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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximplstrat.pdf
June 02, 2025 - Menu of Implementation Strategies - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Menu of Implementation Strategies
The On-Time Falls Prevention Menu of Implementation Strategies for using reports is a list of
potential way…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - special safeguards, such as isolating residents, that should be used when residents have infections caused … Antibiotics are not helpful when—
Used to treat an infection that is caused by a virus (such as a
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf
March 01, 2023 - o Development of new healthcare equity standards to help address disparities caused by
health-related … o Development of new healthcare equity standards to help address disparities caused by health-related
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
August 01, 2022 - What caused the patient safety event to happen?
Where did the patient safety event happen? … However, the TEP expressed concerns about asking consumers what "caused" an event, and felt it was more
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www.ahrq.gov/data/infographics/readmits-sickle-cell.html
October 01, 2021 - All-Cause Readmissions for Sickle Cell Trait/Anemia
Source: AHRQ, Healthcare Cost and Utilization Project Statistical Brief #278: Overview of Clinical Conditions With Frequent and Costly Hospital Readmissions by Payer, 2018 .
Select for more information on HCUP Data Partners .
All-Cause Readmission…
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www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html
September 01, 2015 - New Tools Help Health Providers Reduce Patients' Risk of Falls
For older adults, falls are serious, no matter the setting. These falls can cause bone fractures, disability, and even death. Among people 75 and older, falls are far more likely to cause admissions into a long term care facility than for adults 10…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/047-evidence-behind-decolonization-strategies-notes.docx
October 01, 2024 - Among those with serial, but unrelated, Staphylococcus aureus infections, the infections tend to be caused … findings, it is possible to see if 10 years of universal decolonization with CHG and mupirocin have caused … of adaptive work where CUSP teams help staff and leaders understand the impact of preventable harm caused
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - Taxonomic Guidance for Remedial Actions
75
Taxonomic Guidance for Remedial Actions
Bruce Thomadsen, Shi-Woei Lin
Abstract
Objectives: This project developed a taxonomy to provide guidance in selecting
remedial actions to address problems uncovered during root cause analyses of
events in a medical setting. M…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
March 23, 2008 - An adverse
event was defined as “an injury caused by medical management error rather than the patient … Total N = 5 Total N = 11 Total N = 12
a Adverse event due to negligence is defined as an injury caused … Total N = 5 Total N = 11 Total N = 12
a Adverse event due to negligence is defined as an injury caused
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
June 01, 2021 - Talking With Residents and Family Members About Antibiotics
AHRQ Pub. No. 17(21)-0029
June 2021
Talking With Residents and Family Members
About Antibiotics
The last time this happened, the doctor
prescribed an antibiotic and my
family member got better.
Can’t we do that again… just in case?
Five …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - 10
Antibiotic-related adverse events are events that either caused harm or had the potential to cause
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0243-section5.pdf
December 18, 2014 - Table 1: Evidence for Having an ALARA Policy Specific to Imaging Children
Table 1: Evidence for Having an ALARA Policy Specific to Imaging Children
Type of Evidence
Key Findings
Level of
Evidence
(USPSTF
Ranking*)
Citations
Practice parameter Society of Pediatric Radiology: Third
Conference of A…
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www.ahrq.gov/prevention/resources/vision/resources/vision2.html
October 01, 2002 - indicators of vision problems. 34
The VF-14, a brief questionnaire measuring functional impairment caused … by cataract that has been shown to be a reliable and valid measure of functional impairment caused by
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apvii.html
June 01, 2010 - Equity in Medicaid eligibility criteria for HCBS
Goal: persons whose care needs are caused or exacerbated … by their dementia have equal access to Medicaid HCBS compared with persons whose care needs are caused
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www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
January 01, 2025 - possible cause of anatomic pathology diagnostic error, but it does not limit error to those events caused … We defined baseline levels of harm caused by errors in anatomic pathology diagnosis.
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www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
January 01, 2024 - monitoring or an intervention 199 14.73%
Category D: Required additional monitoring 1010 74.76%
Category E: Caused … Prevalence of Unplanned Hospitalizations
Caused by Adverse Drug Reactions among Older Veterans. … Prevalence of Potentially Preventable
Unplanned Hospitalizations Caused by Therapeutic Failures and
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/sensemaking.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Sensemaking and Learn from Defects
AHRQ Safety Program for Perinatal Care
Sensemaking and Learn From Defects for Perinatal Safety
AHRQ Publication No. 17-0003-5-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Sen…
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool-other.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 6 (continued)
Previous Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on t…
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-other.html
March 01, 2013 - Re-Engineered Discharge (RED) Toolkit
Tool 6 (continued)
Previous Page
Table of Contents
Re-Engineered Discharge (RED) Toolkit
Tool 1: Overview
Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital
How CMS Measures the "30-Day All Cause Rehospitalization Rate" on t…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/strat.html
October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Menu of Implementation Strategies
The On-Time Falls Prevention Menu of Implementation Strategies for using reports is a list of potential ways facility teams may choose to integrate the falls risk reports into clinical practice. In addition, t…