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psnet.ahrq.gov/issue/what-preventable-harm-healthcare-systematic-review-definitions
September 23, 2020 - Review
What is preventable harm in healthcare? A systematic review of definitions.
Citation Text:
Nabhan M, Elraiyah T, Brown DR, et al. What is preventable harm in healthcare? A systematic review of definitions. BMC Health Serv Res. 2012;12:128. doi:10.1186/1472-6963-12-128.
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psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
June 22, 2010 - Commentary
Partnering to prevent falls: using a multimodal multidisciplinary team.
Citation Text:
Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a.
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hcup-us.ahrq.gov/reports/statbriefs/sb259-Potentially-Preventable-Hospitalizations-2017.jsp
June 01, 2020 - STATISTICAL BRIEF #259
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psnet.ahrq.gov/issue/clinical-features-and-preventability-delayed-diagnosis-pediatric-appendicitis
September 13, 2023 - Study
Clinical features and preventability of delayed diagnosis of pediatric appendicitis.
Citation Text:
Michelson KA, Reeves SD, Grubenhoff JA, et al. Clinical features and preventability of delayed diagnosis of pediatric appendicitis. JAMA Netw Open. 2021;4(8):e2122248. doi:10.1001/ja…
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psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
February 01, 2023 - Study
Classic
Fall prevention in acute care hospitals: a randomized trial.
Citation Text:
Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304(17):1912-1918. doi:10.1001/jama.2010.1567.
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psnet.ahrq.gov/issue/frailty-gaps-care-coordination-and-preventable-adverse-events
January 18, 2023 - Study
Frailty, gaps in care coordination, and preventable adverse events.
Citation Text:
Akinyelure OP, Colvin CL, Sterling MR, et al. Frailty, gaps in care coordination, and preventable adverse events. BMC Geriatr. 2022;22(1):476. doi:10.1186/s12877-022-03164-7.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/weight-gain-prevention_disposition-comments.pdf
March 25, 2013 - Disposition of Comments for Strategies To Prevent Weight Gain Among Adults
Source: http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-
reports/?productid=1441&pageaction=displayproduct
Published Online: March 25, 2013
Comparative Effectiveness Research Review Disposition of Comment…
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psnet.ahrq.gov/issue/infection-prevention-operating-room-anesthesia-work-area
March 02, 2014 - Commentary
Infection prevention in the operating room anesthesia work area.
Citation Text:
Munoz-Price S, Bowdle A, Johnston L, et al. Infection prevention in the operating room anesthesia work area. Infect Control Hosp Epidemiol. 2018:1-17. doi:10.1017/ice.2018.303.
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psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-preventable-harm
August 09, 2018 - Commentary
Emotional harm from disrespect: the neglected preventable harm.
Citation Text:
Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034.
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psnet.ahrq.gov/issue/prevention-failure-rescue-obstetric-patients-realist-review
April 20, 2022 - Review
Prevention of failure to rescue in obstetric patients: a realist review.
Citation Text:
Bernstein SL, Kelechi TJ, Catchpole K, et al. Prevention of failure to rescue in obstetric patients: a realist review. Worldviews Evid Based Nurs. 2021;18(6):352-360. doi:10.1111/wvn.12531.
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effectivehealthcare.ahrq.gov/products/obesity-research-methods/research-protocol
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-hospitalized-patients
May 27, 2011 - Study
Classic
Incidence and preventability of adverse drug events in hospitalized patients.
Citation Text:
Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8(6):289-294.
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psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
March 30, 2022 - Study
Emerging Classic
A systems approach to analyzing and preventing hospital adverse events.
Citation Text:
Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:1…
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psnet.ahrq.gov/issue/toolkit-mrsa-prevention-icu-non-icu-settings
November 08, 2023 - Toolkit
Toolkit for MRSA Prevention in ICU & Non-ICU Settings.
Citation Text:
Agency for Healthcare Research and Quality. Toolkit for MRSA Prevention in ICU & Non-ICU Settings. October 2024.
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psnet.ahrq.gov/issue/targeted-versus-universal-decolonization-prevent-icu-infection
November 16, 2022 - Study
Classic
Targeted versus universal decolonization to prevent ICU infection.
Citation Text:
Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa12…
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psnet.ahrq.gov/issue/environmental-cleaning-prevention-healthcare-associated-infections-hais
October 02, 2013 - Government Resource
Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs).
Citation Text:
Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). Leas BF, Sullivan N, Han JH, Pegues DA, Kaczmarek JL, Umscheid CA. Rockville, MD:…
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psnet.ahrq.gov/issue/ambulatory-computerized-prescribing-and-preventable-adverse-drug-events
June 11, 2014 - Study
Ambulatory computerized prescribing and preventable adverse drug events.
Citation Text:
Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/heart-failure-transition-care_policymaker.pdf
August 01, 2016 - Transitional Care Interventions To Prevent Readmissions for People With Heart Failure
B A C K G R O U N D
Heart failure (HF) is a major clinical and public
health problem and a leading cause of hospitalization
and health care costs in the United States. Despite a
decline in HF-related hospitalizations during the …
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psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertiary-care-hospital
October 19, 2022 - Study
An inpatient fall prevention initiative in a tertiary care hospital.
Citation Text:
Weinberg J, Proske D, Szerszen A, et al. An inpatient fall prevention initiative in a tertiary care hospital. Jt Comm J Qual Patient Saf. 2011;37(7):317-325.
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psnet.ahrq.gov/issue/frequency-and-preventability-adverse-drug-events-outpatient-setting
May 15, 2024 - Study
Frequency and preventability of adverse drug events in the outpatient setting.
Citation Text:
Wasserman RL, Edrees HH, Amato MG, et al. Frequency and preventability of adverse drug events in the outpatient setting. BMJ Qual Saf. 2024;Epub Jul 9. doi:10.1136/bmjqs-2024-017098.
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