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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - Implementing a Fall Prevention Program
December 1, 2011
Healey F. Implementing a Fall Prevention Program. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
Perspective
Throughout the developed world, most hospital beds are occupied by older people, many of whom have
b…
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psnet.ahrq.gov/print/pdf/node/867461
January 31, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Patient and Family Engagement in Long
Term Care
Curated Library
Foundations
Long-term Care and Patient Safety
Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024
A large and growing number of Americans require care in skilled nursin…
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April 10, 2024 - Breadcrumb
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Created By: Lorri Zipperer, C…
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psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
July 10, 2024 - Director of the Imperial Centre for Patient Safety and Service Quality and the Clinical Safety Research Unit
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psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - for improved provider performance
A bottom-up approach to change that includes an understanding of unit
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psnet.ahrq.gov/node/41568/psn-pdf
April 05, 2013 - Preventable deaths due to problems in care in English
acute hospitals: a retrospective case record review study.
April 5, 2013
Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals:
a retrospective case record review study. BMJ Qual Saf. 2012;21(9):737-745. doi:10.…
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psnet.ahrq.gov/node/46667/psn-pdf
February 22, 2018 - Efficiency and thoroughness trade-offs in high-volume
organisational routines: an ethnographic study of
prescribing safety in primary care.
February 22, 2018
Grant S, Guthrie B. Efficiency and thoroughness trade-offs in high-volume organisational routines: an
ethnographic study of prescribing safety in primary car…
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psnet.ahrq.gov/node/45156/psn-pdf
June 22, 2017 - Workarounds to hospital electronic prescribing systems:
a qualitative study in English hospitals.
June 22, 2017
Cresswell K, Mozaffar H, Lee L, et al. Workarounds to hospital electronic prescribing systems: a qualitative
study in English hospitals. BMJ Qual Saf. 2017;26(7):542-551. doi:10.1136/bmjqs-2015-005149.
h…
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psnet.ahrq.gov/node/844537/psn-pdf
February 15, 2023 - Intended and unintended consequences: changes in
opioid prescribing practices for postsurgical, acute, and
chronic pain indications following two policies in North
Carolina, 2012-2018 - controlled and single-series
interrupted time series analyses.
February 15, 2023
Maierhofer CN, Ranapurwala SI, DiPrete BL, et a…
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psnet.ahrq.gov/node/845278/psn-pdf
March 01, 2023 - Association between opioid tapering and subsequent
health care use, medication adherence, and chronic
condition control.
March 1, 2023
Magnan EM, Tancredi DJ, Xing G, et al. Association between opioid tapering and subsequent health care
use, medication adherence, and chronic condition control. JAMA Netw Open. 2023…
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psnet.ahrq.gov/node/43773/psn-pdf
May 01, 2015 - Efforts To Improve Patient Safety Result in 1.3 Million
Fewer Patient Harms: Interim Update on 2013 Annual
Hospital-Acquired Condition Rate and Estimates of Cost
Savings and Deaths Averted From 2010 to 2013.
May 1, 2015
Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. …
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psnet.ahrq.gov/node/73527/psn-pdf
July 28, 2021 - Guidance for health care leaders during the recovery
stage of the COVID-19 pandemic: a consensus statement.
July 28, 2021
Geerts JM, Kinnair D, Taheri P, et al. Guidance for health care leaders during the recovery stage of the
COVID-19 pandemic: a consensus statement. JAMA Netw Open. 2021;4(7):e2120295.
doi:10.100…
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psnet.ahrq.gov/node/73252/psn-pdf
January 01, 2022 - Why test results are still getting "lost" to follow-up: a
qualitative study of implementation gaps.
May 12, 2021
Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative
study of implementation gaps. J Gen Intern Med. 2022;37(1):137-144. doi:10.1007/s11606-021…
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psnet.ahrq.gov/node/44324/psn-pdf
September 09, 2015 - Prevalence, nature, severity and risk factors for
prescribing errors in hospital inpatients: prospective
study in 20 UK hospitals.
September 9, 2015
Ashcroft DM, Lewis PJ, Tully MP, et al. Prevalence, Nature, Severity and Risk Factors for Prescribing
Errors in Hospital Inpatients: Prospective Study in 20 UK Hospit…
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psnet.ahrq.gov/node/41539/psn-pdf
January 07, 2015 - Dying for the weekend: a retrospective cohort study on
the association between day of hospital presentation and
the quality and safety of stroke care.
January 7, 2015
Palmer WL, Bottle A, Davie C, et al. Dying for the weekend: a retrospective cohort study on the association
between day of hospital presentation and…
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psnet.ahrq.gov/node/42606/psn-pdf
September 25, 2013 - Health economic evaluation of an infection prevention
and control program: are quality and patient safety
programs worth the investment?
September 25, 2013
Raschka S, Dempster L, Bryce E. Health economic evaluation of an infection prevention and control
program: are quality and patient safety programs worth the in…
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psnet.ahrq.gov/node/43263/psn-pdf
July 16, 2014 - Patient complaints in healthcare systems: a systematic
review and coding taxonomy.
July 16, 2014
Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and
coding taxonomy. BMJ Qual Saf. 2014;23(8):678-689. doi:10.1136/bmjqs-2013-002437.
https://psnet.ahrq.gov/issue/patien…
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psnet.ahrq.gov/node/44506/psn-pdf
October 21, 2015 - A prospective controlled trial of an electronic hand
hygiene reminder system.
October 21, 2015
Ellison RT, Barysauskas CM, Rundensteiner EA, et al. A Prospective Controlled Trial of an Electronic Hand
Hygiene Reminder System. Open Forum Infect Dis. 2015;2(4):ofv121. doi:10.1093/ofid/ofv121.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/39069/psn-pdf
February 18, 2011 - Did duty hour reform lead to better outcomes among the
highest risk patients?
February 18, 2011
Volpp KG, Rosen AK, Rosenbaum PR, et al. Did duty hour reform lead to better outcomes among the
highest risk patients? J Gen Intern Med. 2009;24(10):1149-55. doi:10.1007/s11606-009-1011-z.
https://psnet.ahrq.gov/issue/d…
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psnet.ahrq.gov/node/844801/psn-pdf
January 01, 2021 - A mixed-methods study of challenges experienced by
clinical teams in measuring improvement.
September 11, 2019
Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical
teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.1136/bmjqs-2018-009048.
https:/…