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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab11.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 11: Outcome Indicators by Use of Selected Home and Community-Based Services Medicaid State Plan Services, 2005
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Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Populat…
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psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sepsis-treatment-process
February 03, 2021 - Study
A system safety approach to assessing risks in the sepsis treatment process.
Citation Text:
Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408.
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psnet.ahrq.gov/issue/image-gently-step-lightly-promoting-radiation-safety-pediatric-interventional-radiology
August 20, 2018 - February 26, 2014
6-PACK programme to decrease fall injuries in acute hospitals: cluster
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psnet.ahrq.gov/issue/identifying-right-patient-nurse-and-consumer-perspectives-verifying-patient-identity-during
September 03, 2011 - Study
Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration.
Citation Text:
Kelly T, Roper C, Elsom S, et al. Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during …
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psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case-conferences
June 15, 2022 - Study
Patient safety incidents in hospice care: observations from interdisciplinary case conferences.
Citation Text:
Oliver DP, Demiris G, Wittenberg-Lyles E, et al. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. J Palliat Med. 2013;16(1…
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psnet.ahrq.gov/issue/patient-safety-home-health-care-grounded-theory-study
September 25, 2019 - Study
Patient safety in home health care: a grounded theory study.
Citation Text:
Shahrestanaki SK, Rafii F, Najafi Ghezeljeh T, et al. Patient safety in home health care: a grounded theory study. BMC Health Serv Res. 2023;23(1):467. doi:10.1186/s12913-023-09458-9.
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psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
August 24, 2022 - Study
Registered nurses' judgments of the classification and risk level of patient care errors.
Citation Text:
Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - · How do you measure pressure injury prevention practices? … Injury Prevention Program Training Webinar.
· Measurement — AHRQ Pressure Injury Prevention Program Implementation … themes:
· People
· Patient experience
· Financial information
· Safety and quality
Pressure injuries fall … Slide 35
SAY: Why measure pressure injury prevention practices? … Slide 38
SAY: Risk assessment is the cornerstone of prevention.
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psnet.ahrq.gov/node/61037/psn-pdf
January 01, 2021 - These results can help ambulatory care settings target safety events and develop systems-level
prevention
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/multidiscplinary-rounding.pdf
April 01, 2022 - unit with
the attending physician/ICU director and representatives from nursing, pharmacy, infection prevention … Remember, our focus is on
CAUTI prevention, so we need to make sure that we evaluate every urinary catheter … Pharmacist – for adjusting medications
• Infection preventionist – healthcare-associated infection prevention
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psnet.ahrq.gov/issue/design-and-reliability-specific-instrument-evaluate-patient-safety-patients-acute-myocardial
October 18, 2023 - November 21, 2021
Centers for Disease Control and Prevention Guideline for the Prevention … February 2, 2011
Importance of prevention and early intervention of adverse events in
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/tfcongresstestimony%20(3).pdf
November 30, 2016 - Since becoming a physician, it is this focus on prevention that has been the most gratifying for me. … This is the domain of prevention in the primary care setting: making
recommendations for people without … But my focus on prevention is not limited to one type
of cancer: I want to help Ruth prevent breast … to minimize her chances of developing a heart attack or stroke, to help prevent her from suffering a fall … for the 12th Annual African American Prostate
Cancer Disparities Summit on Capitol Hill earlier this fall
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www.ahrq.gov/research/shuttered/acfselection/appendixb.html
July 01, 2018 - Burel
Management Official
Centers for Disease Control and Prevention
DHHS/CDC/COTPER/DSNS … 2600
Robert Phillips
Lead Emergency Response Specialist
Centers for Disease Control and Prevention
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qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
October 01, 2023 - AHRQ QI List of Indicators
Prevention Quality Indicators (PQls) … Admission Rate
• PQI 16 - Lower-Extremity Amputation Among Patients
with Diabetes Rate
• PQI 90- Prevention … Quality Overall Composite
• PQI 91- Prevention Quality Acute Composite
• PQI 92- Prevention Quality … Chronic Composite
• PQI 93- Prevention Quality Diabetes Composite
Area-Level Indicators (e.g., County … Rate
• PSI 07 - Central Venous Catheter-Related Blood
Stream Infection Rate
• PSI 08 - In-Hospital Fall-Associated
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cds.ahrq.gov/sites/default/files/cds/artifact/127731/FallPreventionChairExercises.pdf
July 18, 2023 - Daily Fall Prevention Exercises - Chair Exercises
Front Knee (do this 5 to 10 times per leg)
Thigh
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psnet.ahrq.gov/node/865816/psn-pdf
May 08, 2024 - improvement
following the nurse manager visit was improved access into the home and a reduction in trip and fall … registered-nurses-efforts-ensure-safety-home-dwelling-older-patients
https://psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care
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effectivehealthcare.ahrq.gov/sites/default/files/cer-241-physical-activity-wheelchair-evidence-summary-updated.pdf
October 01, 2021 - activity to be associated with improvements in walking ability,
general function, balance (including fall … Key Question 1: Prevention of Cardiovascular Conditions,
Diabetes, and Obesity
No included study … (n=168) or study excluded at the full-text level provided evidence
on the prevention of cardiovascular … (balance improvement)
Insufficient Insufficient
Postural Control
Balance Exercises
Low
(fall … activity was associated with improvements in walking ability, general
function, balance (including fall
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psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understand-adverse-medical-events
November 15, 2023 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … June 24, 2020
The impact of post-fall huddles on repeat fall rates and perceptions of
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psnet.ahrq.gov/issue/partially-structured-postoperative-handoff-protocol-improves-communication-2-mixed-surgical
November 19, 2018 - Citation Text:
Lane-Fall MB, Pascual JL, Peifer HG, et al. … Facebook
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February 6, 2019
Lane-Fall … Linkedin
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Citation
Citation Text:
Lane-Fall … December 23, 2020
Patient safety implications of wearing a face mask for prevention in
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psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - Robert Wachter, Editor, AHRQ WebM&M: What have we learned about assessment of fall risk?
Ann L. … RW: What does the best fall assessment program look like? … But whenever the patient's condition changes, they should be reassessed for fall risk. … Let's shift a little bit to other proposed prevention
strategies, particularly in environmental ones … But they should not receive an injury as a result of a fall.