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1961. Safety Climate: New Developments in Conceptualization, Theory, and Research. | PSNet
      psnet.ahrq.gov/issue/safety-climate-new-developments-conceptualization-theory-and-research
      July 14, 2021 - November 11, 2015 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care

1962. Bad hospital design is making us sicker. | PSNet
      psnet.ahrq.gov/issue/bad-hospital-design-making-us-sicker
      March 30, 2016 - efforts to address hospital design concerns can augment infection control , patient-centeredness, fall prevention

1963. University of Michigan's Patient Safety Enhancement Program (PSEP). | PSNet
      psnet.ahrq.gov/issue/university-michigans-patient-safety-enhancement-program-psep
      August 31, 2016 - June 24, 2019 Fall Prevention in Hospitals Training Program.

1964. Making Healthcare Safer III | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
      August 01, 2024 - Harms such as adverse drug events, healthcare-associated infections (HAIs), falls, and obstetric adverse

1965. Strategic Alliance For Error Reduction in California Healthcare (SAFER). | PSNet
      psnet.ahrq.gov/issue/strategic-alliance-error-reduction-california-healthcare-safer
      July 01, 2022 - February 5, 2018 Fall Prevention in Hospitals Training Program. … June 2, 2015 Massachusetts Coalition for the Prevention of Medical Errors.

1966. Project ECHO | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/multiple/project-echo/index.html
      December 01, 2023 - mentorship to nursing homes across the country to increase the implementation of evidence-based infection prevention

1967. Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community Health Centers – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs026172-obrien-final-report-2022.pdf
      January 01, 2022 - task of lifestyle counseling from primary care providers to health educators, for whom this activity falls … Centers for Disease Control and Prevention. … Diabetes Prevention in the Real World: Effectiveness of Pragmatic Lifestyle Interventions for the Prevention … YMCA's Diabetes Prevention Program. Diabetes Prevention Program FACT SHEET: January 2018. … Public Health Approaches to Type 2 Diabetes Prevention: the US National Diabetes Prevention Program

1968. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. | PSNet
      psnet.ahrq.gov/issue/effects-educational-patient-safety-campaign-patients-safety-behaviours-and-adverse-events
      November 05, 2013 - vignette study to examine health care professionals' attitudes towards patient involvement in error prevention … February 15, 2017 Evaluation of clinical practice guidelines on fall prevention and management

1969. How to perform a root cause analysis for workup and future prevention of medical errors: a review. | PSNet
      psnet.ahrq.gov/issue/how-perform-root-cause-analysis-workup-and-future-prevention-medical-errors-review
      August 03, 2017 - Review How to perform a root cause analysis for workup and future prevention of medical … How to perform a root cause analysis for workup and future prevention of medical errors: a review. … How to perform a root cause analysis for workup and future prevention of medical errors: a review. … Related Resources From the Same Author(s) Root cause analysis and actions for the prevention

1970. Association of overlapping cardiac surgery with short-term patient outcomes. | PSNet
      psnet.ahrq.gov/issue/association-overlapping-cardiac-surgery-short-term-patient-outcomes
      November 09, 2022 - October 19, 2022 Evaluating the prevalence of four recommended practices for suicide prevention … Shared understanding of resilient practices in the context of inpatient suicide prevention … August 17, 2022 Development and implementation of a suicide prevention checklist to create

1971. Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. | PSNet
      psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
      October 19, 2022 - Study Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. Citation Text: Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized b…

1972. Effect of computer order entry on prevention of serious medication errors in hospitalized children. | PSNet
      psnet.ahrq.gov/issue/effect-computer-order-entry-prevention-serious-medication-errors-hospitalized-children
      May 27, 2011 - Study Classic Effect of computer order entry on prevention … Effect of computer order entry on prevention of serious medication errors in hospitalized children. … Effect of computer order entry on prevention of serious medication errors in hospitalized children. … February 9, 2012 Prevention of pediatric medication errors by hospital pharmacists and

1973. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. | PSNet
      psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections
      February 22, 2017 - by methicillin-resistant Staphylococcus aureus (MRSA) remains a difficult problem, as studies of prevention … This large-scale study of an MRSA prevention bundle implemented in the Veterans Affairs system found … methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention … influence of organizational context on quality improvement and patient safety efforts in infection prevention … How active resisters and organizational constipators affect health care–acquired infection prevention

1974. Task Force Issues Draft Recommendation Statement on Screening for Osteoporosis to Prevent Fractures; Screening for osteoporosis can help prevent fractures in women 65 years and older and in younger women who have gone through menopause and are at increased risk (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/osteoporosis-screening-draft-rec-bulletin.pdf
      July 08, 2024 - The Task Force is an independent, volunteer panel of national experts in prevention and evidence-based

1975. Reduction in preventable time-critical dose omissions: impact of electronic medication management systems on in-patients. | PSNet
      psnet.ahrq.gov/issue/reduction-preventable-time-critical-dose-omissions-impact-electronic-medication-management
      February 03, 2016 - potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention … July 2, 2019 Evaluation of clinical practice guidelines on fall prevention and management

1976. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
      November 01, 2019 - of the four moments of antibiotic decision making, management of asymptomatic bacteriuria largely falls … symptoms reviewed earlier may also be associated with delirium, there is no evidence that delirium, falls … symptoms or systemic signs of infection, older patients with bacteriuria experiencing delirium or falls … Commentary Slide Number and Slide Improving Prescribing for ASB and UTI at Your Hospital SAY: Prevention

1977. Sharing lessons learned to prevent adverse events in anesthesiology nationwide. | PSNet
      psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
      April 12, 2019 - April 12, 2019 Root cause analysis of reported patient falls in ORs in the Veterans Health

1978. 15 Crosscutting Potential High Impact 2012-12-11 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/15_crosscutting_potential_high_impact_2012-12-11.pdf
      January 01, 2012 - names of hospital and clinical staff to reduce risk of patient disorientation and delirium; fall-prevention … blood pressure, labs, medication compliance), treatment (wound care, medication reconciliation), prevention … 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. 50 However, this design poses many risks to the elderly population, including falls

1979. Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. | PSNet
      psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults
      July 06, 2022 - Strategies to improve the patient safety outcome indicator: preventing or reducing falls

1980. Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. | PSNet
      psnet.ahrq.gov/issue/natural-history-retained-surgical-items-supports-need-team-training-early-recognition-and
      January 18, 2013 - September 9, 2011 Managing the prevention of retained surgical instruments: what is the