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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
March 01, 2017 - facility educator train facility staff, and when appropriate, residents and families, on infection prevention … The educational bundles can be used to supplement your infection prevention orientation curriculum. … High-Performance Work Practices in CLABSI Prevention Interventions: Executive Summary.
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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ems-911-workforce-topic-development-brief.pdf
February 01, 2022 - International journal of emergency mental
health. 2007 Fall;9(4):291-8. … The Journal of
neuropsychiatry and clinical neurosciences.
2005 Fall;17(4):526-32. doi:
10.1176/jnp … International
journal of emergency mental health. 2009
Fall;11(4):235-48. … Assessment of a prevention program for
work-related stress among urban police
officers. … Suicide prevention in a deployed military
unit.
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www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - Massachusetts Coalition for the Prevention of Medical Errors
Lucian L. Leape, M.D. … Massachusetts Coalition for the Prevention of Medical Errors
Katherine Howitt, M.A. … “retention of a
foreign object” (22%), “medication errors” (18%), “patient death associated with a fall … Patient death associated with a fall while being cared for in a healthcare facility 18.
7
E. … Paula Griswold, Executive Director
of the Massachusetts Coalition for the Prevention of Medical Errors
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274:29-34.
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psnet.ahrq.gov/issue/association-cataract-surgical-outcomes-late-surgeon-career-stages-population-based-cohort
September 23, 2020 - February 11, 2009
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/understanding-differences-electronic-health-record-ehr-use-linking-individual-physicians
November 17, 2015 - August 4, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
June 01, 2012 - Module 1 focuses on detecting changes in a resident’s
condition, and Module 3 covers falls prevention … may use different words to say the same thing (e.g., new words
come into general usage, while others fall … may use different words to say the same thing (e.g., new words
come into general usage, while others fall
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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/screening-for-prediabetes-and-type-2-diabetes
November 15, 2018 - pharmacotherapy interventions for glycemic control
Counseling interventions aimed at falls prevention
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - The QIs fall into four categories:
1. … Survey Content
The 5.0 version of the CAHPS Adult and Child Health Plan Surveys reporting questions fall … Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP). … operating room procedures Healthcare-associated Infection
Patients with one or more falls during stay Fall … than bedrails) Other Outcomes of Interest
Harm from accident associated with bedrails (other than
fall
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - Implement the VTE Prevention Protocol
Chapter 6. Track Performance with Metrics
Chapter 7. … A venous thromboembolism (VTE) prevention protocol is a standardized VTE risk assessment, linked to a … The ideal VTE prevention protocol would have these characteristics:
Accurately detect all patients … Most medical and surgical patients fall into the middle category, qualifying for anticoagulant thromboprophylaxis … Prevention of VTE in nonorthopedic surgical patients: antithrombotic therapy and prevention of thrombosis
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - Implement the VTE Prevention Protocol
Chapter 6. Track Performance with Metrics
Chapter 7. … A venous thromboembolism (VTE) prevention protocol is a standardized VTE risk assessment, linked to a … The ideal VTE prevention protocol would have these characteristics:
Accurately detect all patients … Most medical and surgical patients fall into the middle category, qualifying for anticoagulant thromboprophylaxis … Prevention of VTE in nonorthopedic surgical patients: antithrombotic therapy and prevention of thrombosis
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.docx
January 01, 2016 - EXAMPLE: Catheter-Related Bloodstream Infection Prevention
Measurement Instrument
A. … _| Assessment of need
|_| Site inspected
|_| Neither
Catheter-Related Bloodstream Infection Prevention
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/vte-prophyalaxis_research-protocol.pdf
March 01, 2011 - burden
Major bleeding defined as including: fatal bleeding; clinically overt bleeding causing a fall … of recurrent PE when
anticoagulants are contraindicated
Celect
® Retrievable Cook Prevention of … recurrent PE when
anticoagulants are contraindicated
Gunther Tulip
® Retrievable Cook Prevention … Prevention of Venous Thromboembolism After Injury. … Prevention of venous thromboembolism in obesity.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_implementationmeasurement.docx
January 01, 2016 - EXAMPLE: Catheter-Related Bloodstream Infection Prevention
Measurement Instrument
A. … |_| Assessment of need
|_| Site inspected
|_| Neither
Catheter-Related Bloodstream Infection Prevention
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - Infection rates from hospital epidemiology and infection prevention also present known complications. … Patient is not assessed for fall risk, and no preventive measures are taken.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section5.html
October 01, 2015 - Infection prevention plays a consulting and facilitating role to support the effort. … Infection preventionists are considered content experts in infection prevention and play a role in educating
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - The contributory factors in this event fall into the environmental category.
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psnet.ahrq.gov/node/33872/psn-pdf
January 01, 2018 - Update: Patient Engagement in Safety
January 1, 2018
Stern RJ, Sarkar U. Update: Patient Engagement in Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/update-patient-engagement-safety
Annual Perspective 2018
Background
Patient engagement has become a cornerstone of patient safety. A Patient Saf…
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psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
April 24, 2024 - After the onset of the COVID-19 pandemic, and with a grant through the Centers for Disease Control and Prevention … the most important asset in organizations—the people who are delivering care—the other things will fall … If we fix the systems that impact the people that deliver care, many things may fall in place in terms
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - After the onset of the COVID-19 pandemic, and with a grant through the Centers for Disease Control and Prevention … the most important asset in organizations—the people who are delivering care—the other things will fall … If we fix the systems that impact the people that deliver care, many things may fall in place in terms