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141. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
     August 01, 2022 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall … Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered

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

143. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
     July 01, 2023 - SHARE: More topics in this section TeamSTEPPS Program TeamSTEPPS Updates Welcome Guides Curriculum Materials Introduction to Curriculum Module 1: Communication Section 1: Overview of Key Concepts and Tools Section 2: Explana…

144. EvidenceNOW: Virginia Cooperative | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/virginia.html
     March 01, 2021 - 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 … Centers for Disease Control and Prevention. Interactive Atlas of Heart Disease and Stroke. … Centers for Disease Control and Prevention. Interactive Atlas of Heart Disease and Stroke.

145. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
     October 01, 2014 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall … What are the best practices in pressure ulcer prevention that we want to use? 4. … How do we sustain the redesigned prevention practices? 7. … There are many potential reasons to implement a pressure ulcer prevention program. … has implemented a pressure ulcer prevention policy     Current pressure ulcer prevention goals

146. Assessing the Impact of Value-Based Purchasing Programs | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
     February 01, 2022 - SHARE: More topics in this section Funding & Grants Notice of Funding Opportunities Research Policies Funding Priorities Training & Education Funding Grant Application, Review & Award Process Post Award Grants Management AHR…

147. Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/research/findings/studies/index.html
     January 01, 2024 - Practice Improvement (34) Practice Patterns (305) Pregnancy (289) Pressure Ulcers (28) Prevention … Drupal date: Fall, 2023 The goal of this study was to test the feasibility of collecting qualitative … J Patient Cent Res Rev 2023 Fall; 10(4):210-18. doi: 10.17294/2330-0698.2017.. … Hoffman GJ , Alexander Nb , Ha J Medicare's hospital readmission reduction program reduced fall-related … Medicare's hospital readmission reduction program reduced fall-related health care use: an unexpected

148. Primary Care Providers in Pennsylvania Use Medication for Successful Treatment of Opioid Use Disorders | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/case-studies/202105.html
     November 01, 2021 - This new practice has been a success; as of fall 2021, 75 percent of patients who initiated treatment … LVHN committed to improve screening, prevention, and treatment, and to increase access to medication

149. How To Manage Change
     pcmh.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

150. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
     August 01, 2022 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall … Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered

151. Opioid Use in Older Adults Compendium of Resources | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/opioids/implementing-what-works/compendium-intro.html
     January 01, 2024 - change that practices and systems can use to improve primary care clinicians’ opioid management and prevention … Older Adults in Primary Care Practices Case Study (PDF, 880 KB) Creating a Work-Around to Implement Fall

152. TeamSTEPPS 2.0 Module 11: Implementation Planning
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule11.pptx
     November 02, 2018 - As an example, in our falls prevention program, we identified that the units we needed to focus was med … In developing a fall prevention program, one organization identified several risk points in their processes … They were enhanced, and the fall prevention tool was improved to address components that included the … They also realized that calling a huddle when a fall occurred was an important step in their process. … During our falls prevention program it was very important to have our change team meet very frequent

153. EvidenceNow Executive Summary - Virginia Cooperative (pdf file)
     pcmh.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.

154. Communication Assessment Guide | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
     August 01, 2022 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall … Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered

155. Health Systems Research | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/opioids/health-systems-research.html
     July 01, 2021 - AHRQ is funding multiple responses to this challenge: Prevention, Diagnosis, and Management of Opioids … Prescribing for Chronic Pain in High Risk Populations: implementing the Centers for Disease Control and Prevention

156. AHRQ News Now | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/index.html
     April 30, 2024 - Disabilities November 14, 2023 Clinical Decision Support Found To Improve Use of Blood Clot Prevention … Improve Healthcare Quality May 16, 2023 AHRQ Views: For Women’s Health Week, Let’s Make Prevention

157. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
     November 06, 2020 - following agencies: AHRQ Agency for Healthcare Research and Quality CDC Centers for Disease Control and Prevention … with a very strong response, and the hope is that there will be some results or impact made in the fall

158. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - Comparing these data with other sources of information, such as the Centers for Disease Control and Prevention … measured with MPSMS, the AHRQ Patient Safety Indicators (PSIs), the Centers for Disease Control and Prevention

159. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
     January 01, 2016 - · How do you measure pressure injury prevention practices? … Injury Prevention Program Training Webinar. · Measurement — AHRQ Pressure Injury Prevention Program Implementation … themes: · People · Patient experience · Financial information · Safety and quality Pressure injuries fall … Slide 35 SAY: Why measure pressure injury prevention practices? … Slide 38 SAY: Risk assessment is the cornerstone of prevention.

160. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
     July 01, 2022 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (   PDF , 338 … VHA's National Falls Collaborative and Prevention Programs (   PDF , 578 KB ) Erik Stalhandske, et al