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1101. Final Progress Report: Pediatric Emergency Assessment Tool (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/gorelick-report.pdf
      January 01, 2024 - Final Progress Report: Pediatric Emergency Assessment Tool FINAL REPORT PEAT: Pediatric Emergency A ssessment Tool Principal Investigator: Marc H. Gorelick, MD, MSCE Team Members: Kathleen Cronan, MD Justine Shults, PhD Jo Bergholte, MS Organization: Medical College of Wisconsin PI Contact Information:…

1102. Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
      January 01, 2024 - errors was estimated to exceed safe limits; most erroneous doses/strengths had a high probability of falling … agreed that community pharmacists have a duty to capture wrong dose prescribing errors only if the dose falls … If the dose falls within a safe range but requires an adjustment based on medical information about

1103. Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey-WOODWARD (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-technical-assistance.pdf
      January 01, 2021 - Introducing a New Database for Users of the CAHPS Home and Community-Based Services (HCBS CAHPS) Survey-WOODWARD HCBS CAHPS Technical Assistance (TA) Kathleen Woodward, MSPH Managing Consultant The Lewin Group 22 Helpful Resources • AHRQ CAHPS Guidance: https://www.ahrq.gov/cahps/surveys- guidance/hcbs/index.ht…

1104. Best Practices for Promoting Emotional Well-Being in Nursing Home Residents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/promoting-emotional-wellbeing.pdf
      March 01, 2022 - forgetfulness activities or becoming less sociable Sleep, such as sleeping more than usual or difficulty falling

1105. Analysis of Patient Safety: Converting Complex Pediatric Chemotherapy Ordering Processes from Paper to Electronic Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
      March 30, 2008 - Falls short of seamless integration of clinician ordering and pharmacy functions, which limits the

1106. Patient Monitors in Critical Care: Lessons for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
      January 01, 2003 - range, it is more difficult to obtain an accurate reading of oxygen saturation if the body temperature falls

1107. Identifying Barriers to the Success of a Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - general perception held by physicians that the reporting of errors is an administrative task that falls

1108. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
      March 01, 2016 - Missed nursing care is linked to patient harm, including falls and infections.

1109. HIV and AIDS | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/hiv.html
      April 01, 2018 - continue to be collected and these measures will be added back to the reports if their performance falls

1110. Strategy 2: Communicating to Improve Quality (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.docx
      April 30, 2013 - errors or near medication errors by 5 percent during the third quarter Reduce the incidence of patient falls

1111. Preparing for and Recovering After Hip or Knee Replacement Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-knee-surgery-booklet.pdf
      November 01, 2023 - Preparing for and Recovering After Hip or Knee Replacement Surgery Preparing for and Recovering After Hip or Knee Replacement Surgery e Hip or Knee Replacement Surgery Patient Education Guide 1 Preparing for and Recovering After Hip or Knee Replacement Surgery Patient Name ______________________________…

1112. 2018 National Healthcare Quality and Disparities Report: Appendix A (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa6.pdf
      January 01, 2018 - 0.00 HCUP 2016 Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling … 1.22 MEPS 2016 Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling … 1.11 HCUP 2016 Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling … 1.26 HCUP 2016 Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling … 4.27 HCUP 2016 Postoperative hip fracture per 1,000 surgical admissions who were not susceptible to falling

1113. AHRQ-Funded Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
      June 01, 2023 - . ■ Reduce patient harms and errors within hospital settings (e.g., falls, adverse drug interactions, … believe they need a fall prevention plan and then follow that plan if they know their risks of harm for falling … from prospective medication monitoring care plans when complex medication regimens carry risks for falls

1114. Transcript: Senior Leadership Podcast – What Does It Mean To Be Engaged? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
      June 01, 2017 - We look at falls, skin breakdown, CLABSI prevention, and CAUTI prevention.

1115. Halpern, Scott | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumhalp.html
      October 01, 2014 - Halpern, Scott Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: University of Pennsylvania Grant Title: Measuring and Mitigating Patient Safety Threats Due to Strains on ICU Ca…

1116. Quality Improvement Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/qi-strategies.html
      July 01, 2021 - Quality of Pediatric Hospital-to-Home Transitions Toolkit Quality Improvement Strategies Previous Page Next Page Table of Contents Quality of Pediatric Hospital-to-Home Transitions Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies Improveme…

1117. Module Menus | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/menus.html
      February 01, 2022 - Module Menus The Modules Introduction to the AHRQ Practice Facilitation Training Modules Starting with a Practice Facilitator Fundamentals Effective Meetings Introduction to Quality Improvement (QI) in Primary Care Model for Improvement and PDSA Cycles Process Mapping The 5 Whys and Fishbone…

1118. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module4/facilitator-notes.docx
      March 01, 2017 - For example, they might discuss the resident’s decreasing mobility and the risk for falls. … The team could then make a plan to keep the resident from falling by providing a walker and teaching … , response to treatment S Safety Concerns—Provide critical lab values/reports, allergies, alerts (falls

1119. On-Time Preventable Hospital and ED Visits Functional Specs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
      August 01, 2017 - pressure ulcer prevention, pressure ulcer healing, prevention of inappropriate hospitalizations, and falls

1120. Approach to Residents With Reported Penicillin Allergy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/penicillin-allergy.pdf
      June 01, 2021 - The falling rate of positive penicillin skin tests from 1995 to 2007. Perm J. 2009;13(2):12-18.