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2561. Current Processes: Refining Evidence-based Recommendation Development | United States Preventive Services Taskforce
      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

2562. New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. | PSNet
      psnet.ahrq.gov/issue/new-hhs-data-shows-major-strides-made-patient-safety-leading-improved-care-and-savings
      October 31, 2014 - July 20, 2011 National Action Plan for Adverse Drug Event Prevention.

2563. Improving Patient Safety: The Intersection of Safety Culture, Clinician and Staff Support, and Patient Safety Organizations. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-intersection-safety-culture-clinician-and-staff-support-and-patient
      April 15, 2015 - December 22, 2008 Improving hospital safety culture for falls prevention through interdisciplinary

2564. Diagnostic Safety Toolkit. | PSNet
      psnet.ahrq.gov/issue/diagnostic-safety-toolkit
      December 05, 2024 - Article Study The Stoplight Mobility Alert System for safety and prevention

2565. Losing the moment: understanding interruptions to nurses' work. | PSNet
      psnet.ahrq.gov/issue/losing-moment-understanding-interruptions-nurses-work
      September 19, 2012 - January 18, 2011 Nurses' harm prevention practices during admission of an older person

2566. Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet
      psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
      February 09, 2011 - April 12, 2023 The Joint Commission's new and revised workplace violence prevention standards

2567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73106/psn-pdf
      April 01, 2021 - psnet.ahrq.gov/primer/health-care-associated-infections https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program

2568. Archived: Postmenopausal Osteoporosis: Screening, 1996 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/postmenopausal-osteoporosis-screening-1996
      January 01, 1996 - For most women, osteoporosis prevention is only one of many factors that go into the decision whether … also receive counseling regarding preventive measures to reduce the risk of falls and the severity of fall-related … The prevention and treatment of osteoporosis. N Engl J Med . 1992;327:620–627. [ PubMed ] 41. … Strategies for prevention of osteoporosis and hip fracture.

2569. Expediting Clinician Adoption of Safety Practices: The UCSF Venous Access Patient Safety Interdisciplinary Education Project (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Donaldson.pdf
      January 01, 2003 - offered initially to students and clinicians within the UCSF Schools of Nursing and Medicine, in the fall … The realization that all learners fall somewhere along this continuum posed potential difficulties, … Adverse Drug Events Prevention Study Group. JAMA 1997;277(4):307–11. 12. … Atlanta: Centers for Disease Control and Prevention; 2001. 14. … Guidelines for the prevention of intravascular catheter-related infections.

2570. A mixed methods evaluation of medication reconciliation in the primary care setting. | PSNet
      psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
      November 16, 2022 - September 7, 2022 Potentially harmful medication dispenses after a fall or hip fracture

2571. Patient safety culture in care homes for older people: a scoping review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-culture-care-homes-older-people-scoping-review
      January 08, 2020 - Review Patient safety culture in care homes for older people: a scoping review. Citation Text: Gartshore E, Waring J, Timmons S. Patient safety culture in care homes for older people: a scoping review. BMC Health Serv Res. 2017;17(1):752. doi:10.1186/s12913-017-2713-2. Copy Citation …

2572. Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet
      psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
      July 29, 2020 - the Same Author(s) A randomized trial of a multifactorial strategy to prevent serious fall

2573. Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study | PSNet
      psnet.ahrq.gov/issue/implementing-survey-patients-provide-safety-experience-feedback-following-care-transition
      January 08, 2020 - with diabetes being discharged from hospital October 16, 2019 The impact of post-fall … huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a

2574. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. | PSNet
      psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
      July 06, 2022 - Study Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Citation Text: Kepner S, Adkins JA, Jones RM. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. Patient Saf. 2022;4(2):6-17. doi:10.33940/data/2022.6.1. C…

2575. Using an EHR System to Prevent Opioid Use Disorder in Older Adults in Primary Care Practices Case Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-ehr-oud.pdf
      June 02, 2025 - Using an EHR System to Prevent Opioid Use Disorder in Older Adults in Primary Care Practices Case Study 1 Using an Electronic Health Record System to Prevent Opioid Use Disorder in Older Adults in Primary Care Practices Case Study - Westfield Family Physicians Intervention: The staff at Westfield Family Physici…

2576. Session 2 | Agency for Healthcare Research and Quality
      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

2577. Surgical Safety: Addressing the JCAHO Goals for Reducing Wrong-site, Wrong-patient, Wrong-procedure Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
      June 21, 2004 - Those efforts have manifested in the development of a wrong-site prevention initiative that can easily … Method The wrong-site surgery prevention initiative began as part of an NHCP Patient Safety Award … The OR prevention of wrong-site surgery initiative reached its 100 percent compliance rate benchmark … Due to the facility’s expansion of services in early fall 2003, the patient volume in the OR tripled … Conclusion All health care systems face similar obstacles in implementing the JCAHO prevention of

2578. Slides from eAAP Training Presentations for Final Implementation Reoprt (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/eaap_trainpresentfinalimplementation_080211comp.pdf
      January 01, 2007 - in 1997  Revised in 2002 with a focus on several key questions about medications, monitoring and prevention

2579. Knowledge Engineering for Decision Support in Osteoporosis - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/k08hs018582-lafleur-final-report-2015.pdf
      January 01, 2015 - ≤5) 21727 128 3.7 2.5-­‐5.5 37 Fall riskc 311 13 1.6 0.8-­‐3.2 16 Any major fracture model … Seizure disorder 1539 152 1.6 1.00-­‐2.58 16 Alcohol abuse disorder 8233 199 1.7 1.45-­‐2.09 17 Fall … malnutrition, intestinal malabsorption, and symptoms concerning nutrition, metabolism, and development c Fall … would overwhelm the models and cause important risk factors among patients with no prior fracture to fall … controls including white race, lower BMI, smoking and alcohol use, malnutrition, diabetes complications, fall

2580. Final Progress Report: Patient Safety in Hospice Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
      January 01, 2024 - Almost no effort has been given to understanding the prevention of patient safety incidents in the growing … (Specific Aim 3: Opportunities for prevention) 6. … Description of detection/prevention/mitigating factors: What are the “actions or circumstances” within … The interview guide included prompts to explore possible detection, mitigation, and prevention opportunities