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www.ahrq.gov/workingforquality/priorities-in-action/grace-team-care.html
March 01, 2017 - The Centers for Disease Control and Prevention recently estimated that 25 percent of the U.S. population … Director of GRACE Training and Resource Center at butlerde@iu.edu .
1 Centers for Disease Control and Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
November 24, 2014 - 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.
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www.ahrq.gov/funding/grantee-profiles/grtprofile-carayon.html
March 01, 2019 - Grantee Profile
Using a Human Factors and Systems Engineering Framework to Build Safer Patient Care Processes
Pascale Carayon, Ph.D.
Procter & Gamble Bascom Professor in Total Quality
University of Wisconsin-Madison
Pascale Carayon, Ph.D. “I’m grateful that AHRQ was a leader in recognizing the val…
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www.ahrq.gov/research/findings/studies/index.html?page=489
January 01, 2024 - Keywords: Disparities, Uninsured, Racial and Ethnic Minorities, Social Determinants of Health, Prevention … Keywords: Cancer, Surgery, Prevention, Healthcare Costs, Quality of Life
Sherman KL , Gordon … International Classification of Diseases, Ninth Revision, Clinical Modification, codes to identify inpatient fall-related … The researchers compared falls and fall-related injuries that a fall evaluator or hospital incident report … They found that the CMS-targeted ICD-9-CM codes used to identify fall-related injuries in claims data
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www.ahrq.gov/research/findings/studies/index.html?page=152
January 01, 2024 - The cohort included 506 patients aged 65 and older at high fall risk. … The results were that the training did not significantly reduce risk of any fall but did significantly … reduce chance of a fall-related injury after the first 3 months. … Keywords: Elderly, Falls, Prevention, Training
Ortiz D , Meagher AD , Lindroth H A trauma … Keywords: Obesity, Racial and Ethnic Minorities, Prevention, Prevention, Community Partnerships, Community-Based
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti.pptx
September 22, 2011 - 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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
August 28, 2012 - 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
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www.ahrq.gov/hai/cusp/toolkit/content-calls/org-embrace-slides/slides.html
June 01, 2013 - Fall 2010
Slide 10. CUSP
Slide 11. Selecting CUSP Teams
Slide 12. April 2011
Slide 13. … influenza immunization
OR universal protocol
Patient Safety Committee
Root cause analysis, FMEA
Fall … prevention
Etc., etc., etc. … Fall 2010
Duke Patient Safety Course
December 2010 AHRQ Survey
Maryland Hospital Association
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4. … Immediate response for those who fall in the facility is described in Chapter 2 . … Select and individualize interventions on the Fall Interventions Plan.
1. … Past fall history including TRIPS data.
Input from family and resident. … After 3 months with no fall, monitor monthly. Update Fall Interventions Plan as needed.
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www.ahrq.gov/research/findings/studies/index.html?page=149
January 01, 2024 - Practice Patterns
Fan T , Smith HJ AHRQ Author: Fan T Primary care interventions for prevention … Primary care interventions for prevention and cessation of tobacco use in children and adolescents.
. … USPSTF), Case Study, Children/Adolescents, Tobacco Use: Smoking Cessation, Tobacco Use, Primary Care, Prevention … Prehospital and posthospital fall injuries in older US adults. … Keywords: Women, Disabilities, Vulnerable Populations, Screening, Prevention, Cancer: Breast Cancer,
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
The Importance of MRSA Prevention
ICU & Non-ICU
Slide Title … on the Importance of Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention. … SAY:
Antibiotic Stewardship and Blood Culture Stewardship are essential best practices that do not fall … The AHRQ Toolkit for MRSA Prevention in the ICU & Non-ICU optimizes MRSA prevention by focusing on decolonizing … No. 25-0007
October 2024
Importance
of MRSA Prevention
| 1
AHRQ Safety Program for MRSA Prevention
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facility-transfer.html
September 01, 2017 - Transfer
Transfers That Result in
Observation Stays
or ED Visits or Hospital Visits
Fall-Related … Injury
Non-Fall-Related
Injury
Abnormal
Lab
Fever/Possible
Infection
Malaise
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
June 04, 2018 - Declines in Hospital Acquired Conditions
Declines in Hospital-
Acquired Conditions
National efforts to reduce hospital-acquired conditions such
as adverse drug events and injuries from falls helped prevent
8,000 deaths and saved $2.9 billion between 2014 and 2016.
Adverse
Drug
Events CAUTI*
*CAUTI - Catheter-…
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www.ahrq.gov/research/findings/studies/index.html?page=493
January 01, 2024 - This article describes an evidence-based hospital fall-prevention toolkit developed by AHRQ that helps … It was created by a team with expertise both in fall prevention and in organizational change, including … Keywords: Evidence-Based Practice, Falls, Tools & Toolkits, Patient Safety, Prevention
Chambers … Staphylococcus aureus (MRSA), Intensive Care Unit (ICU), Patient-Centered Healthcare, Patient Safety, Prevention
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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.
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www.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
November 01, 2024 - adverse events, grouped into 11 modules: Birth-Maternal Birth-Neonatal Blood or Blood Product Device Fall … Centers for Disease Control and Prevention. Food and Drug Administration.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3f.docx
January 29, 2013 - However, consider checking orthostatic vital signs:
After a fall. … Use this tool in conjunction with clinical assessment and a standard assessment of fall risk factors … (e.g., Tool 3H, “Morse Fall Scale for Identifying Fall Risk Factors, or Tool 3G, ‘STRATIFY Scale for … Identifying Fall Risk Factors”) to determine a patient’s risk factors for falls, and then plan care accordingly
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www.ahrq.gov/nursing-home/index-old.html
March 01, 2021 - 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
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www.ahrq.gov/research/findings/studies/index.html?page=64
January 01, 2024 - K Clinical decision support for fall prevention: defining end-user needs. … resources; in-person assessment of patient condition; motivational tools; patient understanding of fall … evidence-based clinical decision support may be able to address some of the many gaps that exist in fall … prevention management in older adults. … Clinical decision support for fall prevention: defining end-user needs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 29, 2017 - 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