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101. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=3
     January 01, 2024 - Safety, Older Adults Publication Date: June 2020 Developing Biomechanical Models from Initiated Fall … 888539 ) Principal Investigators: Morse and Merryweather Grant Number: R03 HS 26264 Topic(s): Fall … Prevention, Older Adults Publication Date: June 2020 Improving Quality of Postoperative Pain

102. 6 Tk1 T5-Suspect A Urinary Tract Infection Brochure Ma Coalition Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
     June 02, 2025 - is Sounding The Alarm About The Overuse of Antibiotics Developed by the Massachusetts Infection Prevention … Partnership © Massachusetts Coalition for the Prevention of Medical Errors – used with permission of … from the Coalition and the Massachusetts Infection Prevention Partnership Antibiotics Are Powerful … Non-specific symptoms such as confusion, a sudden change in behavior, fatigue or a fall may be caused … Partnership Massachusetts Department of Public Health Massachusetts Coalition for the Prevention of

103. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
     November 01, 2023 - Improving Fall Detection and Prevention AHRQ also funded projects exploring strategies for the detection … and prevention of patient falls in a variety of healthcare environments … role of the built environment (architecture, interior design, engineering) in the acquisition and prevention … Firefighting to innovation: using human factors and ergonomics to tackle slip, trip, and fall risks in … Detection and Prevention Improving Information Flow and Detection Impacts Appendix Healthcare Facility

104. No More Cauti Preventing Cauti Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
     May 05, 2015 - Finally, Liz served as a national mentor to 2 fellows in the project protect infection prevention fellowship … Today, we're going to be talking specifically about the education component in your CAUDI prevention … For a lot of people, part of their CAUDI prevention program is not only looking at appropriate indication … We know that the burden of toileting a patient is going to fall primarily on the nursing staff. … That catheter in someone with limited mobility actually acts as a tether and actually increases a fall

105. Appendix B31: Engineer Wheelchair Inspection | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb31.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … ___ If seat or back upholstery is cracked or torn, replace. ___ If back upholstery sags, contact Fall … Prevention Therapist for instructions.

106. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ref.html
     December 01, 2014 - Implications for prevention. ADE Prevention Study Group. JAMA 1995;274:29-34. … Atlanta, GA: Centers for Disease Control and Prevention; March 2009. … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Fall prevention in acute care hospitals: a randomized trial. JAMA 2010;304(17):1912-8. … VHA’s national falls collaborative and prevention programs.

107. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - Implications for prevention. ADE Prevention Study Group. JAMA 1995;274:29-34. … Atlanta, GA: Centers for Disease Control and Prevention; March 2009. … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Fall prevention in acute care hospitals: a randomized trial. JAMA 2010;304(17):1912-8. … VHA’s national falls collaborative and prevention programs.

108. Improving Patient Safety in Long-Term Care Facilities: Training Modules (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
     June 01, 2012 - Falls Prevention and Management. … to a fall or near fall. … › Fall prevention requires active engagement. › You must go beyond an incident report to develop a … Examples of Fall Prevention Interventions To prevent falls, you should address: › Things about … Falls Prevention

109. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
     March 09, 2005 - oversedation), and 20 percent were falls.17 In long-term care facilities, more than half of residents fall … The intervention was phased into 13 nursing homes in the fall of 2003, with the full intervention start … Falls and fall prevention in the nursing home. Clin Geriatr Med 1996 Nov;12(4):881–902. 25. … Fall injuries in the elderly. Clin Geriatr Med 1985;1(3):501–12. 28. Monane M, Avorn J. … Causation, correlation, and prevention. Clin Geriatr Med 1996;12 (4):847–58. 29.

110. | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/tools/index.html?page=3
     June 01, 2016 - Keyword or Topic Topics - Any - Featured Clinicians & Providers Hospitals & Health Systems Prevention … toolkit assists nursing facilities in providing individualized, person-centered care and improving their fall … Ulcers in Hospitals These materials assist hospital staff in implementing effective pressure ulcer prevention

111. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
     January 01, 2021 - such as the Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention … The CFER-H V1.2 data presented indicate Fall prevention protocols or other interventions were in place … The second most frequently reported type of prevention intervention was Call light/personal items within … Hip and/or joint protectors (73 / 150,291; 0.0%) was the least reported type of prevention intervention … Fall Intervention(s) in Place and Used to Prevent Fall Fall Observed Fall Observed Medication

112. Examples of Hospital Quality Measures for Consumers | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
     March 01, 2016 - Rates at which patients fall and incur injury during a hospital stay. … receiving recommended hospital care for specific conditions such as heart attack, pneumonia care, and prevention

113. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-icu-facguide.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide … cases of dislodgement of an orogastric tube, one case of dislodgement of an arterial line, and one fall

114. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
     January 01, 2024 - We focused on the prevention of delirium and falls, as these are two of the most common preventable … These data provide support for the proposed research project.Gurwitz et al suggest that prevention … Treatment of delirium is based on the treatment of the precipitating factor, and prevention plays the … The prevention of adverse drug events. ECPN 2005;June:26-32. Feinberg JL. … Causation, correlation, and prevention. Clin Geriatr Med 1996;12(4):847-58.

115. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
     June 01, 2017 - Section 1: Screening for Hospital Transfer Risk Section 2: Preventable Hospital and ED Visits - Prevention … Yes No >1 hospitalization or ED visit in the past 3 months |___| |___| >1 fall in the … (15 or more medications) |___| |___| Presence of catheter or ostomy |___| |___| Fall … Gastroenteritis Yes |___| No |___| Section 2: Preventable Hospital Transfer and ED Visits - Prevention … Meeting Hospital/ED Transfer Prevention Discussed (Yes/No) Meeting Chair/Leader Name and Discipline

116. New Tools Help Health Providers Reduce Patients' Risk of Falls | Agency for Healthcare Research and Quality
     www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html
     September 01, 2015 - Overview Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care Using a Computerized Fall

117. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
     December 01, 2012 - All but two of the indicators (Pressure Ulcer and Injurious Falls) build on existing AHRQ Prevention … Rates for most of the other indicators fall between 2,000 and 8,000 admissions per 100,000 HCBS participants

118. AHRQ Slide Template 2004 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/spectorhudak.ppt
     December 01, 2013 - AHRQ Slide Template 2004 On-Time Prevention Program for Long Term Care: Clinical Decision Support … , MS RN SLH Clinical Consulting Presentation at AHIMA June 17, 2013 Baltimore, MD Using HIT for Prevention … hospitalizations happen too often in nursing homes (NHs) despite regulatory and market approaches to encourage prevention … Intervention HIT Vendors & On-Time Modules * planning to add/complete in 2013 Vendor Pressure Ulcer Prevention … Pressure Ulcer Healing Falls Prevention Avoidable Transfers Answers on Demand ✔* ✔* American Data/

119. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
     January 01, 2023 - An example of additional detail from the Fall module would be the type of injury sustained in a fall … Near Miss Prevention Actions by Event Type This figure examines the percentage of each NEAR MISS PREVENTION … Excluding reports where the NEAR MISS PREVENTION ACTION was Unknown, a Fail-safe designed into the … NEAR MISS PREVENTION ACTION is defined by DE93 in response to the question “What prevented the near … ) • Near fall – loss of balance that does not result in a fall Medication or Other Substance • Adverse

120. Improving Patient Safety in Long-Term Care Facilities | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/instructor.html
     October 01, 2014 - Falls Prevention Appendix 1-A. Suggested Slides for Module 1 Appendix 1-B. … Falls Prevention and Management . … Falls Prevention     Principal Message     Principal Audiences     Workbook Content Overview     … Translating the Teaching into Practice     Quality Improvement     Applying QI to Improving Falls Prevention