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  1. 15 Crosscutting Potential High Impact 2012-12-11 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/15_crosscutting_potential_high_impact_2012-12-11.pdf
    January 01, 2012 - If the onus of improving patient adherence falls on the provider, staffing needs might increase because … lighting, soft colors, and noise abatement features, handrails, flooring that is less likely to cause falls … available resources. 50 However, this design poses many risks to the elderly population, including falls … Falls Church (VA): National Association of State Emergency Medical Services Officials, National Organization

  2. Identifying Key Areas for Delivery Systems Research | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/delivery-initiative/casalino/index.html
    December 01, 2017 - this any sort of justice. 4/6 evaluation grants and 4/4 demonstration grants can be categorized as falling

  3. Diagnostic Errors Case Studies | PSNet

    psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
    November 10, 2025 - An elderly man had iron deficiency anemia with progressively falling … Linkedin Copy URL An elderly man had iron deficiency anemia with progressively falling

  4. AHRQ-Funded Patient Safety Project Highlights (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
    July 01, 2024 - ■ 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

  5. Teamworknotes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/implement/teamworknotes.docx
    June 02, 2025 - The message sender calls out information about the patient (for example, by saying, “BP is falling, 80 … acknowledges receipt of this message by confirming the information (for example, by saying, “Yes, the BP is falling … safety concerns—Provide critical lab values or reports, socioeconomic factors, allergies, and alerts (falls

  6. Healthcare Delivery of Clinical Preventive Services for People with Disabilities (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/people-with-disabilities-protocol.pdf
    January 16, 2024 - diabetes, unhealth drug or alcohol use) - Interventions or behavioral counseling (breastfeeding, falls … diversion)).tw. 76 (breastfeed* or breastfed or "breast feed*" or "breast fed" or lactation).mp. 77 "accidental … falls".sh. or (fall or falls or faller* or falling).tw. 78 ((pregnant or pregnancy or antenatal or … Interventions and Behavioral Counselling Breastfeeding Pregnant women, new mothers, and their children Falls

  7. Digital Healthcare | Agency for Healthcare Research and Quality

    www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-digital.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Digital Healthcare Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Researc…

  8. Subcommittee of the National Advisory Council for the National Action Alliance to Advance Patient and Workforce Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/cpi/about/nac/naa-snac.html
    January 01, 2025 - Subcommittee of the National Advisory Council for the National Action Alliance to Advance Patient and Workforce Safety The Department of Health and Human Services (HHS) hosted the HHS Convening to Advance Patient Safety in November 2022 as a voluntary learning community to advance patient and workforce safety. …

  9. Diagnostic Safety Issue Briefs | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs.html
    July 01, 2025 - Diagnostic Safety Issue Briefs Starting in 2019, AHRQ supported the development of a series of papers on different diagnostic safety topics. The purpose of the papers was to develop, based on research conducted to date, more resources to improve diagnostic safety and quality, during a time when research to impr…

  10. PQMP 1.0 Journal Supplement | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/publications/1-0-journal-supplement.html
    September 01, 2021 - PQMP 1.0 Journal Supplement The Pediatric Quality Measures Program (PQMP) was launched in 2011 to increase the portfolio of evidence-based, consensus pediatric quality measures available to public and private purchasers of children's healthcare services. During the initial phase of PQMP, seven Centers of Excel…

  11. Improving the Quality of In-Center Hemodialysis Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/cahps/quality-improvement/reports-and-case-studies/Report_ICH-QI-Project.html
    March 01, 2016 - Improving the Quality of In-Center Hemodialysis Care From the inception of this project, CMS and AHRQ intended for the In-Center Hemodialysis Survey to serve facilities and networks as a tool for quality improvement.  To that end, the CAHPS grantees organized an initiative to assess the survey’s value in helpin…

  12. Job Aid: 5 Whys and Fishbone Diagrams (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
    June 02, 2025 - Job Aid: 5 Whys and Fishbone Diagrams Primary Care Practice Facilitator Training Series 1 Job Aid: 5 Whys and Fishbone Diagrams Overview The 5 Whys and fishbone diagrams help practices identify obstacles to good performance and what causes them. They can also be used to identify the factors contribut…

  13. University of Michigan's Patient Safety Enhancement Program (PSEP). | PSNet

    psnet.ahrq.gov/issue/university-michigans-patient-safety-enhancement-program-psep
    August 31, 2016 - Multi-use Website University of Michigan's Patient Safety Enhancement Program (PSEP). Citation Text: University of Michigan's Patient Safety Enhancement Program (PSEP). University of Michigan Copy Citation Save Save to your library Print Download PDF …

  14. Medication Related Harm. | PSNet

    psnet.ahrq.gov/issue/medication-related-harm
    August 14, 2024 - Book/Report Medication Related Harm. Citation Text: Medication Related Harm. Health Services Safety Investigations Body. 2024-2025 Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  15. Beebe, Lora | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/beebe-lora
    January 01, 2023 - Beebe, Lora Telephone Intervention-Problem Solving (TIPS) for schizophrenia spectrum disorders: responses of stable outpatients over nine months. Citation Beebe L, Smith KD, Oppizzi LM. Telephone Intervention-Problem Solving (TIPS) for schizophrenia spectrum disorders: respon…

  16. Insurers stop paying for care linked to errors. | PSNet

    psnet.ahrq.gov/issue/insurers-stop-paying-care-linked-errors
    January 18, 2023 - Newspaper/Magazine Article Insurers stop paying for care linked to errors. Citation Text: Insurers stop paying for care linked to errors. Fuhrmans V. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  17. AHRQ Patient Safety YouTube Channel. | PSNet

    psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel
    December 24, 2008 - Audiovisual Presentation AHRQ Patient Safety YouTube Channel. Citation Text: AHRQ Patient Safety YouTube Channel. Rockville, MD: Agency for Healthcare Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Face…

  18. Pressure Injury Prevention in Hospitals Training Program. | PSNet

    psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
    May 01, 2017 - Multi-use Website Pressure Injury Prevention in Hospitals Training Program. Citation Text: Pressure Injury Prevention in Hospitals Training Program. Rockville, MD: Agency for Healthcare Research and Quality; September 2017. Copy Citation Save Save to your library …

  19. Bad hospital design is making us sicker. | PSNet

    psnet.ahrq.gov/issue/bad-hospital-design-making-us-sicker
    March 30, 2016 - Newspaper/Magazine Article Bad hospital design is making us sicker. Citation Text: Bad hospital design is making us sicker. Khullar D. New York Times. February 22, 2017. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  20. National Comparative Audit of Blood Transfusion. | PSNet

    psnet.ahrq.gov/issue/national-comparative-audit-blood-transfusion
    March 17, 2011 - Government Resource National Comparative Audit of Blood Transfusion. Citation Text: National Comparative Audit of Blood Transfusion. Royal College of Phyisicians; National Blood Service Copy Citation Save Save to your library Print Download PDF S…
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