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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
January 01, 2003 - Adverse
Drug Events Prevention Study Group. JAMA
1997;277(4):307–11.
12. … Atlanta: Centers for Disease Control and Prevention;
2001.
14. … New approaches for
prevention of intravascular catheter-related infections. … Guidelines for the prevention of intravascular
catheter-related infections. … Comparison of
three instruments in predicting accidental falls in
selected inpatients in a general
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psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - Medical Devices in the "Wild"
Citation Text:
Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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psnet.ahrq.gov/issue/effect-standardized-handoff-curriculum-improved-clinician-preparedness-intensive-care-unit
October 19, 2022 - April 24, 2018
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/evaluation-policies-limiting-opioid-exposure-opioid-prescribing-and-patient-pain-opioid-naive
May 18, 2022 - March 10, 2021
Evaluation of clinical practice guidelines on fall prevention and management … March 22, 2023
Root cause analysis using the prevention and recovery information system
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cds.ahrq.gov/sites/default/files/workgroups/226/mar-2017-cholesterol-wg-notes.docx
January 01, 2017 - Title of document or resource
Repository Work Group
Meeting Summary
Date
03/08/2017
Time
1:30 – 3:30 PM ET
AGENDA
· Clarify Details Related to Existing Artifacts
· Logic exclusions, specification of conditions, lookback periods and the inclusion of parameters for scalar values
· Considerations for art…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
March 11, 2021 - following agencies:
AHRQ Agency for Healthcare Research and Quality
CDC Centers for Disease Control and Prevention
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psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - he had multiple ED visits with similar
episodes of syncope in the preceding months all resulting in falls … Chart review
or additional history-taking may have revealed the patient’s recent history of falls with … How to Monitor Patients
Receiving Direct Oral Anticoagulants for Stroke Prevention in Atrial Fibrillation
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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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psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
August 28, 2024 - briefing or huddle with direct frontline team members regarding a specific safety concern, such as patient falls … But it falls short because it emphasizes the few things that go wrong rather than seeking to understand … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls … Perspective
The Ongoing Journey to Prevent Patient Falls
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psnet.ahrq.gov/perspective/application-safety-ii-principles
August 28, 2024 - But it falls short because it emphasizes the few things that go wrong rather than seeking to understand … briefing or huddle with direct frontline team members regarding a specific safety concern, such as patient falls … Perspective
The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
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psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
April 28, 2021 - include infections, hypotension, electrolyte disturbances, blood loss, adverse drug effects, and patient falls … Open Communication between the Clinic and Patient Clear communication provides a critical role in the prevention … Centers for Disease Control and Prevention . Reviewed March 11, 2019. Accessed February 13, 2020. … May 8, 2024
The challenge of risk prevention in home healthcare-an interview study with … Home Care
Nephrology
Side Effects/Adverse Drug Reactions
Nosocomial Infections
Patient Falls
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psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
January 19, 2011 - Commentary
Patient safety: threats and solutions.
Citation Text:
McCaughan D, Kaufman G. Patient safety: threats and solutions. Nurs Stand. 2013;27(44):48-55; quiz 56, 58.
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psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
March 04, 2020 - Study
Finding blunders in thyroid testing: experience in newborns.
Citation Text:
Zilka LJ, Lott JA, Baker LC, et al. Finding blunders in thyroid testing: experience in newborns. J Clin Lab Anal. 2008;22(4):254-6. doi:10.1002/jcla.20247.
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psnet.ahrq.gov/issue/objective-impact-clinical-peer-review-hospital-quality-and-safety
April 13, 2017 - November 9, 2011
An inpatient fall prevention initiative in a tertiary care hospital.
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psnet.ahrq.gov/issue/second-victim-review
June 26, 2019 - Review
The second victim: a review.
Citation Text:
Coughlan B, Powell D, Higgins MF. The Second Victim: a Review. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16. doi:10.1016/j.ejogrb.2017.04.002.
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psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-healthcare-safety-engaging-patients
March 22, 2024 - Book/Report
AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families.
Citation Text:
AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. Rockville, MD: Agency for Healthcare Rese…
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psnet.ahrq.gov/issue/development-and-psychometric-testing-tool-measure-missed-nursing-care
August 20, 2018 - February 14, 2018
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/tell-truth-ethical-and-practical-issues-disclosing-medical-mistakes-patients
April 19, 2011 - Commentary
Classic
To tell the truth: ethical and practical issues in disclosing medical mistakes to patients.
Citation Text:
Wu AW, Cavanaugh TA, McPhee SJ, et al. To tell the truth. J Gen Intern Med. 2003;12(12). doi:10.1046/j.1525-1497.1997.07163.x.
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psnet.ahrq.gov/issue/organisational-failure-rethinking-whistleblowing-tomorrows-doctors
May 18, 2022 - September 7, 2022
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/safety-performance-and-satisfaction-outcomes-operating-room-literature-review
April 03, 2019 - June 5, 2024
Evaluation of clinical practice guidelines on fall prevention and management