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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - The risk of thrombosis increases exponentially as the INR falls from 2.0 down to 1.0. 5 However, patients … If the INR value falls below a value of 1.8, and especially if the INR is <1.5, prompt addition of subcutaneously
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - include reduced morbidity and mortality, improved quality of life, decreased hospital admissions, reduced falls … perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls
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datatools.ahrq.gov/cahps/
January 01, 2021 - If your health plan’s score for that composite measure is 60%, then your score falls above the 75th percentile … If your practice site’s score for that composite measure is 90%, then your score falls above the 75th
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psnet.ahrq.gov/node/61082/psn-pdf
July 23, 2020 - benefit
individuals can gain from social interaction and enhanced mobility, such as reduced risk of falls … capacity to mitigate safety risks associated with usual care
needs for this patient population, such as falls
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psnet.ahrq.gov/node/49705/psn-pdf
January 01, 2020 - Due to
these symptoms, he had multiple falls and an inability to grasp simple objects. … patient returned 2 more times to the same clinic with worsening symptoms,
including more frequent falls
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cds.ahrq.gov/sites/default/files/cds/artifact/127731/FallPreventionChairExercises.pdf
July 18, 2023 - Exercise Handouts w/ Drawings
These exercises will help you to improve your balance and get stronger.
Go online to homestrong.net for videos of each exercise and other tips.
Sitting up straight, extend one
leg as straight as you can.
Hold for a count of 3.
Slowly lower the leg down.
Repeat with your other leg.
1.
…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/4_dale-shaller_closing.pdf
June 12, 2015 - Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices
www.cahps.ahrq.gov
To Ask a Question
33
www.cahps.ahrq.gov
2013 CG-CAHPS Database Comparative
Data Available
www.cahpsdatabase.ahrq.gov
34
http://www.cahpsdatabase.ahrq.gov/
www.cahps.ahrq.gov
20…
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www.ahrq.gov/evidencenow/tools/root-cause-analysis.html
February 01, 2025 - Using Root Cause Analysis to Improve Quality and Performance
Resource: Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (PDF, 908 KB, 18 pages) Part of an AHRQ curriculum used to train practice facilitators, this resource describes how practices can use a roo…
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psnet.ahrq.gov/node/45812/psn-pdf
June 22, 2017 - A primer on PDSA: executing plan–do–study–act cycles
in practice, not just in name.
June 22, 2017
Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name.
BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245.
https://psnet.ahrq.gov/issue/primer-pdsa-execu…
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psnet.ahrq.gov/node/47205/psn-pdf
July 25, 2018 - Teamwork and Teamwork Training in Healthcare.
July 25, 2018
Teamwork and Teamwork Training in Health care: An Integration and a Path Forward. Buljac-Samardzic M,
Dekker-van Doorn C, Maynard MT, eds. Group Org Manag. 2018;43(3):351-527.
doi:10.1177/1059601118774669.
https://psnet.ahrq.gov/issue/teamwork-and-teamwor…
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psnet.ahrq.gov/node/74871/psn-pdf
October 01, 2023 - AHRQ Safety Program for MRSA Prevention.
February 14, 2023
Rockville, MD: Agency for Healthcare Research and Quality. April 2022 – October 2023.
https://psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention
Methicillin-resistant Staphylococcus aureus (MRSA) infections are a persistent challenge in hospitals. Thi…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
March 01, 2018 - Falls Prevention
Appendix 1-A. Suggested Slides for Module 1
Appendix 1-B. … Educate the entire staff about the importance of falls, risk factors for residents, and methods of prevention … stretch" goal that may be hard to reach but is achievable—for example: Decrease the rate of resident falls … responsible member of the center in order to ensure that the improvement is sustained over time and, if it falls
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www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - “If you are concerned about falling (or the family is concerned) please let the hospital staff know because … your movement in bed and in your room and may actually make it more difficult to walk and/or lead to falls
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psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
April 20, 2016 - April 20, 2016
Primary care–relevant interventions to prevent falling in older adults
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psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current
November 17, 2010 - March 28, 2011
Primary care–relevant interventions to prevent falling in older adults
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psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems
September 11, 2019 - the Same Author(s)
Information flow during pediatric trauma care transitions: things falling
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psnet.ahrq.gov/issue/seips-30-human-centered-design-patient-journey-patient-safety
September 11, 2019 - the Same Author(s)
Information flow during pediatric trauma care transitions: things falling
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psnet.ahrq.gov/issue/progress-interoperability-measuring-us-hospitals-engagement-sharing-patient-data
March 27, 2024 - February 9, 2022
WebM&M Cases
Falling Between the Cracks
-
psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-patient-experience-hospital-settings-scoping
November 17, 2014 - March 8, 2023
Falling through the cracks: the invisible hospital cleaning workforce.
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psnet.ahrq.gov/issue/using-telehealth-improve-quality-and-safety-findings-ahrq-portfolio
May 07, 2014 - September 15, 2011
Primary care–relevant interventions to prevent falling in older adults