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psnet.ahrq.gov/node/49598/psn-pdf
February 01, 2010 - The patient denied any history of arrhythmia, syncope,
presyncope, dementia, or prior falls.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdf
November 03, 2022 - following agencies:
AHRQ Agency for Healthcare Research and Quality
CDC Centers for Disease Control and Prevention
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/healthy-lifestyle-and-physical-activity-for-cvd-prevention-adults-without-known-risk-factors-behavioral-counseling
July 26, 2022 - -31 , 48 , 56 , 82 Twelve trials reported the incidence of musculoskeletal injuries, fractures, or falls … Prevention of weight gain in young adults through a seminar-based intervention program. … Preventing weight gain in adults: the Pound of Prevention study. … Prevention of cardiovascular risk factor elevations in healthy premenopausal women. … physical activity counseling reported generally no differences in rates of musculoskeletal injuries or falls
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psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
August 07, 2018 - incidents were from inpatient mental health facilities, primarily involving patient accidents (including falls
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psnet.ahrq.gov/issue/operating-room-fires
March 14, 2022 - Review
Emerging Classic
Operating room fires.
Citation Text:
Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598.
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psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
August 14, 2014 - August 14, 2014
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/care-transitions-and-home-health-care
August 25, 2011 - Review
Care transitions and home health care.
Citation Text:
Boling PA. Care transitions and home health care. Clin Geriatr Med. 2009;25(1):135-48, viii. doi:10.1016/j.cger.2008.11.005.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…
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psnet.ahrq.gov/issue/appropriateness-use-medicines-elderly-inpatients-qualitative-study
December 14, 2016 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls
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psnet.ahrq.gov/issue/routinely-recorded-patient-safety-events-primary-care-literature-review
April 18, 2012 - May 2, 2012
Primary care–relevant interventions to prevent falling in older adults: a
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psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
May 18, 2022 - May 18, 2022
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/cpoe-strategies-success
October 09, 2019 - July 13, 2010
Effect of computer order entry on prevention of serious medication errors
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psnet.ahrq.gov/issue/effect-pharmacist-adverse-drug-events-and-medication-errors-outpatients-cardiovascular
July 31, 2013 - Study
Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease.
Citation Text:
Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch …
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psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors-associated-age
July 27, 2016 - 2018
Oral solid medication appearance should play a greater role in medication error prevention
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psnet.ahrq.gov/issue/clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety
July 01, 2017 - Commentary
Clinical faculty: taking the lead in teaching quality improvement and patient safety.
Citation Text:
Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j…
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psnet.ahrq.gov/issue/nursing-student-medication-errors-snapshot-view-school-nursings-quality-and-safety-officer
October 19, 2022 - April 6, 2012
ROI for a fall prevention intervention: invest a little, save a lot.
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psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
November 08, 2013 - Commentary
Close calls in patient safety: should we be paying closer attention?
Citation Text:
Wu AW, Marks CM. Close calls in patient safety: should we be paying closer attention? CMAJ. 2013;185(13):1119-20. doi:10.1503/cmaj.130014.
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psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric
January 22, 2016 - May 27, 2011
Prevention of potential errors in resuscitation medications orders by means
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psnet.ahrq.gov/issue/creating-safety-culture-childrens-and-womens-health-centre-british-columbia
June 03, 2020 - Commentary
Creating a safety culture at the Children's and Women's Health Centre of British Columbia.
Citation Text:
Verschoor KN, Taylor A, Northway TL, et al. Creating a safety culture at the Children's and Women's Health Centre of British Columbia. J Pediatr Nurs. 2007;22(1):81-6.
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psnet.ahrq.gov/issue/handovers-or-icu
January 03, 2017 - October 22, 2014
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/how-safety-compromised-when-hospital-equipment-poor-fit-patients-who-are-obese
October 07, 2020 - 75% of the identified events resulted in a delay in care and 41% resulted in temporary harm (e.g., falls