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4901. Surveys on Patient Safety Culture (SOPS®) Medical Office Survey: 2022 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-mosops-database-report-part-I.pdf
      January 01, 2022 - Max Item 1 36% 12.26 8% 10% 25% 35% 49% 62% 96% If your medical office’s score is 55%, your score falls … here: If your medical office’s score is 65%, your score falls here: If your medical office’s score … is 55 percent positive, it falls above the 75th percentile (but below the 90th), meaning that your … If your medical office’s score is 65 percent positive, it falls above the 90th percentile, meaning your

4902. Final Progress Report: Demonstration Project To Refine, Automate and Test a Novel Emergency Department Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
      January 01, 2025 - POA AEs were more likely to be patient care related (38.6% vs. 4.7%); the most common subtypes were falls … In contrast, in non-PA/ LTC patients, falls and traumatic injury accounted for only 8% of patient care-related … hypotension, delirium/ confusion, various bleeding events, surgical complications and injuries from falls

4903. 2022 National Healthcare Quality and Disparities Report Executive Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf
      October 01, 2022 - injuries was drug overdose (which accounted for over 40% of unintentional injury deaths), followed by accidental … falls and motor vehicle accidents (each of which accounted for approximately 20% of unintentional injuries

4904. Compendium of U.S. Health Systems, 2022, Technical Documentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2022-Compendium-TechDoc.pdf
      January 01, 2022 - Aultman Health Foundation 2600 SIXTH STREET SW, Canton, OH, 44710 AVERA HEALTH 3900 W AVERA DR, SIOUX FALLS … , SD, 57108 Avera Health 3900 WEST AVERA DRIVE, Sioux Falls, SD, 57108 BALLAD HEALTH 303 MED TECH … , MT, 59405 Benefis Health System 1101 26TH STREET SOUTH, Great Falls, MT, 59405 BERKSHIRE HEALTH … Health System 5 MOBILE INFIRMARY CIRCLE, Mobile, AL, 36607 INOVA HEALTH SYSTEM 8110 GATEHOUSE RD, FALLS … CHURCH, VA, 22042 Inova Health System 8110 GATEHOUSE ROAD, Falls Church, VA, 22042 COMPENDIUM

4905. Systematic Review on Opioid Treatments for Chronic Pain: Surveillance Report 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/opioids-chronic-pain-surveillance-report-1-final.pdf
      April 01, 2022 - Mixed mechanism vs. opioid agonist and mortality, falls/fracture, hospitalization for adverse event … cardiovascular adverse events versus opioid agonists; there was no difference in risk of mortality, falls … insurance found tramadol (a mixed mechanism agent) associated with similar risk of all-cause mortality, falls … overdose (intentional and unintentional); and (3) other harms, including gastrointestinal-related harms, falls … overdose (intentional and unintentional); and (3) other harms, including gastrointestinal-related harms, falls

4906. Chapter 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/resources/vision1.html
      October 01, 2002 - Chapter 1 Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Introduction There is a growing need for public and private health and social services programs to serve people with disabilities. Rehabilitation services may include medical or surgical therapy, environmental measures, or so…

4907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846564/psn-pdf
      March 29, 2023 - Technology as a Tool for Improving Patient Safety March 29, 2023 Holmgren AJ, McBride S, Gale B, et al. Technology as a Tool for Improving Patient Safety . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety Introduction  In the past several decades, technological a…

4908. A Sweet Case of Hidden Hydrogen Ions | PSNet
      psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
      November 30, 2023 - A Sweet Case of Hidden Hydrogen Ions Citation Text: Plante D, Falero A. A Sweet Case of Hidden Hydrogen Ions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

4909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33776/psn-pdf
      January 01, 2015 - In Conversation With… Mark Graban, MS, MBA January 1, 2015 In Conversation With… Mark Graban, MS, MBA. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba Editor's note: Mark Graban, MS, MBA, is an internationally recognized expert in Lean Healthcare, which has become one of…

4910. Technology as a Tool for Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
      April 26, 2023 - Annual Perspective Technology as a Tool for Improving Patient Safety A Jay Holmgren, Susan McBride,Bryan Gale, Sarah Mossburg | March 29, 2023  View more articles from the same authors. Citation Text: Holmgren AJ, McBride S, Gale B, et al. Technology as a …

4911. National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients (pdf file)
      digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
      August 18, 2011 - National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients August 18, 2011 Moderator: Angela Lavanderos Agency for Healthcare…

4912. Improving Patient Safety by Engaging Patients and Families (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
      April 30, 2025 - they needed a fall prevention plan and then follow that plan if they knew their risks of harm from falling … Publications: 0 SOUTH DAKOTA Wendell Hoffman Sanford Health Sioux Falls, South Dakota R21 HS19571

4913. Crosscutting-Horizon-Scan-High-Impact-1312 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1312.pdf
      December 01, 2013 - If the onus of improving patient adherence falls on the provider, staffing needs might increase because … at Mount Sinai Hospital (New York, NY), reported that “up to eight elderly patients a month were falling … experts thought these costs would be offset by reduced readmissions, reduced adverse events (e.g., falls

4914. Remote Patient Monitoring | PSNet
      psnet.ahrq.gov/perspective/remote-patient-monitoring
      March 15, 2023 - patients, which could reduce the risk of heart attack and stroke that may lead to potential disability and falls … augment that with telehealth where you get a view into someone's home and see if there are tripping or falling

4915. In Conversation with... Dr. Neal Sikka and Dr. Colton Hood about Remote Patient Monitoring | PSNet
      psnet.ahrq.gov/perspective/conversation-dr-neal-sikka-and-dr-colton-hood-about-remote-patient-monitoring
      March 15, 2023 - patients, which could reduce the risk of heart attack and stroke that may lead to potential disability and falls … augment that with telehealth where you get a view into someone's home and see if there are tripping or falling

4916. PowerPoint Presentation: Learn From Defects Through Sensemaking
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
      December 01, 2017 - SAY: In the case of an elderly woman falling down in her hospital room, let’s list some factors that … Patient tries to get to the bathroom during the night and falls. 16 System Factors Impact Safety3 … occurs rarely but has a singular impact on this particular defect, consider working on a factor that falls

4917. Using Health Information Technology to Support Population-Based Clinical Practice - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/k08hs018538-gesteland-final-report-2014.pdf
      January 01, 2014 - Using Health Information Technology to Support Population-Based Clinical Practice - Final Report Mentor Team Members …

4918. Improving Patient Access and Patient-Clinician Continuity through Panel Redesign - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r03hs018795-balasubramanian-final-report-2012.pdf
      January 01, 2012 - Improving Patient Access and Patient-Clinician Continuity through Panel Redesign - Final Report Grant Final Report Grant ID: R03HS018795 Improving Patient Access and Patient-Clinician Continuity through Panel Redesig…

4919. Final Progress Report: Adaptation and Pilot Implementation of a Validated, Electronic Real-Time Clinical Decision Support Tool for the Care of Pneumonia Patients in 12 Utah Urgent Care Centers (pdf file)
      www.ahrq.gov/sites/default/files/2025-06/dean-report.pdf
      January 01, 2025 - Unfortunately, treatment often falls short of best-practice care.

4920. Final Progress Report: Safety Culture Research: Ways to improve existing methods (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/etchegaray-report.pdf
      January 01, 2024 - Attempts to reduce one (i.e., falls) can raise the prevalence of others (i.e., DVT from being in bed