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  1. psnet.ahrq.gov/issue/10-years-why-time-out-still-matters
    November 08, 2013 - June 7, 2018 View More Related Resources Guidelines in Practice: prevention … September 12, 2012 Implementing AORN recommended practices for prevention of retained
  2. psnet.ahrq.gov/issue/banning-handshake-health-care-setting
    January 12, 2022 - Resources From the Same Author(s) Evaluation of clinical practice guidelines on fall prevention
  3. psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
    February 12, 2019 - December 9, 2015 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care
  4. www.ahrq.gov/hai/cusp/clabsi-hpwpreport/index.html
    August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Next Page Table of Contents … High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings … Types of HAI Prevention Activities Appendix 1. … components: A "project scan," in which the research team reviewed the literature and research on HAI prevention … Comparative qualitative research to explore the role of management practices in facilitating HAI prevention
  5. qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
    October 05, 2016 -  PSI 08 (In-Hospital Fall with Hip Fracture Rate) now targets all hip fractures from inpatient falls
  6. psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
    September 23, 2020 - Study Are evidence-based practices associated with effective prevention of hospital-acquired … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … January 23, 2019 Success in hospital-acquired pressure ulcer prevention: a tale in two … March 7, 2018 Pressure Injury Prevention in Hospitals Training Program.
  7. psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
    January 06, 2018 - December 8, 2021 Pressure Injury Prevention in Hospitals Training Program. … December 21, 2014 Inpatient fall prevention programs as a patient safety strategy: a
  8. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/progress-update-2024-slides.pdf
    January 01, 2024 - • CMS releases draft 13th Statement of Work for the QIO Program: • Continues to focus on infection prevention … • Hospital Harm - Falls with Injury • Hospital Harm - Postoperative Respiratory Failure • Patient Safety … Perspectives: CDC (CDC) Amanda Carnes, MPH Communications Specialist Centers for Disease Control and Prevention … authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention
  9. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/osteoporosis-screening
    January 14, 2025 - factor for osteoporosis and conducted DXA, vertebral fracture assessment, blood chemistry analyses, falls … Preventing falls is addressed by a separate USPSTF recommendation. 216 This review did not address DXA … Interventions to prevent falls in community-dwelling older adults: US Preventive Services Task Force … y or older at high baseline fracture risk; extensive screening battery (imaging, laboratory values, falls … y or older at high baseline fracture risk and extensive screening (imaging, laboratory assessment, falls
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
    January 01, 2004 - With a focus on systemic prevention strategies, PHA fulfills both dissemination and implementation roles … change in practice, local change agents, address barriers, local perspectives • Informs hospitals of prevention … to focus on one of the following priority patient-safety issues: (1) pressure ulcers, (2) patient falls … Hospitals may (1) continue their self-assessment/improvement plans relative to pressure ulcers, falls … for near perfection), improving the rate of appropriate insulin dosing by 70 percent, and reducing falls
  11. psnet.ahrq.gov/issue/guidelines-timely-medication-administration-response-cms-30-minute-rule
    June 10, 2018 - June 10, 2018 Technology and error-prevention strategies: why are we still overlooking
  12. psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance
    September 12, 2016 - Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention
  13. psnet.ahrq.gov/issue/making-fmea-work-you
    July 01, 2019 - July 1, 2019 Evaluation of clinical practice guidelines on fall prevention and management … Failure mode and effects analysis: a useful tool for risk identification and injury prevention
  14. psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
    September 14, 2016 - Newspaper/Magazine Article Accidental IV infusion of heparinized irrigation in the OR. Citation Text: Accidental IV infusion of heparinized irrigation in the OR. ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. Copy Citation Save Save to …
  15. psnet.ahrq.gov/issue/few-hospitals-are-willing-bear-cost-providing-psychiatric-care-kids
    March 15, 2023 - March 14, 2023 Prevention of perioperative medication errors.
  16. psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-district-health-boards-200607
    March 05, 2008 - November 8, 2023 Home Health Agencies Failed To Report Over Half of Falls With Major
  17. psnet.ahrq.gov/issue/implementing-patient-safety-alert-system
    June 21, 2015 - December 18, 2019 Evaluation of clinical practice guidelines on fall prevention and management
  18. psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
    August 01, 2012 - October 7, 2015 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care
  19. psnet.ahrq.gov/issue/if-safety-your-yardstick-measuring-culture-top-down-must-be-priority
    April 29, 2018 - April 26, 2012 An inpatient fall prevention initiative in a tertiary care hospital.
  20. psnet.ahrq.gov/issue/speak-video-series
    November 27, 2018 - September 8, 2010 How to avoid falling victim to a hospital mistake.