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1201. Medication Reconciliation in Pediatric Mental Health Care Settings: Attributes of Medication Reconciliation by Organizational Self-Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/medication-reconciliation/chipra-179-fullreport.pdf
      November 07, 2010 - burden the idea that coordination and accurate information, record keeping, and so on would most likely fall … burden the idea that coordination and accurate information, record keeping, and such was most likely to fall … Laird N, et al. incidence of adverse drug events and potential adverse drug events: Implications for prevention

1202. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
      November 01, 2019 - Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in Adults: 2009 International

1203. Diagnostic Safety Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
      May 01, 2023 - Toolkit http://www.macoalition.org/Initiatives/CCTRToolkit.shtml The Massachusetts Coalition for the Prevention

1204. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/index.html
      January 01, 2025 - This PSLL created and implemented an English and Spanish version of the Fall TIPS (Tailoring Interventions … The Fall TIPS (Tailoring Interventions for Patient Safety) Program: a collaboration to end the persistent

1205. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
      June 01, 2013 - Agency for Healthcare Research and Quality (AHRQ, via https://psnet.ahrq.gov/glossary) The prevention … The prevention of harm to patients. … This criterion was intended to eliminate programs that did not fall within the patient safety spectrum …  Specific patient care issues—programs that focus on one specific area of patient safety, such as fall … prevention, medication safety, or surgical infection

1206. Sustainability Module | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/slides.html
      October 01, 2020 - Sustainability Module Slide 1: Sustainability Module Sustainability Module Slide 2: Learning Objectives Image: Define sustainability. Understand the link between sustainability and spread. Create and implement a sustainability plan. Establish a sustainability measurement plan. Learn from examples …

1207. Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
      January 01, 2017 - which is a heterogeneous disease and is difficult to diagnose.7 A major barrier to standardizing prevention … threshold, is one of the interventions specifically designed to prevent VAC.8,32,33 LTVV is a key prevention … 84, 85 A defect is anything you do not want to happen again, such as an unsafe condition, a patient fall … The preventability of ventilator-associated events. the CDC prevention epicenters wake up and breathe … A European care bundle for prevention of ventilator-associated pneumonia.

1208. U.S. Department of Health and Human Services Health Literacy
      www.ahrq.gov/sites/default/files/wysiwyg/health-literacy/3rd-edition-toolkit/health-literacy-education-presentation-tool-3a.pptx
      January 01, 2019 - U.S. Department of Health and Human Services Health Literacy Health Literacy: Making It Easier for Patients to Find, Understand, and Use Health Information and Services This presentation was created by the Agency for Healthcare Research and Quality (AHRQ) and intended for users to customize and share as par…

1209. Implement-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety Implement Teamwork and Communication for Perinatal Safety SAY: The Implement Teamwork and Communication module of the AHRQ Safety Program for Perinatal Care will help you understand the importance of effective communicatio…

1210. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/zero_clabsis-slides/Sustaining-Zero-CLABSIs-May-8-2012-508.ppt
      January 01, 2012 - advance for unstable ambulatory patients Stretcher-locking mechanism failure noted and prevented patient fall

1211. Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2024 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-ptI.pdf
      January 01, 2024 - When the distribution of hospital scores follows a normal bell-shaped curve (where most of the scores fall … When the distribution of hospital scores follows a normal bell-shaped curve (where most of the scores fall

1212. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-psychological-safety-ref.html
      September 01, 2023 - J Contin Educ Health Prof 2018 Fall;38(4):250-254. https://doi.org/10.1097/CEH.0000000000000225 .

1213. Strategy 3: Bedside Shift Report (Tool 3) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
      May 30, 2013 - initial nursing assessment, the nurse noticed a large bruise on his elbow and hip related to a recent fall

1214. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-ref.html
      September 01, 2023 - J Contin Educ Health Prof 2018 Fall;38(4):250-254. https://doi.org/10.1097/CEH.0000000000000225 .

1215. Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
      September 01, 2022 - Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Why Should Your Practice Focus on Improving Antibiotic Prescribing? Ambulatory Care Slide Title and Commentary Slide Number and Slide Why Should Your Practice Focus on Imp…

1216. Measure Descriptions for Daily Early Mobility: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-slides.html
      February 01, 2017 - Fall with or without staff assisting in lowering patient (22, 23). Other (25).

1217. Final Progress Report: Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent ADEs in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
      January 01, 2024 - The National Action Plan for Adverse Drug Event Prevention identified the nearly 16,000 NHs as a clinical … setting where ADE prevention strategies are lacking for high-risk drug classes. … patient populations, namely the elderly, and in high-risk settings where ADE prevention is lacking, … This project addressed ADE prevention of these high-risk drugs in this high-risk population. … Society for Prevention Research 27th Annual Meeting, San Francisco, CA. Oral Presentations 1.

1218. Promoting Best Practice and Safety Through Preprinted Physician Orders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
      February 08, 2008 - Promoting Best Practice and Safety Through Preprinted Physician Orders Promoting Best Practice and Safety Through Preprinted Physician Orders George Ehringer, MD; Barbara Duffy, RN, LHRM, MPH Abstract Defining how preprinted physician orders are developed within a hospital has the potential to positi…

1219. ACTION III 2019 Project Summaries (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/ACTION%20-III-2019-Project-Summaries.pdf
      January 01, 2019 - An emerging prevention strategy is decolonization, since vulnerable patients are at higher risk for … Describe a protocol hospital leaders may want to adopt for infection prevention. … Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. … Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. … Centers for Disease Control and Prevention. Framework for program evaluation in public health.

1220. Challenges to Real-Time Decision Support in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
      January 01, 2007 - On the rise and fall of videotaping programs. Fam Med 2001; 33: 89-90. 23.