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Total Results: 4 records

Showing results for "small".

1. Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/ChoosingPSO_2016.pdf
   January 01, 2016 - But achieving this goal is no small feat.

2. Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
   July 01, 2016 - buttocks Fall associated with patient care • Fall from bed with minor injuries (elbow, knees, and small

3. Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
   January 01, 2019 - dehiscence due to inadequate wound care • Wound infection of below knee amputation suture line with small

4. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
   December 21, 2021 - Professor James Reason’s “Swiss cheese model” of accident causation illustrates how small flaws or weaknesses … multiple layers of defenses, barriers, and safeguards (akin to the slices of Swiss cheese), but when small … This awareness keeps team members at all levels able to identify and address small issues that could … PMID: 727541. 22 Small SD, Barach P. Patient safety and health policy: a history and review. … For example, an intervention that effectively reduced adverse events in a small hospital might be scaled