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321. Table A: Indicator Rates for the HCBS and Full Medicaid Populations (Rates of Admission per 100,000 Persons) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
     December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table A: Indicator Rates for the HCBS and Full Medicaid Populations (Rates of Admission per 100,000 Persons) Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Av…

322. Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
     January 01, 2003 - offered initially to students and clinicians within the UCSF Schools of Nursing and Medicine, in the fall … The realization that all learners fall somewhere along this continuum posed potential difficulties, … Adverse Drug Events Prevention Study Group. JAMA 1997;277(4):307–11. 12. … Atlanta: Centers for Disease Control and Prevention; 2001. 14. … Guidelines for the prevention of intravascular catheter-related infections.

323. Indwelling Urinary Catheter Indications
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
     April 01, 2022 - -5 2009 HICPAC Guidelines American Nurses Association’s Streamlined Evidence-Based RN Tool: CAUTI Prevention … She has chronic urinary incontinence and is a high fall risk. … Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009. … Streamlined Evidence-Based RN Tool: Catheter Associated Urinary Tract Infection (CAUTI) Prevention. https … www.nursingworld.org/~4aede8/globalassets/practiceandpolicy/innovation--evidence/clinical-practice-material/cauti-prevention-tool

324. Info FAQs | Agency for Healthcare Research and Quality
     www.ahrq.gov/faqs/index.html
     September 04, 2025 - All four modules rely solely on hospital inpatient administrative data: Prevention Quality Indictors … The Technical Specifications for each QI module—Prevention Quality Indicators (PQI), Inpatient Quality … ICD-9-CM v6.0 software, when available in the fall of 2016, or prior software can be used with the ICD

325. Surgical Safety: Addressing the JCAHO Goals for Reducing Wrong-site, Wrong-patient, Wrong-procedure Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
     June 21, 2004 - Those efforts have manifested in the development of a wrong-site prevention initiative that can easily … Method The wrong-site surgery prevention initiative began as part of an NHCP Patient Safety Award … The OR prevention of wrong-site surgery initiative reached its 100 percent compliance rate benchmark … Due to the facility’s expansion of services in early fall 2003, the patient volume in the OR tripled … Conclusion All health care systems face similar obstacles in implementing the JCAHO prevention of

326. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - Comparing these data with other sources of information, such as the Centers for Disease Control and Prevention … measured with MPSMS, the AHRQ Patient Safety Indicators (PSIs), the Centers for Disease Control and Prevention

327. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201419.html
     November 01, 2014 - protocols for communication, teamwork, and leadership to address other patient safety issues such as falls prevention

328. Table of Contents: Volume 1. Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
     January 01, 2025 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care Mary L. … Pronovost VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, Peter Mills

329. Table of Contents: Volume 4. Technology and Medication Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
     January 01, 2025 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care Mary L. … Pronovost VHA’s National Falls Collaborative and Prevention Programs Erik Stalhandske, Peter Mills

330. Safe Practices for Better Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
     April 01, 2004 - data collection and reporting by States) and “identify a set of patient safety practices critical to prevention

331. Meeting Minutes, November 2017 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
     February 01, 2018 - Chesley Richards, M.D., M.P.H., FACP, Centers for Disease Control and Prevention AHRQ Staff Members … Topics addressed in new draft recommendations included screening for cervical cancer, prevention of falls … and prevention of fractures, preventive medication for vitamin D, calcium, or combined supplementation … for the primary prevention of fractures in adults, and behavioral counseling to prevent skin cancer. … They address prevention, training, education, treatment, and overdose.

332. Info FAQs | Agency for Healthcare Research and Quality
     www.ahrq.gov/faqs/index.html?page=0
     All four modules rely solely on hospital inpatient administrative data: Prevention Quality Indictors … The Technical Specifications for each QI module—Prevention Quality Indicators (PQI), Inpatient Quality … ICD-9-CM v6.0 software, when available in the fall of 2016, or prior software can be used with the ICD

333. Preparing for and Recovering After Hip or Knee Replacement Surgery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-knee-surgery-booklet.pdf
     November 01, 2023 - ■ Put nightlights in the bathroom and hallways so you don’t fall. … It’s better to have a shoe with a back that’s more secure, so you don’t fall. … Hip or Knee Replacement Surgery Patient Education Guide 17 Call, Don’t Fall! … ■ You may be lightheaded and could fall. ■ Press the call button. A nurse will help you get up. … F Put nightlights in the hallways so you don’t fall.

334. OR-to-ICU Transitions | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
     June 01, 2023 - Lane-Fall, et al., have done extensive work examining both the effectiveness of a standardized OR-to-ICU … Subsequent work by Lane-Fall, et al., expands on these findings in an ongoing larger hybrid effectiveness-implementation

335. Learning from Errors in Ambulatory Pediatrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
     February 01, 2004 - Errors were reported in several domains: prevention, diagnosis, treatment, patient identification, communication … Incidence of adverse drug events and potential adverse drug events: implications for prevention.

336. Advances in Patient Safety: New Directions and Alternative Approaches | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
     July 01, 2022 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (   PDF , 338 … VHA's National Falls Collaborative and Prevention Programs (   PDF , 578 KB ) Erik Stalhandske, et

337. Final Progress Report: Accountability and Health Safety – A Statewide Approach (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
     January 01, 2024 - Enables the user to evaluate the organization’s falls prevention program, develop an improvement plan … letter submitted by Kenneth Thorpe on September 17, 2002, demonstration project evaluation activities fall … Key Words: error reporting, medication errors, patient safety, voluntary Publications: Fall 2003 … Presentation at GHA State Patient Safety Conference Spring 2004 GHA SMU Telnet Presentation Fall … error.htm II.B “Assessment and Development of a Patient Safety Health Communication Plan for the Prevention

338. Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/overview/background/tables.html
     December 01, 2009 - Number of Medicaid and CHIP Enrollees At Risk of Poor Healthcare Quality PREVENTION AND HEALTH … total Number of members in each age stratification who had at least a visit with a PCP Children who fall … types and rigor of studies at various levels of evidence depend on the study purposes (e.g., therapy/prevention … or identified as documentation of underlying scientific soundness for the measures were therapy or prevention … Centers for Disease Control and Prevention. Summary of Health Statistics U.S.

339. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1concl.html
     October 01, 2014 - Module 1: Detecting Change in a Resident's Condition Conclusion Previous Page Next Page Table of Contents Module 1: Detecting Change in a Resident's Condition Learning and Performance Objectives Session 1 Session 2 Conclusion Additional Tools and Resources In Summary The …

340. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
     January 25, 2008 - Fall E. Error related to procedure, treatment, and/or test F. … the organizational, technical, patient, and practitioner causes for any error, plus the indicated prevention … : Selective 8.3 Prevention: Universal 7.6 6 Table 2. … Event type (modified UHC taxonomy) 37.6 Disposition of event 37.6 Procedure error: Procedure 30.0 Fall … We already spend time critiquing causes and prevention during discussions in weekly group analyses of