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www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
January 01, 2024 - The National Action Plan for Adverse Drug Event Prevention identified the nearly 16,000
NHs as a clinical … setting where ADE prevention strategies are lacking for high-risk drug classes. … patient populations, namely
the elderly, and in high-risk settings where ADE prevention is lacking, … This project
addressed ADE prevention of these high-risk drugs in this high-risk population. … Society for Prevention Research 27th Annual Meeting, San Francisco, CA.
Oral Presentations
1.
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary2/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd-august-2014
August 26, 2014 - archived
Evidence Summary
Healthful Diet and Physical Activity for Cardiovascular Disease Prevention … Centers for Disease Control and Prevention (CDC). … Prevention of type 2 diabetes by lifestyle intervention: a Japanese trial in IGT males. … Diabetes Prevention Project. … Multiple risk factor interventions for primary prevention of coronary heart disease.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es.pdf
January 01, 2023 - in 2019 and 1.9% in 2020; and rates of
long-stay nursing home residents who experienced a serious fall … Opioid Use Disorder – Opioids fall into three broad categories: “natural opioids” are extracted
from
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es-rev.pdf
January 01, 2023 - in 2019 and 1.9% in 2020; and rates of
long-stay nursing home residents who experienced a serious fall … Opioid Use Disorder – Opioids fall into three broad categories: “natural opioids” are extracted
from
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - This PSLL created and implemented an English and Spanish version of the Fall TIPS (Tailoring Interventions … The Fall TIPS (Tailoring Interventions for Patient Safety) Program: a collaboration to end the persistent
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - Commission’s 2019 revised
National Patient Safety Goals on anticoagulant medicines identifies ADE prevention—in … Office of Disease Prevention and Health Promotion. … Prevention of hospital-acquired adverse drug
reactions in older people using screening tool of older … Office of Disease Prevention and Health Promotion.
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cdsic.ahrq.gov/sites/default/files/2023-08/SMD%20Workflow%20Measurement%20Approaches%20Report_to%20AHRQ%208.9.23_508.pdf
January 01, 2023 - Examples of methods that
fall within computational ethnography include using screen
capture software … define
and study workflows.16 Additionally, current studies primarily focus on outcomes related to prevention … Shared decision making tools for people
facing stroke prevention strategies in atrial fibrillation: … Assessing the effectiveness of engaging patients and
their families in the three-step fall prevention … process across modalities of an evidence-based fall
prevention toolkit: An implementation science study
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - SPOTLIGHT CASE
Mobility Lost in the ICU
Citation Text:
Smith J. Mobility Lost in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNot…
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
January 01, 2024 - Spotlight
Spotlight
Missed Connection: A Case of Inadequate ECG
Oversight in Cardiac Surgery
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is available
o Commentary by: Christian Bohringer, MBBS, …
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psnet.ahrq.gov/node/865429/psn-pdf
April 24, 2024 - Missed Connection: A Case of Inadequate ECG Oversight
in Cardiac Surgery
April 24, 2024
Bohringer C, Fierro M, Venugopal S. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac
Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-204-obesity-disposition-comments.pdf
December 01, 2017 - Reviewer #3: General This report will be very beneficial for the field of obesity
prevention and control … Would suggest changing the report title to "Methods for
Evaluating Natural Experiments in Obesity Prevention … spinners’ are authors of papers
evaluating childhood obesity community or school-based
treatment or prevention … For example, “We characterized studies
of programs and policies in obesity prevention and control in … Reviewer #2: Results, KQ1 where would the NHANES data fall in Figure 5. Public health?
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psnet.ahrq.gov/perspective/conversation-withalison-stuebe-md-msc-and-kristin-tully-phd
October 06, 2021 - devices], and to be provided instructions for their follow-up care, and then we see that they can't fall … Centers for Disease Control and Prevention. Accessed September 23, 2021. … - July 27, 2023
‘I felt like I was dying’: how women with postpartum depression fall
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psnet.ahrq.gov/perspective/health-equity-and-maternal-health
October 06, 2021 - Centers for Disease Control and Prevention. Accessed September 23, 2021. … devices], and to be provided instructions for their follow-up care, and then we see that they can't fall … - July 27, 2023
‘I felt like I was dying’: how women with postpartum depression fall
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/lipid-disorders-in-adults-cholesterol-dyslipidemia-screening-2001
April 09, 2001 - primary prevention. … Centers for Disease Control and Prevention. National Center for Health Statistics. … Centers for Disease Control and Prevention. National Center for Health Statistics. … Washington, DC: Office of Disease Prevention and Health Promotion, U.S. … Coronary Prevention Study Group.
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psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
October 02, 2019 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018157-hazlehurst-final-report-2013.pdf
January 01, 2013 - Both the Diabetes Prevention
Program (DPP) and the Finnish Diabetes Prevention study (FDP) provide strong … Weight loss intervention in
phase 1 of the Trials of Hypertension Prevention. … Prevention of type 2
diabetes mellitus by changes in lifestyle among
subjects with impaired glucose … Aace/ace position
statement on the prevention, diagnosis, and treatment
of obesity. … Proc AMIA Annu Fall Symp 1996;542-546.
63.
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - Often, individuals feel that their complaints fall into a black hole, are not taken seriously, or will … February 27, 2019
Guidelines for prevention, diagnosis and treatment of ventilator-associated
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www.ahrq.gov/ncepcr/tools/workforce-financing/exec-summary.html
July 01, 2019 - Executive Summary
Workforce Configurations to Provide High-Quality, Comprehensive Primary Care
As the U.S. health care system seeks to reconfigure primary care to meet the needs of an aging and more complex population, environmental factors such as the advent of team care and the patient-centered …
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psnet.ahrq.gov/node/49443/psn-pdf
May 01, 2004 - Privacy Gone Awry
May 1, 2004
Pauker SG, Pauker SP. Privacy Gone Awry. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/privacy-gone-awry
The Case
A 3-year-old child underwent bilateral myringotomies and tube insertion with adenoidectomy.
Preoperatively, she had an upper respiratory infection, but was eating…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-slides.pptx
January 01, 2017 - dislodgement (8, 9)
Chest tube dislodgement (14)
Hypotension or hypertension (17, 18)
Cardiac arrest (20)
Fall