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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017031-selby-final-report-2010.pdf
January 01, 2010 - In the fall of 2009 and early 2010, the
study team hosted a series of Webinars designed to train population
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or19.jsp
July 01, 2014 - Clerical review
Case-by-case review of uncertain matches that fall between the upper and lower cut-off
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psnet.ahrq.gov/node/49520/psn-pdf
September 01, 2006 - psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
The Case
An 85-year-old woman with dementia took a mechanical fall
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www.ahrq.gov/hai/tools/mvp/modules/technical/daily-early-mobility-slides.html
February 01, 2017 - Fall with or without staff assisting in lowering patient (22, 23).
Other (25).
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
September 01, 2022 - Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide
AHRQ Safety Program for Improving Antibiotic Use
1
Why Should Your Practice Focus on Improving Antibiotic Prescribing?
Ambulatory Care
Slide Title and Commentary
Slide Number and Slide
Why Should Your Practice Focus on Imp…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
June 02, 2025 - initial nursing assessment, the nurse noticed a
large bruise on his elbow and hip related to a recent fall
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-ref.html
September 01, 2023 - J Contin Educ Health Prof 2018 Fall;38(4):250-254. https://doi.org/10.1097/CEH.0000000000000225 .
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psnet.ahrq.gov/topics-0
March 03, 2025 - Topics
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Featured Topics in Patient Safety
Updated Date: March 3, 2025
…
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - 20 hours before there is any significant change in the INR (because factor VII levels first have to fall
-
www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
January 01, 2024 - In particular, programmable
infusion pumps identify attempts that fall outside the established parameters
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/qdr-mental-health-data-spotlight.pdf
July 01, 2024 - These mental health issues fall under the umbrella of any mental illness
(AMI). … Metro
Large
Fringe
Metro
Large
Central
Metro
Total
Source: Centers for Disease Control and Prevention … and within subpopulations and trends over time is available from
the Centers for Disease Control and Prevention … Source: Centers for Disease Control and Prevention, National Center for Health Statistics, National Vital … The mental health consequences of COVID-19 and physical
distancing: the need for prevention and early
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psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
July 23, 2024 - the process of developing, similar perinatal collaboratives. 22 The Centers for Disease Control and Prevention … Centers for Disease Control and Prevention. … Accessed March 3, 2022. [9] Department of Health and Human Services Office of Disease Prevention and … The Annals of Family Medicine . 2021 May 1;19(3):249-57. [22] Centers for Disease Control and Prevention … Accessed May 12, 2022. [23] Centers for Disease Control and Prevention.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/pressure-ulcer-treatment_disposition-comments.pdf
May 08, 2013 - We
considered ulcer location and bone involvement to fall under KQ 1a (characteristics
of ulcers), … and spinal cord injury to fall under KQ 1b (patient characteristics). … ulcer prevention. … Report of
prevention and treatment outcomes
in 160 ITU patients. … Collecting pressure ulcer
prevention and management
outcomes. Brit. Journ.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/horizon-scan_research-2015.pdf
January 01, 2015 - The cost of one care process innovation, the Lazarus Opioid Overdose Prevention and
Treatment Program … The promise of these drugs is prevention
of liver failure, its high treatment costs, and avoidance of … Stroke prevention is
accomplished by occluding the LAA opening to prevent clots that have formed in … approaching 139,000–153,000 patients annually, initial sales reports indicate that
actual adoption rates fall … Emtricitabine/Tenofovir
(Truvada) for
Prevention of HIV
Infection
The U.S.
-
digital.ahrq.gov/sites/default/files/docs/resource/James_Fricton_IQHIT_Q1_HP_Recommendations_for_Preventing_Complications_for_Chronic_Illnesses.pdf
January 01, 2005 - Pulmonary Disease
Potential Problems
Related to Dental Care
Oral Manifestations Assessment for Prevention … Pulmonary Disease
Potential Problems
Related to Dental Care
Oral Manifestations Assessment for Prevention … Centers for Disease Control and Prevention. … Epidemiology and prevention of periodontal
disease in individuals with diabetes. … The effect of cluster randomization on sample size in prevention research.
-
www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
January 01, 2024 - Between fall 2008 and 2017, as a result
of OPQC EED efforts, more than 60,000 births in the state have … Innovation, the Patient-Centered Outcomes Research Institute, the Centers
for Disease Control and Prevention … NPC-QIC
Improvement/outcomes
Frank G,
Walsh KE,
Wooton S, et
al
Impact of a Pressure
Injury Prevention
-
www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - conditions, surgeries, medications, and allergies
are paramount to high-quality patient care and the prevention … understand
root causes and high-risk scenarios, and develop
strategies for improvement and error prevention … Medical errors among LEP patients can be prevented by addressing their root causes and by targeted
prevention … Burlington, MA: Coalition for the
Prevention of Medical Errors; 2006.
59. … However, blame for this should not fall on the shoulders of one individual
registrar.
-
www.ahrq.gov/sites/default/files/2024-07/hripcsak-report.pdf
January 01, 2024 - post-surgically to rule out pulmonary embolism, or a radiology report to rule out a
fracture after a fall … light on the source of errors and to provide clues to facilitate error detection and, in the future,
prevention … grant to elucidate cognitive causes of errors that
may, in turn, be used to improve detection and prevention
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hsops1-database-report-part-I.pdf
March 01, 2021 - Handoffs & Transitions % Disagree/Strongly Disagree
Things “fall between the cracks” when transferring … Handoffs & Transitions % Disagree/Strongly Disagree
Things “fall between the cracks” when transferring … When the distribution of hospital scores follows a normal bell-shaped curve (where most of the
scores fall … When the distribution of hospital scores follows a normal bell-shaped curve (where most of the
scores fall
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
September 10, 2013 - He is the Medical Director of Infection Prevention and Control and St. … compliance proper technique for placement and review the points of impact for the emergency nurse in CAUTI prevention … bed and tripped with the catheter and fell, and then he was found to have – at that point, after the fall … any CAUTI cases that are attributed to ED placement, so if you can work with your hospital infection prevention … So if you – you know, as what was asked in the question, you know, how do we engage infection prevention