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141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846760/psn-pdf
     March 29, 2023 - This systematic review including 25 articles identified several challenges related to electronic health … record (EHR)-based prediction models for adverse drug event diagnosis or prognosis, including adherence

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60271/psn-pdf
     April 29, 2020 - address a need for national guidance on pain management practices during the COVID-19 pandemic, a panel including … Any pain management plan must consider many facets including patients’ clinical circumstances and providers

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853068/psn-pdf
     August 30, 2023 - This population-based cohort study including 4.7 million Danish adults who interacted with primary or … researchers found that higher levels of care fragmentation were associated with adverse outcomes, including

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838023/psn-pdf
     September 07, 2022 - This prospective cohort, including infants discharged from one level 4 NICU between February 2017 and … July 2019, identified a high risk for post-discharge adverse events, (including procedural complications

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846709/psn-pdf
     March 29, 2023 - surgery-systematic The COVID-19 pandemic has increased adoption of telehealth across various medical specialties, including … This systematic review including 11 studies (3,336 patients) explored the impact of virtual follow-up

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849592/psn-pdf
     May 31, 2023 - Patients are particularly vulnerable to falling while in the hospital due to a number of factors, including … six most common reasons patients in hospitals fall: the patient fall history, high-risk conditions (including … Including the input of people who know the patient best allows for greater customization. … Outreach and education on the program should reach various hospital groups, including the Quality and … Access to Fall TIPS resources Fall TIPS training and retraining for nursing and non-nursing staff, including

147. Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
     January 01, 2024 - • The emergent nature of the patient’s cesarean delivery increased her risk for complications including … hemorrhage could have changed this outcome. 12 BACKGROUND 13 Background (1) • Worldwide, including … leading to earlier recognition of conditions that can contribute to maternal morbidity and mortality, including … and associated decompensation. – Abnormal findings should trigger more thorough bedside evaluation, including … it is important to acknowledge and address large racial disparities in maternal health outcomes, including

148. Simulation Training | PSNet
     psnet.ahrq.gov/primer/simulation-training
     September 15, 2024 - and poorly functioning clinical teams, which prompted many to consider other teaching methodologies including … teamwork skills in a variety of settings. 1,2 This is based in part on its success in other industries including … safety in the clinical environment, special care needs to be taken when conducting simulation here, including … Simulation is being widely integrated into teamwork training in a variety of environments, including … A WebM&M commentary discusses emerging approaches to simulation, including virtual reality and other

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60911/psn-pdf
     September 16, 2020 - These diagnostic errors were primarily related to clinician diagnostic reasoning, including failure … The majority of the diagnostic errors resulted in some form of clinical impact, including short-term

150. Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area | PSNet
     psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
     November 13, 2024 - AHRQ in 2008, was retired in March 2021; AHRQ now offers select content from the Innovations Exchange, including … The program has enhanced access to specialty perinatal care, including maternal-fetal medicine consultations … Evidence Rating Moderate: The evidence consists of before-and-after comparisons of key outcomes, including … Skills Needed Staffing:  Total staffing for the program is approximately 120 paid personnel, including … HIV telemedicine:  I mplemented in 2012 to improve patient HIV care, including care for newly diagnosed

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848083/psn-pdf
     April 26, 2023 - This systematic review including 67 studies identified several cost-effective interventions addressing … health care-associated infections, including screening high-risk individuals, universal decolonization

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850344/psn-pdf
     June 14, 2023 - postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including … postanaesthesia care unit: a qualitative study of the healthcare professionals’ experiences after 3 years, including

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61018/psn-pdf
     October 14, 2020 - use after active cancer treatment was associated with a 15-fold increase in risk of adverse events (including … overdose) and an increased risk in adverse events related to opioid use, including falls, fractures

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33583/psn-pdf
     March 01, 2023 - and poorly functioning clinical teams, which prompted many to consider other teaching methodologies including … teamwork skills in a variety of settings.1,2 This is based in part on its success in other industries including … safety in the clinical environment, special care needs to be taken when conducting simulation here, including … Simulation is being widely integrated into teamwork training in a variety of environments, including … A WebM&M commentary discusses emerging approaches to simulation, including virtual reality and other

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60315/psn-pdf
     May 13, 2020 - The authors recommend several approaches ensure patient safety, including COVID-19 prescreening/screening … They also propose measures focused on healthcare worker safety, including appropriate use of personal

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60242/psn-pdf
     March 01, 2021 - These successes have been across a variety of health system contexts, including: a VA medical center … in 2008, was retired in March 2021; AHRQ now offers select content from the Innovations Exchange, including … Different replications of the program have served different populations, including adults of all ages … Integrate with primary care: Although any organization, including a health plan, could adopt the GRACE … Under traditional reimbursement systems, providers, including both hospitals and physician practices

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38118/psn-pdf
     October 01, 2019 - They have been associated with adverse events in a variety of settings, including in hospitalized patients … root causes of anticoagulant-associated patient harm and recommends strategies for reducing errors, including

158. Long-term Care and Patient Safety | PSNet
     psnet.ahrq.gov/primer/long-term-care-and-patient-safety
     February 24, 2022 - These facilities provide services very similar to acute care hospitals, including the ability to care … Subsequent OIG reports have also found many patient safety problems and adverse events including well … pandemic, despite several safeguards and prevention programs put in place by the federal government including … AHRQ has also developed a number of resources to examine and address safety in long-term care, including … Subsequent studies have identified a multitude of longstanding and ongoing challenges including poor

159. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/866984
     January 01, 2020 - This review summarizes the evidence regarding teamwork, including strategies to measure team performance … This book explores teamwork, including barriers to effective teamwork and tactics to enhance professional … at Brigham and Women’s Hospital in Boston, the authors discuss development of a patient safety team, including … This review summarizes the evidence regarding teamwork, including strategies to measure team performance … This book explores teamwork, including barriers to effective teamwork and tactics to enhance professional

160. Weekly Resource | PSNet
     psnet.ahrq.gov/periodic-issue/weekly-resource
     March 25, 2025 - PSNet highlights the latest patient safety literature, news, and expert commentary, including … study identified several important factors for improving medication safety in nursing home settings, including … Survey respondents also endorsed the importance of formal support programs, including peer support, education … This article highlights the effect that unprofessional behavior, including more subtle forms such as … PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly