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301. Update: Patient Engagement in Safety | PSNet
     psnet.ahrq.gov/perspective/update-patient-engagement-safety
     January 01, 2017 - While this intervention did not reduce safety incidents like pressure ulcers or falls , it did identify … March 13, 2024 Patient and caregiver perspectives on causes and prevention of ambulatory

302. Another look at medical error. | PSNet
     psnet.ahrq.gov/issue/another-look-medical-error
     November 16, 2022 - March 10, 2010 Effect of computer order entry on prevention of serious medication errors … March 9, 2011 Centers for Disease Control and Prevention Guideline for the Prevention … November 28, 2007 Consensus bundle on prevention of surgical site infections after major … pressure ulcers in US academic medical centers? … July 5, 2023 Systems approach to suicide prevention: strengthening culture, practice,

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33753/psn-pdf
     August 22, 2013 - of culture comes from the Rhode Island intensive care unit (ICU) collaborative that worked on the prevention … because they are able to do the basics every time, like turning patients every 60 minutes to avoid pressure … ulcers, using a central line checklist, or washing their hands frequently.

304. Hospital-Acquired Diabetic Ketoacidosis. | PSNet
     psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
     October 28, 2020 - 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.

305. Cultural transformation toward patient safety: one conversation at a time. | PSNet
     psnet.ahrq.gov/issue/cultural-transformation-toward-patient-safety-one-conversation-time
     November 16, 2022 - Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma … July 29, 2020 A multicomponent fall prevention strategy reduces falls at an academic … November 1, 2023 Fall prevention with the Smart Socks System reduces hospital fall rates … November 12, 2014 Wound-care teams for preventing and treating pressure ulcers. … July 7, 2010 View More Related Resources Guidelines in Practice: prevention

306. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet
     psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
     October 28, 2020 - individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls and pressure … ulcers. … mitigate safety risks associated with usual care needs for this patient population, such as falls and pressure … ulcers. … Centers for Disease Control and Prevention. https://www.cdc.gov/covid/risk-factors/?

307. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet
     psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
     November 01, 2008 - Accordingly, a technological solution might seem to be the desired approach to prevention. … Prevention of nosocomial catheter-associated urinary tract infections through computerized feedback to … Guideline for the prevention of catheter-associated urinary tract infections. … 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

308. Continuing Education | PSNet
     psnet.ahrq.gov/continuing-education
     February 26, 2025 - Delirium (4) Nosocomial Infections (3) Patient Falls (5) Pressure … Ulcers (1) Venous Thrombosis and Thromboembolism (3) Medication Safety

309. Promoting patient safety: one company's example. | PSNet
     psnet.ahrq.gov/issue/promoting-patient-safety-one-companys-example
     April 05, 2017 - Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention … May 28, 2008 A comprehensive program to reduce rates of hospital-acquired pressure ulcers … June 6, 2018 Universal protection: operationalizing infection prevention guidance in … October 2, 2013 Health economic evaluation of an infection prevention and control program … March 13, 2013 Inpatient fall prevention programs as a patient safety strategy: a systematic

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33645/psn-pdf
     February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? February 1, 2007 Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common Perspectiv…

311. An individual-based framework for the study of medical error. | PSNet
     psnet.ahrq.gov/issue/individual-based-framework-study-medical-error
     November 11, 2020 - April 25, 2012 Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers?

312. A piece of my mind. Mistakes. | PSNet
     psnet.ahrq.gov/issue/piece-my-mind-mistakes
     March 19, 2008 - July 22, 2009 A comprehensive program to reduce rates of hospital-acquired pressure ulcers … teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841567/psn-pdf
     December 14, 2022 - facilitated real-time assessment of the quality of care being provided to patients.6 This shift enables prevention … increased with a 40% rise in healthcare-acquired infections and an increase in inpatient falls and pressure … ulcers.14 Healthcare leaders recognize the need to do better.

314. Assessing safety culture: guidelines and recommendations. | PSNet
     psnet.ahrq.gov/issue/assessing-safety-culture-guidelines-and-recommendations
     August 04, 2021 - June 30, 2010 Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers? … February 11, 2009 Achieving the National Quality Forum's "Never Events": prevention of

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49522/psn-pdf
     November 01, 2006 - Intramuscular injection site injuries masquerading as pressure ulcers. Wounds. 2003;15:302-312. … Smoking cessation advice/counseling Appropriate Initial Antibiotic Selection Surgical Infection Prevention

316. Advancing Patient Safety Through State Reporting Systems | PSNet
     psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
     June 01, 2007 - kernicterus) associated with failure to identify and treat hyperbilirubinemia in neonates Stage 3 or 4 pressure … ulcers acquired after admission to a health care facility Patient death or serious disability due … February 25, 2015 Exploring the causes of adverse events in hospitals and potential prevention

317. WebM&M: Case Studies | PSNet
     psnet.ahrq.gov/webmm-case-studies
     March 25, 2025 - Delirium (6) Nosocomial Infections (16) Patient Falls (8) Pressure … Ulcers (1) Venous Thrombosis and Thromboembolism (10) Medication Safety … injuries among high-risk populations (such as older adults), appropriate use of fall assessment and prevention

318. In Conversation with...Joseph Britto, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
     February 01, 2007 - In Conversation with...Joseph Britto, MD February 1, 2007  Also Read an Essay Citation Text: In Conversation with..Joseph Britto, MD. PSNet [internet]. 2007.In Conversation with...Joseph Britto, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research …

319. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-403
     August 30, 2023 - Study Assessment of a wearable fall prevention system at a Veterans Health Administration … Healthcare Failure Modes and Effect Analysis to identify the causes of failures in telehealth and potential prevention

320. Could computerization harm patient safety? | PSNet
     psnet.ahrq.gov/issue/could-computerization-harm-patient-safety
     June 23, 2010 - May 25, 2016 Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers?