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481. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
     September 01, 2017 - home staff generally do a good job of investigating and following up after an adverse event, such as a fall … It is more difficult for staff to identify which residents are at risk for a fall or pressure ulcer or

482. Appendix B. Advisory Panel Members | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/acfselection/appendixb.html
     July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools Appendix B. Advisory Panel Members Previous Page Next Page Table of Contents Disaster Alternate Care Facilities: Report and Interactive Tools Executive Summary Chapter 1. Objectives Chapter 2. Background Chapter 3. Methods Ch…

483. Transcript: Senior Leadership Podcast – What Does It Mean To Be Engaged? (pdf file)
     www.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.

484. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
     June 02, 2025 - staff generally do a good job of investigating and following up after an adverse event, such as a fall … • It is more difficult for staff to identify which residents are at risk for a fall or pressure

485. AHRQ Quality Indicators Toolkit Strengthens Nursing Coursework at University of Phoenix | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202102.html
     September 01, 2021 - AHRQ Quality Indicators Toolkit Strengthens Nursing Coursework at University of Phoenix Search All Impact Case Studies September 2021 The University of Phoenix's graduate nursing program uses AHRQ's Quality Indicators (QI) Toolkit as a learning tool to help students better understand the quality improveme…

486. Module 1: Detecting Change in a Resident's Condition | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1.html
     March 01, 2019 - Module 1: Detecting Change in a Resident's Condition Next Page Table of Contents Module 1: Detecting Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Improving Patient Safety in Long-Term Care F…

487. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1concl.html
     October 01, 2014 - Module 1: Detecting Change in a Resident's Condition Conclusion Previous Page Next Page Table of Contents Module 1: Detecting Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources In Summary The …

488. SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
     January 01, 2006 - SOPS Nursing Home Survey: What You Need To Know - Nicholas Castle, Ph.D., M.H.A., FGSA The Importance of Safety Culture in Nursing Homes Nicholas Castle, Ph.D., M.H.A., FGSA Nicholas.Castle@HSC.WVU.edu mailto:Nicholas.Castle@HSC.WVU.edu The Importance of Safety Culture • The 1999 Institute of Medicine (IOM) rep…

489. East Alabama Medical Center TAKEheart Profile | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/about/initiative/partner-hospitals/east-alabama.html
     November 01, 2022 - East Alabama Medical Center TAKEheart Profile "For EAMC, TAKEheart served as a catalyst to improve processes and refine elements of our automatic referral and care coordination systems, which will ultimately improve patient outcomes." CR Challenges at East Alabama Medical Center (EAMC) East Alabama Medi…

490. Development of a Web-Based Patient Safety Resource: AHRQ Patient Safety Network (PSNet) (pdf file)
     www.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

491. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults1.html
     September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Unique Challenges in Approaching Diagnostic Safety i…

492. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/factraining.html
     December 01, 2014 - home staff generally do a good job of investigating and following up after an adverse event, such as a fall … we be sure to instruct the nursing assistant to stay close by when she was ambulating to prevent a fall

493. Unique Challenges in Approaching Diagnostic Safety in Older Adults | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults2.html
     September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Unique Challenges in Approaching Diagnostic Safety in Older Adults Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction …

494. Module 2: Communicating Change in a Resident's Condition | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2.html
     March 01, 2019 - Module 2: Communicating Change in a Resident's Condition Next Page Table of Contents Module 2: Communicating Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources Appendix. Example of the SBAR and CUS Tools …

495. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/index.html
     July 01, 2023 - AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century AHRQ's Making Healthcare Safer reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the health…

496. Final Progress Report: Staff Nurse Fatigue and Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/rogers-report.pdf
     January 01, 2024 - only were more likely to report struggling to stay awake, they also were 2.4 times more likely to fall

497. Slide 1 (ppt file)
     www.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

498. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ap2.html
     December 01, 2014 - 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 Previous Page Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Mill…

499. Presentation: Program Overview
     www.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

500. Examples of Physician Quality Measures for Consumers | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/measures/setting/physician/examples.html
     September 01, 2019 - Examples of Physician Quality Measures for Consumers Following are a few examples of physician quality measures that research evidence and practical experience suggest are appropriate for reporting to consumers. The list is categorized by the Institute of Medicine’s domains for a quality health care system; for…