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psnet.ahrq.gov/node/840139/psn-pdf
November 16, 2022 - cdc-clinical-practice-guideline-prescribing-opioids-pain-united-states-2022
In 2016, the Centers for Disease Control and Prevention
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psnet.ahrq.gov/node/60228/psn-pdf
April 15, 2020 - 75% of the identified events resulted in a delay in
care and 41% resulted in temporary harm (e.g., falls
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psnet.ahrq.gov/node/74833/psn-pdf
February 16, 2022 - Triggers were related to diagnoses (e.g., falls, bleeding, thromboembolic
events), laboratory values
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psnet.ahrq.gov/node/35572/psn-pdf
February 03, 2011 - in patient safety programs, drug administration and
safety procedures, error reporting processes, prevention
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/GC9cvM3tps6UBntyWrXNF4
Recommendations
The USPSTF has made recommendations on screening for glaucoma and interventions to prevent falls
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psnet.ahrq.gov/node/74867/psn-pdf
February 23, 2022 - pandemic response dismantled strategies put in place to
prevent healthcare-associated infections and falls
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psnet.ahrq.gov/issue/surveillance-strategy-improving-patient-safety-acute-and-critical-care-units
September 27, 2016 - September 28, 2010
Negotiating safety when staffing falls short.
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psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
April 23, 2014 - December 24, 2008
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care
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psnet.ahrq.gov/issue/adopt-strategies-manage-look-alike-andor-sound-alike-medication-name-mix-ups
June 24, 2020 - This story highlights a primary prevention tool that lists problematic drug names.
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psnet.ahrq.gov/issue/major-congenital-malformations-after-first-trimester-exposure-ace-inhibitors
July 10, 2008 - RIS
Download Citation
Related Resources From the Same Author(s)
Prevention … systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened
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psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
November 16, 2022 - Related Resources
Perspectives on Safety
Suicide Prevention … Interview
In Conversation with Edwin Boudreaux about Suicide Prevention … June 7, 2016
Inpatient fall prevention programs as a patient safety strategy: a systematic
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psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
March 24, 2021 - November 16, 2022
Reducing falls in hospitalized children and adolescents with cancer
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psnet.ahrq.gov/issue/reducing-errors-emergency-surgery
January 31, 2018 - In the context of emergency surgery, this review summarizes error classification, error prevention strategies
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psnet.ahrq.gov/issue/verbal-medication-orders-or
March 06, 2024 - This article describes the causes of medication errors in the operating room and discusses prevention
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psnet.ahrq.gov/issue/kenneth-w-kizer-md-mph-health-care-quality-evangelist
July 28, 2014 - March 20, 2013
Inpatient fall prevention programs as a patient safety strategy: a systematic
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psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
January 10, 2024 - October 26, 2016
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care
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psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
May 02, 2018 - Newspaper/Magazine Article
Administration of concentrated potassium chloride for injection during a code: still deadly!
Citation Text:
Administration of concentrated potassium chloride for injection during a code: still deadly! ISMP Medication Safety Alert! Acute care edition. June …
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psnet.ahrq.gov/issue/national-nursing-home-covid-action-network
October 23, 2019 - COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention
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psnet.ahrq.gov/issue/addressing-prehospital-patient-safety-using-science-injury-prevention-and-control
April 12, 2019 - Commentary
Addressing prehospital patient safety using the science of injury prevention … Addressing prehospital patient safety using the science of injury prevention and control. … commentary discusses patient safety in emergency medical services (EMS) and illustrates how injury prevention … Addressing prehospital patient safety using the science of injury prevention and control. … January 19, 2011
Assessment of a wearable fall prevention system at a Veterans Health
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psnet.ahrq.gov/issue/building-safer-systems-ecological-design-using-restoration-science-develop-medication-safety
February 14, 2024 - November 6, 2019
Evaluation of clinical practice guidelines on fall prevention and management … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention … May 29, 2024
Patient Safety Innovations
Suicide Prevention