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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865296/psn-pdf
    March 27, 2024 - facilitating clinician communication, as well as preventing hospital-associated infections, falls, pressureulcers, and inpatient suicide.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866217/psn-pdf
    July 10, 2024 - We are interested in whole healthcare, quality of life, patient experience, and prevention of patient … safety events and adverse events such as medication issues, falls, pressure ulcers, and infections. … As we all experience healthcare, we consider how we can minimize unplanned care and maximize prevention … Healthcare Effectiveness Data and Information Set (HEDIS) measures that we use, including chronic care prevention
  3. psnet.ahrq.gov/primer/patient-safety-indicators
    June 15, 2024 - It involves the prevention and mitigation of harm caused by errors of omission or commission in healthcare … deaths due to health care-associated venous thromboembolism, sepsis, or patient falls; in-hospital pressureulcers; and ventilator-associated pneumonia incidents. … person-centered care, equity, safety, affordability and efficiency, chronic conditions, wellness and prevention
  4. psnet.ahrq.gov/issue/communication-skills-training-address-disruptive-physician-behavior
    September 16, 2009 - May 16, 2012 Using risk stratification to reduce medical errors in cervical cancer prevention … December 7, 2016 Organisational strategies to implement hospital pressure ulcer prevention … February 1, 2023 Guidelines in Practice: prevention of unintentionally retained
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846171/psn-pdf
    July 26, 2022 - .16,17 Due to the high incidence of delirium among hospitalized patients, strategies for surveillance, prevention … , and management should be implemented for older adults.16,17 Delirium prevention and care bundles, … delirium or worsening agitation.19 Currently, there are no recommended pharmacologic treatments for prevention
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847934/psn-pdf
    April 26, 2023 - It involves the prevention and mitigation of harm caused by errors of omission or commission in healthcare … deaths due to health care-associated venous thromboembolism, sepsis, or patient falls; in-hospital pressureulcers; and ventilator-associated pneumonia incidents. … person-centered care, equity, safety, affordability and efficiency, chronic conditions, wellness and prevention … how-often-are-potential-patient-safety-events-present-admission https://psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
  7. psnet.ahrq.gov/periodic-issue/periodic-issue-413
    October 31, 2023 - summarizes recommended actions to assist health care teams in mitigating harmful healthcare-acquired pressureulcers including recognition of conditional risks and educational strategies.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49737/psn-pdf
    June 01, 2015 - because like restraints, catheters can cause functional impairment leading to emboli, discomfort, and pressureulcers. … In a survey distributed to US hospitals about prevention of hospital–acquired urinary tract infections … Guideline for prevention of catheter–associated urinary tract infections 2009. … ANA CAUTI Prevention Tool. [Available at] 10.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73642/psn-pdf
    August 25, 2021 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected August 25, 2021 Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect- unexpected …
  10. psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
    November 01, 2008 - We asked him to speak with us about how research on UTI prevention provides broader lessons for patient … On the one hand, we're trying to get patients up out of bed to prevent deconditioning, decubitus ulcers … , and pressure sores, but the urinary catheter is tethering them to the bed, preventing them from getting … Accordingly, a technological solution might seem to be the desired approach to prevention. … Guideline for the prevention of catheter-associated urinary tract infections.
  11. psnet.ahrq.gov/primers-0
    March 15, 2025 - Complications (10) Nosocomial Infections (6) Patient Falls (3) PressureUlcers (1) Medication Safety (12) Medication Errors/Preventable Adverse … Retained Surgical Items: Causation and Prevention Verna Gibbs, MD and Patrick Romano, MD, MPH | … RSI prevention efforts should focus on improving surgical item management and enhancing effective communication
  12. psnet.ahrq.gov/issue/reflecting-change
    December 02, 2009 - May 16, 2012 Using risk stratification to reduce medical errors in cervical cancer prevention … December 7, 2016 Organisational strategies to implement hospital pressure ulcer prevention
  13. psnet.ahrq.gov/periodic-issue/periodic-issue-352
    July 08, 2022 - adverse drug events, hospital-acquired infections, postoperative adverse events, hospital-acquired pressureulcers, falls) over time among patients hospitalized for four common conditions – acute myocardial infarction … adverse drug events, hospital-acquired infections, postoperative adverse events, hospital-acquired pressureulcers, falls) over time among patients hospitalized for four common conditions – acute myocardial infarction
  14. 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
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842919/psn-pdf
    February 01, 2023 - The Centers for Disease Control and Prevention (CDC) estimates that 37.3 million Americans have diabetes … Risk factors and prevention strategies for diabetic ketoacidosis in people with established type 1 diabetes … Centers for Disease Control and Prevention. Accessed December 5, 2022. [Available at] 6.
  16. psnet.ahrq.gov/issue/process-analysis-sentinel-events-due-health-care-associated-infection
    January 22, 2014 - August 15, 2018 A comprehensive program to reduce rates of hospital-acquired pressureulcers in a system of community hospitals. … March 29, 2017 Effect of promoting high-quality staff interactions on fall prevention … June 7, 2017 Root cause analysis and actions for the prevention of medical errors: quality
  17. psnet.ahrq.gov/primer/national-patient-safety-goals
    January 16, 2025 - facilitating clinician communication, as well as preventing hospital-associated infections, falls, pressureulcers, and inpatient suicide.
  18. psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
    January 31, 2024 - because like restraints, catheters can cause functional impairment leading to emboli, discomfort, and pressureulcers. … In a survey distributed to US hospitals about prevention of hospital–acquired urinary tract infections … Guideline for prevention of catheter–associated urinary tract infections 2009. … ANA CAUTI Prevention Tool. [Available at] 10.
  19. psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
    October 28, 2020 - individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressureulcers. … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressureulcers. … Centers for Disease Control and Prevention. https://www.cdc.gov/covid/risk-factors/?
  20. psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
    September 25, 2024 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected Citation Text: Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…

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