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981. Module 6: Sustainability: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
     March 01, 2017 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Universal and Targeted Tools Ambulatory Surgery Centers Toolkit CLABSI and CAUTI Prevention … Improving Your Laboratory Testing Process Mechanically Ventilated Patients Toolkit MRSA Prevention

982. The Brighton Collaboration: Creating a Global Standard for Case Definitions (and Guidelines) for Adverse Events Following Immunization (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Kohl.pdf
     April 01, 2004 - conceived, and modeled loosely after the Cochrane Collaboration (http://www.cochrane.org/)—was formed in fall … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention.

983. Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
     April 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Perspect Health Inf Manage.  2019 Fall;16(Fall):1i. eCollection 2019 Fall. Walker DM, et al.

984. Serious Reportable Adverse Events in Health Care (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
     December 01, 2000 - Patient death associated with a fall while being cared for in a health care facility E. … facility means any licensed facility that is organized, maintained, and operated for the diagnosis, prevention … Pharmacopeia’s MEDMARXSM system and National Coordinating Council for Medication Error Reporting and Prevention … Prevention strategies can include identifying points in the system of care where protocols should be … These solutions should be focused on systemic prevention strategies as described above.

985. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
     August 01, 2010 - patient falls during change of shift, dropping from one to two patient falls per month to one patient fall

986. 4. Observations About the Evaluation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
     October 01, 2015 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … In most cases, they indicated that they would be willing to collaborate on Webinars during the fall,

987. Fallpxtool3C (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3c.docx
     January 29, 2013 - 3C: Tool Covering Environmental Safety at the Bedside Background: Facility safety is key to preventing falls in the hospital. Reference: Adapted from AHRQ publication on the Falls Management Program for nursing homes. Available at: www.ahrq.gov/research/ltc/fallspx/fallspxmanual.htm. How to use this tool: This tool c…

988. Part One: Physician Feedback Report Fundamentals | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/ncepcr/tools/confid-report/physfeedback.html
     February 01, 2016 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … performance targets designed to reward both performance and performance improvement, which for this measure fall

989. 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 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall … Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered … growth curve plateaus or growth trajectory falls off, and those who lose weight after discharge or fall

990. References | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
     June 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Massa S, Wu J, Wang C, Peifer H, Lane-Fall MB. … Lane-Fall MB, Christakos A, Russell GC, Hose BZ, Dauer ED, Greilich PE, Hong Mershon B, Potestio CP, … Lane-Fall MB, Cobb BT, Cené CW, Beidas RS. Implementation science in perioperative care.

991. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/pichert.html
     August 01, 2017 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … on each essential element’s capacity and ability to support PARS (or other safety, quality, or risk prevention … Vice President for Quality, Safety and Risk Prevention, Vanderbilt University Medical Center and School … Development of an early identification and response model of malpractice prevention.

992. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
     March 01, 2020 - Prevention of VTE in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis … Prevention methods include both mechanical and pharmacologic prophylaxis. … Prevention of VTE in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis … Aspirin and the prevention of venous thromboembolism following total join arthroplasty. … join line tenderness, incidental finding of a Baker’s cyst, arthrofibrosis, instability after a fall

993. HIV and AIDS | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/hiv.html
     April 01, 2018 - Resources are lacking for HIV prevention and treatment ( Peters, et al., 2016 ). … Source: Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. HIV Surveillance by Race/Ethnicity. … Prevention of infection due to Pneumocystis carinii .

994. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
     April 14, 2008 - These AEs included adverse drug reactions and other adverse outcomes, such as fall-related fractures … This is exemplified by the Center’s studies of hospitalizations and costs for fall-related injuries … scientific and data gathering activities relating to the detection, assessment, understanding, and prevention … WHO report as “the science and activities relating to the detection, assessment, understanding, and prevention … the influence of drug-drug interactions on other relatively common adverse health outcomes, such as fall-related

995. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
     May 01, 2017 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Implementation Sustainability Resources About the Toolkit CLABSI and CAUTI Prevention … Improving Your Laboratory Testing Process Mechanically Ventilated Patients Toolkit MRSA Prevention … This is important since most of the caregiving responsibility may fall on the family members and/or other

996. Blood Thinner Pills: Your Guide to Using Them Safely (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
     September 01, 2015 - ■ A serious fall or bump on the head. … Taking Your Blood Thinner Call your doctor and go to the hospital immediately if you have had a fall … For example, if you fall and hit your head, bleeding can occur inside your skull. … Or, if you hurt your arm during a fall and then notice a large purple bruise, this means you are bleeding

997. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
     June 01, 2014 - Centers for Disease Control and Prevention.

998. Patient Safety Learning Pilot: Narratives from the Frontlines (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
     April 21, 2008 - and 3; pain medication management, 42 and 4; medication management in the pharmacy, 240 and 3; and fall … prevention, 55 and 2. … In Hospital B, the focus of the human factors visit was failure of staff to adhere to fall prevention … policies and procedures, including use of bed alarms, patient fall risk identifiers, and their staff … These redundancies in reporting interfered with staff compliance with our fall policy and procedures

999. How To Manage Change
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
     November 20, 2014 - (Tool 2C) Present the assessment of current pressure injury prevention policies and procedures. … recommendations into the action plan. 4 Expected Outcomes Begin to write a draft Pressure Injury Prevention … Links to quality improvement expertise Members who influence the areas involved in pressure injury prevention … Pilot Unit Manager 8 Multidisciplinary Team (2A) Tool 2A 9 QI Process Link the Pressure Injury Prevention

1000. EvidenceNow Executive Summary - Virginia Cooperative (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-va.pdf
      November 01, 2017 - practices have the evidence they need to help their patients adopt the ABCS of cardiovascular disease prevention … Focus groups and in-depth interviews with a variety of participating practices will be conducted this fall … Accessed August 16, 2017. 3 Centers for Disease Control and Prevention. … Accessed August 16, 2017. 5 Centers for Disease Control and Prevention.