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psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
February 12, 2019 - Toolkit
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture.
Citation Text:
Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …
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psnet.ahrq.gov/perspective/workplace-safety-health-care
January 01, 2017 - trying to lift someone out of bed without assistance and they're heavy and you hurt your back, and they fall … November 8, 2013
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/safety-climate-new-developments-conceptualization-theory-and-research
July 14, 2021 - Special or Theme Issue
Safety Climate: New Developments in Conceptualization, Theory, and Research.
Citation Text:
Safety Climate: New Developments in Conceptualization, Theory, and Research. Huang YH, Chen PY, Grosch JW, eds. Accid Anal Prev. 2010;42:1421-1522.
Co…
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psnet.ahrq.gov/issue/speak-video-series
November 27, 2018 - Audiovisual
Speak Up Video Series.
Citation Text:
Speak Up Video Series. Oakbrook Terrace, IL: Joint Commission.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
October 01, 2014 - The resident may have had a fall and may have a broken bone or have worsening arthritis with increased … Falls Risk
A fall is defined as "involuntarily coming to rest on a lower surface," whether it is an … There are many things that can cause a fall, including things in the environment (like lighting, slippery … have difficulty breathing at night due to chronic lung problems, snoring, or pneumonia and may never fall … Falls —Watch the resident when doing things that could result in a fall (e.g., reaching for objects when
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/TableofContents_Vol1.pdf
January 01, 2025 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in
Acute Care
Mary L. … Pronovost
VHA’s National Falls Collaborative and Prevention Programs
Erik Stalhandske, Peter Mills
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/TableofContents_Vol4.pdf
January 01, 2025 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in
Acute Care
Mary L. … Pronovost
VHA’s National Falls Collaborative and Prevention Programs
Erik Stalhandske, Peter Mills
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psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
September 14, 2016 - August 24, 2016
Selected medication safety risks to manage in 2016 that might otherwise fall
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psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
August 01, 2012 - Audiovisual Presentation
The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety.
Citation Text:
The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality;…
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psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-district-health-boards-200607
March 05, 2008 - Book/Report
Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07.
Citation Text:
Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. National Health Epidemiology and Quality Assurance Advisory Committee. Wellington, Ne…
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www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care ( PDF , 338 … VHA's National Falls Collaborative and Prevention Programs ( PDF , 578 KB )
Erik Stalhandske, et
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cds.ahrq.gov/sites/default/files/workgroups/246/jul-2017-cholesterol-wg-notes.docx
January 01, 2017 - experiences with numerous clinical domains under consideration for the Option Year work:
Expand CVD prevention … Geriatric-fall prevention:
This would provide high impact decision support for a well-defined target
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - Errors were reported in several domains: prevention,
diagnosis, treatment, patient identification, communication … Incidence of adverse
drug events and potential adverse drug events:
implications for prevention.
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psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
October 19, 2022 - December 11, 2024
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/node/49468/psn-pdf
December 16, 2004 - The Joint Commission's Universal Protocol for the Prevention of Wrong Site, Wrong
Procedure, and Wrong … Most
systems, even simple ones, operating in health care organizations today fall short of this characterization
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cds.ahrq.gov/sites/default/files/workgroups/216/jan-2017-cholesterol-wg-notes.docx
January 01, 2017 - pursuing development of artifacts in alignment with other quality measures:
· Statin use for primary prevention … Hearts representatives will provide an update on CMS 164, CMS 22, CMS 165 and CMS 138 and where they fall
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/current-processes-refining-evidence-based-recommendation-development
January 01, 2014 - (USPSTF) is an internationally recognized, independent panel of nonfederal experts in primary care, prevention … The Task Force does not advocate for prevention, perform decision analysis to routinely standardize the … Some recommendations for clinical preventive services fall within the scope of not only the USPSTF but … Miller: Center for Primary Care, Prevention & Clinical Partnerships, Agency for Healthcare Research and … Routine aspirin or nonsteroidal antiinflammatory drugs for the primary prevention of colorectal cancer
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psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - For example, the Centers for Disease Control and Prevention has produced guidance for optimizing PPE … of pressure injuries , all of which are specifically focused on harm prevention in COVID-19 patients … Our hospitals have great protocols in place for pressure injury prevention, but prone positioning brought … They had been a common strategy for fall prevention, but with the requirement to put on PPE, there was … a delay before a staff person could respond to the alarm and prevent a fall.
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psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - Our hospitals have great protocols in place for pressure injury prevention, but prone positioning brought … They had been a common strategy for fall prevention, but with the requirement to put on PPE, there was … a delay before a staff person could respond to the alarm and prevent a fall. … For example, the Centers for Disease Control and Prevention has produced guidance for optimizing PPE … of pressure injuries , all of which are specifically focused on harm prevention in COVID-19 patients
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digital.ahrq.gov/program-overview/research-reports/2023-year-review/dhr-impact-reach
January 01, 2023 - Across Patients’ Hospital Stays Development and Usability Testing of an Exercise-Based Primary Care Fall … Prevention Clinical Decision Support Tool Townhall on Informatics Priorities for Government Agencies