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psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
December 27, 2019 - to a lack of timely language assistance include performing an x-ray on the wrong part of the body, falls
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psnet.ahrq.gov/perspective/conversation-cindy-brach
December 27, 2019 - to a lack of timely language assistance include performing an x-ray on the wrong part of the body, falls
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - functionally frail patients who are also at higher risk for patient safety events such as medication errors, falls
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pdf/epc-year-in-review-2020.pdf
January 01, 2020 - Surface perturbation training to prevent falls in older adults: a highly pragmatic, randomized
controlled
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psnet.ahrq.gov/perspective/conversation-eric-thomas-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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effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-d-opioid-chronic-pain-surveillance-report-3.xlsx
September 30, 2015 - HR 1.19 (95% CI 1.06 to 1.35)
Falls/hip fractures
A vs. B vs. C: HR 1.59 (95% CI 1.51 to 1.68) vs.
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psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
November 13, 2024 - April 17, 2024
Patient Safety Innovations
Preventing Falls
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/hypothyroidism-hyperthyroidism-screening-treatment_research-protocol.pdf
March 11, 2010 - hyperthyroidism is accomplished through serum
TSH, with testing of serum free T4 and free T3 if the TSH falls
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psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - And EHR certainly falls into that.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-generated-health-data-protocol-chronic-conditions.pdf
March 17, 2020 - Therefore, this report does not include medical devices that perform remote
patient monitoring, which falls
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digital.ahrq.gov/sites/default/files/docs/page/FIP_ExecSumm_0.pdf
June 30, 2007 - It
is important to note here that FERPA falls under the authority of the Department of
Education.
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - When a patient falls victim to a medication error, the employees may experience heightened emotions and
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psnet.ahrq.gov/node/836941/psn-pdf
April 27, 2022 - functionally frail patients who are also at higher risk for patient safety
events such as medication errors, falls
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psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
March 01, 2019 - And EHR certainly falls into that.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.101_slideshow.ppt
July 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case July 2005
Impatient Inpatient Dosing
Source and Credits
This presentation is based on the July 2005
AHRQ WebM&M Spotlight Case in Medicine
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Richard H. White…
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psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph
February 26, 2025 - In Conversation with...Albert Wu, MD, MPH
July 1, 2008
Citation Text:
In Conversation with..Albert Wu, MD, MPH. PSNet [internet]. 2008.In Conversation with...Albert Wu, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…
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psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - Advancing Patient Safety Through State Reporting
Systems
June 1, 2007
Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. 2007.
https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
Perspective
Seven years ago, the Institute of Medicine (I…
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psnet.ahrq.gov/node/49501/psn-pdf
February 03, 2006 - Lost in Transition
February 1, 2006
Beach C. Lost in Transition. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/lost-transition
Case Objectives
Provide an overview of transitions in continuously operating industries
Review cognitive error
Describe the complex dynamics of transitions in emergency care
Pro…
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psnet.ahrq.gov/node/49828/psn-pdf
May 01, 2018 - Out of Sight, Out of Mind: Out-of-Office Test Result
Management
May 1, 2018
Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
Case Objectives
Recognize the general responsibilities of…
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psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
November 15, 2023 - Mother's Milk, but Whose Mother?
Citation Text:
Dougherty D. Mother's Milk, but Whose Mother?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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