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441. Table 18B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18b.html
     December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 18B: Dually Eligible 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 f…

442. Table 13B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13b.html
     December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 13B: Dually Eligible 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 f…

443. Table 13E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
     December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 13E: Serious Mental Illness Subpopulation 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 Indicator…

444. Appendix A. Details on Scan Data Set, Manual Reviews, Algorithm Classification Methods, and Supplemental Scan Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-a.html
     June 01, 2020 - 362 181 157 14 10 92% 0.55 Pediatrics 362 181 175 1 5 99% 0.91 Prevention … 93% 61% 96% 0.57 Pediatrics 2,459 69 2,348 21 21 98% 77% 99% 0.76 Prevention … less accurate for a particular category; (3) the results include fewer project abstracts that clearly fall … inside or outside a category and more abstracts that appear to fall somewhere in between. … ) 1–1 1,308 (19%) 1,194–1,421 0(0%) 0–0 1,457 (16%) 1,335–1,578 Prevention

445. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
     March 27, 2008 - NYPORTS provides useful information about systems errors and effectiveness of prevention strategies. … These events fall into one of two NYPORTS codes (Table 1). … Health, the protocol was distributed to hospitals and diagnostic and treatment centers during the fall … Incidence, patterns and prevention of wrong-site surgery, Arch Surg 2006; 141: 353-358. 2.

446. EvidenceNow Executive Summary - Oklahoma Cooperative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-ok.pdf
     November 01, 2017 - practices have the evidence they need to help their patients adopt the ABCS of cardiovascular disease prevention … Health, 2017] • Quality Improvement through Collaboration [Breakout Workshop CPC Face-to-Face, OCHI Fall

447. Module-6-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-6-slides.pdf
     October 28, 2021 - .1 Learn more about AHRQ’s Framework for Care Coordination at https://www.ahrq.gov/professionals/prevention-chronic … Workflow Processes Identify what is working and what is not • Where do patients fall

448. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
     December 01, 2023 - The QIs fall into four categories: 1. … Survey Content The 5.0/5.1 version of the CAHPS Adult and Child Health Plan Surveys reporting questions fall … The 5.1 survey version was released in the fall of 2020 to accommodate a patient care environment with … room procedures Healthcare-associated Infection (HAI) Patients with one or more falls during stay Fall … bedrails) Other Outcomes of Interest (OOI) Harm from accident associated with bedrails (other than fall

449. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
     January 17, 2025 - of the National Coordinator for Health Information Technology CDC Centers for Disease Control and Prevention … clinical laboratories and nursing personnel is being finalized for public use and will be available in fall … This video will also be used in CDC infection control and prevention training programs for rural hospitals

450. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
     January 01, 2004 - place at the time of the event, actions taken immediately following the event, severity ratings, prevention … Patients treated in the outpatient setting may occasionally experience a fall, but it is not likely … that they are going to a clinic for a fall risk assessment. … Thus, the safety precautions field may not apply to every fall event, or the list of precautions may … be customized to reflect the patient type affected by the fall.

451. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
     January 01, 2003 - high-reliability organizations, risk is readily acknowledged, error reporting is rewarded, and injury prevention … Lucian Leape on the causes and prevention of errors and adverse events in health care.

452. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
     November 01, 2016 - On-Time Overview 5 5 On-Time Reports for Four Adverse Events Available Reports: Pressure Ulcer Prevention … Pressure Ulcer Healing Reports in Development: Falls Prevention Prevention of Avoidable Hospitalizations … feasibility and ease of use Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention

453. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
     July 01, 2024 - ■ An AHRQ Patient Safety Learning Labiv (PSLL) developed an electronic Fall TIPS Tool to help patients … Key Findings/Impact: Investigators found that implementing the Fall TIPS toolkit reduced patient fall … into both the electronic and print versions, because patients are more likely to believe they need a fall … prevention plan and then follow that plan if they know their risks of harm for falling. … reporter.nih.gov/search/0zBFxPu410GfTZDt4AZLvQ/projects https://www.ahrq.gov/patient-safety/settings/hospital/fall-tips

454. Outcomes by HCBS Participant Characteristics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
     December 01, 2012 - than in the overall population, and in both the I/DD and the SMI subpopulations, Hispanics tend to fall

455. Recovering After Emergency Laparotomy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/laparotomy-patient.pdf
     November 01, 2023 - If your blood pressure is low, we may have you wait so you don’t faint or fall. … Emergency Laparotomy Patient Education Guide 11 Call, Don’t Fall! … ■ You may be lightheaded and could fall. ■ Press the call button. … Intestines If an Ostomy Is Done Timing of Surgery Your Wishes Recovery in the Hospital Call, Don’t Fall

456. Appendix V: Tested Measures by DRA Domain | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html
     June 01, 2010 - health care facility National Quality Forum Residential care Patient death associated with a fall … Avoidable Hospitalizations Measure Source Notes Prevention Quality Indicators: set

457. Ncahec (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/ncahec.pdf
     August 01, 2014 - These are distinct areas that also work together as part of an Prevention & Chronic Care Program I … M P R O V I N G P R I M A R Y C A R E Prevention & Care Management Portfolio I M P R O V I N G P … The core competencies fall into six categories: ▲ Program mission and methods.

458. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
     March 23, 2008 - Those answers that did not fall into a theme were tabulated into a section entitled “other.” … Performing a urine pregnancy test Injury: Death from ruptured ectopic “Patient with wrist pain after a fall … Context: Patient has wrist pain after a fall Standard of care: Ordering an x-ray “Patient is not re-evaluated … Performing a urine pregnancy test Injury: Death from ruptured ectopic “Patient with wrist pain after a fall … Context: Patient has wrist pain after a fall Standard of care: Ordering an x-ray “Patient is not re

459. Getting Started Laying the Groundwork Coordination for Implementing Automatic Referral & Effective Care
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-slides.pptx
     December 31, 2022 - Circulation. 2010 Jan 5;121(1):63-70 Centers for Disease Control and Prevention: Million Hearts. … Citations from this slide: Centers for Disease Control and Prevention. … AHA/AACVPR Scientific Statement: Core Components of Cardiac Rehabilitation/ Secondary Prevention Programs … Journal of Cardiopulmonary Rehabilitation and Prevention. 2007;27:121/129 Ritchey et al. … Automatic Referral with the option for physicians to opt-out patients was implemented in Fall, 2020.

460. The Science of Improving Patient Safety and Identifying Defects: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
     December 01, 2017 - operational event or situation that you would not want to happen again—an unsafe condition, a patient fall