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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - MEDMARX was implemented initially at five military hospitals in fall 2000 as part of a patient safety … Introduction In fall 1999, the Institute of Medicine (IOM) released its groundbreaking report, To … In fall 2003, for example, the DoD PSC received a near-miss report regarding a potentially unsafe practice
  2. www.ahrq.gov/prevention/resources/vision/resources/vision3.html
    October 01, 2002 - Chapter 3 Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Behavioral Modification and Social Support The psychosocial aspects of low vision are increasingly recognized as important to the rehabilitation process. The American Academy of Ophthalmology 21 notes that many individuals wit…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867656/psn-pdf
    February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learnin…
  4. www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
    December 01, 2012 - Implement Teamwork and Communication: Facilitator Notes The Implement Teamwork and Communication module of the CUSP Toolkit will help you to identify barriers to communication. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. Basic Components and Process of Communication 2 Slide 4…
  5. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/example-newsletters_v2.pdf
    November 01, 2023 - Examples of Urinary Incontinence-Focused Patient Participant Newsletters ``` Examples of Urinary Incontinence-Focused Newsletters Examples of Urinary Incontinence-Focused Patient Pa…
  6. www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
    April 01, 2013 - One nurse noted that patients who needed wheelchairs would try unassisted and fall.
  7. psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
    April 24, 2024 - the most important asset in organizations—the people who are delivering care—the other things will fall … If we fix the systems that impact the people that deliver care, many things may fall in place in terms
  8. psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
    April 24, 2024 - the most important asset in organizations—the people who are delivering care—the other things will fall … If we fix the systems that impact the people that deliver care, many things may fall in place in terms
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
    June 12, 2008 - Improving the Value of Patient Safety Reporting Systems Improving the Value of Patient Safety Reporting Systems Peter J. Pronovost, MD, PhD; Laura L. Morlock, PhD; J. Bryan Sexton, PhD; Marlene R. Miller, MD, MSc; Christine G. Holzmueller, BLA; David A. Thompson, DNSc, MS; Lisa H. Lubomski, PhD; Albert W. Wu, M…
  10. www.ahrq.gov/sites/default/files/2024-07/aboumatar-report.pdf
    January 01, 2024 - Between Patients’ Perceptions of Their Acute Care Hospital Experience and Institutions’ Injurious Fall
  11. www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
    January 01, 2024 - Final Progress Report: Quality Care and Error Reduction in Rural Hospitals Principal Investigator: Cook, Ann F. Title of the Project: Quality Care and Error Reduction in Rural Hospitals Principal Investigator: Ann Cook, Ph.D. Co-investigator: Helena Hoas, Ph.D. Team Member: Katarina Guttmannova, Ph.D. Organizat…
  12. www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
    December 01, 2017 - The patient is not assessed for fall risk, and no preventive measures are taken.
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
    December 01, 2017 - The patient is not assessed for fall risk, and no preventive measures are taken. 5.
  14. JAMA (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/DQgVKNYn6gFtXLfwthuRBU
    June 12, 2020 - JAMA Screening for Impaired Visual Acuity in Older Adults US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force Summary of Recommendation See the Summary of Recommendation Figure. Importance Impairment of visual acuity is a serious public health problem in older adults. The …
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
    January 01, 2004 - Creating a Culture of Patient Safety through Innovative Hospital Design 425 Creating a Culture of Patient Safety through Innovative Hospital Design John G. Reiling Abstract When SynergyHealth, St. Joseph’s Hospital of West Bend, Wisconsin, decided to relocate and build an 82-bed acute care facility, we reco…
  16. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti.pdf
    January 01, 2019 - distribution of community pharmacy scores follows a normal bell-shaped curve (where most of the scores fall … distribution of community pharmacy scores follows a normal bell-shaped curve (where most of the scores fall
  17. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
    December 01, 2021 - When the distribution of ASC scores follows a normal bell-shaped curve (where most of the scores fall … When the distribution of ASC scores follows a normal bell-shaped curve (where most of the scores fall
  18. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-i-asc_database_report-rev091721.pdf
    January 01, 2020 - When the distribution of ASC scores follows a normal bell-shaped curve (where most of the scores fall … When the distribution of ASC scores follows a normal bell-shaped curve (where most of the scores fall
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-parti-rev091721.pdf
    January 01, 2019 - distribution of community pharmacy scores follows a normal bell-shaped curve (where most of the scores fall … distribution of community pharmacy scores follows a normal bell-shaped curve (where most of the scores fall
  20. effectivehealthcare.ahrq.gov/sites/default/files/related_files/people-with-disabilities-protocol.pdf
    January 16, 2024 - breastfeed* or breastfed or "breast feed*" or "breast fed" or lactation).mp. 77 "accidental falls".sh. or (fall