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www.ahrq.gov/sites/default/files/2024-11/stafford-fortmann-report.pdf
January 01, 2024 - We examine the quality of outpatient care using 23 quality indicators we have measured, which
fall into … The 23 quality indicators fall into five categories: medical
management of common diseases (10 indicators … Are evidence-based cardiovascular prevention therapies being used? … Prevention and Control 2005;1:285-295.
Ma J, Lee K-V, Stafford RS. … Are evidence-based cardiovascular prevention therapies being used?
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - Tool: Check-Back (or Repeat-Back)
A check-back, which is sometimes called a repeat-back, is a closed-loop communication strategy used to verify and validate exchanged information. When a team member calls out information, they typically anticipate a check-back in response to verify that the information was rece…
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psnet.ahrq.gov/issue/4-skin-conditions-doctors-often-misdiagnose
September 30, 2020 - Related Resources
‘I felt like I was dying’: how women with postpartum depression fall
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psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
June 12, 2019 - March 11, 2020
Preventing falls and fall-related injuries in health care facilities.
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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - Throughout his admission, he was assessed as a very high fall risk on a standard risk scale. … l, the staff's level of concern was heightened, in that a fall could be associated with dangerous bleeding … alerted the primary care team of the patient's declining mental status and their concern about increased fall
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psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative
June 14, 2023 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/making-patients-safer-nurses-responses-patient-safety-alerts
April 13, 2011 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance
May 31, 2011 - December 8, 2010
Ounce of prevention: to reduce errors, hospitals prescribe innovative
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psnet.ahrq.gov/issue/why-are-patients-not-more-involved-their-own-safety-questionnaire-based-survey-multi-ethnic
September 22, 2021 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
July 10, 2008 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/visual-medication-schedule-improve-anticoagulation-control-randomized-controlled-trial
October 21, 2010 - Prevention of medication errors remains a focus of patient safety efforts, with warfarin use posing
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psnet.ahrq.gov/issue/has-improved-hand-hygiene-compliance-reduced-risk-hospital-acquired-infections-among
July 10, 2024 - January 9, 2014
Health economic evaluation of an infection prevention and control program
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psnet.ahrq.gov/issue/impact-pharmacist-led-admission-medication-reconciliation-patient-outcomes-large-health
March 17, 2010 - April 24, 2018
Universal protection: operationalizing infection prevention guidance in … Impact of pharmacist-led discharge medication reconciliation on error and patient harm prevention
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - tested
draft items
Obtained input from
WPS SMEs &
SOPS TEP
Conducted
pilot study
Summer/Fall … CDC's Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All
Settings … 2Fhicpac%2Frecommen
dations%2Fcore-practices.html
Th is document describes a core set of infection prevention … The pract ices were selected from exist ing Centers for Disease
Control and Prevention (CDC) recommendations
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psnet.ahrq.gov/innovation/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
September 08, 2021 - February 10, 2012
Centers for Disease Control and Prevention Guideline for the Prevention … Article
Study
The Stoplight Mobility Alert System for safety and prevention
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psnet.ahrq.gov/issue/systematic-review-effectiveness-strategies-encourage-patients-remind-healthcare-professionals
February 01, 2011 - Hand hygiene is critical to prevention of health care–associated infections . … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/engaging-patients-and-informal-caregivers-improve-safety-and-facilitate-person-and-family
March 08, 2023 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … September 30, 2010
Oncology nurses' perceptions about involving patients in the prevention
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psnet.ahrq.gov/issue/targeted-communication-intervention-using-nursing-crew-resource-management-principles
August 12, 2015 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/reengineering-hospital-discharge-protocol-improve-patient-safety-reduce-costs-and-boost
May 20, 2009 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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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.