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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops1-datafilespec.pdf
September 16, 2019 - Things “fall between the
cracks” when transferring
patients from one unit to
another
F3 Column AL
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Patient Safety Organizations: A Summary of 2014 Profiles
Patient Safety Organizations:
A Summary of 2014 Profiles
The safety of patients in health care settings remains
a national priority and an important challenge. The
Patient Safety Organization (PSO) program, which
was authorized by the Patient Safety and Qu…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc1.pdf
September 01, 2014 - 2013 SNAC agreed to provide any knowledge they had of studies
that would cause previous ratings to fall … Asthma-Related ED
Visits
Children
Adolescents
Asthma
Emergency medical care
Prevention … Prescribed ADHD
Medication
Attention deficit hyperactivity
disorder (subheading: drug
therapy)
Prevention … HbA1c Testing for
Children with Diabetes
Diabetes mellitus
Hemoglobin A1c protein,
human
Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-mvpguide.pdf
January 01, 2017 - VAP is a heterogeneous
disease and is difficult to diagnose.14 A major barrier to standardizing prevention … classification that leads to
misdiagnosis.15,16
In January 2013, the Centers for Disease Control and Prevention … • For prevention, implementation, and measurement Webcasts to support the SCCM PAD
guidelines, visit … Long-
term impact of a multifaceted prevention
program on ventilator-associated pneumonia in
a medical … A European care bundle
for prevention of ventilator-associated
pneumonia.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
September 03, 2014 - Comprehensive: takes into account all factors contributing to defects and harm
Unit-based: views harm prevention … framework is unit-based because it respects the local wisdom of frontline providers and considers harm prevention … Effective teams identify barriers, differences in personality styles, and areas where communication may fall
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www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
January 01, 2025 - to 2 in in size
• Clamp can be operated with one hand
• Able to securely hold syringes so as not to fall … holder would interfere with the IV lines), and concerns about stability
(n=7) (i.e., syringes would fall
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www.ahrq.gov/sites/default/files/2024-09/weissman-rothschild-report.pdf
January 01, 2024 - pneumothorax or hemothorax
Hospital-acquired pulmonary embolism
Hospital-acquired deep vein thrombosis
Fall … Centers for Disease Control and Prevention, National Nosocomial Infections
Surveillance System. 2005.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
July 01, 2016 - Rehab Director: We always consider if particular support surfaces are needed for pressure ulcer
prevention … The need to do this was stressed during the
pressure ulcer prevention and healing education that we … Pressure ulcers are always on the agenda; sometimes we have QAA
projects related more to prevention … AHRQ’s Safety Program for Nursing Homes: On-Time Prevention 27
Handouts:
Implementation of the
Healing … AHRQ’s Safety Program for Nursing Homes: On-Time Prevention 28
Handouts:
Implementation of the
Healing
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www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
January 01, 2024 - The use of anticoagulant therapy for the prevention and treatment of venous
thromboembolism (VTE) and … summer and winter had fewer out-of-range INRs (38%
and 34%, respectively) compared with spring and fall … Economic Analysis of Alvimopan for Prevention and Management of Post-Operative Ileus
Purpose. … Economic analysis of alvimopan for prevention and
management of post-operative ileus. … Economic analysis of alvimopan for prevention
and management of post-operative ileus.
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - Prevention depends on adequate preoperative skin antisepsis. … Conclusion
It is interesting to establish the relationship between the fall in the number of hospital
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
March 01, 2019 - Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Global Strategy for Asthma Management and Prevention;
2014. … National Asthma Education and Prevention Program. Bethesda, MD: 2007.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Carayon.pdf
January 01, 2004 - administration and decrease IV pump
programming errors, UWHC implemented Smart IV pumps organization-wide in
fall
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www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
January 01, 2024 - epidemiological evidence for patient safety improvement,
organizational psychology of systems failures and prevention … (or amnesia) for safety-related events and possible harms and
organizational approaches to harm prevention … Medicine National Meeting, Chicago, Illinois
Chicago Medical Society Midwestern Clinical Conference Fall
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-145-fullreport.pdf
July 01, 2016 - Prevalence
According to the statistics provided by the Centers for Disease Control and Prevention (CDC … that the look-back period to
determine a new diagnosis will not be accurate, and many patients will fall … Centers for Disease Control and Prevention. … treatment alone, 4-5-year-old children receiving
Behavior Treatment (as first-line treatment) may fall … cannot bill using a DEA number, children seeking care at FQHCs who might
otherwise be eligible may fall
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/2018-ACTIONIII-ProjectSummaries.pdf
January 01, 2018 - Background and Significance
The patient’s perspective is central to healthcare decisions affecting prevention … Centers for Disease Control and Prevention. U.S. County Prescribing Rates, 2017. … to 18.0 in 2014.2
Severe maternal morbidity (SMM), defined by the Centers for Disease Control and Prevention … Centers for Disease Control and Prevention. Maternal and Infant Health Data.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - American Foundation for Suicide Prevention. … American Foundation for Suicide Prevention. … /in-the-news/suicide-prevention-investment-needed-to-reverse-trend-of-
increasing-suicide. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/functional-specifications.docx
February 10, 2014 - Program for Nursing Homes On-Time Pressure Ulcer Healing
AHRQ’s Safety Program for Nursing Homes: On-Time Prevention … Note: These are the same rules described in the On-Time Pressure Ulcer Prevention Functional Specifications … at high or medium nutritional risk, according to the rules set forth in the On-Time Pressure Ulcer Prevention … within 7 days of report date for the following:
Use Calculations defined for On-Time Pressure Ulcer Prevention … Out-of-Range Values
Display an indicator when laboratory results fall outside the normal range.
3.4.4.3
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
December 01, 2021 - Health Plan Survey Database
• National Patient Safety Database (NPSD)
Centers for Disease Control and Prevention … Office of the Assistant Secretary for Planning and Evaluation
• CDC: Centers for Disease Control and Prevention … NPCR: National Program of Cancer Registries
◼ NCCDPHP-ONDIEH: National Center for Chronic Disease Prevention … Federal Sources of Data
Agency for Healthcare Research and Quality
Centers for Disease Control and Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
January 01, 2017 - CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients
AHRQ Safety Program for
Mechanically Ventilated Patients
CUSP Guide for Reducing Ventilator-
Associated Events in Mechanically
Ventilated Patients
AHRQ Pub. No. 16(…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
January 01, 2001 - Eleven subjects had sustained a fall
within the previous 180 days. … (e.g., staff time saved if residents could self-propel, elimination of
repositioning needs, injury prevention