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psnet.ahrq.gov/issue/hospital-surveys-centers-medicare-and-medicaid-services-analysis-more-34000-deficiencies
May 26, 2021 - April 7, 2021
Examining causes and prevention strategies of adverse events in deceased
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - Key adverse events (medication errors, fall, and infections)
were lowered. … The trend line continues to fall.
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psnet.ahrq.gov/node/49587/psn-pdf
May 01, 2009 - William Haddon, widely recognized as the father of modern injury prevention strategies, may be
responsible … probably tops
this list, followed closely by missing a transient neurologic event that precipitates a fall … The changing approach to the epidemiology, prevention, and amelioration of trauma: the
transition to
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan154/healthful-diet-and-physical-activity-for-cardiovascular-disease-prevention-in-adults-without-known-risk-factors-behavioral-counseling-july-2017
May 14, 2015 - archived
Final Research Plan
Healthful Diet and Physical Activity for Cardiovascular Disease Prevention … Include
Exclude
Study aim
Primary prevention of CVD
Secondary or tertiary prevention … of CVD
Weight loss *
Cancer prevention or treatment
Prevention of cognitive decline
Prevention
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap2b.html
October 01, 2014 - Falls Prevention
Appendix 1-A. Suggested Slides for Module 1
Appendix 1-B.
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psnet.ahrq.gov/node/841566/psn-pdf
December 14, 2022 - addition, CMS works closely with many other Federal
partners such as Centers for Disease Control and Prevention … behavioral health, kidney health and organ procurement programs, nursing homes and
long-term care, and prevention
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
April 01, 2022 - She has chronic urinary incontinence and is a high fall risk. … The answer is False, because the catheter actually does not decrease fall risk.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/physical-activity-behavioral-counseling-primary-care-2002
July 01, 2002 - Adults: Behavioral Interventions (2018)
Healthy Diet and Physical Activity for Cardiovascular Disease Prevention … They may include muscle and fall-related injuries or cardiovascular events. 6 It is unclear whether … Washington, DC: Office of Disease Prevention and Health Promotion; 1996. 2. … Department of Health and Human Services, Centers for Disease Control and Prevention. … National Center for Chronic Disease Prevention and Health Promotion; 1996.
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www.ahrq.gov/news/newsletters/e-newsletter/936.html
November 01, 2024 - The impact of design factors on user behavior in a virtual hospital room to explore fall prevention strategies
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - We are interested in whole healthcare, quality of life, patient experience, and prevention of patient … As we all experience healthcare, we consider how we can minimize unplanned care and maximize prevention … Healthcare Effectiveness Data and Information Set (HEDIS) measures that we use, including chronic care prevention … Related Resources
Perspectives on Safety
Suicide Prevention … Interview
In Conversation with Edwin Boudreaux about Suicide Prevention
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
July 01, 2023 - For example, a clinician may recommend a wearable technology to assess a patient’s fall risk. 29 The … be responsible for ensuring the technology is worn, while the AI would provide daily summaries about fall … risk and near falls and notify family members or the clinician if a fall occurs. … In fall 2022, the FDA provided updated guidance on designation of software as a medical device (SaMD)
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - : Pressure Ulcer Prevention Implementation
Implementation of the Prevention Reports Into Day-to-Day … can help strengthen prevention activities. … We have lots of meetings—morning report, standup meeting, huddles, fall meetings, pressure ulcer meetings … : screening, prevention practices, clinical meetings that are held that discuss pressure ulcer prevention … Prevention is not discussed at any meeting.
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psnet.ahrq.gov/issue/appropriateness-commercially-available-and-partially-customized-medication-dosing-alerts
July 16, 2015 - August 2, 2015
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-2
March 23, 2012 - January 13, 2021
Modification of potentially inappropriate prescribing following fall-related
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psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-outpatient-anticoagulation-management-consortium
March 28, 2012 - Study
Root cause analysis of adverse events in an outpatient anticoagulation management consortium.
Citation Text:
Graves CM, Haymart B, Kline-Rogers E, et al. Root Cause Analysis of Adverse Events in an Outpatient Anticoagulation Management Consortium. Jt Comm J Qual Patient Saf. 2017;4…
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psnet.ahrq.gov/issue/actions-and-implementation-strategies-reduce-suicidal-events-veterans-health-administration
January 05, 2017 - Study
Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration.
Citation Text:
Mills PD, Neily J, Luan D, et al. Actions and Implementation Strategies to Reduce Suicidal Events in the Veterans Health Administration. The Joint Commission Journa…
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psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study
March 04, 2020 - Study
Identifying unintended consequences of quality indicators: a qualitative study.
Citation Text:
Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371.
Cop…
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psnet.ahrq.gov/issue/descriptive-study-nurse-reported-missed-care-neonatal-intensive-care-units
January 27, 2019 - July 19, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
January 01, 2017 - trying to lift someone out of bed without assistance and they're heavy and you hurt your back, and they fall