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psnet.ahrq.gov/node/47508/psn-pdf
October 24, 2018 - Root cause analysis of reported patient falls in ORs in the
Veterans Health Administration.
October 24, 2018
Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the
Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/46728/psn-pdf
March 27, 2018 - Near-miss event analysis enhances the barcode
medication administration process.
March 27, 2018
Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M.
https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-
process
Near misses provide unique opportunities to ide…
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psnet.ahrq.gov/node/45290/psn-pdf
July 27, 2016 - Interventions to address potentially inappropriate
prescribing in community-dwelling older adults: a
systematic review of randomized controlled trials.
July 27, 2016
Clyne B, Fitzgerald C, Quinlan A, et al. Interventions to Address Potentially Inappropriate Prescribing in
Community-Dwelling Older Adults: A Systema…
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psnet.ahrq.gov/node/44755/psn-pdf
November 18, 2016 - Effect of patient-centred bedside rounds on hospitalised
patients' decision control, activation and satisfaction with
care.
November 18, 2016
O'Leary KJ, Killarney A, Hansen LO, et al. Effect of patient-centred bedside rounds on hospitalised
patients' decision control, activation and satisfaction with care. BMJ Qu…
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psnet.ahrq.gov/node/40743/psn-pdf
February 01, 2019 - Radiation risks of diagnostic imaging and fluoroscopy.
December 23, 2016
Sentinel Event Alert. August 24, 2011;47:1-4. (revised February 2019).
https://psnet.ahrq.gov/issue/radiation-risks-diagnostic-imaging
The Joint Commission issues Sentinel Event Alerts periodically to highlight emerging patient safety issues
…
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psnet.ahrq.gov/node/837972/psn-pdf
September 01, 2022 - Patient safety: where to aim when zero harm is not the
target-a case for learning and resilience.
September 1, 2022
Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case
for learning and resilience. J Patient Saf. 2022;18(5):e877-e882. doi:10.1097/pts.00000000000009…
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psnet.ahrq.gov/node/45871/psn-pdf
January 01, 2019 - The relationship between safety culture and voluntary
event reporting in a large regional ambulatory care group.
March 22, 2017
Miller N, Bhowmik S, Ezinwa M, et al. The Relationship Between Safety Culture and Voluntary Event
Reporting in a Large Regional Ambulatory Care Group. J Patient Saf. 2019;15(4):e48-e51.
d…
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psnet.ahrq.gov/node/46478/psn-pdf
March 27, 2018 - Promote a culture of safety with good catch reports. … https://psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
Near misses or good catches present … https://psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
https://psnet.ahrq.gov/issue/near-misses-are-opportunity-improve-patient-safety-adapting-strategies-high-reliability
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psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
April 01, 2006 - Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety
Brian K. … Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety. … Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety. … Pharmacists are accustomed to systems designed to promote the accurate dispensation of medicines "as … Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017202-bove-final-report-2011.pdf
January 01, 2011 - Using Telemedicine to Promote Patient Centered Care Among Underserved Individuals
Grant Final Report … Grant ID: R18 HS17202
Using Telemedicine to Promote Patient Centered Care
Among Underserved … Document title: Using Telemedicine to Promote Patient Centered Care Among Underserved Individuals
Abstract
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apb.html
August 01, 2022 - goals of the CANDOR process; educates clinical staff about the CANDOR process; serves as liaison to promote … goals of the CANDOR process; educates clinical staff about the CANDOR process; serves as liaison to promote … staff
Director of Risk Management or designee
Direct Patient Care Staff
Serves as liaison to promote … nurse, staff development coordinator/educator
Indirect Patient Care Staff
Serves as liaison to promote … Attends team meetings as needed; assists with implementing technology processes that support and promote
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/identifying-delirium.pdf
June 01, 2021 - Orient often—time, date, place
• Provide calendar/clock in room
• Surround with familiar faces
PROMOTE … NORMAL SLEEP
• Reduce noise, dim lights
• Promote sleep at night, activity during day
CORRECT … COMMON CAUSES OF DELIRIUM
COMMON SYMPTOMS
TREATING AND PREVENTING DELIRIUM
MODIFY ENVIRONMENT
PROMOTE
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/identifying-delirium.pdf
June 01, 2021 - Orient often—time, date, place
• Provide calendar/clock in room
• Surround with familiar faces
PROMOTE … NORMAL SLEEP
• Reduce noise, dim lights
• Promote sleep at night, activity during day
CORRECT … COMMON CAUSES OF DELIRIUM
COMMON SYMPTOMS
TREATING AND PREVENTING DELIRIUM
MODIFY ENVIRONMENT
PROMOTE
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www.uspreventiveservicestaskforce.org/uspstf/integrating-evidence-based-clinical-and-community-strategies-improve-health-table-3
November 01, 2013 - Recommendations to promote physical activity
Informational approaches to increasing physical activity … outreach activities
Recommended (Strong Evidence)
Transportation and infrastructure changes promote … Recommendations to promote healthy nutrition ( http://www.thecommunityguide.org )
Multicomponent
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthful-diet-and-physical-activity-for-cardiovascular-disease-prevention-in-adults-behavioral-counseling
June 04, 2012 - Update in Progress for Behavioral Counseling to Promote a Healthy Diet and Physical Activity for Cardiovascular … indicates that the health benefit of initiating behavioral counseling in the primary care setting to promote … indicates that the health benefit of initiating behavioral counseling in the primary care setting to promote … Interventions
Medium- or high-intensity behavioral interventions to promote a healthful diet and physical … The Community Preventive Services Task Force recommends several community-based interventions to promote
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www.uspreventiveservicestaskforce.org/uspstf/news/announcements?page=23
March 24, 2015 - Dysfunction
2015-03-24
Public Comment on Draft Research Plan: Behavioral Counseling to Promote … Blood Pressure in Adults
2014-12-23
Final Research Plan: Primary Care Interventions to Promote … Defects
2014-10-16
Public Comment on Draft Research Plan: Primary Care Interventions to Promote
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthful-diet-and-physical-activity-for-cardiovascular-disease-prevention-in-adults-without-known-risk-factors-behavioral-counseling-july-2017
July 11, 2017 - hypertension, dyslipidemia, abnormal blood glucose levels, or diabetes to behavioral counseling to promote … Recommendation
Individualize the decision to offer or refer adults to behavioral counseling to promote … and Harms
The USPSTF concludes with moderate certainty that behavioral counseling interventions to promote … The Community Preventive Services Task Force recommends several community-based interventions to promote … a healthful diet and interventions to promote physical activity.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthful-diet-and-physical-activity-for-cardiovascular-disease-prevention-in-adults-behavioral-counseling-2012
June 04, 2012 - indicates that the health benefit of initiating behavioral counseling in the primary care setting to promote … indicates that the health benefit of initiating behavioral counseling in the primary care setting to promote … Interventions
Medium- or high-intensity behavioral interventions to promote a healthful diet and physical … The Community Preventive Services Task Force recommends several community-based interventions to promote … Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan138/breastfeeding-primary-care-interventions
December 18, 2014 - illustrates how prenatal, peripartum, and postpartum individual- and health system-level interventions to promote … Additionally, the figure illustrates how interventions to promote and support breastfeeding may have … Further, the figure depicts whether interventions to promote and support breastfeeding are associated … effects of prenatal, peripartum, and postpartum individual- and health care system–level interventions to promote … Are there adverse events associated with interventions to promote and support breastfeeding?
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan138/breastfeeding-primary-care-interventions-october-2016
December 18, 2014 - illustrates how prenatal, peripartum, and postpartum individual- and health system-level interventions to promote … Additionally, the figure illustrates how interventions to promote and support breastfeeding may have … Further, the figure depicts whether interventions to promote and support breastfeeding are associated … effects of prenatal, peripartum, and postpartum individual- and health care system–level interventions to promote … Are there adverse events associated with interventions to promote and support breastfeeding?