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effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/white-paper-library-afib.pdf
November 15, 2018 - percentile URL) or a rise of cTn values >20% if the baseline values are elevated and
are stable or falling
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www.ahrq.gov/sites/default/files/2025-03/taylor-report.pdf
January 01, 2025 - Scope: The SRA toolkit covers six safety areas – infection control, medication safety, falls, patient … The workgroups were organized around six key safety areas: infection control, medication
safety, falls … Validation testing took place in
conference rooms at three sites, one study session in Falls Church, … reported to The Joint Commission have an underlying cause in the physical
environment (i.e., suicide, falls … One study session took place in Falls Church,
VA, and two were in in Philadelphia, PA.
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - While falling asleep, he was noted to have eye-rolling and he did not respond to his name, shaking his … On physical exam, the patient was asleep, arousing briefly with stimulation but then falling back to … Related Resources From the Same Author(s)
WebM&M Cases
Falling
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digital.ahrq.gov/ahrq-funded-projects/medication-metronome-project/annual-summary/2010
January 01, 2010 - However, national and local data indicate that the U.S. health care system is falling significantly short
-
www.ahrq.gov/news/newsroom/case-studies/cquips0703.html
October 01, 2014 - Nine of the 12 survey areas received a 50 percent or better positive response, with only three areas falling
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www.ahrq.gov/news/blog/ahrqviews/financial-strains-healthcare.html
November 01, 2023 - This privately financed portion of total U.S. healthcare expenditures is regressive, falling mainly on
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integrationacademy.ahrq.gov/sites/default/files/2021-09/PHQ-9.pdf
January 01, 2021 - Trouble falling or staying asleep, or sleeping too much
0 1 2 3
4.
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integrationacademy.ahrq.gov/sites/default/files/2020-07/PHQ-9.pdf
January 01, 2020 - Trouble falling or staying asleep, or sleeping too much
0 1 2 3
4.
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hcup-us.ahrq.gov/db/vars/i10_injury_struck/nedsnote.jsp
May 10, 2015 - HCUP includes 12 data elements that identify the mechanism of the injury: cutting/piercing, drowning, falling
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psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - May 22, 2024
Talking about falls: a qualitative exploration of spoken communication of
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/binge-eating_consumer.pdf
May 01, 2016 - � Dry mouth
� Trouble falling or staying asleep
� Decreased appetite
� Increased heart rate
� … infection
� Pain in the belly
� Reduced sense of touch
� Nausea and vomiting
� Sweating
� Trouble falling
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psnet.ahrq.gov/node/45895/psn-pdf
February 22, 2017 - Opioids for pain management in older adults: strategies
for safe prescribing.
February 22, 2017
Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2).
doi:10.1097/01.npr.0000511772.62176.10.
https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
Use…
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psnet.ahrq.gov/node/866813/psn-pdf
September 25, 2024 - Peer support to promote surgeon well-being: the APSA
program experience.
September 25, 2024
Fall F, Hu YY, Walker S, et al. Peer support to promote surgeon well-being: the APSA program experience.
J Pediatr Surg. 2024;59(9):1665-1671. doi:10.1016/j.jpedsurg.2023.12.022.
https://psnet.ahrq.gov/issue/peer-support-pr…
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psnet.ahrq.gov/node/47147/psn-pdf
November 19, 2018 - Developing a standard handoff process for operating
room–to-ICU transitions: multidisciplinary clinician
perspectives from the Handoffs and Transitions in Critical
Care (HATRICC) study.
November 19, 2018
Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process for Operating Room-to-
ICU Tra…
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psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety
June 15, 2024 - Therefore, although the institution's CLABSI rates are falling, there is room for improvement. … Points falling above the upper control limit indicate months when the process was out of control.
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cds.ahrq.gov/sites/default/files/cds/artifact/127731/FallPreventionFoundationalExercises.pdf
July 18, 2023 - Exercise Handouts w/ Drawings
Sit in a sturdy chair that will not move.
Slowly stand up straight for a count of 3.
Slowly sit down.
Use your hands to push up, if needed.
As you get stronger, try to stand without
using your hands.
1.
2.
3.
4.
5.
Stand up tall facing a sturdy table or kitchen
sink.
Hold onto the tabl…
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psnet.ahrq.gov/node/837634/psn-pdf
July 06, 2022 - Patient safety trends in 2021: an analysis of 288,882
serious events and incidents from the nation’s largest
event reporting database.
July 6, 2022
Kepner S, Jones RM. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents
from the nation’s largest event reporting database. Patient Saf.…
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psnet.ahrq.gov/node/73484/psn-pdf
July 14, 2021 - The influence of COVID-19 visitation restrictions on
patient experience and safety outcomes: a critical role for
subjective advocates.
July 14, 2021
Silvera GA, Wolf JA, Stanowski A, et al. The influence of COVID-19 visitation restrictions on patient
experience and safety outcomes: a critical role for subjective a…
-
psnet.ahrq.gov/node/35571/psn-pdf
April 06, 2011 - Overestimation of clinical diagnostic performance caused
by low necropsy rates.
April 6, 2011
Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by
low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13.
https://psnet.ahrq.gov/issue/overestimation-clinical-dia…
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psnet.ahrq.gov/node/46960/psn-pdf
July 18, 2018 - What every graduating resident needs to know about
quality improvement and patient safety: a content
analysis of 26 sets of ACGME milestones.
July 18, 2018
Lane-Fall MB, Davis JJ, Clapp JT, et al. What Every Graduating Resident Needs to Know About Quality
Improvement and Patient Safety: A Content Analysis of 26 Se…