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  1. 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
  2. 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…
  3. 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
  4. 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.
  5. 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
  6. 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
  7. 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.
  8. 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
  9. 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.
  10. 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
  11. 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.
  12. 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
  13. 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
  14. 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
  15. 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.
  16. 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.
  17. 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
  18. 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
  19. 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(…
  20. 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

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