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psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
April 24, 2024 - Although differences have been reported on patient variables like hospital-acquired pressure ulcers,
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - such as surgery, obstetrics, hospital-associated infections, emergency departments, sepsis, falls, pressure … ulcers, venous thromboembolism, and care transitions.
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psnet.ahrq.gov/periodic-issue/periodic-issue-400
July 31, 2023 - July 19, 2023 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, …
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psnet.ahrq.gov/Webmm
May 01, 2021 - (13)
Venous Thrombosis and Thromboembolism
(8)
Patient Falls
(5)
Delirium
(4)
Pressure … Ulcers
(1)
Surgical Complications
(23)
Postoperative Surgical Complications
(20
-
psnet.ahrq.gov/webmm
May 01, 2021 - (13)
Venous Thrombosis and Thromboembolism
(8)
Patient Falls
(5)
Delirium
(4)
Pressure … Ulcers
(1)
Surgical Complications
(23)
Postoperative Surgical Complications
(20
-
psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - iatrogenic
infection (such as catheter-associated urinary tract infection or aspiration pneumonia), pressure … ulcers,
falls, and iatrogenic events.(9-11) On a larger scale, delirious patients require more staff
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psnet.ahrq.gov/classics
August 01, 2023 - Complications
(93)
Nosocomial Infections
(50)
Patient Falls
(8)
Pressure … Ulcers
(5)
Venous Thrombosis and Thromboembolism
(3)
Medication Safety
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - iatrogenic infection (such as catheter-associated urinary tract infection or aspiration pneumonia), pressure … ulcers, falls, and iatrogenic events.( 9-11 ) On a larger scale, delirious patients require more staff
-
psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - serious problem in the
hospital, putting patients at risk for many other problems, including delirium, pressure … ulcers, and functional
decline.
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psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure … ulcers: a systematic review and documentary analysis.
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - serious problem in the hospital, putting patients at risk for many other problems, including delirium, pressure … ulcers, and functional decline.
-
psnet.ahrq.gov/node/33831/psn-pdf
April 01, 2017 - problems, it
always seemed like we had to almost invent a new solution for every problem, whether it was pressure … ulcers, falls, or whatever.
-
psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - problems, it always seemed like we had to almost invent a new solution for every problem, whether it was pressure … ulcers, falls, or whatever.
-
psnet.ahrq.gov/node/73102/psn-pdf
July 01, 2022 - Care Managers Use Software-Aided Medication Review
Protocol for Frail, Community-Dwelling Seniors, Leading
to More Appropriate Medication Use
March 31, 2021
https://psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-
community-dwelling
Summary
Care management staff (such …
-
psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - Care Managers Use Software-Aided Medication Review Protocol for Frail, Community-Dwelling Seniors, Leading to More Appropriate Medication Use
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March 31…
-
psnet.ahrq.gov/perspective/conversation-withamy-helwig-about-health-plan-patient-safety-initiatives
July 10, 2024 - experience, and prevention of patient safety events and adverse events such as medication issues, falls, pressure … ulcers, and infections.
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - experience, and prevention of patient safety events and adverse events such as medication issues, falls, pressure … ulcers, and infections.
-
psnet.ahrq.gov/node/50755/psn-pdf
December 18, 2019 - treated as
an ancillary concern that is not prioritized in acute care until overt symptoms, such a pressure … ulcers,
significant weight loss or failure to thrive occur.
-
psnet.ahrq.gov/web-mm/need-eat
February 10, 2021 - treated as an ancillary concern that is not prioritized in acute care until overt symptoms, such a pressure … ulcers, significant weight loss or failure to thrive occur.
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psnet.ahrq.gov/sites/default/files/2023-11/spotlight_case_the_risk_of_malpositioned.pdf
January 01, 2023 - Microsoft PowerPoint - Spotlight Case_The Risks of a Malpositioned Gastrostomy Tube_FINAL.pptx
Spotlight
The Risks of a Malpositioned Gastrostomy Tube and
Poor Communication
Source and Credits
• This presentation is based on the November 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahr…