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Showing results for "preventive".

  1. psnet.ahrq.gov/primer/never-events
    June 15, 2024 - Never Events Citation Text: Never Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33872/psn-pdf
    January 01, 2018 - Update: Patient Engagement in Safety January 1, 2018 Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/update-patient-engagement-safety Annual Perspective 2018 Background Patient engagement has become a cornerstone of patient safety. A Patient Saf…
  3. hcup-us.ahrq.gov/reports/race/C18RECaseStudyReportforWEBfinal99.pdf
    January 01, 2020 - Microsoft Word - C18RECaseStudyReportforWEBfinal99.docx MAINTAIN AND EXPAND THE HEALTHCARE COST AND UTILIZATION PROJECT (HCUP) Contract No. HHSA-290-2006-00009-C September 9, 2010 Prepared by: Carrie Hanlon, MA and Susan Raetzman, MSPH …
  4. psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
    February 10, 2021 - SPOTLIGHT CASE Premature Closure: Was It Just Syncope? Citation Text: Maurier D, Barnes DK. Premature Closure: Was It Just Syncope?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: …
  5. www.ahrq.gov/sites/default/files/2024-03/kennerly-report.pdf
    January 01, 2024 - Final Progress Report: Improving the Safety of Primary Care by Measuring Adverse Events and Improvement Improving the Safety of Primary Care by Measuring Adverse Events and Improvement Principal Investigator: Donald A. Kennerly, MD, PhD Study Team: Kenneth Bruce Bayley, PhD Ashley Collinsworth, MPH Teri Cowlin…
  6. www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html
    September 01, 2015 - New Tools Help Health Providers Reduce Patients' Risk of Falls For older adults, falls are serious, no matter the setting. These falls can cause bone fractures, disability, and even death. Among people 75 and older, falls are far more likely to cause admissions into a long term care facility than for adults 10…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838144/psn-pdf
    September 21, 2022 - Eliminating Unintentionally Retained Surgical Items - Special Report. September 21, 2022 Saver C. AORN J. 2022;116(2):111-132. https://psnet.ahrq.gov/issue/eliminating-unintentionally-retained-surgical-items-special-report Retained surgical items (RSI) are regarded as “never events” but are a persistent cause of p…
  8. www.ahrq.gov/nursing-home/resources/module-11b-environmental-cleaning.html
    May 01, 2022 - Module 11B—Environmental Cleaning and Disinfection—Nursing Home Infection Preventionist Training Course Resource: Module 11B—Environmental Cleaning and Disinfection—Nursing Home Infection Preventionist Training Course This module describes the role that environmental surfaces play in pathogen transmission an…
  9. www.ahrq.gov/nursing-home/resources/module-11c-water-management-program.html
    May 01, 2022 - Module 11C—Water Management Program—Nursing Home Infection Preventionist Training Course Resource: Module 11C—Water Management Program—Nursing Home Infection Preventionist Training Course This module discusses the importance of a water management program in the prevention of the transmission of waterborne pa…
  10. www.ahrq.gov/nursing-home/resources/module-14-antibiotic-stewardship.html
    April 01, 2022 - Module 14—Antibiotic Stewardship in Nursing Homes—Nursing Home Infection Preventionist Training Course Resource: Module 14—Antibiotic Stewardship in Nursing Homes—Nursing Home Infection Preventionist Training Course This module discusses the importance of antibiotic stewardship and identifies strategies to …
  11. www.ahrq.gov/nursing-home/resources/cms-targeted-training.html
    May 01, 2022 - Centers for Medicare & Medicaid Services Targeted COVID-19 Training for Frontline Nursing Home Staff and Management Resource: Centers for Medicare & Medicaid Services Targeted COVID-19 Training for Frontline Nursing Home Staff and Management These self-paced, scenario based modules are intended to provide ad…
  12. www.ahrq.gov/hai/tools/enhanced-recovery/implementing/presentations.html
    June 01, 2023 - Presentations on the ISCR Evidence Use the presentations and facilitator guides in this section to gain buy-in from stakeholders. The presentations explain pathway components, techniques to implement them, evidence-based recommendations, and in some cases caveats for specific patient populations. Oral Antib…
  13. www.ahrq.gov/nursing-home/resources/icar-facilitator-guide.html
    April 01, 2022 - Nursing Home COVID-19 Infection Control Assessment & Response (ICAR) Tool Facilitator Guide Resource: Nursing Home COVID-19 Infection Control Assessment & Response (ICAR) Tool Facilitator Guide ​This updated infection control assessment and response tool is a longer but more comprehensive assessment of infec…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34798/psn-pdf
    June 23, 2015 - Costs of medical injuries in Utah and Colorado. June 23, 2015 Thomas EJ; Studdert DM; Newhouse JP; Zbar BI; Howard KM; Williams EJ; Brennan TA https://psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado This study analyzed more than 450 adverse events from a representative hospital sample in order to est…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40486/psn-pdf
    June 01, 2011 - Process changes to increase compliance with the Universal Protocol for bedside procedures. June 1, 2011 Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.1001/archinternmed.2011.202. https://ps…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853445/psn-pdf
    December 15, 2022 - Jake Tapper shares harrowing story of daughter's near- fatal misdiagnosis. December 15, 2022 CNN. December 15, 2022. https://psnet.ahrq.gov/issue/jake-tapper-shares-harrowing-story-daughters-near-fatal-misdiagnosis Diagnostic errors are a recognized cause of preventable patient harm.  This video highlights a teen’…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47817/psn-pdf
    February 27, 2019 - FactFinders. February 27, 2019 SIS Patient Safety Committee. Spine Intervention Society. https://psnet.ahrq.gov/issue/factfinders This resource provides newsletters that target concerns associated with spinal pain interventions and offers safety strategies. The collection focuses on three primary areas: procedural…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39964/psn-pdf
    January 04, 2011 - Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? January 4, 2011 Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neurosurg. 2011;113(1):68-71. doi:10.1016/…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42981/psn-pdf
    March 19, 2014 - Recognizing and managing errors of cognitive underspecification. March 19, 2014 Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5. doi:10.1097/PTS.0b013e3182a5f6e1. https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification Inc…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46469/psn-pdf
    October 25, 2017 - RxAwareness. October 25, 2017 Centers for Disease Control and Prevention; CDC. https://psnet.ahrq.gov/issue/rxawareness The opioid crisis is a persisting patient safety problem. One approach to prevent misuse of opioids is to raise awareness of the addictive nature of the medication. This national campaign enlists…