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381. Learning From Defects Through Sensemaking: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
     December 01, 2017 - Infection rates from hospital epidemiology and infection prevention also present known complications. … The patient is not assessed for fall risk, and no preventive measures are taken.

382. Survey on Patient Safety (facility version) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
     June 02, 2025 - • “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Things “fall between the cracks” when transferring patients from one unit to another ..............

383. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
     December 01, 2017 - Infection rates from hospital epidemiology and infection prevention also present known complications. … The patient is not assessed for fall risk, and no preventive measures are taken. 5.

384. Asymptomatic Bacteriuria (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-one-page.pdf
     November 01, 2019 - Asymptomatic Bacteriuria Diagnosis • Asymptomatic bacteriuria (ASB) is a positive urine culture in a patient with no signs or symptoms of a urinary tract infection (e.g., dysuria, frequency, urgency, fever, flank pain). • ASB is common and often assocated with pyuria (urine containing ≥10 white blood cells …

385. Emergency Departments Don’t Coordinate How They Collect, Use Social Needs Information | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/918.html
     June 01, 2024 - AHRQ Commits to Priority Actions for Suicide Prevention . Upcoming AHRQ Webinars . … AHRQ Commits to Priority Actions for Suicide Prevention The Biden-Harris administration's 2024 National … Strategy for Suicide Prevention introduced a comprehensive,10-year plan to tackle suicide across society

386. Diagnostic Safety Issue Briefs | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs.html
     July 01, 2025 - The papers fall under two types—either a "call to action" or a "state of the science."

387. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
     January 01, 2017 - Estimating the attributable mortality of ventilator-associated pneumonia from randomized prevention studies … mortality of ventilator-associated pneumonia: a meta-analysis of individual patient data from randomized prevention … Estimating the attributable mortality of ventilator-associated pneumonia from randomized prevention studies … mortality of ventilator-associated pneumonia: a meta-analysis of individual patient data from randomized prevention

388. 043-Vap-Prevention-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Ventilator-Associated Pneumonia & Non-Ventilator … Healthcare-Associated Pneumonia ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Prevention … While NV-HAP is not device related, there are common infection prevention themes for both VAP and NV-HAP … Some prevention strategies will be discussed later in this presentation. … No. 25-0007 October 2024 | 1 VAP & NV-HAP Prevention AHRQ Safety Program for MRSA Prevention | ICU

389. Recovering After Emergency Gallbladder Surgery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gallbladder-booklet.pdf
     November 01, 2023 - If your blood pressure is low, we may have you wait so you don’t faint or fall. … Call, Don’t Fall! Do NOT get up on your own the first time! … You may be lightheaded and could fall. Press the call button. And a nurse will help you get up. … Recovery in the Hospital Moving Helps You Recover Call, Don’t Fall!

390. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults1.html
     September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Unique Challenges in Approaching Diagnostic Safety i…

391. Best Practices for Promoting Emotional Well-Being in Nursing Home Residents (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/promoting-emotional-wellbeing.pdf
     March 01, 2022 - staff can engage residents and reduce isolation while maintaining necessary infection control and prevention

392. Examples of Urinary Incontinence-Focused Patient Participant Newsletters (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/example-newsletters_v2.pdf
     November 01, 2023 - This website provides information about an agency sponsored by the Centers for Disease Control and Prevention … VoicesForPFD.org/Bladder-Control/Prevention – This site was created by American Urogynecologic Society … https://healthunlocked.com/SimonFoundationForContinence https://www.voicesforpfd.org/Bladder-Control/Prevention

393. 7.  Appendix C: Additional Tables by Topic Area | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
     May 01, 2024 - Using Integrated Social and Medical Risk Data Dashboards To Improve Chronic Disease Management and Prevention … Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall Assessment and Prevention … Lucero Organization: Brigham and Women’s Hospital Aims to develop a shareable, standards-based fall … prevention software to improve the implementation of a clinical decision support program into primary … care settings using Fall Care Managers to promote fall prevention decision-making.  

394. Central Venous Catheter Indications and Alternatives
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
     April 01, 2022 - Guideline for prevention of catheter-associated urinary tract infections 2009. … Incontinence-associated dermatitis: consensus statements, evidence-based guidelines for prevention and

395. 4 Tk2 T2-Antibiotic Pocket Cards (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T2-Antibiotic_Pocket_Cards.pdf
     May 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality Nursing Home Infection Control Guidelines for C. Difficile When to Perform Toxin Assay on Stool: • Resident symptomatic with diarrhea ( >3 loose/watery stools a day). • Especially consider in residents who received…

396. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
     June 01, 2018 - Current efforts, the Commission added, "fall short of fully meeting users' needs and often are duplicative

397. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
     January 01, 2024 - recommendations as outlined by the National Coordination Council for Medication Error Reporting and Prevention … (Fall) 2;5:1-12 Rudman, W.J., Brown, C.A., Bailey, J., Hope, C. (2005) "The impact of a Web-based Reporting … Academic Exchange Quarterly (Fall) 8,3. Rudman, W.J., Brown. … Domestic Violence and Healthcare: Policies and Prevention Vol. 35 #2.

398. 018-Revision-Summary-Contact-Precautions (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/018-revision-summary-contact-precautions.docx
     October 01, 2024 - Contact precautions are typically used as part of a MRSA prevention bundle—including not only contact … Current Centers for Disease Control and Prevention guidance and SHEA/IDSA/APIC practice recommendations … for MRSA prevention in acute care hospitals include use of contact precautions for patients colonized … Rationale and Evidence Regarding the Use of Contact Precautions for MRSA Prevention · Observational studies … Centers for Disease Control and Prevention.

399. Antiseptic-impregnated catheters: Is the Juice Worth the Squeeze?
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-110414.pptx
     January 01, 2013 - Learning Objectives Define basic principles of CAUTI prevention Describe approaches to consider if CAUTI … them to be State how the GPS can support units with ongoing CAUTI problems Apply mindfulness to CAUTI prevention … urinary tract infections.” 4 Falls Partnership for Patients Venous thrombo-embolism Addressing CAUTI Prevention … Validation Study Kathlyn Fletcher, MD, PhD Goals To assess the unit-level culture surrounding the prevention … practices on their units Examples Doctors have no idea what the nurses do with respect to CAUTI prevention

400. Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
     February 01, 2017 - Over the last few years, the Centers for Disease Control and Prevention or CDC has redefined these into … The overall conclusion was that VAEs are common and morbid and that prevention strategies targeting VAEs … That concern was addressed in 2015 with the release of results from the CDC Prevention Epicenters’ Wake … Up and Breathe Collaborative, a VAE prevention prospective quality improvement study. … It could be a patient fall, a venous thromboembolism, a medication error, ventilator associated pneumonia