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psnet.ahrq.gov/node/41826/psn-pdf
June 03, 2013 - Effects of an enhanced discharge planning intervention
for hospitalized older adults: a randomized trial.
June 3, 2013
Altfeld SJ, Shier GE, Rooney M, et al. Effects of an enhanced discharge planning intervention for
hospitalized older adults: a randomized trial. Gerontologist. 2013;53(3):430-40. doi:10.1093/geront…
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psnet.ahrq.gov/node/42602/psn-pdf
October 16, 2013 - Solicitation for written comments on draft National Action
Plan for Adverse Drug Event Prevention.
October 16, 2013
Federal Register. Washington, DC: Office of Disease Prevention and Health Promotion. September 4,
2013;78:54469-54470.
https://psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action…
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - Some of that should be planned, but some of that can be eliminated. … ended up with 35 amazingly exciting quality improvement projects that each one of these faculty had planned
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psnet.ahrq.gov/node/41544/psn-pdf
July 25, 2012 - A performance improvement plan to increase nurse
adherence to use of medication safety software.
July 25, 2012
Gavriloff C. A Performance Improvement Plan to Increase Nurse Adherence to Use of Medication Safety
Software. J Pediatr Nurs. 2011;27(4). doi:10.1016/j.pedn.2011.06.004.
https://psnet.ahrq.gov/issue/perfo…
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psnet.ahrq.gov/node/37732/psn-pdf
May 30, 2008 - Oncology care setting design and planning part I:
concepts for the oncology nurse that improve patient
safety.
May 30, 2008
Sheridan-Leos N. Oncology care setting design and planning part I: Concepts for the oncology nurse that
improve patient safety. Clin J Oncol Nurs. 2008;12(2):361-3. doi:10.1188/08.CJON.361-36…
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psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
January 27, 2016 - Book/Report
Classic
Respectful Management of Serious Clinical Adverse Events. Second Edition.
Citation Text:
Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…
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psnet.ahrq.gov/node/44106/psn-pdf
September 12, 2016 - Planning an MR suite: what can be done to enhance
safety?
September 12, 2016
Gilk TB, Kanal E. Planning an MR suite: What can be done to enhance safety? J Magn Reson Imaging.
2015;42(3):566-71. doi:10.1002/jmri.24794.
https://psnet.ahrq.gov/issue/planning-mr-suite-what-can-be-done-enhance-safety
Although rare, ad…
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psnet.ahrq.gov/node/40022/psn-pdf
June 09, 2011 - Patient safety begins with proper planning: a quantitative
method to improve hospital design.
June 9, 2011
Birnbach DJ, Nevo I, Scheinman SR, et al. Patient safety begins with proper planning: a quantitative
method to improve hospital design. Qual Saf Health Care. 2010;19(5):462-5.
doi:10.1136/qshc.2008.031013.
h…
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psnet.ahrq.gov/node/43585/psn-pdf
July 16, 2015 - At risk care plans: a way to reduce readmissions and
adverse events.
July 16, 2015
Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse
events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106.
https://psnet.ahrq.gov/issue/risk-care-plans-way-reduc…
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psnet.ahrq.gov/sites/default/files/2021-11/spotlight_integration_and_coordination_of_disesase_treatment_and_palliative_care_final.pdf
January 01, 2021 - .
– Pilot studies for adults in the Medicare Advantage plan (and children)
are currently planned or
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - that left ventricular systolic function was assessed before arrival, during hospitalization, or is planned
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psnet.ahrq.gov/node/33622/psn-pdf
November 01, 2005 - RW: I know you've said that the campaign became something very different than what you had planned, as
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - Retrieving medications is something nurses do many times during a shift, and, most of the time,
it goes as planned
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psnet.ahrq.gov/node/33663/psn-pdf
September 15, 2008 - structure creates forums where clinical issues are discussed, actions approved, and implementation
planned
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - Nocturnal continuous positive airway pressure (CPAP) therapy
should be instituted 4-6 weeks before planned
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psnet.ahrq.gov/node/33842/psn-pdf
January 01, 2018 - well-designed and working correctly,
but was not configured, implemented, or used in a
way anticipated or planned
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - stratified prior to surgery, she received prophylaxis
for venous thromboembolism, and she underwent the planned
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psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - its reimbursements to hospitals for patients readmitted within 30 days of discharge, as is presently planned
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psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety
August 30, 2023
Van CM, Mossburg S, McGaffigan P. Beyond the Pandemic: Creating Total Systems Safety. PSNet
[internet]. 2023.
https://psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
The COVID-19 pandemic necessitated a shift in operations …
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psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - Falling Through the Crack (in the Bedrails)
May 1, 2016
Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
Case Objectives
Review the epidemiology of patient falls and associated injuries in the hospital set…