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psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
November 24, 2010 - August 25, 2021
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … September 24, 2014
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … June 28, 2006
Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit
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psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues
January 14, 2009 - August 25, 2021
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … September 24, 2014
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 29, 2020
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose
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psnet.ahrq.gov/issue/six-major-steps-make-investigations-suicide-valuable-learning-and-prevention
March 31, 2021 - Review
Six major steps to make investigations of suicide valuable for learning and … Six major steps to make investigations of suicide valuable for learning and prevention. … Six major steps to make investigations of suicide valuable for learning and prevention. … November 18, 2020
Health care workers' experiences of workplace incidents that posed a risk … July 27, 2022
Multilevel factors associated with time to biopsy after abnormal screening
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psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
April 29, 2020 - July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … Suicide at the John Cochran Division of the VA St. … May 13, 2015
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … February 23, 2022
COVID Risk In Hospitals.
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psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
December 09, 2020 - July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … Suicide at the John Cochran Division of the VA St. … December 22, 2021
Her husband died by suicide. … June 4, 2014
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based
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psnet.ahrq.gov/issue/adverse-events-skilled-nursing-facilities-national-incidence-among-medicare-beneficiaries
July 27, 2016 - December 23, 2020
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … August 25, 2021
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … June 16, 2021
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based
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psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
January 14, 2009 - August 25, 2021
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … September 24, 2014
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … May 27, 2020
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose
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psnet.ahrq.gov/issue/diagnostic-errors-and-temporal-stability-bipolar-disorder
March 09, 2022 - September 7, 2011
Inappropriate hospital admission as a risk factor for the subsequent … March 8, 2017
Risks in the implementation and use of smart pumps in a pediatric intensive … for analysis of health care risks and specific measures for improvement. … July 6, 2022
Multilevel factors associated with time to biopsy after abnormal screening … August 4, 2021
Analysis of suicides reported as adverse events in psychiatry resulted
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psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-efforts-help-ensure-product
March 19, 2014 - July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … July 23, 2014
FDASIA Health IT Report: Proposed Strategy and Recommendations for a Risk-Based … November 8, 2023
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … Suicide at the John Cochran Division of the VA St.
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psnet.ahrq.gov/issue/inpatient-fall-prevention-use-room-webcams
July 19, 2023 - December 16, 2020
Evidence-based guidelines for fatigue risk management in EMS: formulating … December 9, 2009
Implementing universal suicide risk screening in a pediatric hospital … September 23, 2020
Suicide and suicide attempts on hospital grounds and clinic areas. … May 10, 2017
Estimating breast cancer overdiagnosis after screening mammography among … September 7, 2022
Dashboard design to identify and balance competing risk of multiple
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psnet.ahrq.gov/issue/detecting-and-treating-suicide-ideation-all-settings
April 24, 2024 - The alert suggests that all health care providers should screen for suicidal ideation and review patients … for suicide risk factors. … Please refer to the information link below for further details. … April 17, 2024
Should dignity preservation be a precondition for safety and a design … priority for healing in inpatient psychiatry spaces?
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psnet.ahrq.gov/issue/ash-clinical-practice-guidelines-venous-thromboembolism
April 11, 2007 - include low-molecular-weight heparin as the preferred agent when medication prophylaxis is indicated and screening … of all hospitalized patients for venous thromboembolism risk and bleeding. … August 24, 2005
The growing role of the Patient Safety Officer: implications for risk … August 25, 2021
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … April 8, 2020
Managing the risks of direct oral anticoagulants.
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psnet.ahrq.gov/issue/va-health-care-improvements-needed-processes-used-address-providers-actions-contribute
October 12, 2022 - Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … Suicide at the John Cochran Division of the VA St. … Suicide at the John Cochran Division of the VA St.
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psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
March 09, 2016 - Veterans Affairs schedulers to reduce risk of scheduling errors. … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … November 2, 2016
Medication assessment: one determinant of falls risk. … Suicide at the John Cochran Division of the VA St.
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psnet.ahrq.gov/issue/defining-patient-safety-events-inpatient-psychiatry
January 30, 2019 - January 27, 2016
Risk of adverse drug events in neonates treated with opioids and the … April 27, 2011
Reducing the risk of adverse drug events in older adults. … September 1, 2021
Implementing universal suicide risk screening in a pediatric hospital … August 11, 2021
Analysis of suicides reported as adverse events in psychiatry resulted … September 23, 2020
Validation of a secondary screener for suicide risk: results from
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psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
December 16, 2020 - August 25, 2021
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … November 16, 2005
Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple … July 18, 2007
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor.
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psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
February 02, 2011 - (DVT) is best used as a screening tool for identifying preventable DVT cases from administrative data … treatment, and overdose or suicide deaths in US veterans: observational evaluation. … Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. … November 11, 2020
Comparison of potential risk factors for medication errors with and … April 16, 2014
What are the safety risks for patients undergoing treatment by multiple
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psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high-quality-care-and
July 12, 2006 - July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk … Suicide at the John Cochran Division of the VA St. … August 9, 2023
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide
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psnet.ahrq.gov/issue/application-engineering-problem-solving-methodology-address-persistent-problems-patient
June 08, 2016 - September 18, 2019
Suicide and suicide attempts on hospital grounds and clinic areas. … April 3, 2013
Evidence-based guidelines for fatigue risk management in emergency medical … November 21, 2018
Patient safety risks associated with telecare: a systematic review … August 6, 2014
Screening for adverse drug events: a randomized trial of automated calls … September 24, 2014
Risk factors for retained surgical items: a meta-analysis and proposed
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psnet.ahrq.gov/issue/trends-pregnancy-related-deaths-and-federal-efforts-reduce-them
May 27, 2020 - Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk … July 5, 2006
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility … Compliance with Screening Requirements is Poor. … Suicide at the John Cochran Division of the VA St. … August 16, 2023
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide