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401. Improving the Value of Patient Safety Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
     June 12, 2008 - Prevention of intravascular catheter-related infections. Ann Intern Med 2000; 132: 391-402. 33.

402. Final Progress Report: Medications at Transitions and Clinical Handoffs (MATCH) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/noskin-report.pdf
     January 01, 2024 - The Massachusetts Coalition for the Prevention of Medical Errors promotes medication reconciliation … Illinois Council of Health-System Pharmacists Fall Meeting. Oakbrook, IL. September 2006. … University HealthSystem Consortium (UHC) Quality and Safety Fall Forum. Baltimore, MD. … Incidence of adverse drug events and potential adverse drug events: implications for prevention. … Massachusetts Coalition for the Prevention of Medical Errors (MCPME).

403. Hospital Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
     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 (1 (2 (3 (4

404. Hospital Survey on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.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 .............

405. Client Functioning Measures and Gaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/rep3.html
     June 01, 2010 - following three subdomains: functioning in daily activities; social role functioning; and health promotion/prevention … Finally, with regard to avoidable hospitalizations, AHRQ has developed a set of Prevention Quality Indicators … The Prevention Quality Indicators would require additional testing and/or modification to determine their

406. Approach to Residents With Reported Penicillin Allergy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
     June 01, 2021 - Centers for Disease Control and Prevention (CDC). October 2017.

407. Study Reveals Sharp Decline in Mothers’ Mental Health | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/960.html
     June 01, 2025 - Learn More About the AHRQ Safety Program for HAI Prevention: CLABSI—Webinar Recording Available . … Learn More About the AHRQ Safety Program for HAI Prevention: CLABSI—Webinar Recording Available Central-line … To address this serious threat, the AHRQ Safety Program for Healthcare-Associated Infection Prevention … is recruiting adult intensive care units and non-intensive care units to join a new CLABSI prevention … AHRQ Safety Program for HAI Prevention: CLABSI Recruitment Webinar s: June 5, 10:30-11 a.m. ET.

408. Module-3-Implementation-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-3-implementation-guide.pdf
     June 02, 2025 - diagrams are a useful way to identify major causes of process failures as well as specific failures that fall … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention: Million Hearts. … Centers for Disease Control and Prevention. “Million Hearts: Tools and Protocols.”

409. Final progress Report: Anticholinergics and Cognitive Decline in the Elderly with Depression (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/aparasu-report.pdf
     January 01, 2024 - To evaluate whether excluding those with a fall history would change the risk estimate, an additional … A fall is a major event in the life of an older person.

410. Receipt and Referral Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/process/review/refproc.html
     March 01, 2019 - Applications are examined to determine if they fall broadly within the scope of the AHRQ mission and

411. 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/transfer.html
     September 01, 2017 - POLST Order in Place Oxygen Therapy Catheter or Ostomy Present Stage II or > Pressure Ulcer Fall

412. ICU Assessment Response Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment-guide.pdf
     April 01, 2022 - Resources: • CLABSI Prevention Modules o The CLABSI Prevention modules provide information on how … • CAUTI Prevention Modules o The CAUTI Prevention modules provide information on how to disrupt the … Rationale: Communicating information about patient safety is an important responsibility that should not fall … Centers for Disease Control and Prevention. … Prevention Strategist. Spring 2018:64-9.

413. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
     December 01, 2014 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention … Facilitator Training Overview of On-Time On-Time Pressure Ulcer Prevention Facilitator Training 2-day … Overview 5 5 On-Time Reports Being Developed for Four Adverse Events Four Reports Pressure Ulcer Prevention … Pressure Ulcer Healing Falls Prevention Prevention of Avoidable Hospitalizations December 2014 On-Time … Programs: Reviews information on existing prevention programs Communication: Reviews existing team

414. EvidenceNOW: Oklahoma Cooperative | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/oklahoma.html
     March 01, 2021 - practices have the evidence they need to help their patients adopt  the ABCS of cardiovascular disease prevention … Center, 2016] Quality Improvement through Collaboration [Breakout Workshop CPC Face-to-Face, OCHI Fall

415. PowerPoint Presentation (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-UTI-slides.PPT
     June 01, 2021 - Had not complained of any urinary symptoms the day before her fall Still reports no urinary symptoms … Centers for Disease Control and Prevention. Public Health Image Library (PHIL).

416. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
     January 01, 2024 - . - Med causes fall, breaks shoulder that results in frozen shoulder with moderate pain requiring daily

417. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - “near misses”—errors that could have caused harm to patients but did not, as a result of chance, prevention … The Centers for Disease Control and Prevention (CDC) has estimated that nearly 2 million patients develop

418. PowerPoint Presentation (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
     May 01, 2014 - PowerPoint Presentation Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Toolkit 2. Common Suspected Infections: Communication and Decision Making for Four Infections Tool 4. Tools To Improve Communication and Decision Making www.ahrq.gov/NH-ASPGuide ● May 2014 AHRQ Pub. No. AHR…

419. Table 13C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
     December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 13C: Medicaid-Only HCBS Participants 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 Indicators for…

420. Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13f.html
     December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI 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…