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1381. AHRQ Hospital Survey on Patient Safety Culture Hospital Survey Version 1.0 Data File Specifications (pdf file)
      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

1382. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
      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…

1383. Supplemental Document No. 1 (pdf file)
      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

1384. Early Mobility 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/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.

1385. PowerPoint Presentation
      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

1386. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
      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

1387. The Relationship Between Hospital Workload and Patient Safety (pdf file)
      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.

1388. Puh-Implementation-Handouts (pdf file)
      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

1389. Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) (pdf file)
      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.

1390. Appendix A, Pt. 3 | Agency for Healthcare Research and Quality
      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

1391. Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma (pdf file)
      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.

1392. Observing Nurse Interaction with Infusion Pump Technologies (pdf file)
      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

1393. Final Progress report: Creating High Reliability Organizations (pdf file)
      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

1394. ADHD Chronic Care Follow Up (pdf file)
      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

1395. 2018-Actioniii-Projectsummaries (pdf file)
      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.

1396. 2014-Women-Chartbook (pdf file)
      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.

1397. Weight Summary (doc file)
      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

1398. 2021 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      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

1399. CUSP 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/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(…

1400. Development of a Screening Tool for Safe Wheelchair Seating (pdf file)
      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