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101. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
     February 01, 2018 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits … Functional Specifications AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency … Note: In the report, ADL = activities of daily living; BMI = body mass index; Depression Score: 0-9 … Body mass index (BMI) = (Weight (kg)/(Height (m)2) 6 Significant Weight Change ≥5% weight loss

102. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/nicupacket.pdf
     December 01, 2013 - ■ Ask the pediatrician’s offce if a doctor is on-call 24 hours a day for emergencies. … ■ Food source for their babies even during emergencies. … ■ Followup is dictated by degree of maturation, severity of ROP, and ophthalmologist. … ■ Emergency package should be with child at all times and contain: – Spare tracheostomy tube of … ■ Accidental decannulation: Emergency kit described above should always be at hand.

103. Transitioning Newborns from NICU to Home: Family Information Packet (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket.pdf
     December 01, 2013 - ■ Ask the pediatrician’s office if a doctor is on-call 24 hours a day for emergencies. … ■ Food source for their babies even during emergencies. … ■ Followup is dictated by degree of maturation, severity of ROP, and ophthalmologist. … ■ Emergency package should be with child at all times and contain: – Spare tracheostomy tube of … ■ Accidental decannulation: Emergency kit described above should always be at hand.

104. Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change (May 14, 2013) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.html
     December 01, 2017 - The first is preventing unnecessary placement, especially in the Emergency Department, and once the decision … point, it can be spread to other places, either other units in the hospital, in patient units, the Emergency … But in addition to these rehabilitation specialists, intensivists, surgeons, and emergency medicine physicians … had published, which a number of years ago adjusted for inflation, using the general consumer price index … resistance, patient and family request for a Foley, and then Foley's commonly being inserted in the Emergency

105. Preventing-Cauti-Engaging-Clinicians-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.doc
     May 14, 2013 - The first is preventing unnecessary placement, especially in the Emergency Department, and once the decision … point, it can be spread to other places, either other units in the hospital, in patient units, the Emergency … But in addition to these rehabilitation specialists, intensivists, surgeons, and emergency medicine physicians … had published, which a number of years ago adjusted for inflation, using the general consumer price index … resistance, patient and family request for a Foley, and then Foley's commonly being inserted in the Emergency

106. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
     November 11, 2019 - reactions, allergic reactions, or overdoses), ADEs have been associated with thousands of visits to the emergency … Their study noted a significant reduction in drug burden index scores, by 0.34 (p<0.001), reflecting … comparing it with, other screening tools such as the As Beers Criteria or the Medication Appropriateness Index … No change in cognition scores or reported quality of life Reduction in drug burden index scores … of medications prescribed from 6.1 to 3.3, decreased observed hospitalizations, and decreased emergency

107. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-refs.html
     August 01, 2023 - The Diagnostic Error Index: A Quality Improvement Initiative to Identify and Measure Diagnostic Errors … Emergency Care. … Academic emergency medicine: official journal of the Society for Academic Emergency Medicine . … Academic emergency medicine: official journal of the Society for Academic Emergency Medicine . … emergency care.

108. Documentation and Coding for Patient Safety Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
     March 15, 2016 - • Limitation of coding to the Medicare Severity diagnosis-related group (MS-DRG) (i.e., not coding … include (UHC, 2010): • Focus on units or services with poor performance data (e.g., elevated mortality index … Coding and documentation: Medicare Severity diagnosis-related groups and present-on-admission documentation … Sepsis is documented early in the visit (i.e., the emergency department and first progress note) but … Instrument OB Trauma – Vaginal Delivery Without Instrument Document clearly the occurrence and severity

109. Healthcare Research and Quality Act of 1999 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/hrqa99.pdf
     January 10, 2001 - amount for each such children’s hospital by the estimated percentage increase in the consumer price index … recommendations on training, maintenance, and medical oversight, and on coordinating with the system for emergency

110. Workplace Safety Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
     October 01, 2021 - .................................................................................. 12 Alphabetical Index … present some de-escalation models and interventions for managing aggressive and agitated patients in the emergency … Alphabetical Index of Resources Beyond Getting Started - A Resource Guide: Implementing a Safe Patient … Alphabetical Index of Resources

111. Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/prioritization-report_0.pdf
     January 01, 2020 - Difficulty with data linkage and aggregation • Establish Master Patient Index and Master Provider … Index … APCD or the user will remove real multiple encounters that occur on the same day, such as multiple emergency … procedure codes are used most frequently in inpatient or high-intensity outpatient settings (some emergency

112. Final Progress Report: Pediatric patient safety learning laboratory to re-engineer continuous physiologic monitoring systems (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/bonafide-report.pdf
     January 01, 2024 - (1) a clinical alarms survey measuring attitudes and perceptions of alarms and (2) NASA task-load index … They also don’t cover a wide variety of diagnoses or severity of conditions. … repeated reports (n=394) of their subjective workload in the preceding 2 hours using the NASA Task Load Index … Characteristics of Emergency Room and Hospital Encounters Resulting From Consumer Home Monitors.

113. 2. How will we manage change? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu2.html
     October 01, 2014 - Page Table of Contents Preventing Pressure Ulcers in Hospitals Overview Key Subject Area Index … For example, process mapping can be applied to a process, such as inpatient admissions from the emergency … prevention fits into existing processes such as surgical or medical admissions, or admissions through the emergency

114. Chapter-7 - Harm Due to Anticoagulants (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
     March 01, 2020 - support safe transitions and continuation of patients’ anticoagulants post- discharge from a hospital or emergency … Cost 7.1.3.3.1 Utilization The review by Entezari-Maleki et al. found significant differences in emergency … The incidence and severity of adverse events affecting patients after discharge from the hospital. … Implementation of an emergency department atrial fibrillation and flutter pathway improves rates of … warfarin therapy with INR within therapeutic range 100% of the time during the 3 months prior to the index

115. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/match.pdf
     August 01, 2012 - – Carry medication information at all times in case of an emergency. … – Carrying their medication information at all times in case of an emergency. … This index considers factors such as whether the error reached the patient and, if the patient was harmed … Examples of medication reconciliation errors are included to illustrate how this index can be used to … classify each example based on the NCC MERP index.

116. Part 4: Health Care of Residents of the U.S.-Mexico Border (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-comm.html
     March 01, 2020 - Outcomes: Reduced risk factors, including body mass index, percentage of children with waist circumference … Outcomes: Significantly reduced asthma-related emergency department visits, hospitalizations, missed

117. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
     October 01, 2022 - 59 The vast majority of the VTE events occurred in the 90 days postdischarge rather than during the index … Untreated inherited bleeding disorders Therapeutic levels of anticoagulation Hypertensive urgency/emergency

118. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
     December 01, 2013 - Emergency package should be with child at all times and contain: Spare tracheostomy tube of same … Accidental decannulation: Emergency kit described above should always be at hand. … infants fed human milk initially have slower early growth, but have improved Bayley mental developmental index

119. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
     January 01, 2024 - In 2020 AHRQ awarded three grants in response to the number of hospitalizations and emergency department … patient was discharged from the hospital, coordination of care for MCC patients improved and subsequent emergency … participating in primary care innovation programs were used to form configuration and staffing models (The Index … sessions to provide mental health treatment for elderly patients living in rural New York, which reduced emergency … families with substance abuse in the home or limited access to social services)  Examine the extent and severity

120. A Tale of Three Practices: How Medical Groups are Improving the Patient Experience (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/quality-improvement/reports-and-case-studies/CaseStudyPatientExperience_July2011FINAL_revised20110728.pdf
     July 01, 2011 - developing a new Obesity Management Program, with an emphasis on diagnosing obesity using body mass index