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221. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.html
     August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention

222. Key Driver 3: Optimize Health Information Systems to Extract Data and Support Use of Evidence in Practice | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/evidencenow/tools/keydrivers/optimize-health-it.html
     November 01, 2018 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention

223. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
     December 01, 2017 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Universal and Targeted Tools Ambulatory Surgery Centers Toolkit CLABSI and CAUTI Prevention … Improving Your Laboratory Testing Process Mechanically Ventilated Patients Toolkit MRSA Prevention … Leveraging Cultural Change to Reduce Urinary Catheter Use Linda Greene, RN,MPS,CIC Manager Infection Prevention

224. Surgical Safety: Addressing the JCAHO Goals for Reducing Wrong-site, Wrong-patient, Wrong-procedure Events (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
     June 21, 2004 - Those efforts have manifested in the development of a wrong-site prevention initiative that can easily … Method The wrong-site surgery prevention initiative began as part of an NHCP Patient Safety Award … The OR prevention of wrong-site surgery initiative reached its 100 percent compliance rate benchmark … What has become clear over time is that a major contributing factor to the wrong-site surgery prevention … Conclusion All health care systems face similar obstacles in implementing the JCAHO prevention of

225. CHIPRA - Spotlight on New Mexico (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/nm-statesum.pdf
     July 01, 2015 - CHIPRA - Spotlight on New Mexico July 2015 This brief highlights the major strategies, lessons learned, and outcomes from New Mexico’s experience in the quality demonstration funded by the Centers for Medicare & Medicaid Services (CMS) through the Children’s Health Insurance Program Reauthorization Act of 2009 (…

226. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
     March 01, 2017 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention

227. Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/news/newsletters/e-newsletter/895.html
     January 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention

228. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
     August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention

229. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
     December 01, 2023 - Prevention Quality Indicators: Technical Specifications, AHRQ Quality Indicators, v2020.1 SAS. … Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), National … Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP). … Atlanta, GA: Centers for Disease Control and Prevention; November 2022. … following operating room procedures Healthcare-associated Infection (HAI) Patients with one or more falls

230. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
     www.cahps.ahrq.gov/downloads/pub/advances/vol4/Miranda.pdf
     July 01, 2004 - The groups were used to identify persuasive error prevention messages and to identify the types of patient-provider … They thought it referenced falls and accidents of the sort that occurred in medical settings, rather … focus groups generally believed the phrase “patient safety” could be used to signify medical error prevention

231. EvidenceNOW: Oklahoma Cooperative | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/oklahoma.html
     March 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … practices have the evidence they need to help their patients adopt  the ABCS of cardiovascular disease prevention

232. Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
     February 01, 2017 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Over the last few years, the Centers for Disease Control and Prevention or CDC has redefined these into … The overall conclusion was that VAEs are common and morbid and that prevention strategies targeting VAEs … That concern was addressed in 2015 with the release of results from the CDC Prevention Epicenters’ Wake … Up and Breathe Collaborative, a VAE prevention prospective quality improvement study.

233. A Patient Safety Program & Research Evaluation of U.S. Navy Pharmacy Refill Clinics (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Reige.pdf
     March 01, 2004 - Elderly people are at a higher risk for falls resulting in serious injury, and when a person is dizzy … When an elderly patient falls, serious injury may occur.

234. Chapter 1: Background on Patient Safety and LEP Populations | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
     September 01, 2020 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … LEP patients are at greater risk of line infections, surgical infections, falls, and pressure ulcers … conditions, surgeries, medications, and allergies are paramount to high-quality patient care and the prevention

235. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
     August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention

236. Initial Risk Assessment for Immobility-Related Pressuer Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-203-fullreport.pdf
     April 10, 2017 - Multiple logistic regression was used to determine which prevention strategies were associated with … Furthermore, if the score of the Braden-Q is also captured and if the score falls below normal range … Pediatric skin care: Guidelines for assessment, prevention, and treatment. … Centers for Disease Control and Prevention. CDC Race and Ethnicity Code Set. Version 1.0. … Guideline for prevention and management of pressure ulcers.

237. CHIPRA 119 Section 5, Literature Review and Discussion (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-119-section-5-lit-review.pdf
     March 19, 2012 - Health loss prevention in neonates. Journal of Perinatology, 28, 857-859. … normal range of 36.5° C to 37.5 °C (skin temperature of 0.5° C to 1.0° C lower) When skin temperature falls … bonnet may result in hyperthermia but only when metabolic heat production rises while skin temperature falls … When skin temperature falls to 35° C to 36° C, non-shivering thermogenesis is initiated (Bruck 1961) … Heat Loss Prevention (HeLP) Trial.

238. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
     August 01, 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 six … number of call lights by the end of shift report within 2 months” or “reduce the number of patient falls … vascular catheter-associated infections by 10 percent in 3 months Reduce the incidence of patient falls

239. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
     August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention … of safety includes a focus on mutual trust and a shared mental model of the importance of safety and prevention

240. Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/policymakers/chipra/overview/background/tables.html
     December 01, 2009 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Number of Medicaid and CHIP Enrollees At Risk of Poor Healthcare Quality PREVENTION AND HEALTH PROMOTION … or identified as documentation of underlying scientific soundness for the measures were therapy or prevention … Centers for Disease Control and Prevention. Summary of Health Statistics U.S.