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361. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/pfp/haccost2017-ref.html
     November 01, 2017 - Office of Disease Prevention and Health Promotion. … Office of Disease Prevention and Health Promotion. National Action Plan for ADE prevention. … Centers for Disease Control and Prevention. Pregnancy Mortality Surveillance System. … The direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention … Guideline for prevention of catheter-associated urinary tract infections 2009.

362. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
     January 01, 2019 - such as the Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention … FALL The Fall event type in CFER-H V1.2 collects reports of Incidents involving a fall. … , the use of risk assessments and of various fall prevention protocols, the data were insufficient to … Fall Assistance 81.4% 18.6% Fall considered unassisted Fall known to be assisted Note: The CFER-H … type of physical injury sustained in the fall as TYPE OF INJURY AS RESULT OF FALL.

363. Study Identifies Characteristics of Zero-Burnout Primary Care Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/769.html
     June 01, 2021 - Management practices for leaders to promote infection prevention: lessons from a qualitative study.

364. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appc.html
     March 01, 2017 - OR (hand [ti] AND (hygiene [ti] OR disinfection [ti] OR wash [ti]))) OR (Accidental Falls [mh] OR (fall … * [ti] AND (preventing [ab] OR prevention [ab] OR reducing [ab] OR reduction [ab] OR aged [mh] OR elderly

365. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=349
     January 01, 2024 - Keywords: Prevention, Children/Adolescents, Long-Term Care, Healthcare-Associated Infections (HAIs), … and translation, prevention support, and prevention delivery. … National action plan for adverse drug event prevention: recommendations for safer outpatient opioid use … Keywords: Prevention, Opioids, Patient Safety, Ambulatory Care and Surgery, Adverse Drug Events (ADE … Keywords: Adverse Events, Medical Errors, Medical Liability, Patient Safety, Prevention Rice

366. About AHRQ's Nursing Home Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/about/index.html
     December 01, 2023 - mentorship to nursing homes across the country to increase the implementation of evidence-based infection prevention … Background In early Fall 2020, nearly one-quarter of all COVID-19 deaths in the United States were

367. 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?

368. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/dagnostic-safety-workgroupmeeting-notes-july2022.pdf
     November 03, 2022 - following agencies: AHRQ Agency for Healthcare Research and Quality CDC Centers for Disease Control and Prevention … Reviewing revised resource and hope to post in the Fall. … Additional supporting material are anticipated in Fall 2022.

369. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdf
     November 03, 2022 - following agencies: AHRQ Agency for Healthcare Research and Quality CDC Centers for Disease Control and Prevention … Reviewing revised resource and hope to post in the Fall. … Additional supporting material are anticipated in Fall 2022.

370. 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

371. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/areas.html
     February 01, 2018 - Healthcare Infections Team Training Falls Pressure Ulcers Diagnostic Safety Blood Clot Prevention

372. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
     January 01, 2023 - An example of additional detail from the Fall module would be the type of injury sustained in a fall … Near Miss Prevention Actions by Event Type This figure examines the percentage of each NEAR MISS PREVENTION … Excluding reports where the NEAR MISS PREVENTION ACTION was Unknown, a Fail-safe designed into the … NEAR MISS PREVENTION ACTION is defined by DE93 in response to the question “What prevented the near … ) • Near fall – loss of balance that does not result in a fall Medication or Other Substance • Adverse

373. 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/2-preventablehospitalandedvisits-samplerpts_3.pdf
     November 30, 2013 - contributing to transfer risk: use of oxygen, catheter or ostomy, any pressure ulcer other than stage I, fall … Oxygen therapy. • Presence of catheter or ostomy. • Presence of stage II or greater pressure ulcer. • Fall … risk or previous fall in last 90 days. • Late-loss ADL score ≥12. • Cognitive impairment • Certain medical … neurological, gastrointestinal/genitourinary, endocrine/metabolic/nutrition, wound and skin, injury (fall … teams can use the report to track patterns, follow up on areas of decline, and monitor progress of new prevention

374. 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/impmaterials.html
     June 01, 2017 - Section 1: Screening for Hospital Transfer Risk Section 2: Preventable Hospital and ED Visits - Prevention … Yes No >1 hospitalization or ED visit in the past 3 months |___| |___| >1 fall in the … (15 or more medications) |___| |___| Presence of catheter or ostomy |___| |___| Fall … Gastroenteritis Yes |___| No |___| Section 2: Preventable Hospital Transfer and ED Visits - Prevention … Meeting Hospital/ED Transfer Prevention Discussed (Yes/No) Meeting Chair/Leader Name and Discipline

375. 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

376. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … The earlier estimates had been wrongly based on the full cost of a hospital stay that included a fall

377. Table 15B: Outcome Indicators by State Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 15B: Outcome Indicators by State Demographics 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 Indic…

378. Table 16B: Outcome Indicators by State Socioeconomic Status | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 16B: Outcome Indicators by State 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 Outco…

379. Table 14B: Outcome Indicators by State Supply of Health Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 14B: Outcome Indicators by State Supply of Health Care Providers 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 H…

380. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=211
     January 01, 2024 - Patterson BW , Engstrom CJ , Sah V Training and interpreting machine learning algorithms to evaluate fall … This study examined the potential of using machine learning algorithms to evaluate fall risk after an … methodologies for creation of a risk stratification algorithm to predict the outcome of a return visit for a fall … Training and interpreting machine learning algorithms to evaluate fall risk after emergency department … Preventive Services Task Force (USPSTF), Alcohol Use, Substance Abuse, Screening, Prevention, Primary