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www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan29/diet-behavioral-counseling-primary-care-adults-2003
February 03, 2014 - providing controlled diets
Counseling interventions aimed at weight loss or weight maintenance, falls
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psnet.ahrq.gov/primer/reporting-patient-safety-events
March 30, 2022 - Studies of electronic hospital event reporting systems generally show that medication errors and patient falls
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - if care had been different; Adverse events due to negligence : those that occurred due to care that falls
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hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or15.jsp
July 01, 2016 - the whole, but in some cities the NTR9 populations closely approximated ACS estimates (e.g., Idaho Falls
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digital.ahrq.gov/sites/default/files/docs/survey/improving-sickle-cell-transitions-focus-group-moderator-guide-patients.pdf
June 16, 2021 - Improving Sickle Cell Transitions, Focus Group Moderator Guide: Patients
The Lewin Group, Inc., Falls
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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - likely to rate their hospital well
(7), and there is an increased risk of adverse events and patient falls
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hcup-us.ahrq.gov/reports/statbriefs/sb255-Traumatic-Brain-Injury-Hospitalizations-ED-Visits-2017.pdf
January 01, 2017 - patients were more
likely to involve cerebral
hemorrhage, no loss of
consciousness, and unintentional
falls … TBI-related inpatient stays for patients in the youngest and oldest age
groups involved unintentional falls … four in
five stays for patients aged 65 years or older (85.2 percent) were caused by unintentional falls … In contrast, these statistics were much lower among stays for TBIs caused by unintentional
falls, unintentional
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
January 01, 2019 - Missed nursing care is linked to patient harm, including falls and infections. … • Patient Falls Reduction.
• RCA Resource Guide.
• SBAR.
15.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
September 01, 2022 - symptoms reviewed earlier may also be associated with delirium, there is no evidence that delirium, falls … genitourinary symptoms or systemic signs of infection, older patients with bacteriuria experiencing delirium or falls
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psnet.ahrq.gov/node/49768/psn-pdf
September 01, 2016 - drug–disease interactions problematic for older adults, placing them at increased risk for delirium, falls … Yes/No
Does the patient have a history of falls?
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www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
June 01, 2018 - Confronting Quality Problems
There are several areas where the quality of American health care is falling … receive high-quality health care services, there are a number of areas where the quality of care is falling
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www.ahrq.gov/funding/process/review/refproc.html
March 01, 2019 - Receipt and Referral Process
Overview of Application Receipt and Referral
Sign up: Grants Review Process Email updates
AHRQ grant applications are submitted to the Center for Scientific Review (CSR) at the National Institutes of Health (NIH). Unless otherwise specified in the grant solicitation, CSR serve…
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www.ahrq.gov/npsd/data/dashboard/info.html
June 01, 2019 - Dashboard Information
NPSD Dashboards display data that follow the Common Formats for Event Reporting – Hospital Version (CFER-H) definitions of Adverse Events, i.e., the Common Formats Event Descriptions. There are 10 CFER-H modules: one Generic module applies to all reported events, and nine event-specific mo…
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www.ahrq.gov/news/newsroom/case-studies/cquips0704.html
October 01, 2014 - AHRQ Patient Safety Culture Survey Used to Teach Pharmacy Students About Safety
Search All Impact Case Studies
June 2007
Campbell University School of Pharmacy uses AHRQ's Hospital Survey on Patient Safety Culture in classes that teach pharmacy students to understand and create a culture of safety in thei…
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www.ahrq.gov/patient-safety/news-events/summit-research-2020/appendix.html
March 01, 2021 - Appendix: Background Information
AHRQ Summit and Roundtable on Research Priorities for Patient Safety Improvement
Background information that was highlighted for attendees prior to the AHRQ Summit and Roundtable on Research Priorities for Patient Safety Improvement follows.
Safer Together: A National Action…
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psnet.ahrq.gov/issue/think-you-cant-make-medication-errors
March 01, 2023 - Newspaper/Magazine Article
Think you can't make medication errors?
Citation Text:
Think you can't make medication errors? Kromis L. Outpatient Surgery Magazine. March 2013.
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psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007
May 07, 2018 - Newspaper/Magazine Article
Anticoagulant safety takes center stage in 2007.
Citation Text:
Anticoagulant safety takes center stage in 2007. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2007;12:1-3.
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psnet.ahrq.gov/issue/2015-patient-safety-core-topics-and-tips
July 05, 2017 - Fact Sheet/FAQs
2015 Patient Safety Core Topics and Tips.
Citation Text:
2015 Patient Safety Core Topics and Tips. Chicago, IL: American Society for Healthcare Risk Management; 2015.
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psnet.ahrq.gov/issue/hospital-error-oversight-called-lax-state-takes-too-long-investigate-mistakes-patient
May 04, 2015 - Newspaper/Magazine Article
Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say.
Citation Text:
Hospital-error oversight called lax: state takes too long to investigate mistakes, patient advocates say. Galloway A. Seattle Post-Intel…
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psnet.ahrq.gov/issue/heed-warning-dont-miss-important-computer-alerts
May 07, 2018 - Newspaper/Magazine Article
Heed this warning! Don't miss important computer alerts.
Citation Text:
Heed this warning! Don't miss important computer alerts. ISMP Medication Safety Alert! Acute Care Edition. February 8, 2007;12:1-2.
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