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1901. 139-Nv-Hap-Prevention-Essential-One-Pager (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/139-nv-hap-prevention-essential-one-pager.docx
      October 01, 2024 - NV-HAP Prevention Essential Practices1-4 Practice routine oral care.4,5-8 Staphylococcus aureus is a … : Essential Practices ICU & Non-ICU AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU Non-Ventilator … Healthcare- Associated Pneumonia (NV-HAP) Prevention: Essential Practices | 2 AHRQ Safety Program for … MRSA Prevention | ICU & Non-ICU Non-Ventilator Healthcare-Associated Pneumonia (NV-HAP) Prevention: … Non-ventilator health care-associated pneumonia (NV-HAP): Best practices for prevention of NV-HAP.

1902. Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustaining-guide.pdf
      March 01, 2017 - Leadership and staff perceptions of resident harms such as CAUTIs or falls, and staff harm such as a … Sustainability Guide 5 ׀ http://theconsumervoice.org/issues/other-issues-and-resources/infection-prevention … facility educator train facility staff, and when appropriate, residents and families, on infection prevention … The educational bundles can be used to supplement your infection prevention orientation curriculum. … High-Performance Work Practices in CLABSI Prevention Interventions: Executive Summary.

1903. Treating Binge-Eating Disorder. A Review of Evidence for Adults (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/binge-eating_consumer.pdf
      May 01, 2016 - � Dry mouth � Trouble falling or staying asleep � Decreased appetite � Increased heart rate � … infection � Pain in the belly � Reduced sense of touch � Nausea and vomiting � Sweating � Trouble falling … The National Suicide Prevention Lifeline is available at 1-800-273-TALK (8255), or go to www.suicidepreventionlifeline.org

1904. A mixed methods evaluation of medication reconciliation in the primary care setting. | PSNet
      psnet.ahrq.gov/issue/mixed-methods-evaluation-medication-reconciliation-primary-care-setting
      November 16, 2022 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls

1905. Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. | PSNet
      psnet.ahrq.gov/issue/unscheduled-return-visits-emergency-department-icu-admission-trigger-tool-diagnostic-error
      December 02, 2020 - Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention

1906. Patient safety culture in care homes for older people: a scoping review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-culture-care-homes-older-people-scoping-review
      January 08, 2020 - WebM&M Cases Failure to Ensure Patient Safety Leads to Patient Falls … Group Administrators Geriatrics Medication Errors/Preventable Adverse Drug Events Patient Falls

1907. Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet
      psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
      July 29, 2020 - August 3, 2022 Potentially inappropriate medications and their effect on falls during

1908. Strategies for improving patient safety culture in hospitals: a systematic review. | PSNet
      psnet.ahrq.gov/issue/strategies-improving-patient-safety-culture-hospitals-systematic-review
      February 14, 2017 - November 16, 2022 Evaluation of clinical practice guidelines on fall prevention and management

1909. Reducing risks in complex care transitions in rural areas: a grounded theory. | PSNet
      psnet.ahrq.gov/issue/reducing-risks-complex-care-transitions-rural-areas-grounded-theory
      June 23, 2021 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention

1910. Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study | PSNet
      psnet.ahrq.gov/issue/implementing-survey-patients-provide-safety-experience-feedback-following-care-transition
      January 08, 2020 - Journal Article Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study Citation Text: Scott J, Heavey E, Waring J, et al. Implementing a survey for patients to provide safety experience feedback following a care transitio…

1911. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. | PSNet
      psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
      July 06, 2022 - July 8, 2009 Utilizing quality improvement methods to prevent falls and injury from falls

1912. Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. | PSNet
      psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
      September 29, 2021 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention

1913. Using an EHR System to Prevent Opioid Use Disorder in Older Adults in Primary Care Practices Case Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-ehr-oud.pdf
      June 02, 2025 - for evaluating effectiveness and potential adverse effects of opioid use in older adults: misuse, falls … control level ■ adverse events experienced ■ activity level ■ aberrant behaviors ■ cognition ■ falls

1914. Session 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
      October 01, 2014 - These kinds of changes put the resident at risk for falling and also may signal an underlying problem … Falls risk—e.g., the resident reaches for objects when in a wheelchair. … Sleeping—e.g., the resident falls asleep in unusual places. … Changes to watch for include the resident complaining about not feeling rested, falling asleep in unusual … Sleeping —Observe during the day to see if the resident falls asleep in unusual places.

1915. Disposition of Comments CER 214 Stroke Prevention in Patients With Atrial Fibrillation (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-214-afib-disposition-comments.pdf
      October 30, 2019 - Stroke Prevention in Patients With Atrial Fibrillation: A Systematic Review Update. … discussion of the CHADS2 versus CHA2DS2- VASc prediction instruments, (2) the relative lack of addressing falls … I understand that the data on falls in this situation are scant but somewhere in the report it should … therapy, nonsteroidal anti- inflammatory drugs), and additional complicating conditions such as risk of falls … risks and benefits of anticoagulation in frail older adults and those who are at increased risk of falls

1916. Best Practices for Promoting Emotional Well-Being in Nursing Home Residents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/promoting-emotional-wellbeing.pdf
      March 01, 2022 - staff can engage residents and reduce isolation while maintaining necessary infection control and prevention … forgetfulness activities or becoming less sociable Sleep, such as sleeping more than usual or difficulty falling

1917. CUSP Helps University of Wisconsin Hospital and Clinics Reduce Healthcare-Associated Infections | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201413.html
      August 01, 2014 - (CUSP), the University of Wisconsin Hospital and Clinics (UWHC) was awarded the 2013 Partnership in Prevention … The Partnership in Prevention award was given by the U.S. … Before implementing CUSP, UWHC's infection prevention interventions were "more sporadic and not as well … After implementing CUSP, the hospital's infection prevention efforts became "much more standardized and … In January 2013, the Centers for Disease Control and Prevention narrowed its definition of CAUTI to exclude

1918. Surgical count process for prevention of retained surgical items: an integrative review. | PSNet
      psnet.ahrq.gov/issue/surgical-count-process-prevention-retained-surgical-items-integrative-review
      March 09, 2022 - Review Surgical count process for prevention of retained surgical items: an integrative … Surgical count process for prevention of retained surgical items: an integrative review. … Surgical count process for prevention of retained surgical items: an integrative review. … June 19, 2024 Evaluation of clinical practice guidelines on fall prevention and management … September 29, 2011 Prevention of 3 "never events" in the operating room: fires, gossypiboma

1919. A protocol for the safe use of hazardous drugs in the OR. | PSNet
      psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or
      May 13, 2015 - November 3, 2021 Patient education to prevent falls among older hospital inpatients:

1920. Patient Safety Tools: Improving Safety at the Point of Care. | PSNet
      psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0
      September 08, 2021 - April 6, 2016 Preventing Falls With Injury.