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1101. Key Subject Area Index | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pukey.html
      October 01, 2014 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall

1102. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
      November 06, 2020 - with a very strong response, and the hope is that there will be some results or impact made in the fall

1103. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/es/patient-safety/settings/hospital/match/index.html
      April 01, 2023 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall

1104. AHRQ Safety Program for Perinatal Care: Sample Scenario for Umbilical Cord Prolapse In Situ Simulation (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_cord-prolapse.docx
      May 01, 2017 - Trigger #2 FHR, which had been 140, begins to fall. A prolonged deceleration occurs. … Trigger #2 FHR, which had been 140, begins to fall. A prolonged deceleration occurs.

1105. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
      July 01, 2022 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (   PDF , 338

1106. Transcript: Senior Leadership Podcast – What Does It Mean To Be Engaged? (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
      June 01, 2017 - When we get a CLABSI, CAUTI, VTE fallout, skin breakdown, or a fall with injury, it is presented as … We haven't had a fall with injury for I think 7 months.

1107. Early Mobility in the Intensive Care Unit: Slide Presentation | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-slides.html
      February 01, 2017 - Fall with laceration and suture (1). 5. Sricharoenchai T, Parker AM, Zanni JM, et al.

1108. Early Mobility in the Intensive Care Unit: Facilitator Guide | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-icu-fac-guide.html
      February 01, 2017 - cases of dislodgement of an orogastric tube, one case of dislodgement of an arterial line, and one fall

1109. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
      January 01, 2004 - Data elements such as safety precautions in place at the time of a fall are desirable, but not mandatory … Patients treated in the outpatient setting may occasionally experience a fall, but it is not likely … that they are going to a clinic for a fall risk assessment. … Thus, the safety precautions field may not apply to every fall event, or the list of precautions may … be customized to reflect the patient type affected by the fall.

1110. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Sehgal_64.pdf
      April 02, 2008 - For example, searching on “medication reconciliation” (the third most common search term as of fall

1111. No More CAUTI: Preventing Catheter-Associated Urinary Tract Infections (May 5, 2015) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-slides.html
      December 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

1112. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/sorraslides.pdf
      January 01, 2014 - preliminary comparative results  Technical assistance  Comparative Database  Voluntary data submission Fall

1113. Slide 1 (ppt file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-070913.ppt
      July 01, 2013 - to have an indwelling urinary catheter because they are afraid of soiling linens or incontinence or fall

1114. Development of the Learning Health System Researcher Core Competencies (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/lhsabstract.pdf
      December 01, 2016 - Development of the Learning Health System Researcher Core Competencies Development of the Learning Health System Researcher Core Competencies Objective: To develop core competencies for learning health system (LHS) researchers to guide the development of training programs. Data Sources: A systematic literature r…

1115. Presentation: Program Overview
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-slides.pptx
      January 01, 2017 - (8 per 10,000 PT treatment) Dislodgement of orogastric tube (2) Dislodgement of arterial line (1) Fall

1116. Indwelling Urinary Catheter Indications Facilitator Notes (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
      April 01, 2022 - She has chronic urinary incontinence and is a high fall risk. … The answer is False, because the catheter actually does not decrease fall risk.

1117. AHRQ-Funded Patient Safety (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
      June 01, 2023 - ■ An AHRQ Patient Safety Learning Labiv (PSLL) developed an electronic Fall TIPS Tool to help patients … Key Findings/Impact: Investigators found that implementing the Fall TIPS toolkit reduced patient fall … into both the electronic and print versions, because patients are more likely to believe they need a fall … kYnT0DsXhE2-YQlbhGpyMg/project-details/9348608 https://www.ahrq.gov/patient-safety/settings/hospital/fall-tips

1118. Transitioning Newborns from NICU to Home | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/index.html
      June 01, 2021 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall

1119. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb3.html
      December 01, 2013 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall … growth curve plateaus or growth trajectory falls off, and those who lose weight after discharge or fall

1120. CHIPRA 150 Section 6, Antipsychotics Testing Summary (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-metabolic-monitoring-testing-summary.pdf
      December 31, 2015 - prescribed a psychotropic medication, the broader class of medications under which antipsychotics fall