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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - October 11, 2023
A randomized trial of a multifactorial strategy to prevent serious fall
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - E and A Unit Guide to Infection
Prevention for Long-Term Care Staff. … SHEA/APIC
Guideline: Infection prevention and control in the
long-term care facility. … High-Performance
Work Practices in CLABSI Prevention Interventions:
Executive Summary. … Guideline for prevention of catheter-associated
urinary tract infections 2009. … Centers for
Disease Control and Prevention; January 2016.
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www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
January 01, 2024 - conditions influence behavior was
showcased by a nurse in our study who had attended a seminar on prevention
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psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
February 01, 2023 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - minimize CSF leak, mimic the compliance of dura, and be biologically inert. 48 Currently, the options fall … Commercially available sealants fall into two categories as either synthetic, consisting of polyethylene … Closed continuous drainage of cerebrospinal fluid via a lumbar subarachnoid catheter for treatment or prevention … May 20, 2019
Infection prevention in the operating room anesthesia work area.
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psnet.ahrq.gov/node/867849/psn-pdf
February 26, 2025 - High Reliability Organization (HRO) Principles and Patient
Safety
February 26, 2025
Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet
[internet]. 2025.
https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
In To Err I…
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes
January 01, 2023 - In addition, the clinic plans to add a clinical decision support component next fall, following a switch … The EPIC implementation this fall will bring another wave of change.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/c97uqjXbUHjNuoNDkvChZu
August 01, 2013 - Atlanta, GA: National Center for Injury Prevention and Control,
Centers for Disease Control and Prevention … Report to
Congress on the Prevention and Reduction of Underage Drinking. … Centers for Disease Control and Prevention (CDC). … The more you drink, the harder you fall: a systematic review and meta-analysis of
how acute alcohol consumption … Fetal Alcohol Syndrome: Diagnosis,
Epidemiology, Prevention, and Treatment.
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psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - reconciliation : For sites seeking to improve the medication reconciliation as part of readmission prevention … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/3XUeA-_n8KhYeS95ohoo2_
August 03, 2020 - Reprint requests to the Office of Disease Prevention
and Health Promotion, US Public Health Service, … The normal pattern is for hemo¬
globin concentrations to fall by about 20
g/L, reaching a nadir in the … prepreg-
nancy levels by term.2 Pregnant women
are considered to be anemic when hé¬
matologie indexes fall … et al20 found that
physical symptoms of anemia are gen¬
erally unapparent unless hemoglobin val¬
ues fall
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www.ahrq.gov/sites/default/files/wysiwyg/priority-populations/richardson-et-al-2020.pdf
January 01, 2020 - Ambulatory
Pediatrics, Nationwide Children’s Hospital, Columbus, OH, USA. 4Centers for Disease Control and Prevention … New Jersey, New York, Michigan, and Missouri newborn screening programs.
eSee Table S3b for details.
fAll … a
threshold range of $150,000 to $450,000/QALY), screening for
infantile-onset Pompe disease would fall … were reduced by 80%, the cost-
effectiveness ratio for NBS for infantile-onset Pompe disease
would fall … authors and do not necessarily represent the official position of the Centers for Disease
Control and Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
March 01, 2020 - Prevention of VTE
in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis … Prevention methods include both mechanical and pharmacologic
prophylaxis. … Prevention of VTE in orthopedic surgery patients:
Antithrombotic Therapy and Prevention of Thrombosis … Aspirin and the prevention of venous thromboembolism
following total join arthroplasty. … join line
tenderness,
incidental finding
of a Baker’s cyst,
arthrofibrosis,
instability after a
fall
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cdsic.ahrq.gov/sites/default/files/2023-09/FINAL%20OO%20PC%20CDS%20SDM%20Report.pdf
January 01, 2023 - For example, a fall prevention toolkit that incorporated clinician talking points resulted in a 15% … IDeA) designed to
increase patient
knowledge and lessen
decision making
uncertainty around stroke
prevention … Personalized, Electronic Health Record-
Integrated Decision Aid for Stroke
Prevention in Atrial Fibrillation … Calculator Adults Web-based Facilitate discussions
about statin use for
primary cardiovascular
disease prevention … Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries:
A Nonrandomized
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021321-joshi-final-report-2014.pdf
January 01, 2014 - Current breast-feeding rates fall short of these goals. … Currently, 75% of
babies born in the U.S. are initially breastfed, but rates fall to 43% at 6 months … Current breast-feeding rates fall short of these goals. … Centers for Disease Control and Prevention. Breastfeeding report card: United States 2010.
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psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - Centers for Disease Control and Prevention. July 31,
2024. [Free full text]
3. … Centers for Disease Control and Prevention. June 11, 2024.
Accessed December 6, 2024. … Centers for Disease Control and Prevention. June 28, 2024.
Accessed December 6, 2024. … Centers for Disease Control and Prevention. December 13, 2023.
Accessed December 6, 2024. … Medical Error Reduction and Prevention. [Updated
2024 Feb 12]. In: StatPearls [Internet].
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psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
October 30, 2024 - Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention … STORM is one of several VHA overdose prevention initiatives that include the distribution of naloxone … Targeted Prevention Program Implementation: The implementation of the STORM targeted prevention program … Office of Mental Health and Suicide Prevention, US Dept of Veterans Affairs; 2021. … Office of Mental Health and Suicide Prevention, US Dept of Veterans Affairs; 2021.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/rdNAq7uEUC2tNYV6_L9Qte
January 01, 2010 - Lieu, MD, MPH (Associate
Professor, Department of Ambulatory
Care and Prevention, Harvard Pilgrim
Health
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - This latter prevention-focused definition best fits the
application of OBM. … Although this is a useful classification system, prevention
requires a specification of actions leading … compensation was discontinued, though, CPOE use declined to
42 percent after several months but did not fall … The impact of
computerized physician order entry on medication
error prevention. … AIDS
prevention: Improving nurses’ compliance with glove
wearing through performance feedback.
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psnet.ahrq.gov/node/49667/psn-pdf
October 01, 2012 - Many of the steps and techniques described above fall under the field of medication safety engineering
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psnet.ahrq.gov/node/50615/psn-pdf
October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR
October 30, 2019
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
The Case
Two male patients of similar age arrived at the same …