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5561. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
      April 09, 2004 - error 282 11.5 Delay in treatment 161 6.6 Patient death/injury in restraints 112 4.6 Patient fall

5562. Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/public-reporting/guide2.html
      June 01, 2017 - Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information The purpose of the Best Practices in Public Reporting series is to provide practical approaches to designing public reports that make health care performanc…

5563. Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
      March 01, 2017 - Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Contents Executive Summary Overview      How To Use This Guide Program Elements      Long-Term Care Safety Toolkit Modules      T.E.A…

5564. The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-mental-health-data-spotlight.pdf
      July 01, 2024 - These mental health issues fall under the umbrella of any mental illness (AMI).

5565. Final Progress Report: Older adult safety while receiving home health services after hospital discharge (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/arbaje-report.pdf
      January 01, 2024 - Final Progress Report: Older adult safety while receiving home health services after hospital discharge Older adult safety while receiving home health services after hospital discharge Principal Investigator: Alicia I. Arbaje, MD, MPH, PhD Other team members: Bruce Leff, MD (Primary mentor) Ayse P. Gurses, PhD, MS…

5566. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
      December 01, 2017 - bed and tripped with the catheter and fell, and then he was found to have – at that point, after the fall

5567. Ed-Catheter-Insertions-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
      September 10, 2013 - bed and tripped with the catheter and fell, and then he was found to have – at that point, after the fall

5568. Organizational Embrace of CUSP to Improve Patient Safety (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
      April 01, 2013 - On the next slide, we show sort of the things that came together in the fall of 2010.

5569. Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-2-public-reporting.pdf
      June 01, 2010 - Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Comparative Quality Reports: Effective Use of Explanatory Information Best Practices in Public Reporting No. 2: Maximizing Consumer Understanding of Public Compar…

5570. Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
      November 01, 2015 - Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) Webinar Transcript American Hospital Association – Chicago September National Content Call September 9, 2014 11:00 AM CT Operator: This is a recording for the Kathy Drury Teleconference with American Hospital Associ…

5571. Rafael Borja (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
      September 09, 2014 - Rafael Borja American Hospital Association – Chicago September National Content Call September 9, 2014 11:00 AM CT Operator: This is a recording for the Kathy Drury Teleconference with American Hospital Association Chicago, Tuesday, September 9, 2014 scheduled for 11:00 a.m. Central Time. Ladies and gentlemen, than…

5572. Addressing Workplace Violence and Creating a Safer Workplace | PSNet
      psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
      October 31, 2023 - Addressing Workplace Violence and Creating a Safer Workplace Cheryl B. Jones, PhD, RN, FAAN; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | October 31, 2023  Also Read the Conversation View more articles from the same authors. Citation Text: Jones CB, Sousane Z…

5573. In Conversation With... Francoise Marvel, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
      August 05, 2022 - devices or have internet access but for people who don’t have those things; it is for people who might fall

5574. Closing the Feedback Loop to Improve Diagnostic Quality - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs017060-weiss-final-report-2011.pdf
      January 01, 2011 - From our data we estimate that about 10-15% of patients would fall into this category.

5575. Cognitive Testing Protocol AHRQ QI template (pdf file)
      qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Composite.pdf
      January 01, 2000 -  Rate of hip fracture after an operation How often hospital patients broke a hip bone from a fall … fracture after an operation This graph shows you the percent of patients who broke a hip from a fall … A fall can happen for different reasons, such as being given too much pain medication, or having too

5576. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33750/psn-pdf
      May 01, 2013 - measures, it's pretty hard to measure diagnostic errors for example, and some of the other issues that fall

5577. Systematic Review on Opioid Treatments for Chronic Pain: Surveillance Report 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/opioids-chronic-pain-surveillance-report-1-final.pdf
      April 01, 2022 - Systematic Review on Opioid Treatments for Chronic Pain: Surveillance Report 1 Systematic Review on Opioid Treatments for Chronic Pain: Surveillance Report 1 Literature Update Period: August 2019 through September 2021 Background and Purpose This is the first update for the 2020 report Opioid Treatments for Chr…

5578. Scaling, Measurement, and Dissemination of CDS Workgroup: Approaches to Measuring Patient-Centered CDS Workflow and Lifeflow Impact (pdf file)
      cdsic.ahrq.gov/sites/default/files/2023-08/SMD%20Workflow%20Measurement%20Approaches%20Report_to%20AHRQ%208.9.23_508.pdf
      January 01, 2023 - Examples of methods that fall within computational ethnography include using screen capture software … 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 science study

5579. Scaling, Measurement, and Dissemination of CDS Workgroup: Approaches to Measuring Patient-Centered CDS Workflow and Lifeflow Impact (pdf file)
      digital.ahrq.gov/sites/default/files/SMD%20Workflow%20Measurement%20Approaches%20Report_to%20AHRQ%208.9.23_508.pdf
      July 01, 2023 - Examples of methods that fall within computational ethnography include using screen capture software … 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 science study

5580. Physician Event Reporting: Training the Next Generation of Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
      May 01, 2003 - Unfortunately, these conferences often fall short of their long-term implicit goals.