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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - February 25, 2015
Exploring the causes of adverse events in hospitals and potential prevention
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - SPOTLIGHT CASE
Weighing In on Surgical Safety
Citation Text:
Brodsky JB, Margarson M. Weighing In on Surgical Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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Google Scholar …
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psnet.ahrq.gov/node/33680/psn-pdf
March 22, 2009 - Francisco,
Director of the UCSF Center for Vulnerable Populations, and Chief of the California Diabetes Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursingnotes.docx
June 02, 2025 - managers understand the professional and regulatory guidelines (e.g., Centers for Disease Control and Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Patient
Information Form, and Summary of Initial Report Form)
and then applying Common Formats for falls
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psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - infection (such as catheter-associated urinary tract infection or aspiration pneumonia), pressure ulcers,
falls
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psnet.ahrq.gov/node/33837/psn-pdf
July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD
July 1, 2017
In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
Editor's note: Michelle Mello is Professor of Law at Stanford Law School and Professor of Healt…
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - Levels of Sedation The ASA has identified four levels of sedation (Table 2). 8 Typical sedation for MRI falls
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cds.ahrq.gov/sites/default/files/cds/artifact/21/2024_CDS_Connect_IG_Statin_Therapy_CVD_eCQM.pdf
January 01, 2024 - Implementation Guide: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (CVD) … Electronic Clinical Quality Measure (eCQM)-derived CDS
Implementation Guide
Statin Therapy for the Prevention … Statin Therapy for the Prevention
and Treatment of Cardiovascular Disease Electronic Clinical Quality … ; in comparison, the clinician- and patient-facing CDS
artifacts for statin use cover only primary prevention … any organization to identify patients who may benefit from statin
therapy for primary or secondary prevention
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - Centers for Disease Control and Prevention. Updated January
4, 2021. … Centers for Disease
Control and Prevention. Published January 11, 2021. … Emergency call to action: for measles and polio outbreak prevention and response. … Centers for Disease Control and
Prevention. Published July 16, 2020. Accessed March 22, 2021. … Centers for Disease Control and Prevention. Updated December 16, 2020.
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/preeclampsia-screening-april-2017
April 25, 2017 - test sensitivities ranged from 65% (95% CI not calculable) 49 to 96% (95% CI, 88%-99%), 45 with most falling … Prevention of preeclampsia and intrauterine growth restriction with aspirin started in early pregnancy … Antiplatelet agents for prevention of pre-eclampsia: a meta-analysis of individual patient data. … Low-dose aspirin use for the prevention of morbidity and mortality from preeclampsia: U.S. … Psychological impact of first-trimester prevention for preeclampsia on anxiety.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017163-baker-final-report-2011.pdf
January 01, 2011 - healthcare system that strives to deliver near 100% high
quality care for chronic disease care and prevention … /dL Medical reason, patient reason ,
prescribed high potency statin§
6
Aspirin for primary prevention … in past year or ACE
inhibitor or ARB on active medication list
Medical reason, patient reason
Prevention … a combination of
more patients satisfying the measures (e.g., aspirin being prescribed for primary prevention … ) 3.1 NS (0.09)
LDL-C control 50.9 51.6 56.3 0.8 0.04 4.8 <0.001 4.1 <0.001
Aspirin for primary prevention
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psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - May 31, 2023
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-cindy-brach
December 27, 2019 - to a lack of timely language assistance include performing an x-ray on the wrong part of the body, falls … Interview
In Conversation with Edwin Boudreaux about Suicide Prevention
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www.ahrq.gov/downloads/pub/advances/vol2/Hunt.pdf
July 01, 2004 - Especially important are the opinions of CMS's federal agency TEP partners,
Centers for Disease Control and Prevention … pneumonia**
Adverse drug events **
Pressure ulcers*
Postoperative cardiac
events*
Hospital falls
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - Especially important are the opinions of CMS's federal agency TEP partners,
Centers for Disease Control and Prevention … pneumonia**
Adverse drug events **
Pressure ulcers*
Postoperative cardiac
events*
Hospital falls
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psnet.ahrq.gov/web-mm/nstemi-curbside-consultation
August 04, 2021 - case exemplifies many of the following known major disparities in CVD between men and women:
Under-prevention … Blumenthal RS, Albert MA, Buroker AB, Goldberger ZD, Hahn EJ, et al. 2019 ACC/AHA Guideline on the Primary Prevention … Summary of Updated Recommendations for Primary Prevention of Cardiovascular Disease in Women. … Effectiveness-based guidelines for the prevention of cardiovascular disease in women--2011 update: a
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
January 01, 2001 - many problems can
become evident: pressure ulcers, difficulty in propulsion, discomfort, dysphagia,
falls … (e.g., staff time saved if residents could self-propel, elimination of
repositioning needs, injury prevention
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psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - Are We Pushing Graduate Nurses Too Fast?
Citation Text:
Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
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Format:
Google Scholar BibTeX EndNote X3…
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - Norepinephrine Dosing Error Associated with Multiple
Health System Vulnerabilities
May 26, 2021
Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health
System Vulnerabilities. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-mult…