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3641. Readmissions and Adverse Events After Discharge | PSNet
      psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
      April 27, 2022 - Readmissions and Adverse Events After Discharge Citation Text: Readmissions and Adverse Events After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3…

3642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852700/psn-pdf
      August 30, 2023 - dynamic reality, reorienting focus from performance measures of harm to measures that reflect risk prevention … nursing homes across the United States to increase the implementation of evidence-based infection prevention … leadership, and governance—ensuring that there is a core value and non- negotiable commitment to the prevention … with our work to radically reorient our thinking and approach to safety to place more emphasis on prevention

3643. Health Coach Intervention Sustainability Plan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/60-tenn-health-coach-sustainability-plan-toolkit.pdf
      June 02, 2025 - Purpose: to develop or update a Personalized Prevention Plan (PPP) and perform a Health Risk Assessment … G0438 Annual Wellness Visit with a Personalized Prevention Plan of Service, Initial Visit (post “Welcome … G0439 Annual Wellness Visit with Personalized Prevention Plan of Service, Subsequent Visit (every visit … Annual Wellness Visits are an opportunity to have a conversation about prevention and screening with … It allows the provider to have a baseline on things like depression, cognitive function, fall risk, family

3644. Final Progress Report: Using an Electronic Health Record to Examine Nurse Continuity and Pressure Ulcers (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
      January 01, 2024 - Research and Quality (AHRQ). 2 Abstract Purpose: To examine the influence of nurse continuity on the prevention … These labels fall under seven distinct categories: Nutrition, Mobility, Hydration, Continence, Skin, … characteristics of an individual nurse and the staffing on the 9 actual shift in which a HAPU or a fall … Decubitus ulcers – Pathophysiology and primary prevention. … The primary investigator was motivated to complete and defend the dissertation study in the Fall 2014

3645. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
      June 01, 2023 - Massa S, Wu J, Wang C, Peifer H, Lane-Fall MB. … Raiten JM, Lane-Fall M, Gutsche JT, Kohl BA, Fabbro M, Sophocles A, Chern SY, Al-Ghofaily L, Augoustides … Lane-Fall MB, Christakos A, Russell GC, Hose BZ, Dauer ED, Greilich PE, Hong Mershon B, Potestio CP, … Lane-Fall MB, Pascual JL, Peifer HG, Di Taranti LJ, Collard ML, Jablonski J, Gutsche JT, Halpern SD, … Lane-Fall MB, Cobb BT, Cené CW, Beidas RS. Implementation science in perioperative care.

3646. Nephropathy-Contrast-Induced Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/nephropathy-contrast-induced_research-protocol.pdf
      October 01, 2013 - Rev Cardiovasc Med. 2006 Fall;7(4):177-97. PMID: 17224862. 8. … Prevention of contrast-induced nephropathy with volume supplementation. … Prevention of contrast-induced nephropathy. … of CIN final protocol Prevention of CIN final protocol.2 Prevention of CIN final protocol.3 Prevention … of CIN final protocol.4 Prevention of CIN final protocol.5

3647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865658/psn-pdf
      April 24, 2024 - discuss the frequent fecal leakage and perhaps the medication could have been adjusted, avoiding the fall

3648. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/pressure-ulcer-prevention_research-protocol.pdf
      January 10, 2012 - guidelines recommend various preventive strategies, which generally fall into the categories of: … Waterlow pressure ulcer prevention/treatment policy card. Revised 2005. … Pressure ulcer prevention: quick reference guide. … Risk assessment tools for the prevention of pressure ulcers. … Risk assessment scales for pressure ulcer prevention: a systematic review.

3649. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.245_slideshow.ppt
      July 01, 2011 - Cost-effectiveness of dabigatran compared with warfarin for stroke prevention in atrial fibrillation.

3650. Hard to Swallow | PSNet
      psnet.ahrq.gov/web-mm/hard-swallow
      April 26, 2023 - specific written protocol, certain medical information can be assumed because the patient observations fall … Hospitals and clinicians should be cautious of quick fixes or reliance on a single prevention technique

3651. Improving Patient Safety by Engaging Patients and Families (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
      April 30, 2025 - error and engaging patients in organizational learning from such events; • Prioritizing of error prevention … 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

3652. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-final508.pptx
      June 02, 2025 - contraindicated, or are not taken as prescribed According to the Centers for Disease Control and Prevention … Martin – 63-year-old female following up after reconstructive surgery for fractured skull from a fall

3653. Mixup Beyond the Medication Label | PSNet
      psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
      June 01, 2014 - National Action Plan for Adverse Drug Event Prevention. … Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health … July 28, 2021 Medication incident recovery and prevention utilising an Australian

3654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50844/psn-pdf
      January 29, 2020 - //psnet.ahrq.gov//#2 https://psnet.ahrq.gov//#2 https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery

3655. Improving the Delivery of Health Services at the Health Systems Level - Emerging Research | Digital Healthcare Research
      digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
      January 01, 2020 - These include challenges related to prevention, such as containment strategies to prevent spread; preparation

3656. Archived: Evidence Summary: Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Risk Factors: Behavioral Counseling | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/healthful-diet-and-physical-activity-for-cardiovascular-disease-prevention-in-adults-without-known-risk-factors-behavioral-counseling-july-2017
      July 11, 2017 - Hypertension Prevention Phase II. … Trials of Hypertension Prevention Collaborative Research Group. … Trials of Hypertension Prevention Collaborative Research Group. … Preventing weight gain in adults: the Pound of Prevention study. … Hypertension Prevention Trial Research Group.

3657. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
      October 24, 2018 - Study Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Citation Text: Giardina TD, King BJ, Ignaczak AP, et al. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. Health A…

3658. The new recommendations on duty hours from the ACGME Task Force. | PSNet
      psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force
      July 14, 2021 - March 15, 2017 A randomized trial of a multifactorial strategy to prevent serious fall

3659. Implementing medication reconciliation in outpatient pediatrics. | PSNet
      psnet.ahrq.gov/issue/implementing-medication-reconciliation-outpatient-pediatrics
      September 23, 2020 - September 23, 2020 A randomized trial of a multifactorial strategy to prevent serious fall

3660. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. | PSNet
      psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
      December 11, 2024 - Study The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. Citation Text: Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facil…