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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/videos/nurses.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/videos/accountability.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention
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pcmh.ahrq.gov/news/newsroom/case-studies/index.html
February 01, 2024 - Database
(3)
HCUP-Nationwide Inpatient Sample
(8)
HCUP-Patient Safety Indicators
(6)
HCUP-Prevention … Staying Healthy at 50+
(1)
Preventable Hospitalization Costs and Mapping Tool
(4)
Preventing Falls … Preventing Hospital-Related VTE Guide
(1)
Preventing Pressure Ulcers in Hospitals Toolkit
(1)
Prevention … Project Xtreme
(2)
Publications
(10)
Public Health Emergency Preparedness Webcast
(1)
Put Prevention … Safety Organizations
(3)
Patient Self-Management
(29)
Policy
(61)
Pressure Ulcers
(5)
Prevention
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - adverse drug events, and injuries due to
procedures, as well as pressure ulcers/pressure injuries and falls … Comparing these data with other sources of information, such as the Centers
for Disease Control and Prevention … measured with MPSMS, the AHRQ Patient Safety Indicators
(PSIs), the Centers for Disease Control and Prevention … MPSMS In-Hospital Patient Falls
Obstetric
Adverse
Events
PSI OB Trauma in Vaginal Delivery
(PSI … MPSMS In-Hospital
Patient Falls
239,286 8.04 225,199 7.57 223,106 7.50 226,642 7.62
Obstetric
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pcmh.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
June 01, 2020 - primarily impacting older persons (often called “geriatric syndromes”), such as urinary incontinence, falls … Prevention. … Prevention also includes prevention of injury, such as a health professional providing counseling about … Examples of geriatric syndromes include urinary incontinence, falls, sarcopenia, dementia, osteoporosis … Prevention
Includes studies that examine prevention of injuries or disease, rather than studies that
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention
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pcmh.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Update
Delirium
Patient Safety Practices
MHS I (2001)
MHS II (2013)
MHS III (2020)
Prevention … Cleaning & Decontamination
(Not reviewed)
(Not reviewed)
Summary of Evidence
Multicomponent Prevention … of Falls in Hospitalized and Institutionalized Older People
Summary of Evidence
Update
(all … patients)
(Not reviewed)
Prevention of Pressure Ulcers in Older Patients
Summary of Evidence … Update
(all patients)
(Not reviewed)
Prevention of Delirium in Older Hospitalized Patients
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pcmh.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/lhsabstract.pdf
December 01, 2016 - Demonstrate the ability to assess data quality and apply data quality assurance processes,
including error prevention … jstewardr@afyainc.com
Christine Jones, M.S., M.P.H., PMP
Managing Consultant, The Lewin Group
Falls … Research Consultant, The Lewin Group
Falls Church, VA 22042
Email: erin.gardner@Lewin.com
Paul … Senior Scholar, AcademyHealth (Facilitator)
Falls Church, VA 22042
Email: paul.wallace@academyhealth.org
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pcmh.ahrq.gov/research/findings/final-reports/index.html
June 01, 2023 - Healthcare Providers
(1)
Detection/Triggers
(1)
Diagnostic Safety
(1)
Disabilities
(1)
Fall Prevention … Safety Publication Date: August 2021
Generalizability and Spread of an Evidenced-based Fall Prevention
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pcmh.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - Other examples of effective check-backs include:
One member of the team calls out, "BP is falling, … BP is falling and at 80/48, down from 90/60."
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pcmh.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
December 01, 2017 - Universal and Targeted
Tools
Ambulatory Surgery Centers Toolkit
CLABSI and CAUTI Prevention … Improving Your Laboratory Testing Process
Mechanically Ventilated Patients Toolkit
MRSA Prevention
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pcmh.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html
March 01, 2023 - SHARE:
Blood Thinner Pills: Your Guide to Using Them Safely
The Agency for Healthcare Research and Quality offers a free booklet and a video about blood thinner medicines. Staying Active and Healthy with Blood Thinners , a 10-minute video, features easy-to-un…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3e.docx
January 29, 2013 - on safe patient handling for frontline staff is available from the Centers for Disease Control and Prevention
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pcmh.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - Blood Thinner Pills: Your Guide to Using Them Safely
Blood Thinner Pills:
Your Guide to Using
Them Safely
AHRQ Pub. No. 15-0047-C
Replaces AHRQ Pub. No. 09-0086-C
September 2015
The name of my blood thinner is:
_____________________________________________________________
Reminders:
Call your doctor or phar…
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
February 01, 2017 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention
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pcmh.ahrq.gov/topics/elderly.html
Nursing Home Antimicrobial Stewardship Guide
AHRQ’s Safety Program for Nursing Homes: On-Time Prevention
-
pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-waters.html
February 01, 2022 - catheter-associated urinary tract infections (CAUTI), central-line bloodstream infections, (CLABSI) falls … change dropped by 11 percent for CAUTI and 10 percent for CLABSI but remained essentially the same for falls
-
pcmh.ahrq.gov/nursing-home/about/index.html
December 01, 2023 - mentorship to nursing homes across the country to increase the implementation of evidence-based infection prevention
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention