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  1. 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;…
  2. 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.   Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy UR…
  3. 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…
  4. www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
    August 01, 2024 - Making Healthcare Safer III A Critical Analysis of Existing and Emerging Patient Safety Practices Despite sustained national attention and notable successful interventions in recent years, patient safety remains a significant problem in the United States. Harms such as adverse drug events, health…
  5. digital.ahrq.gov/ahrq-funded-projects/evaluation-scaled-scaling-acceptable-cds-approach-implementation-interoperable-cds-venous
    July 31, 2025 - Approach for the Implementation of Interoperable Clinical Decision Support for Venous Thromboembolism Prevention … First, the research team will modify and adapt their previously developed CPG-on-FHIR CDS tool for VTE prevention … Approach for the Implementation of Interoperable Clinical Decision Support for Venous Thromboembolism Prevention … AcceptabLE cDs (SCALED) Approach of Interoperable Clinical Decision Support for Venous Thromboembolism Prevention … Tignanelli’s previously developed PCOR CDS tool for COVID-19 VTE prevention.
  6. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/osteoporosis-screening
    January 14, 2025 - morbidity from fragility fractures, which are defined as fractures resulting from low energy trauma (eg, a fall … Fracture prevention with zoledronate in older women with osteopenia. … Denosumab for prevention of fractures in postmenopausal women with osteoporosis. … risks were recruited b 75.0 (6.7) 100 11,032 Screening: FRAX without BMD assessment, DXA, VFA, fall … clinician for personalized treatment advice including medication, evaluation for secondary osteoporosis, fall
  7. 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
  8. www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3.html
    October 01, 2013 - clinician) K Patient has a usual source of primary care L Patient ability to achieve prevention … of care with primary care clinic/clinician HH Clinician supports patient self-management of prevention … II Patient report of shared decision making regarding prevention JJ Utility of “bridging … RR Prevention goal setting and action planning SS Communication between client and community … engage and interact with patients ZZ Community resource supports patient self-management of prevention
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
    June 02, 2025 - To really get their attention present on the business case for CAUTI prevention. … in CAUTI prevention? … This second example was from a few weeks ago after a patient fall. … These learn from a defect, or super falls huddles, take place very quickly after a fall. … In this case the patient did already have some fall prevention tactics in place, but we did identify
  10. www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
    December 01, 2017 - To really get their attention present on the business case for CAUTI prevention. … in CAUTI prevention? … This second example was from a few weeks ago after a patient fall. … These learn from a defect, or super falls huddles, take place very quickly after a fall. … In this case the patient did already have some fall prevention tactics in place, but we did identify
  11. psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
    January 01, 2020 - How to Monitor Patients Receiving Direct Oral Anticoagulants for Stroke Prevention in Atrial Fibrillation
  12. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides2.html
    October 01, 2017 - (Tool 2C) Present the assessment of current pressure injury prevention policies and procedures. … Slide 5: Expected Outcomes Begin to write a draft Pressure Injury Prevention Action Plan, tailored … Members who influence the areas involved in pressure injury prevention. … Slide 10: QI Process Link the Pressure Injury Prevention Program with quality improvement. … Slide 24: Sample Action Plan Images: Two screenshots show an example of a Pressure Ulcer Prevention
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847934/psn-pdf
    April 26, 2023 - It involves the prevention and mitigation of harm caused by errors of omission or commission in healthcare … person-centered care, equity, safety, affordability and efficiency, chronic conditions, wellness and prevention … how-often-are-potential-patient-safety-events-present-admission https://psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
    January 01, 2010 - In prevention of CAUTI, this communication is vital. Discuss the indications.
  15. psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
    April 12, 2019 - Study Sharing lessons learned to prevent adverse events in anesthesiology nationwide. Citation Text: Soncrant C, Neily J, Sum-Ping SJT, et al. Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. J Patient Saf. 2021;17(4):e343-e349. doi:10.1097/PTS.000000000000…
  16. www.ahrq.gov/hai/pfp/interimhacrate2013.html
    November 01, 2015 - Human Services' Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and PreventionPrevention of approximately 50,000 deaths in the 2011 to 2013 period as a result of the decline in HACs … Centers for Disease Control and Prevention. 2012 National and State Healthcare-Associated Infections
  17. psnet.ahrq.gov/web-mm/hiding-plain-sight
    April 24, 2019 - therapies.( 11 ) A live attenuated VZV vaccine was approved several years ago by the FDA for the prevention … reduced the burden of illness from HZ by 61.1% ( P PP3) Presently, the VZV vaccine is recommended for the prevention … Herpes zoster and postherpetic neuralgia: prevention and management. … April 24, 2019 An inpatient fall prevention initiative in a tertiary care hospital.
  18. www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumhalp.html
    October 01, 2014 - Future Plans: Data collection will continue through the summer and fall and the clinician interview
  19. psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
    July 19, 2023 - 2022 View More Related Resources Systems approach to suicide prevention
  20. www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
    December 01, 2009 - Ordering information for Problems and Prevention: Chest Tube Insertion (AHRQ Publication No. 06-0069-