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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - limited to delayed recognition of and deterioration
following breakdown of an anastomosis, patient fall … identified as not being
structurally sound and hurt their arm while a nurse was trying to catch their fall
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www.ahrq.gov/teamstepps-program/curriculum/implement/pre/measure.html
January 01, 2024 - Results fall into two general categories.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/cad-women-treatment_research-protocol.pdf
September 29, 2011 - Online: September 29, 2011
3
The mechanical approaches to coronary revascularization fall … We
anticipate that any included retrospective studies would fall into a grading of fair or poor. … Evidence-based guidelines for cardiovascular
disease prevention in women: 2007 update. … ‗ABCDE‘ makes an effective prevention tool. … Representation of women in randomized clinical
trials of cardiovascular disease prevention.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary51/low-dose-aspirin-use-for-the-prevention-of-morbidity-and-mortality-from-preeclampsia-preventive-medication-september-2014
April 08, 2014 - models, which provided an estimate of where the effect size from 95% of newly conducted trials would fall … Chronotherapy with low-dose aspirin for prevention of complications in pregnancy. … Antiplatelet agents for prevention of pre-eclampsia [Letter]. … Low-dose aspirin in the prevention of pre-eclampsia: current evaluation. … Role of low dose aspirin in prevention of pregnancy induced hypertension.
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effectivehealthcare.ahrq.gov/sites/default/files/schwitzer_eccs2012.pdf
July 23, 2012 - decision-‐making issues
Slide 22: Resources
for Journalists
• NIH
Office
of Disease
Prevention
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psnet.ahrq.gov/node/866846/psn-pdf
September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 24, 2024
Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement. PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/zero…
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psnet.ahrq.gov/perspective/conversation-sharon-k-inouye-md-mph
December 01, 2012 - Delirium often sets off a spiral where someone is very confused and a fall risk, so they get assigned … RW : Can you talk a little bit about what you've learned about prevention strategies? … As with these other important end-organ injuries, delirium is a clinical event for which prevention and … The next is to systematically implement effective screening, prevention, and management strategies. … The ABCDE model is an initial framework on which new prevention and treatment strategies can be added
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www.ahrq.gov/news/newsletters/e-newsletter/928.html
September 01, 2024 - Notices of Funding Opportunities for the two centers will be announced in early fall.
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www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
January 01, 2025 - biases.60,61 We used the modified National Coordinating Council for Medication Errors
Reporting and Prevention … National Academy of Medicine, and National Coordination Council for Medication Error
Reporting and Prevention … MERP = Medical Error Reporting and Prevention index. … , we captured significant numbers of AEs
not detected by the query for three concepts (Aspiration, Fall … and NLP (subset of 331 AEs)
Trigger Query
Alone
NLP
alone
Both Query & NLP
Aspiration 2 21 12
Fall
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psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274:29-34. [go to PubMed] 3. … ADE Prevention Study Group. JAMA. 1995;274:35-43. [go to PubMed] 4. … Effect of computerized physician order entry and a team intervention on prevention of serious medication … The impact of computerized physician order entry on medication error prevention.
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www.ahrq.gov/prevention/resources/vision/resources/vision4.html
October 01, 2002 - disproportionately concentrated in populations that are low-income, that lack access to state-of-the-art prevention … Multimodal interventions have been shown to be more effective for some conditions, for example, for prevention
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
April 01, 2025 - strong tendency by those unfamiliar with nuances of safety precepts to ascribe blame, and blame tends to fall
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/009-antibiotic-stewardship-guide.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Antibiotic Stewardship and MRSA Reduction
ICU & Non-ICU
Slide … and Blood Culture Stewardship are essential best practices that are fundamentally important for MRSA prevention … They do not fall into any specific strategic area but are both interrelated with all four key strategies … able to benchmark these data based on national data reported to the Centers for Disease Control and Prevention … No. 25-0007
October 2024
Antibiotic Stewardship
| 1
AHRQ Safety Program for MRSA Prevention | ICU
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www.ahrq.gov/gam/summaries/domain-definitions/index.html
July 01, 2018 - Example: Whether a practice has a policy to ensure the prevention of fraud and has defined levels of … health knowledge is the awareness and understanding of health-related information such as risk factors, prevention … Example: The mean response score to a set of questions about human immunodeficiency virus (HIV) prevention
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cds.ahrq.gov/sites/default/files/cds/artifact/26/2024_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2024 - The USPSTF recommends individualizing the decision to initiate low-dose aspirin use
for the primary prevention … If patients fall into multiple
categories in the CQL code based on the semistructured guidelines, then … Grade C Recommendation Statement: The decision to initiate low-dose aspirin use for the primary prevention … Concept Definition Decision Log
Concept Definition and/or Rationale
“for the primary
prevention” … Verify
completeness
Exclusion: diagnosis of CVD Aspirin therapy is recommended for primary prevention
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www.ahrq.gov/hai/cusp/toolkit/content-calls/empowerment.html
April 01, 2013 - I know we had implemented a couple years ago, every time a patient falls, we do a post-fall huddle. … And now we’re incorporating that learn from defects tool as the framework for those post-fall huddles … offer assistance if anybody’s assignment’s too heavy or needs some help, anybody that’s at safety risk, fall … You can see under the critical communications they identified patients that were at fall risk, that had … both the safety piece, the learning from defects, as well as the technical work of implementing CLABSI prevention
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psnet.ahrq.gov/web-mm/failure-report
July 01, 2008 - The contributory factors in this event fall into the environmental category.
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention … How does your Implementation Team work with other teams involved in pressure injury prevention? … Members who influence the areas involved in pressure injury prevention. … You will likely need an administrative champion for the Pressure Injury Prevention Program. … Review pressure injury prevention training webinars.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention … How does your Implementation Team work with other teams involved in pressure injury prevention? … Members who influence the areas involved in pressure injury prevention. … You will likely need an administrative champion for the Pressure Injury Prevention Program. … Review pressure injury prevention training webinars.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/gout_consumer.pdf
January 01, 2017 - Managing Gout: A Review of the Research for Adults
Managing Gout
A Review of the Research for Adults
e
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