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psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
June 16, 2012 - Book/Report
The Future of Emergency Care in the United States Health System.
Citation Text:
The Future of Emergency Care in the United States Health System. Institute of Medicine. Washington DC; National Academies Press: 2007.
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psnet.ahrq.gov/issue/reversing-rise-maternal-mortality
January 18, 2017 - Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention
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psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
March 02, 2012 - Download Citation
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psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
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psnet.ahrq.gov/issue/chemotherapy-home-care-one-teams-performance-improvement-journey-toward-reducing-medication
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psnet.ahrq.gov/issue/potential-medication-dosing-errors-outpatient-pediatrics
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Potential medication dosing errors in outpatient pediatrics.
Citation Text:
McPhillips HA, Stille CJ, Smith DH, et al. Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7.
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psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
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psnet.ahrq.gov/issue/nighttime-and-weekend-medication-error-rates-inpatient-pediatric-population
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Nighttime and weekend medication error rates in an inpatient pediatric population.
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Miller AD, Piro CC, Rudisill CN, et al. Nighttime and weekend medication error rates in an inpatient pediatric population. Ann Pharmacother. 2010;44(11):1739-46. doi:10.1345/aph.1P25…
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2007
April 24, 2007 - November 14, 2011
An inpatient fall prevention initiative in a tertiary care hospital
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psnet.ahrq.gov/issue/prospective-multicenter-study-pharmacist-activities-resulting-medication-error-interception
December 14, 2011 - Study
A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.
Citation Text:
Patanwala AE, Sanders AB, Thomas MC, et al. A prospective, multicenter study of pharmacist activities resulting in medication error int…
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psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
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Information flow during pediatric trauma care transitions: things falling
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psnet.ahrq.gov/issue/prospects-blame-free-medical-culture
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psnet.ahrq.gov/issue/care-transitions-and-home-health-care
August 25, 2011 - Review
Care transitions and home health care.
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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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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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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/3.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Functional Specifications … Specifications for Each Pressure Ulcer Prevention Report (continued)
3.3. … Return to Functional Specifications Contents
Proceed to Next Section
Return to Pressure Ulcer Prevention
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - Impaired mobility from deconditioning increases the risk of falls, as well as preventing the patient … The rates of infection, bleeding, blood clots, and falls were increasing—in addition to the risk of whatever … health care system more positive and focused not only on acute management but also on recovery and prevention … 15, 2024
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023
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hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.jsp
August 01, 2011 - The second most common CMS HAC examined was falls or trauma, which accounted for another 20 percent of … non-maternal)
Vascular catheter-associated infection
8,959,419
11,435
48.7
127.6
Falls … Falls and trauma: private insurance: 0.37; Medicaid: 0.41. … For example, those 85 years and older had nearly six times the rate of CMS HACs for falls and trauma … Falls and trauma: 45-64 year olds: 2.12; 65-84 year olds: 4.35; 85 years and older: 5.80.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/home-based-care_research-protocol.pdf
November 19, 2014 - and urgent care use when acute
incidents are prevented or addressed in the home; 4) potential for prevention … generally well
elderly to severely disabled patients, and have stated goals that span from preventing falls … • Function
o Physical, psychological, and cognitive
• Mortality
• Morbidities
o Examples: falls
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www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - Confronting Quality Problems
There are several areas where the quality of American health care is falling … receive high-quality health care services, there are a number of areas where the quality of care is falling