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4241. Sustaining Zero CLABSIs (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
      April 01, 2013 - stretcher-locking mechanism was failing on their stretchers and by addressing that prevented patients from falling … line infections, urinary catheter infections, ventilator-associated infections, obstetric disasters, falls

4242. CDS Connect Work Group Agenda - December 2021 (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_WG_December_2021_Summary.pdf
      January 01, 2021 - CDS Connect Work Group Agenda - December 2021 Clinical Decision Support (CDS) Connect Work Group (WG) Meeting Summary December 16, 2021 3:00 – 4:00 pm ET Attendees: 39 people, including 5 phone dial-ins Organization Attendees AHRQ Sponsors Chris Dymek, Edward Lomotan, Mario Teran, James Swiger (4) …

4243. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
      December 01, 2017 - SAY: In the case of an elderly woman falling down in her hospital room, let’s list some factors that … The patient tries to get to the bathroom during the night and falls. … occurs rarely but has a singular impact on this particular defect, consider working on a factor that falls

4244. NEDS Description of Data Elements
      hcup-us.ahrq.gov/db/nation/neds/nedsdde.jsp
      March 01, 2024 - Q3 Supplemental ED, Q1 and Q3 Supplemental Inpatient (not in Q4) INJURY_FALL Injury by falling

4245. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33660/psn-pdf
      December 01, 2007 - Number one, because there's a notion that this is not something that falls within our accountability

4246. SDOH Environmental Scan - Updated April 29, 2021 (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
      April 29, 2021 - SDOH Environmental Scan - Updated April 29, 2021 Overview Scan Overview: AHRQ conducted an environmental scan of social determinants of health (SDOH) data sources to inform the development of AHRQ’s SDOH beta data files publicly released in December 2020. AHRQ is publicly releasing the environmental scan as a resour…

4247. Strategy 3: Bedside Shift Report (Tool 3)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
      July 23, 2010 - improves patient safety and service delivery.2,3 For example, one study showed a decrease in patient falls … during change of shift, dropping from one to two patient falls per month to one patient fall in 6 months

4248. Efficacy and Safety of Screening for Postpartum Depression | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/depression-postpartum-screening/research

4249. Medicare Prescription Drug Data Development: Methods for Improving Patient Safety and Pharmacovigilance Using Observational Data | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/patient-safety-databases-prescriptions/research

4250. Data Development for Patient Safety — A Pilot Study using Medicare Part B Drug Data | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/patient-safety-drug-data/abstract

4251. Critical Analysis of the Evidence for Patient Safety Practices | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/patient-safety-practices/research-protocol

4252. Critical Analysis of the Evidence for Patient Safety Practices in Nursing Home Settings | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/nursing-home-safety/research-protocol

4253. Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2a.html
      May 01, 2018 - The same study found that 20 percent of Asian Indians and 21 percent of those falling into the Other … Asian and Pacific Islander children using NHIS data from 1997-2000 showed that children identified as falling … The Census has published only one in depth analysis of an ancestry grouping that falls within the White

4254. Indwelling Urinary Catheter Indications
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
      April 01, 2022 - Davies because it will prevent skin breakdown and reduce her risk of falling.

4255. Lesson from the VA's Team Training Program | PSNet
      psnet.ahrq.gov/perspective/lesson-vas-team-training-program
      November 01, 2011 - Reducing falls and fall-related injuries in the VA system. J Healthc Saf Q. 2003;1:25-33. 8. … Related Resources From the Same Author(s) Root cause analysis of reported patient falls

4256. Improving Patient Safety in Long-Term Care Facilities, Module 2 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ltcmodule2.pdf
      June 01, 2012 - Module 1 focuses on detecting changes in a resident’s condition, and Module 3 covers falls prevention … Physical changes: › Walking. › Bowel and urination patterns. › Skin. › Level of weakness. › Falls

4257. Final Progress Report: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/grannis-report.pdf
      January 01, 2024 - Final Progress Report: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange Final Progress Report Project Title: Advancing Patient Identity Management in the Context of Real-World Health Information Exchange Principal Investigator: Shaun Grannis, MD, MS, FAAFP Team Membe…

4258. Making Healthcare Safer IV: Summary of Findings, 2023-2024 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-1-year-final-report-updated-title_0.pdf
      May 01, 2024 - Director of the Department of Defense Patient Safety Program Defense Health Agency Falls Church, VA … Interventions to improve prophylaxis for venous thromboembolism • Multicomponent interventions to reduce falls … o Most studies found no reduction in falls, but a systematic review reported that half of the included … studies reduced falls. … studies • Evidence Summary o 3 studies examined PFE in fall prevention programs and found reduced falls

4259. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Workshop Introduction (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Workshop%20Introduction.pdf
      June 16, 2021 - to many of the arguments for increased centralization • The paradox of increasing admissions and falling

4260. home-based-care-protocol-141119 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/home-based-care_research-protocol.pdf
      November 19, 2014 - generally well elderly to severely disabled patients, and have stated goals that span from preventing falls … • Function o Physical, psychological, and cognitive • Mortality • Morbidities o Examples: falls