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psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings
March 14, 2023 - Newspaper/Magazine Article
Your attention please... designing effective warnings.
Citation Text:
Your attention please... designing effective warnings. ISMP Medication Safety Alert! Acute care edition. February 28, 2019.
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psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators
February 22, 2023 - September 9, 2015
Sitters as a patient safety strategy to reduce hospital falls: a systematic
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psnet.ahrq.gov/issue/racism-derails-black-mens-health-even-education-levels-rise
May 28, 2014 - Newspaper/Magazine Article
Racism derails black men’s health, even as education levels rise.
Citation Text:
Racism derails black men’s health, even as education levels rise. Anderson V. Kaiser Health News. May 19, 2021
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
December 01, 2012 - Pressure Ulcer
3,031
3,001
1,416
3,073
2,914
1,211
1,591
3,369
Injurious Falls
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13f.html
December 01, 2012 - Pressure Ulcer
6,180
6,029
3,239
5,537
6,191
3,067
3,636
6,965
Injurious Falls
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digital.ahrq.gov/sites/default/files/docs/citation/cds-evaluation-summary-report-p233201500023I.pdf
March 23, 2022 - Research and Quality
AMIA American Medical Informatics Association
CDC Centers for Disease Control and Prevention … with
contributions from the Veteran’s
Administration (VA), MITRE,
Centers for Disease Control and
Prevention … 32 (43.2)
The MITRE Corporation (CDS Connect project) 17 (2.0)
Centers for Disease Control and Prevention … of CVD artifact
MITRE March -
September
2017
AllianceChicago Statin Use for the Primary
Prevention … Lucero
August 2020 -
July 2022
Brigham and
Women's Hospital
Primary care fall
prevention Patient
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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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - high-reliability organizations, risk is readily
acknowledged, error reporting is rewarded, and injury prevention … These
ranges indicate items that are close to falling in the opposite direction. … Two items
had average scores falling in these ranges; both were related to reporting errors:
“Most … Errors 920 15.20 %
Staffing 864 14.27 %
Facility 433 7.15 %
Inexperience/Lack of Training 362 5.98 %
Falls … Lucian Leape on the causes and
prevention of errors and adverse events in health care.
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psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
January 01, 2022 - Background: Opioids for Pain Management (9)
• In 2016, the United States Centers for Disease Control and
Prevention … Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A
Consensus … Centers for Disease Control and Prevention. … National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention, Atlanta
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psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - testing. 18 In looking at the second case through the lens of preventing medical errors, this likely falls … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. June 11, 2024. … Centers for Disease Control and Prevention. June 28, 2024. … Centers for Disease Control and Prevention. December 13, 2023.
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - Therefore, although the institution's CLABSI rates are falling, there is room for improvement. … Points falling above the upper control limit indicate months when the process was out of control.
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www.ahrq.gov/topics/maternal-health.html
January 01, 2023 - Preventive Services Task Force is an independent, volunteer panel of national experts in disease prevention … conjunction with the Health Resources and Service Administration and Centers for Disease Control and Prevention
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psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating
October 23, 2019 - Study
Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being.
Citation Text:
Loke DE, Green KA, Wessling EG, et al. Clinicians' insights on emergency department boarding: an explanatory mixed methods stud…
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psnet.ahrq.gov/issue/defining-identifying-and-addressing-problematic-polypharmacy-within-multimorbidity-primary
July 22, 2015 - to address polypharmacy, with studies covering a wide range of aims (e.g., reducing ADEs or patient falls
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psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey
February 26, 2020 - February 26, 2020
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/not-sick-enough-worry-influenza-symptoms-and-work-related-behavior-among-healthcare-workers
August 03, 2022 - November 13, 2024
Patient engagement with surgical site infection prevention: an expert
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psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy
July 14, 2010 - November 14, 2011
Primary care–relevant interventions to prevent falling in older adults
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psnet.ahrq.gov/issue/review-computerized-physician-handoff-tools-improving-quality-patient-care
September 07, 2011 - March 24, 2019
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients
April 24, 2018 - Identifying incipient clinical deterioration is a prerequisite for rapid response and prevention … October 10, 2012
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review
October 27, 2021 - June 30, 2021
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