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3801. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49777/psn-pdf
      December 01, 2016 - Recognize the importance of a systems approach to suicide prevention. … Talk Saves Lives: An Introduction to Suicide Prevention. … Suicide Prevention Toolkit for Rural Primary Care Practices. … Waltham, MA: Suicide Prevention Resource Center; 2009. [Available at] 12. … Reformulating suicide risk formulation: from prediction to prevention.

3802. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-090914.pptx
      January 01, 2014 - Complications Related to the Catheter Other than CAUTI 1 Mohamad Fakih, MD, MPH Medical Director, Infection Prevention … unnecessary antibiotic use in causing C. difficile infection Summarize the role of unit culture on prevention … occ.bds, patient-occupied bed-days; DDDs, defined daily doses. 30 How Culture Plays a Role in CAUTI Prevention … Education Monitoring Our qualitative study 35 Goal: To understand unit-level culture around CAUTI prevention

3803. R18Hs017203-Gurwitz-Final-Report-2011 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017203-gurwitz-final-report-2011.pdf
      January 01, 2011 - Examples of less severe events include a nonurticarial skin rash, a fall without associated fracture … Examples of serious events include urticaria, a fall with an associated fracture, hemorrhage requiring … Implications for prevention. ADE Prevention Study Group. JAMA.

3804. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73104/psn-pdf
      January 04, 2021 - Additionally, it is essential to ensure that other critical patient safety efforts do not fall by the … Centers for Disease Control and Prevention. Updated January 4, 2021. … Centers for Disease Control and Prevention. Published January 11, 2021. … Emergency call to action: for measles and polio outbreak prevention and response. … Centers for Disease Control and Prevention. Updated December 16, 2020.

3805. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
      January 01, 2024 - One patient had the chest tube fall out. … surgical masks contaminating the surgical site; the sterile gown not “turned” or tied, causing it to fall … Video analysis can also identify means for prevention of such nonoptimal practices.

3806. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49827/psn-pdf
      April 01, 2018 - Although most clinical practice guidelines focus on the prevention of infection, malposition, and hemorrhage

3807. Voluntary Hospital Coalitions to Promote Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
      January 01, 2004 - With a focus on systemic prevention strategies, PHA fulfills both dissemination and implementation roles … change in practice, local change agents, address barriers, local perspectives • Informs hospitals of prevention … Root-cause analysis and FMEA (consultation or performing the analysis) • Research (e.g., data on fall

3808. AHRQ Timeline | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/timeline/index.html
      March 01, 2025 - The USPSTF is an independent, volunteer panel of national experts in disease prevention and evidence-based … Frontline caregivers in 100 NICUs in nine States relied on the program's prevention practice checklists … The Network is established to provide free training on evidence-based infection prevention practices

3809. Towards Effective and Efficient Health Information Technology Adoption in Home Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs022352-koru-final-report-2014.pdf
      January 01, 2014 - Indefinitely providing care in home settings does not fall into the Centers for Medicare and Medicaid … Most frequently mentioned challenges to improve the quality were fall risk management and fall prevention … He spends three days a week in this agency for data collection in Fall 2014. Mr.

3810. Program Impact | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal3.html
      January 01, 2013 - State Participation Recruitment into the project was an ongoing process that began in fall 2008 and

3811. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide7.html
      May 01, 2016 - Implement the VTE Prevention Protocol Chapter 6. Track Performance with Metrics Chapter 7. … It will help your team address all the failure modes in the process of VTE prevention, and how persistence … Example Superior Medical Center has been actively working on venous thromboembolism prevention (VTE … How should the VTE prevention team respond to the situation? … Standardize VTE prevention and codify in an institutional protocol.

3812. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
      May 01, 2016 - Implement the VTE Prevention Protocol Chapter 6. Track Performance with Metrics Chapter 7. … It will help your team address all the failure modes in the process of VTE prevention, and how persistence … Example Superior Medical Center has been actively working on venous thromboembolism prevention (VTE … How should the VTE prevention team respond to the situation? … Standardize VTE prevention and codify in an institutional protocol.

3813. State of Opioid Use, Misuse, and Opioid Use Disorder among Older Adults (pdf file)
      integrationacademy.ahrq.gov/sites/default/files/2021-04/State_of_Opioid_Use_Among_Older_Adults.pdf
      January 01, 2021 - Accessed 10/29/2020. 10 Centers for Disease Control and Prevention, National Center for Health Statistics

3814. CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
      September 08, 2015 - Measures in the Child Core Set cover a range of health domains, including prevention and health promotion

3815. Staying Active and Healthy with Blood Thinners - Transcript | Agency for Healthcare Research and Quality
      www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
      September 01, 2015 - If by chance you do injure yourself, whether it be from a fall or hard bump to the head, call your clinician

3816. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
      June 02, 2025 - Things "fall between the cracks" when transferring patients from one unit to another.

3817. Info FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/faqs/index.html?page=13
      Frequently Asked Questions Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ) programs and activities. You can search by category or key words. You can also send us your questions or website feedback here. We will respond to your requests based on the bes…

3818. Disposition of Comments Report for Pressure Ulcer Risk Assessment and Prevention (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/pressure-ulcer-prevention_disposition-comments.pdf
      May 08, 2013 - Disposition of Comments Report for Pressure Ulcer Risk Assessment and Prevention Source: http:// … Pressure Ulcer Risk Assessment and Prevention: Comparative Effectiveness. … Support surfaces for pressure ulcer prevention. … Peer Reviewer #6 Results Page 83, dressings for prevention need to be included somewhere. … There was almost no mention what role the quality of the caregivers play in prevention.

3819. Update: Patient Engagement in Safety | PSNet
      psnet.ahrq.gov/perspective/update-patient-engagement-safety
      January 01, 2017 - March 13, 2024 Patient and caregiver perspectives on causes and prevention of ambulatory

3820. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
      June 01, 2023 - and focused on the effectiveness of a handoff intervention rather than sustainability. 9 e Lane-Fall … Massa S, Wu J, Wang C, Peifer H, Lane-Fall MB. … 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.