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261. CHIPRA 150 Section 6, Antipsychotics Testing Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-metabolic-monitoring-testing-summary.pdf
     December 31, 2015 - prescribed a psychotropic medication, the broader class of medications under which antipsychotics fall … minority groups are at much greater risk for diabetes than whites (Centers for Disease Control and Prevention

262. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare July 2020 Meeting Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
     November 06, 2020 - following agencies: AHRQ Agency for Healthcare Research and Quality CDC Centers for Disease Control and Prevention … Bioengineering a very strong response, and the hope is that there will be some results or impact made in the fall

263. Enhancing Patient Safety Through Cognition and Communication (M-Safety Lab) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
     April 01, 2021 - Other detected motions include getting out of bed, which can increase the risk of fall events, and rhythmic … Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing

264. Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population …

265. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
     December 27, 2021 - Conduct a fall-out analysis to determine why individuals did not receive an indicated service. … A third process you can use with your practices to identify root causes is fall- out analysis. … Steps for Completing a Fall-Out Analysis 1. … Identify two-to-five patient cases that “fall out” of the performance metric in question. 2. … Example: Using fall-out analysis to improve diabetes care in a federally qualified health center.

266. New York-Long Island Clinical Improvement Through Innovation Collaborative | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/new-york-long-island-clinical-improvement-through-innovation-collaborative.html
     March 25, 2014 - Current or Past Research Interests Comments : Other health or disease related interests: Prevention

267. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
     November 30, 2013 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention ED … Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention … Yes No >1 hospitalization or ED visit in the past 3 months   >1 fall in the past 3 months   Active … stasis ulcer)   Polypharmacy (15 or more medications)   Presence of catheter or ostomy   Fall … Section 2: Preventable Hospital Transfer and ED Visits - Prevention Plan For residents at risk:

268. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
     November 30, 2013 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention ED … Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention … Yes No >1 hospitalization or ED visit in the past 3 months   >1 fall in the past 3 months   Active … stasis ulcer)   Polypharmacy (15 or more medications)   Presence of catheter or ostomy   Fall … Section 2: Preventable Hospital Transfer and ED Visits - Prevention Plan For residents at risk:

269. Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/materials/staffing.html
     June 01, 2021 - physical therapists can conduct accident investigations, implement care plan updates, and lead teams in fall … /injury prevention.   … Coronavirus Waivers and Flexibilities for Health Care Providers The Centers for Disease Control and Prevention

270. AHRQ Views: New Quality Indicator Aimed at Addressing Maternal Morbidities | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/936.html
     November 01, 2024 - The impact of design factors on user behavior in a virtual hospital room to explore fall prevention strategies

271. Table 17B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17B: Dually Eligible HCBS Participants 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 Outcome Indicators f…

272. Table 17G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17G: HCBS Population Age 65+ 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 Outcome Indicators for the HCB…

273. Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Populat…

274. Table 17D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17D: Intellectual/Developmental Disabilities Subpopulation 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 …

275. Table 17C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17C: Medicaid-Only HCBS Participants 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 Outcome Indicators for…

276. Table 17A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 17A: National HCBS Population 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 Outcome Indicators for the HC…

277. Proactive Postmarketing Surveillance: Overview and Lessons Learned from Medication Safety Research in the Veterans Health Administration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell-R_106.pdf
     April 14, 2008 - These AEs included adverse drug reactions and other adverse outcomes, such as fall-related fractures … This is exemplified by the Center’s studies of hospitalizations and costs for fall-related injuries … scientific and data gathering activities relating to the detection, assessment, understanding, and prevention … WHO report as “the science and activities relating to the detection, assessment, understanding, and prevention … the influence of drug-drug interactions on other relatively common adverse health outcomes, such as fall-related

278. Appendix B. Detailed Research Domain Framework Definitions and Classification Rules | Agency for Healthcare Research and Quality
     www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
     June 01, 2020 - Prevention. … Prevention also includes prevention of injury, such as a health professional providing counseling about … Non-HSR clinical trials that examine patient health outcomes (which would otherwise fall under Quality … care providers (e.g., doctors or medical residents), and therefore measures related to them do not fall … Prevention Includes studies that examine prevention of injuries or disease, rather than studies

279. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
     September 01, 2015 - CAUTI prevention isn’t my responsibility.” … • CAUTI prevention is also tied to the “bottom line” with potential financial implications associated … UNDERSTAND THE RISKS OF INDWELLING URINARY CATHETERS “All immobile intensive “It’s just a “CAUTI prevention

280. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
     August 01, 2025 - These projects typically fall into one or more of the following categories: measure selection, surveillance … care processes and reduce falls incidence and fall-related injuries. … Key Findings/Impact: This project evaluated the impact of fall prevention interventions in 91 participating … In the fall of 2009 and early 2010, the study team hosted a series of webinars designed to train population … racial disparities emerged in both event occurrence and reporting accuracy—White residents had higher fall