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2261. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865697/psn-pdf
      April 24, 2024 - After the onset of the COVID-19 pandemic, and with a grant through the Centers for Disease Control and Prevention … the most important asset in organizations—the people who are delivering care—the other things will fall … If we fix the systems that impact the people that deliver care, many things may fall in place in terms

2262. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60231/psn-pdf
      April 15, 2020 - Regret among primary care physicians: a survey of diagnostic decisions. April 15, 2020 Müller BS, Donner-Banzhoff N, Beyer M, et al. Regret among primary care physicians: a survey of diagnostic decisions. BMC Fam Pract. 2020;21(1). doi:10.1186/s12875-020-01125-w. https://psnet.ahrq.gov/issue/regret-among-primary-c…

2263. Testimony for the House Energy and Commerce Health Subcommittee Hearing (pdf file)
      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

2264. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
      psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
      September 01, 2011 - You wouldn't want to do a root cause analysis about a fall every time it happens. … What is it about a fall that's different than a wrong-site surgery that—assuming it was painless and

2265. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - patient safety research and the Surveys on Patient Safety Culture, healthcare- associated infections prevention … Gandhi, Slide 19 There's many ways we think about that prevention of errors piece, which was in the … There's many ways that technology can really facilitate that prevention. … So many ways that technology can help with that error prevention. … Do you think it would beneficial to add the Health IT supplement this Fall, and then to survey after

2266. 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/treat-release.html
      September 01, 2017 - 14 10 0 Table 4 (continued)   Reason for Transfer Resident Injury: Fall … Related Injury: Not Fall Related Musculoskeletal Symptoms Abnormal Labs or Anemia Fever/Possible

2267. Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. | PSNet
      psnet.ahrq.gov/issue/observational-evidence-prevalence-and-association-polypharmacy-and-drug-administration-errors
      August 11, 2021 - Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention

2268. Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. | PSNet
      psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
      October 24, 2018 - April 30, 2014 Prevention of wrong-site tooth extraction: clinical guidelines.

2269. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. | PSNet
      psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia
      August 05, 2020 - September 21, 2022 Artificial intelligence for identifying the prevention of medication

2270. Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-and-its-associations-health-related-and-system-related
      July 28, 2021 - August 19, 2020 Nurses' harm prevention practices during admission of an older person

2271. Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system. | PSNet
      psnet.ahrq.gov/issue/implementation-integrated-computerized-prescriber-order-entry-system-chemotherapy-multisite
      August 30, 2023 - March 2, 2011 Effect of an emergency department process improvement package on suicide prevention

2272. One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs. | PSNet
      psnet.ahrq.gov/issue/one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
      July 01, 2016 - Although fall rates increased following the move, the researchers felt that based on the patterns and … May 11, 2019 A randomized trial of a multifactorial strategy to prevent serious fall

2273. Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips86.html
      October 01, 2014 - Four New York Providers Use AHRQ Medication Reconciliation Toolkit to Improve Care Search All Impact Case Studies November 2011 Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support calls fo…

2274. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
      October 01, 2017 - How do you measure pressure injury prevention practices? … Measuring Pressure Ulcer Rates and Prevention Practices —AHRQ Pressure Injury Prevention Program Training … Measuring pressure injury prevention practices. … Pressure injuries fall under safety and quality, in the far left column. … Slide 38 Say: Risk assessment is the cornerstone of prevention.

2275. Comparative Effectiveness Review No. 241_Physical Activity and the Health of Wheelchair Users: A Systematic Review in Multiple Sclerosis, Cerebral Palsy, and Spinal Cord Injury (pdf file)
      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

2276. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
      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.

2277. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
      July 31, 2023 - Every long-term care facility also has an infection prevention advisor from our team assigned to them … Our advisors have decades of experience in patient safety and infection prevention and come from varied … at the Patient Safety Authority was reviewing newborn-related safety events and discovered a newborn fall … A newborn fall often means the baby was dropped, likely by exhausted parents who fall asleep holding … Education can focus on promoting a culture of safety, implementing error-prevention strategies, recognizing

2278. Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/building-capacity-patient-safety
      July 31, 2023 - Education can focus on promoting a culture of safety, implementing error-prevention strategies, recognizing … Every long-term care facility also has an infection prevention advisor from our team assigned to them … Our advisors have decades of experience in patient safety and infection prevention and come from varied … at the Patient Safety Authority was reviewing newborn-related safety events and discovered a newborn fall … A newborn fall often means the baby was dropped, likely by exhausted parents who fall asleep holding

2279. A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. | PSNet
      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 Twitter Linkedin Copy URL February 6, 2019 Lane-Fall … Linkedin Copy URL Cite Citation Citation Text: Lane-Fall … December 23, 2020 Patient safety implications of wearing a face mask for prevention in

2280. Psn-Pdf (pdf file)
      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.