Falls … Hospital Glens Falls NY 1 0 18156853 130 44 28 53 29 1 1 0 1 507 11567 0 0 0 0 0 0 0 1 1 0 0 0 0 … Memorial Medical Center Niagara Falls NY 1 0 18407987 53 19 15 13 14 1 1 1 1 133 5064 11.92 0 0 0 0
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psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
June 01, 2016 - such processes in place, there is a higher probability of patients or important clinical information "falling … January 15, 2025
Patient Safety Innovations
Preventing Falls
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/annual-report-to-congress-2017%20(2).pdf
January 01, 2017 - B
Falls Prevention: Interventions and Preventive Medication in Older Adults
The USPSTF recommends exercise … or physical therapy and vitamin D supplementation to prevent falls in
community-dwelling adults age … 65 years and older who are at increased risk for falls. … single recommended tool or brief approach can reliably identify older adults at increased risk for falls … vaginal dryness; the USPSTF did not review
the evidence related to this possible indication because it falls
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www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
January 01, 2024 - Final Progress Report: Team-Based Safe Opioid Prescribing
Title Page
Title of Project: Team-Based Safe Opioid Prescribing
Principal Investigator: Michael L. Parchman, MD, MPH
Other team members:
Laura Mae Baldwin, MD, MPH
Kelly Ehrlich, MS
Brooke Ike, MPH
Doug Kane, MS
Robert Penfold, PhD
Kari Stephens, PhD…
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effectivehealthcare.ahrq.gov/sites/default/files/interventions-horizon-scan-high-impact-1306.pdf
June 01, 2013 - If the onus of improving patient adherence falls on the
provider, staffing needs might increase because … lighting, soft colors, and noise abatement features, handrails, flooring that is less likely to cause falls … available resources.51 However, this design poses many risks to the elderly population, including
falls … Falls Church (VA): National Association of State
Emergency Medical Services Officials, National
Organization
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - or treatment failures, and they took
on the same importance as the former categories dealing with falls
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psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
January 01, 2015 - Benefits of this approach include reducing the risk of falls, earlier mobilization following surgery,
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-refs.html
July 01, 2023 - Automated loss-of-balance event identification in older adults at risk of falls during real-world walking
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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.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…
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psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
November 09, 2022 - Commentary
Dangerous deception--hiding the evidence of adverse drug events.
Citation Text:
Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med. 2006;355(21):2169-71.
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Google Scholar PubMed BibTeX EndNote X3 XML EndN…
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psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization
September 02, 2015 - Review
Preventing complications of central venous catheterization.
Citation Text:
McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003;348(12):1123-33.
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Google Scholar PubMed BibTeX EndNote X3 XML EndNote …
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psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
January 12, 2022 - Commentary
Bundaberg and beyond: duty to disclose adverse events to patients.
Citation Text:
Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
May 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
MEDICAL CARE REFERRAL FORM
USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY BE SUSPECTED, AND IS BEING
REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPIT…
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psnet.ahrq.gov/issue/root-cause-analysis
June 15, 2016 - Commentary
Root cause analysis.
Citation Text:
Stecker MS. Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8.
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…
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psnet.ahrq.gov/issue/patient-safety-strategies-call-physician-leadership
January 13, 2021 - Commentary
Patient safety strategies: a call for physician leadership.
Citation Text:
Shine KI. Patient safety strategies: a call for physician leadership. Ann Intern Med. 2013;158(5 Pt 1):353-4. doi:10.7326/0003-4819-158-5-201303050-00011.
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DOI Google …
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psnet.ahrq.gov/issue/effectiveness-computerized-system-intravenous-heparin-administration-using-information
February 27, 2009 - Study
Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.
Citation Text:
Oyen LJ, Nishimura RA, Ou NN, et al. Effectiveness of a computerized system for intravenous heparin administration…
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psnet.ahrq.gov/issue/long-term-solution-malpractice-crises-reduce-harm-patients
September 12, 2018 - Commentary
Long-term solution to malpractice crises: reduce harm to patients.
Citation Text:
Schoenbaum S, Segel K. Long-term solution to malpractice crises: reduce harm to patients. Physician Exec. 2006;32(2):26-9, 31.
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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(…