-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - Judging from the criteria of this case study, this looks like an insertion issue and again that falls … To really get their attention present on the business case for CAUTI prevention. … in CAUTI prevention? … This is our super falls huddle form, and it follows the learn from a defect structure. … These learn from a defect, or super falls huddles, take place very quickly after a fall.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - Judging from the criteria of this case study, this looks like an insertion issue and again that falls … To really get their attention present on the business case for CAUTI prevention. … in CAUTI prevention? … This is our super falls huddle form, and it follows the learn from a defect structure. … These learn from a defect, or super falls huddles, take place very quickly after a fall.
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.pdf
July 01, 2011 - The second most common CMS HAC examined was falls or trauma, which
accounted for another 20 percent … the population at risk, but only 10 percent of
the stage III and IV pressure ulcer, 13 percent of falls … ulcers
Manifestations of poor glycemic control
Catheter-associated urinary tract infection (UTI)
Falls … young adults, older adults had higher rates for the CMS HACs for stage III and IV
pressure ulcers, falls … For example, those 85 years
and older had nearly six times the rate of CMS HACs for falls and trauma
-
digital.ahrq.gov/sites/default/files/docs/page/Workshop%20Introduction.pdf
June 16, 2021 - to many of the arguments for increased
centralization
• The paradox of increasing admissions and falling … Creating effective models of health promotion & disease prevention
3. … Quality
Engineering
Managing Acute
Illness & Disease
Effective models
for Health promo
& Disease
Prevention
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/stroke-atrial-fibrillation_disposition-comments.pdf
August 23, 2013 - Stroke Prevention in Atrial
Fibrillation. Comparative Effectiveness Review No. 123. … Rivaroxaban was non-inferior to warfarin for
stroke prevention in AF. … for in
choosing warfarin vs. the direct thrombin inhibitors
especially in the elderly at risk for falls … Head injury
in the elderly due to falls is a growing public health
problem. … What is the
evidence based for the common contraindications
for anticoagulation, ie. risk of falls,
-
psnet.ahrq.gov/issue/development-and-implementation-subcutaneous-insulin-pen-label-bar-code-scanning-protocol
October 19, 2022 - September 13, 2023
Evaluation of clinical practice guidelines on fall prevention and
-
psnet.ahrq.gov/issue/systematic-review-medication-safety-assessment-methods
January 03, 2017 - July 13, 2010
Evaluation of clinical practice guidelines on fall prevention and management … June 26, 2019
Hospital organisation, management, and structure for prevention of health-care-associated
-
psnet.ahrq.gov/issue/espen-guideline-hospital-nutrition
February 17, 2015 - February 1, 2023
Evaluation of clinical practice guidelines on fall prevention and management … May 20, 2020
Infection prevention in the operating room anesthesia work area.
-
psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric
September 01, 2016 - Study
Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study.
Citation Text:
Stultz JS, Nahata MC. Preventability of Voluntarily Reported or Trigger Tool-Identified Medication …
-
psnet.ahrq.gov/issue/effectiveness-and-risks-long-term-opioid-therapy-chronic-pain-systematic-review-national
March 04, 2011 - opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention … May 27, 2020
Evaluation of clinical practice guidelines on fall prevention and management
-
psnet.ahrq.gov/issue/transactional-second-victim-model-experiences-affected-healthcare-professionals-acute-somatic
April 20, 2022 - April 20, 2022
Interventions for preventing falls in acute- and chronic-care hospitals
-
psnet.ahrq.gov/issue/computer-assisted-process-modeling-enhance-intraoperative-safety-cardiac-surgery
July 19, 2023 - April 24, 2018
Evaluation of clinical practice guidelines on fall prevention and management
-
psnet.ahrq.gov/issue/detection-adverse-drug-events-using-electronic-trigger-tool
October 02, 2013 - September 8, 2021
Defining the critical role of nurses in diagnostic error prevention … December 6, 2017
Comparing catheter-associated urinary tract infection prevention programs … April 5, 2017
Evaluation of clinical practice guidelines on fall prevention and management
-
psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
February 14, 2024 - examined summarized data from ongoing studies of the CAP database and evaluated the error rates and prevention
-
qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
October 01, 2023 - AHRQ QI List of Indicators
Prevention Quality Indicators (PQls) … Admission Rate
• PQI 16 - Lower-Extremity Amputation Among Patients
with Diabetes Rate
• PQI 90- Prevention … Quality Overall Composite
• PQI 91- Prevention Quality Acute Composite
• PQI 92- Prevention Quality … Chronic Composite
• PQI 93- Prevention Quality Diabetes Composite
Area-Level Indicators (e.g., County
-
psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high
August 30, 2017 - Study
Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients.
Citation Text:
Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "hig…
-
psnet.ahrq.gov/issue/importance-prevention-and-early-intervention-adverse-events-pediatric-cardiac-catheterization
March 24, 2019 - Study
Importance of prevention and early intervention of adverse events in pediatric … Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization … Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization … October 31, 2011
An inpatient fall prevention initiative in a tertiary care hospital.
-
psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
August 21, 2019 - August 21, 2019
Root cause analysis of reported patient falls in ORs in the Veterans
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/fbQmoAPKeBekmJ7aqmALe5
June 01, 2014 - impairment, including counseling
on tobacco cessation, alcohol use, healthful diet, physical activity, and falls … prevention and screening for high cholesterol,
hypertension, and depression. … Other Approaches to Prevention
The USPSTF has published recommendations related
to several of the risk … impairment,
including counseling on tobacco cessation, alcohol use,
healthful diet, physical activity, and falls … Bradycardia and adverse effects related to it (such
as falls and syncope) may result from taking AChEIs
-
psnet.ahrq.gov/issue/adverse-events-hospitalized-paediatric-patients-systematic-review-and-meta-regression
February 25, 2015 - These findings suggest that prevention and detection strategies should be prioritized. … November 9, 2016
Assessment of a wearable fall prevention system at a Veterans Health