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www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - ■ A serious fall or bump on the head. … Taking
Your Blood Thinner
Call your doctor and go to the
hospital immediately if you have had
a fall … For example, if
you fall and hit your head, bleeding can
occur inside your skull. … Or, if you hurt
your arm during a fall and then notice a
large purple bruise, this means you are
bleeding
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1.html
March 01, 2019 - Module 2 focuses on communicating changes in a resident's condition, and Module 3 covers falls prevention
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - : Pressure Ulcer Prevention Implementation
Implementation of the Prevention Reports Into Day-to-Day … can help strengthen prevention activities. … We have lots of meetings—morning report, standup meeting, huddles, fall meetings, pressure ulcer meetings … : screening, prevention practices, clinical meetings that are held that discuss pressure ulcer prevention … Prevention is not discussed at any meeting.
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www.ahrq.gov/sites/default/files/2024-09/studdert-report.pdf
January 01, 2024 - Final Progress Report: Malpractice Insurers’ Medical Error Surveillance and Prevention Study (MIMESPS … )
MALPRACTICE INSURERS’ MEDICAL ERROR
SURVEILLANCE AND PREVENTION STUDY (MIMESPS)
Principal Investigator … Academic institutions
and the physicians who staff them are overrepresented, as are claims that fall … Incidence, patterns,
and prevention of wrong-site surgery (accepted for publication: Surgery,
2005) … No-fault compensation for medical injuries: the prospect
for error prevention.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.doc
May 14, 2013 - or VAT prevention. … Third: Do you have an effective nurse champion for your CAUTI prevention activities? … Six: Do you have an effective physician champion for your CAUTI prevention activities? … Seven: Have physicians fully embraced CAUTI prevention activities? … Eight: Has senior leadership fully supported CAUTI prevention activities?
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www.ahrq.gov/sites/default/files/2024-11/stafford-fortmann-report.pdf
January 01, 2024 - We examine the quality of outpatient care using 23 quality indicators we have measured, which
fall into … The 23 quality indicators fall into five categories: medical
management of common diseases (10 indicators … Are evidence-based cardiovascular prevention therapies being used? … Prevention and Control 2005;1:285-295.
Ma J, Lee K-V, Stafford RS. … Are evidence-based cardiovascular prevention therapies being used?
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/influenza-rsv-slides.pptx
September 01, 2022 - bronchiolitis
Inflammation and congestion in bronchioles
RSV: Common cause of bronchiolitis
Circulates in fall … Centers for Disease Control and Prevention, Influenza (Flu). … Centers for Disease Control and Prevention: Influenza (Flu). November 18, 2021. … Centers for Disease Control and Prevention, Influenza (Flu). June 17, 2022. … Centers for Disease Control and Prevention. Influenza.
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www.ahrq.gov/hai/pfp/haccost2017-discuss.html
November 01, 2017 - First, prevention efforts may have disproportionately eliminated the least severe and least costly infections … For example, CAUTI has been the focus of several national prevention initiatives, including the AHRQ-sponsored … At the same time that prevention efforts were ramping up, the CDC National Healthcare Safety Network … Second, prevention efforts may have been more effective at reducing the risk of developing these HACs … Third, HAC-prevention efforts may have been particularly effective at reducing these complications in
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www.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
October 01, 2014 - Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care
Search All Impact Case Studies
November 2011
Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support calls fo…
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - Tool: Check-Back (or Repeat-Back)
A check-back, which is sometimes called a repeat-back, is a closed-loop communication strategy used to verify and validate exchanged information. When a team member calls out information, they typically anticipate a check-back in response to verify that the information was rece…
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www.ahrq.gov/research/publications/search.html?page=16
September 01, 2012 - Health Information Technology Health Literacy Hospitals & Health Systems Patient & Family Engagement Prevention … detecting change in a resident's condition, communicating change in a resident's condition, and falls prevention
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod2.html
March 01, 2019 - Module 1 focuses on communicating changes in a resident's condition, and Module 3 covers falls prevention
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - tested
draft items
Obtained input from
WPS SMEs &
SOPS TEP
Conducted
pilot study
Summer/Fall … CDC's Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All
Settings … 2Fhicpac%2Frecommen
dations%2Fcore-practices.html
Th is document describes a core set of infection prevention … The pract ices were selected from exist ing Centers for Disease
Control and Prevention (CDC) recommendations
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide … “A” represents the assessment, prevention, and management of pain. … with safety through protocolization, the ABCDEF bundle, and delirium monitoring and management for the prevention
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-ehr-oud.pdf
June 02, 2025 - Using an EHR System to Prevent Opioid Use Disorder in Older Adults in Primary Care Practices Case Study
1
Using an Electronic Health Record
System to Prevent Opioid
Use Disorder in Older Adults in
Primary Care Practices
Case Study - Westfield Family Physicians
Intervention: The staff at Westfield Family Physici…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
June 02, 2025 - (Tool 2C)
Present the assessment of current pressure injury prevention policies and procedures. … recommendations into the action plan.
4
Expected Outcomes
Begin to write a draft Pressure Injury Prevention … Links to quality improvement expertise
Members who influence the areas involved in pressure injury prevention … Pilot Unit Manager
8
Multidisciplinary Team (2A)
Tool 2A
9
QI Process
Link the Pressure Injury Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Workload, Participation, Resources, Foley Alternatives
Learning from Defects
Prevention … event
Cites NHSN criteria for event labeled as a CAUTI
Raises awareness of incident for use for further prevention … on the UMC intranet for staff
Lab time also arranged for a “test out” on care and insertion
CAUTI Prevention … Getting the students involved
Students are educated about On the CUSP: Stop CAUTI
Students created CAUTI prevention … Participation in CDC sponsored “Reverse the Trend” Webinar
Interview appearing in edition of APIC’s Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/guide-staffing-during-COVID19.pdf
June 02, 2025 - physical therapists can conduct accident investigations, implement care plan updates,
and lead teams in fall … /injury prevention. ♦
− Encourage department heads to have a visible presence on the units, assisting … Coronavirus Waivers and Flexibilities for Health Care Providers
The Centers for Disease Control and Prevention
-
www.ahrq.gov/action-alliance/resources/index.html
March 01, 2025 - Resources and Tools on Patient and Healthcare Workforce Safety
These curated lists of tools and resources support organizations in taking action to improve patient and workforce safety. The lists include tools and resources organized by (1) Centers for Medicare & Medicaid Services (CMS) Patient Safety Structura…
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-eff.html
September 01, 2015 - Source: Centers for Disease Control and Prevention, National Vital Statistics System, 2008-2012. … Importance: According to the Centers for Disease Control and Prevention ( Xu, et al., 2014 ), the rate … are available), 41,149 suicides were reported ( CDC WISQARS, 2013 ; American Foundation for Suicide Prevention … Source: Centers for Disease Control and Prevention, National Vital Statistics System.