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3181. Whither Challenger, wither Columbia: management decision making and the knowledge analytic. | PSNet
      psnet.ahrq.gov/issue/whither-challenger-wither-columbia-management-decision-making-and-knowledge-analytic
      September 07, 2011 - November 4, 2020 A randomized trial of a multifactorial strategy to prevent serious fall

3182. Racism derails black men’s health, even as education levels rise. | PSNet
      psnet.ahrq.gov/issue/racism-derails-black-mens-health-even-education-levels-rise
      May 28, 2014 - June 3, 2020 During in-flight emergencies, sometimes airlines’ medical kits fall short

3183. How DeKalb Medical fixed drug safety problems after fatal error. | PSNet
      psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
      October 11, 2017 - May 22, 2019 Selected medication safety risks that can easily fall off the radar screen—part

3184. "Use as directed" can cause confusion for both patients and practitioners. | PSNet
      psnet.ahrq.gov/issue/use-directed-can-cause-confusion-both-patients-and-practitioners
      August 24, 2016 - September 7, 2022 Selected medication safety risks to manage in 2016 that might otherwise fall

3185. Phony diagnoses hide high rates of drugging at nursing homes. | PSNet
      psnet.ahrq.gov/issue/phony-diagnoses-hide-high-rates-drugging-nursing-homes
      December 22, 2021 - May 31, 2023 During in-flight emergencies, sometimes airlines’ medical kits fall short

3186. The growth of rapid response systems.  | PSNet
      psnet.ahrq.gov/issue/growth-rapid-response-systems
      April 24, 2018 - Meeting/Conference Proceedings The growth of rapid response systems.  Citation Text: Steel AC, Reynolds SF. The growth of rapid response systems. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

3187. Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. | PSNet
      psnet.ahrq.gov/issue/incorporating-health-information-technology-workflow-redesign-request-information-summary
      September 29, 2017 - Book/Report Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. Citation Text: Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. Carayon P, Karsh B-T, Cartmill RS, et al.…

3188. NHS Safety Thermometer Reports. | PSNet
      psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
      July 08, 2021 - Book/Report NHS Safety Thermometer Reports. Citation Text: NHS Safety Thermometer Reports. Leeds, UK: Clinical Support Audit Unit, Health and Social Care Information Centre. 2012-2017. Copy Citation Save Save to your library Print Download PDF Sh…

3189. Adverse Health Events in Minnesota: Annual Reports. | PSNet
      psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
      February 28, 2015 - Unintentionally-retained foreign objects and fall-related injuries were common incidents recorded.

3190. PowerPoint Presentation (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T4-Common_Suspected_Infections_Tools_to_Improve_Communication_and_Decision_Making.ppt
      May 01, 2014 - PowerPoint Presentation Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Toolkit 2. Common Suspected Infections: Communication and Decision Making for Four Infections Tool 4. Tools To Improve Communication and Decision Making www.ahrq.gov/NH-ASPGuide ● May 2014 AHRQ Pub. No. AHR…

3191. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
      January 01, 2004 - “near misses”—errors that could have caused harm to patients but did not, as a result of chance, prevention … The Centers for Disease Control and Prevention (CDC) has estimated that nearly 2 million patients develop

3192. Video to Improve Patient Safety: Clinical and Educational Uses | PSNet
      psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
      March 01, 2004 - Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors … April 1, 2013 Perspective Implementing a Fall Prevention

3193. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-pfe.pdf
      January 01, 2023 - Prioritizing of error prevention initiatives in Chicago; and 6. … The first project developed the Fall TIPS tool, which decreased fall rates to 3.22/1,000 patient days … Patient feedback showed that patients were more likely to believe they needed a fall prevention plan … from falling, so the investigators integrated the ABCs of harm into both the electronic and paper Fall … Other themes were that health maintenance for acute survival took precedence over long-term prevention

3194. Archived: Cognitive Impairment in Older Adults: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/cognitive-impairment-in-older-adults-screening-2014
      March 18, 2014 - including counseling on tobacco cessation, alcohol use, healthful diet, physical activity, and falls prevention … Other Approaches to Prevention The USPSTF has published recommendations related to several of the … including counseling on tobacco cessation, alcohol use, healthful diet, physical activity, and falls prevention

3195. Information to Help Hospitals Get Started
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
      July 23, 2010 - patient falls during change of shift, dropping from one to two patient falls per month to one patient fall

3196. Using Pressure Ulcer Risk Assessment Tools in Care Planning (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar5_pu_riskassesst-tools.pdf
      January 01, 2012 - Standardized Standardized risk assessment is a prerequisite to implementing an evidence-based pressure ulcer prevention … risk factors • To identify a patient’s risk factors • To plan care that addresses these factors – Prevention … Communicate a tailored pressure ulcer prevention plan to all staff who interact with the patient. … Prevention and treatment of pressure ulcers: clinical practice guideline.

3197. Making Healthcare Safer IV Rapid Review: Prevention in Adults of Infection With Transmission of Multidrug-Resistant Organisms (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-rapid-research.pdf
      April 01, 2024 - These data fall short of proof that contact precautions are ineffective, but neither do they support … Centers for Disease Control and Prevention. … Herd. 2015 Fall;9(1):64-79. doi: 10.1177/1937586715592650. PMID: 26163568. Outcome 38. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention.

3198. Can Physical Activity Improve the Health of Wheelchair Users? Amended Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/wheelchair-users-amended-protocol.pdf
      June 21, 2019 - nominated by the Director of the National Center for Medical Rehabilitation Research for a Pathways to Prevention … Our review will be used by National Institutes of Health (NIH) Office of Disease Prevention (ODP) Working … physical activity interventions, inclusion/exclusion criteria, and research methodologies related to prevention … hemoglobin A1c, KQ=Key Question a Outcomes are specified in Table 2 b Studies that are evaluating prevention … World Health Organization, Disability Injury Prevention and Rehabilitation Unit, Department of Sustainable

3199. Failure to Latch | PSNet
      psnet.ahrq.gov/web-mm/failure-latch
      November 27, 2012 - The infant was nursing frequently for 30–45 minutes at a time, was quite fussy, and tended to fall asleep … Center for Disease Control and Prevention Web site. Available at: www.cdc.gov/breastfeeding . 3. … Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention;

3200. On-Time Pressure Ulcer Healing: Facilitator Training Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
      December 01, 2017 - Slide 6: On-Time Reports for Four Adverse Events Available Reports Pressure Ulcer Prevention … Reports in Development Falls Prevention. Prevention of Avoidable Hospitalizations. … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation.