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Showing results for "preventive".

8441. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72650/psn-pdf
      January 20, 2021 - A roadmap to advance patient safety in ambulatory care. January 20, 2021 Singh H, Carayon P. A roadmap to advance patient safety in ambulatory care. JAMA. 2020;324(24):2481- 2482. doi:10.1001/jama.2020.18551. https://psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care Preventable harm, such as diag…

8442. Identifying Delirium: ABCs of Identification_4x6 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-delirium.pdf
      June 01, 2021 - Identifying Delirium: ABCs of Identification_4x6 AHRQ Pub. No. 17(21)-0029 June 2021 IDENTIFYING DELIRIUM ABCs OF IDENTIFICATION Acute/subacute • Altered mental status from baseline Behavioral disturbance • Restless, agitated, combative Changes in consciousness • Jittery, drowsy, difficult to aro…

8443. 148-Investigating-Defect-Lfd-Worksheet (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/148-investigating-defect-lfd-worksheet.docx
      June 02, 2025 - AHRQ Safety Program for MRSA Prevention Investigating A Defect Worksheet ICU & Non-ICUTop Contributing Factors Interventions To Reduce Risk Who Will Do It and By When Status Enter contributing factor Enter intervention Enter responsible staff, deadline Enter status Enter contributing factor Enter intervention Enter re…

8444. Hindsight Bias | PSNet
      psnet.ahrq.gov/glossary/hindsight-bias
      September 13, 2021 - Hindsight Bias September 13, 2021 Anonymous (not verified) In a very general sense, hindsight bias relates to the common expression "hindsight is 20/20." This expression captures the tendency for people to regard past events as expected or obvious, even when, in real time, the events perplexed those involved. M…

8445. NICU Toolkit, Appendix A, Respiratory Syncytial Virus (RSV) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_rsv.pdf
      June 02, 2025 - NICU Toolkit, Appendix A, Respiratory Syncytial Virus (RSV) Respiratory Syncytial Virus (RSV) What is Respiratory Syncytial Virus (RSV)? ■ A common virus that affects babies and infants. ■ Leading cause of two lung infections: pneumonia and bronchitis. Symptoms of RSV ■ Starts out like a cold with fever o…

8446. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47764/psn-pdf
      February 13, 2019 - Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. February 13, 2019 Horn SR, Liu TC, Horowitz JA, et al. Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. Spine (Phila Pa 1976). 2018;43(22):E1358-E1363. …

8447. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48065/psn-pdf
      June 15, 2019 - Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. June 15, 2019 Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Anaesthesia. 2019;74(7):904-914. doi:10.1111/anae.14662. https://psnet.ahrq.gov/iss…

8448. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45727/psn-pdf
      August 03, 2017 - Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. August 3, 2017 Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Outcomes. Prehosp Emerg Care. 2017;2…

8449. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867137/psn-pdf
      November 13, 2024 - Enteral nutrition: an underappreciated source of patient safety events. November 13, 2024 Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153. https://psnet.ahrq.gov/issue/enteral-nutrition-underapprec…

8450. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61077/psn-pdf
      October 28, 2020 - Investigation into the Role of Clinical Pharmacy Services in Helping to Identify and Reduce High-risk Prescribing Errors in Hospital. October 28, 2020 Farnborough, UK: Healthcare Safety Investigation Branch; September 24, 2020.  https://psnet.ahrq.gov/issue/investigation-role-clinical-pharmacy-servi…

8451. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46088/psn-pdf
      May 24, 2017 - Innovative use of the electronic health record to support harm reduction efforts. May 24, 2017 Hyman D, Neiman J, Rannie M, et al. Innovative Use of the Electronic Health Record to Support Harm Reduction Efforts. Pediatrics. 2017;139(5). doi:10.1542/peds.2015-3410. https://psnet.ahrq.gov/issue/innovative-use-elect…

8452. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37310/psn-pdf
      January 05, 2012 - Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? January 5, 2012 Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens-- are we ready for a DNA time-out? J Urol. 2007;178(4 Pt 1):1245-8. https://psnet.ahrq.gov…

8453. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45924/psn-pdf
      March 15, 2017 - Patient safety incidents are common in primary care: a national prospective active incident reporting survey. March 15, 2017 Michel P, Brami J, Chanelière M, et al. Patient safety incidents are common in primary care: A national prospective active incident reporting survey. PLoS One. 2017;12(2):e0165455. doi:10.13…

8454. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61019/psn-pdf
      October 14, 2020 - Clinical deterioration and hospital?acquired complications in adult patients with isolation precautions for infection control: a systematic review. October 14, 2020 Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital?acquired complications in adult patients with isolation precautions for inf…

8455. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35542/psn-pdf
      March 29, 2010 - The costs associated with adverse drug events among older adults in the ambulatory setting. March 29, 2010 Field T, Gilman BH, Subramanian S, et al. The costs associated with adverse drug events among older adults in the ambulatory setting. Med Care. 2005;43(12):1171-1176. https://psnet.ahrq.gov/issue/costs-associ…

8456. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35639/psn-pdf
      May 27, 2011 - Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care. May 27, 2011 Rochon P, Field T, Bates DW, et al. Clinical application of a computerized system for physician order entry with clinical decision support to prevent…

8457. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60274/psn-pdf
      April 29, 2020 - Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis. April 29, 2020 Long Y, Hu T, Liu L, et al. Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis. J Evid Based Med. 2020. doi:10.1111/jebm.12381.…

8458. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73530/psn-pdf
      July 28, 2021 - The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. July 28, 2021 Adie K, Fois RA, McLachlan AJ, et al. The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: T…

8459. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847052/psn-pdf
      April 05, 2023 - An examination of Leapfrog safety measures and Magnet designation. April 5, 2023 Tai TWC, Mattie A, Miller SM, et al. An examination of Leapfrog safety measures and Magnet designation. J Healthc Risk Manag. 2023;42(3-4):21-29. doi:10.1002/jhrm.21533. https://psnet.ahrq.gov/issue/examination-leapfrog-safety-measure…

8460. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845072/psn-pdf
      February 22, 2023 - A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. February 22, 2023 Salmon PM, Coventon L, Read GJM. A systems analysis of work-related violence in hospitals: stakeholders, contributory factors, and leverage points. Safety Sci. 2022;156:105899. doi:1…