-
www.ahrq.gov/nursing-home/about/index.html
December 01, 2023 - mentorship to nursing homes across the country to increase the implementation of evidence-based infection prevention
-
psnet.ahrq.gov/issue/problem-never-events
July 12, 2023 - August 7, 2024
Patient falls in the operating room: why is this still a problem in 2024
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - Suicides
Transfusion-related Events
Correct Tube,
Correct Connector,
Correct Hole
Patient Falls … The adverse events of falls and infections declined since 2002. … Patient falls. … The number of patient falls steadily declined during the study period,
from 149 to 31 (almost 80%), … with one spike in 2006 of 115 falls (the new hospital
opened in 2005).
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation/cervical-cancer-screening-2003
January 07, 2003 - Despite falling incidence, cervical cancer remains the tenth leading cause of cancer death. 10 The … (Associate Professor, Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard … Washington, DC: Office of Disease Prevention and Health Promotion; 1996.
-
psnet.ahrq.gov/web-mm/returning-home-safely
December 22, 2018 - strategies for managing the patient's serious illness at home, alternatives to hospital care, fall prevention … Resources From the Same Author(s)
Effect of promoting high-quality staff interactions on fall prevention
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/index.html
October 01, 2020 - What We Learned
The CHIPRA quality demonstration States are pursuing innovative strategies to improve health care for children.
Learn about the CHIPRA quality demonstration States' strategies, lessons learned, and outcomes from these National Evaluation products:
Final Summary
Final Project Report
Spe…
-
psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - William Haddon, widely recognized as the father of modern injury prevention strategies, may be responsible … Blunt injuries are the result of falls, motor vehicle or motorcycle crashes, bicycle accidents, pedestrians … The changing approach to the epidemiology, prevention, and amelioration of trauma: the transition to
-
psnet.ahrq.gov/node/49529/psn-pdf
February 01, 2007 - Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274:29-34. [go to PubMed]
7. … Wait until aPTT is
For INRs significantly above the therapeutic range, hold warfarin until INR falls
-
psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - achieved performance goals but also supports accountability and data transparency when performance falls … Preventing Hospital-acquired pneumonia (HAP) Outside of the Ventilator-associated Pneumonia Bundle,” Prevention … May 29, 2024
Patient Safety Innovations
Suicide Prevention
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
October 01, 2015 - Infection prevention plays a consulting and facilitating role to support the effort. … Infection preventionists are considered content experts in infection prevention and play a role in educating … wound care nurses and physical therapists would discourage UC use to reduce the risk for immobility and falls
-
psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - Lucian Leape highlighted the issue and presented a framework for error analysis and prevention that is … include: Preventable adverse events: those due to error or failure to apply an accepted strategy for prevention … been less harmful if care had been different; Adverse events due to negligence: those due to care that falls
-
www.ahrq.gov/patient-safety/reports/engage/methods.html
March 01, 2017 - Reports that focused on health promotion (e.g., smoking cessation, diet) and disease prevention (e.g. … Reports that focused on falls in the home were not regarded as addressing patient safety unless the falls
-
psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - Every long-term care facility also has an infection prevention advisor from our team assigned to them … Our advisors have decades of experience in patient safety and infection prevention and come from varied … We were working not on falls or adverse drug reactions, but on the overarching issues that could make … Education can focus on promoting a culture of safety, implementing error-prevention strategies, recognizing … replicating care in various healthcare settings can train staff to identify potential errors and improve prevention
-
psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - Education can focus on promoting a culture of safety, implementing error-prevention strategies, recognizing … replicating care in various healthcare settings can train staff to identify potential errors and improve prevention … Every long-term care facility also has an infection prevention advisor from our team assigned to them … Our advisors have decades of experience in patient safety and infection prevention and come from varied … We were working not on falls or adverse drug reactions, but on the overarching issues that could make
-
psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
July 23, 2024 - This way, the innovators would know when problems with RSI prevention bundle compliance occurred and … Practices to aid in the prevention of unintentionally retained surgical items. … Novel computer-aided diagnosis software for the prevention of retained surgical items. … 30, 2023
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023
-
psnet.ahrq.gov/issue/medical-abbreviations-have-contradictory-or-ambiguous-meanings
November 18, 2020 - Newspaper/Magazine Article
Medical abbreviations that have contradictory or ambiguous meanings.
Citation Text:
Medical abbreviations that have contradictory or ambiguous meanings. Davis N. ISMP Medication Safety Alert! Acute care edition! January 30, 2020;25(2):1-5.
Copy Citatio…
-
psnet.ahrq.gov/issue/machine-learning-booming-medicine-its-also-facing-credibility-crisis
May 22, 2019 - Newspaper/Magazine Article
Machine learning is booming in medicine. It’s also facing a credibility crisis.
Citation Text:
Machine learning is booming in medicine. It’s also facing a credibility crisis. Ross C. STAT. June 2, 2021.
Copy Citation
Save
Save to …
-
psnet.ahrq.gov/issue/geriatric-medication-reconciliation-home-setting
September 01, 2021 - Strategies to improve the patient safety outcome indicator: preventing or reducing falls
-
psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies
May 07, 2018 - Newspaper/Magazine Article
Reporting and second-order problem solving can turn short-term fixes into long-term remedies.
Citation Text:
Reporting and second-order problem solving can turn short-term fixes into long-term remedies. ISMP Medication Safety Alert! Acute Care Edition. May 19, …
-
psnet.ahrq.gov/issue/first-annual-review-data-submitted-ismp-national-vaccine-errors-reporting-program-verp
June 10, 2018 - February 29, 2012
Detection and prevention of medication misadventures in general practice