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psnet.ahrq.gov/node/50736/psn-pdf
December 11, 2019 - Prevalence and nature of medication errors and
preventable adverse drug events in paediatric and
neonatal intensive care settings: a systematic review.
December 11, 2019
Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Medication Errors and Preventable
Adverse Drug Events in Paediatric and Neon…
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psnet.ahrq.gov/node/836830/psn-pdf
March 30, 2022 - Routine multidisciplinary review of severe maternal
morbidity is associated with a reduction in preventable
cases of severe maternal morbidity.
March 30, 2022
Ozimek JA, Greene N, Geller AI, et al. Routine multidisciplinary review of severe maternal morbidity is
associated with a reduction in preventable cases of …
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psnet.ahrq.gov/node/72592/psn-pdf
December 23, 2020 - Home health staff perspectives on infection prevention
and control: implications for Coronavirus Disease 2019.
December 23, 2020
Pogorzelska-Maziarz M, Chastain AM, Mangal S, et al. Home health staff perspectives on infection
prevention and control: implications for Coronavirus Disease 2019. J Am Med Dir Assoc.
20…
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psnet.ahrq.gov/node/47893/psn-pdf
April 08, 2019 - Challenges with implementing the Centers for Disease
Control and Prevention opioid guideline: a consensus
panel report.
April 8, 2019
Kroenke K, Alford DP, Argoff C, et al. Challenges with Implementing the Centers for Disease Control and
Prevention Opioid Guideline: A Consensus Panel Report. Pain Med. 2019;20(4):7…
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psnet.ahrq.gov/node/47834/psn-pdf
February 27, 2019 - Prevalence, underlying causes, and preventability of
sepsis-associated mortality in US acute care hospitals.
February 27, 2019
Rhee C, Jones TM, Hamad Y, et al. Prevalence, Underlying Causes, and Preventability of Sepsis-
Associated Mortality in US Acute Care Hospitals. JAMA Netw Open. 2019;2(2):e187571.
doi:10.10…
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psnet.ahrq.gov/node/74854/psn-pdf
February 23, 2022 - Nursing guidelines for comprehensive harm prevention
strategies for adult patients in acute hospitals: an
integrative review and synthesis.
February 23, 2022
Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for
adult patients in acute hospitals: An integrative rev…
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psnet.ahrq.gov/node/45147/psn-pdf
May 25, 2016 - Are evidence-based practices associated with effective
prevention of hospital-acquired pressure ulcers in US
academic medical centers?
May 25, 2016
Padula W, Gibbons RD, Valuck RJ, et al. Are Evidence-based Practices Associated With Effective
Prevention of Hospital-acquired Pressure Ulcers in US Academic Medical C…
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psnet.ahrq.gov/node/46009/psn-pdf
September 13, 2017 - Use of standard risk screening and assessment forms to
prevent harm to older people in Australian hospitals: a
mixed methods study.
September 13, 2017
Redley B, Raggatt M. Use of standard risk screening and assessment forms to prevent harm to older
people in Australian hospitals: a mixed methods study. BMJ Qual Sa…
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psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting
September 25, 2008 - Study
Classic
Managing the prevention of retained surgical instruments: what is the value of counting?
Citation Text:
Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. …
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psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-older-acutely-admitted-patients-longitudinal
June 08, 2022 - Study
The incidence and preventability of adverse events in older acutely admitted patients: a longitudinal study with 4292 patient records.
Citation Text:
Schouten B, Merten H, Spreeuwenberg PMM, et al. The incidence and preventability of adverse events in older acutely admitted patient…
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www.ahrq.gov/nursing-home/resources/interim-recommendations.html
April 01, 2022 - Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic
Resource: Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic
This guidance for infe…
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psnet.ahrq.gov/node/37406/psn-pdf
March 28, 2012 - Learning from preventable adverse events in health care
organizations: development of a multilevel model of
learning and propositions.
March 28, 2012
Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care
organizations: development of a multilevel model of learning and propositi…
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psnet.ahrq.gov/node/37249/psn-pdf
December 15, 2011 - Systematic review of the incidence and characteristics of
preventable adverse drug events in ambulatory care.
December 15, 2011
Thomsen LA, Winterstein AG, S?ndergaard B, et al. Systematic Review of the Incidence and
Characteristics of Preventable Adverse Drug Events in Ambulatory Care. Annals of Pharmacotherapy.
…
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psnet.ahrq.gov/node/40407/psn-pdf
October 04, 2011 - Insights into the climate of safety towards the prevention
of falls among hospital staff.
October 4, 2011
Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls
among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.1111/j.1365-2702.2010.03535.x.
https:…
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psnet.ahrq.gov/node/43304/psn-pdf
July 02, 2014 - Finding and Preventing Patient Safety Incidents.
July 2, 2014
Golden, CO: HealthGrades, Inc.; June 9, 2014.
https://psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
Analyzing Medicare data from 2010 through 2012, this report discusses hospital efforts to prevent patient
harm and estimates that …
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psnet.ahrq.gov/node/34607/psn-pdf
June 12, 2018 - A clinician's guide to surgical fires: how they occur, how
to prevent them, how to put them out.
June 12, 2018
A clinician's guide to surgical fires. How they occur, how to prevent them, how to put them out. Health
Devices. 2003;32(1):5-24.
https://psnet.ahrq.gov/issue/clinicians-guide-surgical-fires-how-they-occu…
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psnet.ahrq.gov/node/40174/psn-pdf
December 21, 2014 - Physician implicit review to identify preventable errors
during in-hospital cardiac arrest.
December 21, 2014
Jain R, Kuhn L, Repaskey W, et al. Physician implicit review to identify preventable errors during in-hospital
cardiac arrest. Arch Intern Med. 2011;171(1):89-90. doi:10.1001/archinternmed.2010.475.
https:…
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psnet.ahrq.gov/node/34789/psn-pdf
December 23, 2008 - Medication error prevention by pharmacists.
December 23, 2008
Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm.
1988;45(9):1902-3.
https://psnet.ahrq.gov/issue/medication-error-prevention-pharmacists
This study investigated the impact of hospital pharmacists in preve…
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psnet.ahrq.gov/node/40142/psn-pdf
April 04, 2011 - Prevention of 3 "never events" in the operating room:
fires, gossypiboma, and wrong-site surgery.
April 4, 2011
Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires,
gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-60. doi:10.1177/1553350610389196.
htt…
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psnet.ahrq.gov/node/867698/psn-pdf
October 01, 2024 - Toolkit for MRSA Prevention in ICU & Non-ICU Settings.
October 1, 2024
Agency for Healthcare Research and Quality. Toolkit for MRSA Prevention in ICU & Non-ICU Settings.
October 2024.
https://psnet.ahrq.gov/issue/toolkit-mrsa-prevention-icu-non-icu-settings
Methicillin-resistant Staphylococcus aureus (MRSA) infect…