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4221. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39255/psn-pdf
      February 02, 2011 - The patient who falls: "It's always a trade-off." February 2, 2011 Tinetti ME, Kumar C. The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66. doi:10.1001/jama.2009.2024. https://psnet.ahrq.gov/issue/patient-who-falls-its-always-trade Through a case study, this article reviews evidence on risk…

4222. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47508/psn-pdf
      October 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. October 24, 2018 Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372. https://psnet.ahrq.go…

4223. SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025_nursing_home_wps_ptI.pdf
      January 01, 2025 - the distribution of nursing home scores follows a normal bell-shaped curve (where most of the scores fall … the distribution of nursing home scores follows a normal bell-shaped curve (where most of the scores fall

4224. SOPS Workplace Safety Supplemental Items for Nursing Homes: 2025 Updated Results Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2025-nursing-home-workplace-safety-report-pt1.pdf
      January 01, 2025 - the distribution of nursing home scores follows a normal bell-shaped curve (where most of the scores fall … the distribution of nursing home scores follows a normal bell-shaped curve (where most of the scores fall

4225. Language Barrier | PSNet
      psnet.ahrq.gov/web-mm/language-barrier
      February 28, 2024 - courses compared with enrollment in grades 9 to 12 in public secondary schools: Selected years, fall … 1948 to fall 2000.

4226. Procedure Complications – Who is Responsible for Follow up? | PSNet
      psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
      July 31, 2023 - Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation

4227. Engaging the Nurse, Physician, Patient/Family, CUSP- Learn From Defects | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-slides.html
      August 01, 2018 - Slide 60 Image: Sample Post Fall Huddle report. … Slide 61 Image: Sample Post Fall Huddle report continued.

4228. Safe Practices for Better Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
      April 01, 2004 - Safe Practices for Better Health Care 23 Safe Practices for Better Health Care Kenneth W. Kizer, Laura N. Blum Abstract Modern health care is highly complex, high risk, and error prone. Not surprisingly, health care errors and consequent adverse events are a leading cause of death and injury, even though wel…

4229. Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
      March 07, 2008 - performed statistical analysis on the results to identify outlier MNPT values (results that would fall … These limits helped identify the region where a high probability of INR results should fall, specific … These may still fall within the statistical limits, but they would be indicators that something abnormal

4230. Comparative Health System Performance Initiative: Compendium of U.S. Health Systems, 2016, Technical Documentation-Appendix B (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/techdocrpt-appb.pdf
      January 01, 2019 - 1000 N OAK AVE, Marshfield, WI, 54449-5703 HSI00000624 Mary Washington Healthcare 2300 FALL … Healthcare 1001 SAM PERRY BLVD, Fredericksburg, VA, 22401-4453 Mary Washington Healthcare 2300 FALL

4231. Archived: Coronary Heart Disease: Screening Using Non-Traditional Risk Factors | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/coronary-heart-disease-screening-using-non-traditional-risk-factors-2009
      October 15, 2009 - Assessment of Risk This recommendation is to be used for those who fall into a 10% to 20% (intermediate … Examples of persons who fall into the intermediate-risk category include a 60-year-old male smoker with … of asymptomatic U.S. men and 7% of asymptomatic U.S. women age 40 to 79 years without diabetes will fall … In the United States, approximately 31% of asymptomatic men and 7% of asymptomatic women fall into the

4232. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41554/psn-pdf
      January 03, 2017 - Using root cause analysis to reduce falls with injury in community settings. January 3, 2017 Lee A, Mills PD, Neily J. Using root cause analysis to reduce falls with injury in community settings. Jt Comm J Qual Patient Saf. 2012;38(8):366-374. https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-inj…

4233. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
      December 01, 2017 - Nursing-based, again back to if all else fails, we take it out, we can fall back on our nursing-based … This second example was from a few weeks ago after a patient fall. … These learn from a defect, or super falls huddles, take place very quickly after a fall. … In this case the patient did already have some fall prevention tactics in place, but we did identify

4234. Engaging-Nurse-Physician-Patient-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
      June 02, 2025 - Nursing-based, again back to if all else fails, we take it out, we can fall back on our nursing-based … This second example was from a few weeks ago after a patient fall. … These learn from a defect, or super falls huddles, take place very quickly after a fall. … In this case the patient did already have some fall prevention tactics in place, but we did identify

4235. Small and Rural and Critical Access Hospitals (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
      April 01, 2013 - We want to enhance the coordination of care because that’s where a lot of times we fall down. … What is your fall rate or your pressure ulcer rate or whatever? … Or, “We’ve gone 20 days without a patient fall.” … There are the occasional patients that fall through the cracks as far as myself or Mary will record them … sands of the hourglass are running out: Would it make sense at some future time, maybe later in the fall

4236. Approach to Residents With Reported Penicillin Allergy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
      June 01, 2021 - Approach to Residents With Reported Penicillin Allergy Ask about the associated antibiotic, timing, and outcome of the reaction o What antibiotic was the resident taking when he or she had the reaction?_________________ o What year was it or how old was the resident when the reaction happened? ______________…

4237. Appendix L. Intensive Care Unit Infographic Poster | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
      October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix L. Intensive Care Unit Infographic Poster Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation G…

4238. Enhancing Performance Via Integrated Health Systems (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/casalino.ppt
      February 16, 2011 - Enhancing Performance Via Integrated Health Systems IDENTIFYING KEY AREAS FOR DELIVERY SYSTEM RESEARCH The Challenge and Promise of Delivery System Research: A Meeting of AHRQ Grantees, Experts and Stakeholders Lawrence Casalino M.D., Ph.D. Weill Cornell Medical College Sterling, VA February 16, 2011 * 2/16/…

4239. 4 Tk2 T2-Antibiotic Pocket Cards (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T2-Antibiotic_Pocket_Cards.pdf
      May 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality Nursing Home Infection Control Guidelines for C. Difficile When to Perform Toxin Assay on Stool: • Resident symptomatic with diarrhea ( >3 loose/watery stools a day). • Especially consider in residents who received…

4240. Making It Work Tip Sheet: Multidisciplinary Rounding for Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/multidiscplinary-rounding.pdf
      April 01, 2022 - Making It Work Tip Sheet: Multidisciplinary Rounding for Patient Safety AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI Making It Work Tip Sheet Multidisciplinary Rounding for Patient Safety This “Making It Work” tip sheet provides additional information to help intensive car…