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psnet.ahrq.gov/node/50832/psn-pdf
January 01, 2021 - Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A
quantitative descriptive study.
January 29, 2020
Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be
repurposed to predict avoidable patient harm? A quant…
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psnet.ahrq.gov/node/856589/psn-pdf
January 01, 2024 - Prevented harm and cost avoidance with pharmacist
intervention while utilizing a discharge medication
reconciliation tool.
November 29, 2023
Hoffman AM, Walls JL, Prusch A, et al. Prevented harm and cost avoidance with pharmacist intervention
while utilizing a discharge medication reconciliation tool. Am J Health …
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psnet.ahrq.gov/node/837589/psn-pdf
June 29, 2022 - Monitoring preventable adverse events and near misses:
number and type identified differ depending on method
used.
June 29, 2022
Isaksson S, Schwarz A, Rusner M, et al. Monitoring preventable adverse events and near misses: number
and type identified differ depending on method used. J Patient Saf. 2022;18(4):325-3…
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psnet.ahrq.gov/node/44331/psn-pdf
September 09, 2015 - Temporal trends in patient safety in the Netherlands:
reductions in preventable adverse events or the end of
adverse events as a useful metric?
September 9, 2015
Shojania KG, van de Mheen PJM-. Temporal trends in patient safety in the Netherlands: reductions in
preventable adverse events or the end of adverse even…
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psnet.ahrq.gov/node/41886/psn-pdf
April 17, 2013 - Inpatient fall prevention: use of in-room Webcams.
April 17, 2013
Hardin SR, Dienemann J, Rudisill P, et al. Inpatient fall prevention: use of in-room Webcams. J Patient Saf.
2013;9(1):29-35. doi:10.1097/PTS.0b013e3182753e4f.
https://psnet.ahrq.gov/issue/inpatient-fall-prevention-use-room-webcams
The use of Webcam…
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psnet.ahrq.gov/node/37268/psn-pdf
December 16, 2011 - Prevention of wrong-site tooth extraction: clinical
guidelines.
December 16, 2011
Lee JS, Curley AW, Smith RA, et al. Prevention of wrong-site tooth extraction: clinical guidelines. J Oral
Maxillofac Surg. 2007;65(9):1793-9.
https://psnet.ahrq.gov/issue/prevention-wrong-site-tooth-extraction-clinical-guidelines
T…
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psnet.ahrq.gov/node/41372/psn-pdf
May 16, 2012 - Emergency department crowding and risk of preventable
medical errors.
May 16, 2012
Epstein SK, Huckins DS, Liu SW, et al. Emergency department crowding and risk of preventable medical
errors. Intern Emerg Med. 2012;7(2):173-180. doi:10.1007/s11739-011-0702-8.
https://psnet.ahrq.gov/issue/emergency-department-crowd…
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psnet.ahrq.gov/node/36706/psn-pdf
January 18, 2011 - Best practices in medication administration: preventing
adverse drug events in perinatal settings.
January 18, 2011
Mahlmeister LR. Best practices in medication administration: preventing adverse drug events in perinatal
settings. J Perinat Neonatal Nurs. 2007;21(1):6-8.
https://psnet.ahrq.gov/issue/best-practices…
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psnet.ahrq.gov/node/35984/psn-pdf
January 02, 2017 - The clinical transformation of Ascension Health:
eliminating all preventable injuries and deaths.
January 2, 2017
Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all
preventable injuries and deaths. Jt Comm J Qual Patient Saf. 2006;32(6):299-308.
https://psnet.…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Appendix D. Sample Production Agenda for the In-Person Training
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. R…
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psnet.ahrq.gov/issue/elderly-falls
March 30, 2016 - Special or Theme Issue
Elderly Falls.
Citation Text:
Elderly Falls. J Safety Res. 2011;42(6):415-542.
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/playbook.html
February 01, 2025 - Playbook for Preventing CLABSI and CAUTI in the ICU Setting
The playbook helps your intensive care unit (ICU) understand how to integrate the Comprehensive Unit-based Safety Program (CUSP) and the tiered interventions introduced in the central line-associated bloodstream infection (CLABSI) and catheter-associat…
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psnet.ahrq.gov/node/35976/psn-pdf
August 10, 2010 - Guidelines for prevention, diagnosis and treatment of
ventilator-associated pneumonia (VAP) in the trauma
patient.
August 10, 2010
Minei JP, Nathens AB, West M, et al. Guidelines for prevention, diagnosis and treatment of ventilator-
associated pneumonia (VAP) in the trauma patient. J Trauma. 2006;60(5):1106-1113.…
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psnet.ahrq.gov/node/37485/psn-pdf
June 29, 2011 - Perceptions of preventable medical errors in Alberta,
Canada.
June 29, 2011
Northcott H, Vanderheyden L, Northcott J, et al. Perceptions of preventable medical errors in Alberta,
Canada. Int J Qual Health Care. 2007;20(2):115-122. doi:10.1093/intqhc/mzm067.
https://psnet.ahrq.gov/issue/perceptions-preventable-medi…
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psnet.ahrq.gov/node/37086/psn-pdf
October 03, 2011 - Failure mode and effects analysis: a useful tool for risk
identification and injury prevention.
October 3, 2011
Paparella S. Failure mode and effects analysis: a useful tool for risk identification and injury prevention.
Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Ass…
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psnet.ahrq.gov/node/40714/psn-pdf
October 04, 2011 - Outcome of 6 years of protocol use for preventing wrong
site office surgery.
October 4, 2011
Starling J, Coldiron BM. Outcome of 6 years of protocol use for preventing wrong site office surgery. J Am
Acad Dermatol. 2011;65(4):807-810. doi:10.1016/j.jaad.2011.05.011.
https://psnet.ahrq.gov/issue/outcome-6-years-pro…
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psnet.ahrq.gov/node/35413/psn-pdf
September 11, 2009 - Lessons learned: basic evidence-based advice for
preventing medication errors in children.
September 11, 2009
Thomas DO. Lessons learned: basic evidence-based advice for preventing medication errors in children.
Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.…
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psnet.ahrq.gov/node/35281/psn-pdf
March 11, 2011 - Detection and prevention of medication errors using real-
time bedside nurse charting.
March 11, 2011
Nelson NC, Evans RS, Samore MH, et al. Detection and Prevention of Medication Errors Using Real-Time
Bedside Nurse Charting. Journal of the American Medical Informatics Association. 2005;12(4).
doi:10.1197/jamia.m…
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psnet.ahrq.gov/node/41623/psn-pdf
April 05, 2013 - Preventing patient harms through systems of care.
April 5, 2013
Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70.
doi:10.1001/jama.2012.9537.
https://psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care
Recent initiatives, such as the Partnership for…
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psnet.ahrq.gov/node/42160/psn-pdf
April 03, 2013 - The perianesthesia nurse's role in the prevention of
opioid-related sentinel events.
April 3, 2013
Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth
Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001.
https://psnet.ahrq.gov/issue/perianesthesia-nurses-r…