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181. Executive Summary: Person-Centered Preventive Healthcare: Prioritizing Clinical Preventive Services (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/person-centered-prevent-care-summary.pdf
     December 01, 2023 - candidates for prioritization, included lung cancer screening, shingles vaccination, tetanus vaccination, fall … prevention interventions, preventive medications to reduce risk of breast cancer, and BRCA- related … list included counseling on healthy diet and physical activity for cardiovascular disease (CVD) prevention … for adults with CVD risk factors, COVID-19 vaccination, statins for CVD prevention, screening for

182. Table 16A: Outcome Indicators by County Socioeconomic Status | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16.html
     December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 16A: Outcome Indicators by County Socioeconomic Status Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outc…

183. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
     January 01, 2023 - https://www.ahrq.gov/patient-safety/settings/index.html 2 Centers for Disease Control and Prevention … words, the QSRS may show that several different AEs occurred during a single hospital stay (e.g., a fall … 10.0 18.4 23.9 24.1 0.0 5.0 10.0 15.0 20.0 25.0 30.0 Other AEs Venous Thromboembolism (VTE) Fall … xx Office of Disease Prevention and Health Promotion, "National Action Plan for Adverse Drug Event Prevention … Fall Assisted Fall Unassisted Fall 5.

184. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=7
     January 01, 2024 - 353439 ) Principal Investigators: Bonardi Grant Number: R03 HS 022353 Topic(s): Disabilities, Fall … Prevention, Safe Practices Publication Date: June 2015 Pagination « first « First

185. Part Two: Removing the Obstacles to Practice Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
     October 01, 2020 - Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009 . … Retrieved from the Centers for Disease Control and Prevention. website: CAUTI Guidelines. … Slide 102 Do you have an effective ED nurse champion for your CAUTI prevention activities? … Slide 103 Do you have an effective ED nurse champion for your CAUTI prevention activities?

186. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
     May 06, 2008 - • Reduce errors through prevention. … For example, if an incident is related to a patient fall, followup questions ask about the patient’s … risk of falls and when the last fall-risk assessment was performed. … • Foster excellence, with direct error-prevention efforts aimed at the root cause of system and process … development of a “heparin policy” that was recently shared with all hospitals at the Trinity Health Fall

187. 155-Performing-Premortem-Project-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/155-performing-premortem-project-assessment.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Mini Presentation: Performing a Premortem Project Assessment … magic telescope that could look into the future and let you see what is going to happen with your MRSA prevention … times to meet again and look forward in time to imagine how all the progress you have achieved might fall … No. 25-0007 October 2024 Premortem Assessment Tool | 1 AHRQ Safety Program for MRSA Prevention |

188. Spreadnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
     June 02, 2025 - For example, for a falls prevention program, quantitative measures to evaluate can include the falls … rate and the number of patients with fall risk assessments. … Slide 15 SAY: Even with the best intentions, organizations can fall victim to what the Institute for

189. Strategies to Better Engineer Safety into Healthcare Delivery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
     March 06, 2025 - Product Safety Branch, Division of Healthcare Quality & Promotion, Centers for Disease Control and Prevention … Healthcare organizations can use established methods and tools to incorporate hazard anticipation, prevention … Implementation Support Resources AHRQ • Center for Disease Control and Prevention (CDC) Training: … study, researchers sought to understand architects' perspectives on designing patient rooms to reduce fall … Thriving Health Workforce •  AHRQ National Patient Safety Databases (NPSD) Spotlight: Patterns of Fall

190. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
     May 20, 2016 - with medication error ∗ Death associated with medical device ∗ Healthcare-associated infection ∗ Fall … with adverse drug event ∗ Death related to medical device ∗ Healthcare-associated infection ∗ Fall … STK-8 Stroke Education • STK-10 Assessed for Rehabilitation IQI 19 Hip Fracture Mortality Rate • Fall … prevention practices (PSI 08 Post-operative Hip Fracture Best Practice Detail Form) IQI 20 Pneumonia

191. On-Time Preventable Hospital and ED Visits Functional Specs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
     August 01, 2017 - On-Time provides EMR reports for improving clinical decisionmaking for pressure ulcer prevention, pressure … ulcer healing, prevention of inappropriate hospitalizations, and falls prevention. … Risk On-Time Fall Risk indicator or facility- defined source Use vendor inputs. … IF fall date within 7 days of report date, then Fall Risk is true and display X. 7 Column Header … either selected, then display Non-Fall Related column.

192. Prevehosp-Reports-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
     November 30, 2013 - /psychological, gastrointestinal/genitourinary, endocrine/nutritional/metabolic, wound and skin, fall … - related and non-fall-related injury, musculoskeletal, other not specified elsewhere) or treatment … Injury  Major injury  Minor injury Non-Fall-Related Injury  Major injury  Minor injury …  Fall risk (based on On-Time Fall Risk indicator or facility-defined source). … can use the report to track patterns, follow up on areas of decline, and monitor progress of new prevention

193. EvidenceNOW: Virginia Cooperative | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/virginia.html
     March 01, 2021 - practices have the evidence they need to help their patients adopt the ABCS of cardiovascular disease prevention … Focus groups and in-depth interviews with a variety of participating practices will be conducted this fall … Centers for Disease Control and Prevention. Interactive Atlas of Heart Disease and Stroke. … Centers for Disease Control and Prevention. Interactive Atlas of Heart Disease and Stroke.

194. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits - Transfer Note and Intake Note (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
     June 02, 2025 - neurological/psychological, gastrointestinal/genitourinary, endocrine/nutritional/metabolic, wound and skin, fall-related … and non-fall-related injury, musculoskeletal, other changes not specified elsewhere, or treatment not … diabetes Wound & Skin  Cellulitis  Edema  Infected wound or decubitus  Jaundice  Rash Fall-Related … Injury  Major injury  Minor injury Non-Fall-Related Injury  Major injury  Minor injury Musculoskeletal … Dehydration  Dementia  Depression  Diabetes  Dysrhythmias  Electrolyte imbalance  Fever  Fall

195. Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/haidesign/haidesign-summary.html
     April 01, 2018 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs … This report describes and examines the role of the built environment in the acquisition and prevention … of a conceptual model that illustrates the linkages between design elements and the acquisition and prevention … elements in the built environment, such as curtains and carpets, offer increased privacy, noise reduction, fall … Department of Health and Human Services, AHRQ, or the Centers for Disease Control and Prevention (CDC

196. No More CAUTI – preventing catheter associated urinary tact infections
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti.pptx
     June 02, 2025 - No More CAUTI – preventing catheter associated urinary tact infections No More CAUTI – preventing catheter associated urinary tract infections Elizabeth Mizerek, MSN, RN, CEN, CPEN, FN-CSA Assistant Professor of Nursing Mercer County Community College 1 1 Learning Objectives Define the impact of CAUTI Des…

197. Puh-Factraining-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
     June 02, 2025 - This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention … home staff generally do a good job of investigating and following up after an adverse event, such as a fall … we be sure to instruct the nursing assistant to stay close by when she was ambulating, to prevent a fall … This section asks what types of prevention care planning is discussed at staff meetings. … The goal is to focus on prevention improvement.

198. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-results.html
     November 01, 2017 - It is possible that these HACs have been met with extensive in-hospital tracking and prevention efforts … one of two topics: 1) studies reported on cost and/or mortality resulting from admissions due to a fall … in the community and 2) articles studied the impact of fall-prevention programs and protocols on the … to in-hospital falls base their costs calculations on the Bates article. 49 Costs associated with prevention … All of the later studies’ estimates fall between $40,000 and $80,000.

199. 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/factraining.html
     September 01, 2017 - On-Time Facilitator Training Overview is for training Facilitators who have not had pressure ulcer prevention … home staff generally do a good job of investigating and following up after an adverse event, such as a fall … It is more difficult for staff to identify which residents are at risk for a fall or pressure ulcer or … Prevention Plan . … This section asks about types of prevention care planning discussed at staff meetings.

200. Long-term Care Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
     November 01, 2021 - Toolkit To Improve Antibiotic Use in Long-Term Care AHRQ’s Safety Program for Nursing Homes: On-Time Prevention … and Other HAIs in Long-Term Care Facilities Affiliated Centers, Portfolios & Initiatives Prevention