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2181. Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions. | PSNet
      psnet.ahrq.gov/issue/delayed-recognition-deterioration-patients-general-wards-mostly-caused-human-related
      December 21, 2017 - December 21, 2017 Root cause analysis using the prevention and recovery information system … April 12, 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

2182. Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. | PSNet
      psnet.ahrq.gov/issue/preventing-iatrogenic-overdose-review-emergency-department-opioid-related-adverse-drug-events
      August 12, 2020 - Study Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. Citation Text: Beaudoin FL, Merchant RC, Janicki A, et al. Preventing iatrogenic overdose: a review of in-emergency department opioid-related adverse drug e…

2183. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled
      March 09, 2022 - September 13, 2023 Evaluation of clinical practice guidelines on fall prevention and … 2, 2015 Readmission after delayed diagnosis of surgical site infection: a focus on prevention

2184. Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England. | PSNet
      psnet.ahrq.gov/issue/associations-between-self-reported-healthcare-disruption-due-covid-19-and-avoidable-hospital
      September 23, 2020 - December 30, 2014 Evaluation of clinical practice guidelines on fall prevention and management

2185. Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. | PSNet
      psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
      November 29, 2023 - February 12, 2020 Prevention of fall-related injuries in long-term care: a randomized

2186. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. | PSNet
      psnet.ahrq.gov/issue/prognosis-undiagnosed-chest-pain-linked-electronic-health-record-cohort-study
      March 19, 2018 - medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention … October 14, 2009 Evaluation of clinical practice guidelines on fall prevention and management … April 21, 2010 Importance of prevention and early intervention of adverse events in pediatric

2187. Understanding and Reducing Overuse of Potentially Harmful Screening Tests (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
      January 01, 2014 - Understanding and Reducing Overuse of Potentially Harmful Screening Tests Research Centers for Excellence in Clinical Preventive Services Working to get the right services, to the right people, at the right time Understanding and Reducing Overuse of Potentially Harmful Screening Tes…

2188. What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? | PSNet
      psnet.ahrq.gov/issue/what-can-we-learn-about-patient-safety-information-sources-within-acute-hospital-step-ladder
      October 09, 2024 - June 15, 2011 Falls in English and Welsh hospitals: a national observational study based

2189. Impact of hospital-acquired pneumonia on the Medicare program. | PSNet
      psnet.ahrq.gov/issue/impact-hospital-acquired-pneumonia-medicare-program
      August 07, 2013 - , and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention

2190. Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. | PSNet
      psnet.ahrq.gov/issue/spreading-strategy-prevent-suicide-after-psychiatric-hospitalization-results-quality
      May 04, 2022 - March 20, 2019 A longitudinal study of a multifaceted intervention to reduce newborn falls

2191. Increases in drug and opioid overdose deaths—United States, 2000–2015. | PSNet
      psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
      January 23, 2019 - This surveillance report from the Centers for Disease Control and Prevention demonstrated that the magnitude … January 17, 2018 Evaluation of clinical practice guidelines on fall prevention and management … Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention

2192. A user-center designed anticoagulation shared decision-making tool for stroke prevention in atrial fibrillation - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs026322-dorsch-final-report-2021.pdf
      January 01, 2021 - A user-center designed anticoagulation shared decision-making tool for stroke prevention in atrial fibrillation … Risk stratification and shared decision-making are essential in stroke prevention in AF. … Provider-reported barriers to anticoagulation in the elderly are the risk of falls and previous bleeding … How important is anticoagulation for stroke prevention in AF? … How worried would you be about bleeding if you took anticoagulation for stroke prevention in AF?

2193. The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. | PSNet
      psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural
      September 15, 2011 - December 17, 2014 Applying root cause analysis to improve patient safety: decreasing falls

2194. A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. | PSNet
      psnet.ahrq.gov/issue/prospective-observational-study-physician-handoff-intensive-care-unit-ward-patient-transfers
      October 08, 2013 - March 24, 2019 Evaluation of clinical practice guidelines on fall prevention and management … September 27, 2023 Effect of an emergency department process improvement package on suicide prevention

2195. A trigger tool to identify adverse events in the intensive care unit.  | PSNet
      psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
      April 08, 2011 - April 26, 2012 An inpatient fall prevention initiative in a tertiary care hospital.

2196. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/elimination-central-venous-catheter-related-bloodstream-infections-intensive-care-unit
      January 11, 2017 - May 11, 2019 Evaluation of clinical practice guidelines on fall prevention and management

2197. Prevalence of medication transfer errors in nephrology patients and potential risk factors. | PSNet
      psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-factors
      January 26, 2022 - May 26, 2021 Evaluation of clinical practice guidelines on fall prevention and management … February 14, 2017 View More Related Resources Prevention of perioperative

2198. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. | PSNet
      psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
      June 15, 2011 - November 25, 2009 Falls in English and Welsh hospitals: a national observational study

2199. A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. | PSNet
      psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients
      April 11, 2011 - March 17, 2010 Evaluation of clinical practice guidelines on fall prevention and management

2200. Recognition of adverse drug events in older hospitalized medical patients. | PSNet
      psnet.ahrq.gov/issue/recognition-adverse-drug-events-older-hospitalized-medical-patients
      August 10, 2022 - medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention … November 28, 2012 Fall prevention in acute care hospitals: a randomized trial.