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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-110414.pptx
January 01, 2013 - Learning Objectives
Define basic principles of CAUTI prevention
Describe approaches to consider if CAUTI … them to be
State how the GPS can support units with ongoing CAUTI problems
Apply mindfulness to CAUTI prevention … urinary tract infections.”
4
Falls
Partnership for Patients
Venous thrombo-embolism
Addressing CAUTI Prevention … Validation Study
Kathlyn Fletcher, MD, PhD
Goals
To assess the unit-level culture surrounding the prevention … practices on their units
Examples
Doctors have no idea what the nurses do with respect to CAUTI prevention
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/home-based-care_research-protocol.pdf
November 19, 2014 - and urgent care use when acute
incidents are prevented or addressed in the home; 4) potential for prevention … Single condition care or single
topic risk assessments
Fall risk assessments, programs
that target … frequency of home visits, hours of availability)
or services that could be provided separately, such as fall … of excluded care;
preventive home visits, single visit
home assessments, single
purpose visits (fall
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
September 01, 2017 - Slide 6: On-Time Reports for Four Adverse Events
Four Reports:
Pressure Ulcer Prevention. … Falls Prevention.
Preventable Hospital and ED Visits. … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation. … Prevention Programs: Reviews information on existing prevention programs.
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www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - Current efforts, the Commission added, "fall short of fully meeting users' needs and often are duplicative
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psnet.ahrq.gov/node/49722/psn-pdf
December 01, 2014 - The unit where the fall occurred called a multidisciplinary "fall huddle" to reenact the circumstances
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psnet.ahrq.gov/issue/effect-therapeutic-interchange-medication-reconciliation-during-hospitalization-and-upon
November 20, 2013 - July 17, 2019
Modification of potentially inappropriate prescribing following fall-related
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psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
October 31, 2017 - October 7, 2013
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/impact-stewardship-interventions-antiretroviral-medication-errors-urban-medical-center-three
February 10, 2016 - Nutrition Error
May 26, 2021
Selected medication safety risks that can easily fall
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psnet.ahrq.gov/issue/systematic-review-evidence-misdiagnosis-dementia-and-its-impact-accessing-dementia-care
December 02, 2020 - Review
A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care.
Citation Text:
Giebel C, Silva‐Ribeiro W, Watson J, et al. A systematic review on the evidence of misdiagnosis in dementia and its impact on accessing dementia care. Int J Ge…
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psnet.ahrq.gov/issue/developing-and-evaluating-large-language-model-generated-emergency-medicine-handoff-notes
March 12, 2025 - September 1, 2016
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems
August 04, 2021 - June 15, 2016
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/how-hospital-leaders-contribute-patient-safety-through-development-trust
January 22, 2014 - Study
How hospital leaders contribute to patient safety through the development of trust.
Citation Text:
Auer C, Schwendimann R, Koch R, et al. How hospital leaders contribute to patient safety through the development of trust. J Nurs Adm. 2014;44(1):23-9. doi:10.1097/NNA.00000000000000…
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psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process
December 18, 2024 - Journal Article
Study
Catching those who fall
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psnet.ahrq.gov/issue/explanation-and-elaboration-squire-standards-quality-improvement-reporting-excellence
November 18, 2016 - September 23, 2020
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
March 06, 2024 - November 16, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
May 12, 2021 - April 26, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/patient-safety-over-power-hierarchy-scoping-review-healthcare-professionals-speaking-skills
November 11, 2009 - July 20, 2011
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/identification-patient-safety-threats-post-intensive-care-clinic
November 21, 2021 - Study
Identification of patient safety threats in a post-intensive care clinic.
Citation Text:
Karlic KJ, Valley TS, Cagino LM, et al. Identification of patient safety threats in a post-intensive care clinic. Am J Med Qual. 2023;38(3):117-121. doi:10.1097/jmq.0000000000000118.
Copy Cit…
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psnet.ahrq.gov/issue/covid-19-emerging-threat-antibiotic-stewardship-emergency-department
October 21, 2020 - September 30, 2020
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada
September 23, 2020 - March 5, 2025
A randomized trial of a multifactorial strategy to prevent serious fall