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3761. Diagnostic Overshadowing Dangers | PSNet
      psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
      February 12, 2020 - Paulozzi LJ, Strickler GK, Kreiner PW, Koris CM; Centers for Disease Control and Prevention (CDC). … June 19, 2019 Potentially inappropriate medications and their effect on falls during

3762. Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
      April 01, 2018 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs … This report describes and examines the role of the built environment in the acquisition and prevention … of a conceptual model that illustrates the linkages between design elements and the acquisition and prevention … that illustrates the linkages between health care facility design elements and the acquisition and prevention … Department of Health and Human Services, AHRQ, or the Centers for Disease Control and Prevention (CDC

3763. Watch the Warfarin! | PSNet
      psnet.ahrq.gov/web-mm/watch-warfarin
      December 01, 2013 - Case & Commentary—Part 1: A frail 80-year-old man with a past medical history of dementia, falls, and … Cost-effectiveness of dabigatran compared with warfarin for stroke prevention in atrial fibrillation.

3764. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
      January 01, 2025 - improved safety by contributing to increased compliance with hand-hygiene guidelines, reduced patient falls … Surgical fire prevention continues to require surgical team vigilance and perioperative communication … Device interconnectivity has helped to ensure proper patient monitoring during laparoscopy (e.g., prevention

3765. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
      January 01, 2024 - recommendations as outlined by the National Coordination Council for Medication Error Reporting and Prevention … Domestic Violence and Healthcare: Policies and Prevention Vol. 35 #2.

3766. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49531/psn-pdf
      March 01, 2007 - The nurse's failure to confirm the medication's identity prior to administration falls into the category

3767. Procedure Complications – Who is Responsible for Follow up? | PSNet
      psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
      July 31, 2023 - Diagnostic endoscopic ultrasonography: assessment of safety and prevention of complications. … Assessing the effectiveness of engaging patients and their families in the three-step fall prevention … process across modalities of an evidence-based fall prevention toolkit: an implementation science study

3768. Improving Patient Safety in Long-Term Care Facilities, Module 2 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
      June 01, 2012 - Module 1 focuses on detecting changes in a resident’s condition, and Module 3 covers falls prevention … Physical changes: › Walking. › Bowel and urination patterns. › Skin. › Level of weakness. › Falls

3769. Primary Care Providers in Pennsylvania Use Medication for Successful Treatment of Opioid Use Disorders | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/202105.html
      November 01, 2021 - LVHN committed to improve screening, prevention, and treatment, and to increase access to medication

3770. What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the rapid response system in a multi-campus Australian metropolitan healthcare service. | PSNet
      psnet.ahrq.gov/issue/what-stops-hospital-clinical-staff-following-protocols-analysis-incidence-and-factors-behind
      September 09, 2015 - January 3, 2017 Evaluation of clinical practice guidelines on fall prevention and management

3771. Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study. | PSNet
      psnet.ahrq.gov/issue/association-cataract-surgical-outcomes-late-surgeon-career-stages-population-based-cohort
      September 23, 2020 - Study Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study. Citation Text: Campbell RJ, El-Defrawy SR, Gill SS, et al. Association of Cataract Surgical Outcomes With Late Surgeon Career Stages: A Population-Based Cohort Study. JAMA Op…

3772. Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/understanding-differences-electronic-health-record-ehr-use-linking-individual-physicians
      November 17, 2015 - Study Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. Citation Text: Lanham HJ, Sittig DF, Leykum LK, et al. Understanding differences in electronic health record (EHR) u…

3773. Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings. | PSNet
      psnet.ahrq.gov/issue/safe-practice-recommendations-use-copy-forward-nursing-flow-sheets-hospital-settings
      May 18, 2022 - January 15, 2020 Evaluation of clinical practice guidelines on fall prevention and management

3774. Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. | PSNet
      psnet.ahrq.gov/issue/incidence-nosocomial-covid-19-patients-hospitalized-large-us-academic-medical-center
      October 14, 2020 - December 2, 2020 Evaluation of clinical practice guidelines on fall prevention and management

3775. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
      January 01, 2004 - or treatment failures, and they took on the same importance as the former categories dealing with falls … place at the time of the event, actions taken immediately following the event, severity ratings, prevention

3776. Prompting Removal of Unnecessary Indwelling Urinary Catheters
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
      April 01, 2022 - Grant’s risk of falling when getting up to urinate frequently Disclaimer: All case studies are hypothetical … Don’t have a doubt, get the catheter out: a nurse-driven CAUTI prevention protocol.

3777. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33872/psn-pdf
      January 01, 2018 - While this intervention did not reduce safety incidents like pressure ulcers or falls, it did identify

3778. Towards Effective and Efficient Health Information Technology Adoption in Home Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs022352-koru-final-report-2014.pdf
      January 01, 2014 - Most frequently mentioned challenges to improve the quality were fall risk management and fall prevention … Falling through the cracks: Challenges and opportunities for improving transitional care for persons … Using root cause analysis to reduce falls with injury in community settings.

3779. Archived: Final Evidence Review: Genital Herpes: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-review55/genital-herpes-screening-2005
      March 15, 2005 - Preventive Services Task Force (USPSTF) recommendations on clinical prevention topics. … Centers for Disease Control and Prevention. … Washington, DC: Office of Disease Prevention and Health Promotion; 1996. … The arrow continues from there, becoming one line again, and proceeds to the three-part KQ 3 which falls … The arrow continues right from "HSV positive" to the two-part KQ-5, which falls under "Interventions.

3780. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
      January 01, 2024 - PNEMOTHORAX 14 Motor Vehicle 14 Interpersonal Violence (Stab n=7, GSW n=7) 1 Assault 2 Falls … PNEMOTHORAX 16 Motor Vehicle 11 Interpersonal Violence (Stab n=5, GSW n=5) 1 Assault 2 Falls … Video analysis can also identify means for prevention of such nonoptimal practices.