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2621. Effect of patient safety strategies on the incidence of adverse events. | PSNet
      psnet.ahrq.gov/issue/effect-patient-safety-strategies-incidence-adverse-events
      March 09, 2022 - March 9, 2022 Evaluation of clinical practice guidelines on fall prevention and management

2622. Team-based care: the changing face of cardiothoracic surgery. | PSNet
      psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
      October 07, 2013 - January 22, 2016 Evaluation of clinical practice guidelines on fall prevention and management

2623. A scholarly pathway in quality improvement and patient safety. | PSNet
      psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety
      December 18, 2017 - June 7, 2023 Evaluation of clinical practice guidelines on fall prevention and management

2624. Reasons for not reporting patient safety incidents in general practice: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study
      February 24, 2010 - July 2, 2019 Evaluation of clinical practice guidelines on fall prevention and management

2625. Developing a patient measure of safety (PMOS). | PSNet
      psnet.ahrq.gov/issue/developing-patient-measure-safety-pmos
      June 25, 2014 - April 24, 2018 Evaluation of clinical practice guidelines on fall prevention and management

2626. Fixed-dose combination antihypertensives and risk of medication errors. | PSNet
      psnet.ahrq.gov/issue/fixed-dose-combination-antihypertensives-and-risk-medication-errors
      September 28, 2016 - Study Fixed-dose combination antihypertensives and risk of medication errors. Citation Text: Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors. Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492. Copy Citation Format: …

2627. Case study research: the view from complexity science. | PSNet
      psnet.ahrq.gov/issue/case-study-research-view-complexity-science
      January 03, 2017 - Commentary Case study research: the view from complexity science. Citation Text: Anderson RA, Crabtree B, Steele DJ, et al. Case study research: the view from complexity science. Qual Health Res. 2005;15(5):669-85. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

2628. Organizational factors that promote error reporting in healthcare: a scoping review. | PSNet
      psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review
      June 01, 2022 - July 20, 2022 Evaluation of clinical practice guidelines on fall prevention and management

2629. HIV and AIDS | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/hiv.html
      April 01, 2018 - continue to be collected and these measures will be added back to the reports if their performance falls … Source: Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. HIV Surveillance by Race/Ethnicity. … Prevention of infection due to Pneumocystis carinii .

2630. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
      psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
      October 01, 2008 - these five things to prevent catheter-associated bloodstream infections, these seven things to prevent falls … scientific evidence that if you do these five things you will prevent most decubitus ulcers, or most falls … February 1, 2012 Perspective Implementing a Fall Prevention

2631. AHRQ Timeline | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/about/timeline/index.html
      March 01, 2025 - The USPSTF is an independent, volunteer panel of national experts in disease prevention and evidence-based … Frontline caregivers in 100 NICUs in nine States relied on the program's prevention practice checklists … national efforts to reduce hospital-acquired conditions, such as adverse drug events and injuries from falls … The Network is established to provide free training on evidence-based infection prevention practices

2632. Innovations in Promoting Hand Hygiene Compliance | PSNet
      psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
      May 01, 2014 - setting, hospitals continue to struggle with suboptimal rates of compliance with this basic infection prevention … include insufficient time, work overload, inadequate knowledge, skepticism about hand hygiene as a prevention … Infection prevention promotion program based on the PRECEDE model: improving hand hygiene behaviors among … make it problematic to generalize from the hand hygiene experience to let's say trying to decrease falls … Prostatic Hyperplasia August 10, 2019 Remote patient monitoring improves patient falls

2633. Improving the Value of Patient Safety Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
      June 12, 2008 - , most taxonomies include mistakes (e.g., prescribing errors) and the outcome of mistakes (e.g., p falls … However, falls and decubitus ulcers are visible ha (outcomes) that might have resulted from failure to … examining the proportion of incidents in the ICUSRS with harm identified, it is not surprising that falls … Prevention of intravascular catheter-related infections. Ann Intern Med 2000; 132: 391-402. 33.

2634. Interventions-Horizon-Scan-High-Impact-1306 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/interventions-horizon-scan-high-impact-1306.pdf
      June 01, 2013 - names of hospital and clinical staff to reduce risk of patient disorientation and delirium; fall- prevention … blood pressure, labs, medication compliance), treatment (wound care, medication reconciliation), prevention … If the onus of improving patient adherence falls on the provider, staffing needs might increase because … lighting, soft colors, and noise abatement features, handrails, flooring that is less likely to cause falls … available resources.51 However, this design poses many risks to the elderly population, including falls

2635. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
      June 01, 2018 - Confronting Quality Problems There are several areas where the quality of American health care is falling … receive high-quality health care services, there are a number of areas where the quality of care is falling

2636. Revised Protocol - Opioids 12 13 13[1] (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/chronic-pain-opioid-treatment_research-protocol.pdf
      December 19, 2013 - including accidental overdose, abuse, addiction, diversion, and accidents involving injuries (such as falls … , and related outcomes; 2) overdose; and 3) other harms, including gastrointestinal-related harms, falls … use disorder, addiction, abuse, and misuse; other opioid-related harms (including gastrointestinal, falls … Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research. … Greater number of narcotic analgesic prescriptions for osteoarthritis is associated with falls and

2637. Wound Classification (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar6_pu_woundassesst.pdf
      April 01, 2011 - as a result of pressure, or pressure in combination with shear.” 12 NPUAP/EPUAP Pressure Ulcer Prevention … document exactly what you see than have a facility-acquired wound. 23 Bruise Causes of sDTI • Falls

2638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49827/psn-pdf
      April 01, 2018 - Although rare, adverse events during early mobilization have included falls, line dislodgement, ventilator … Although most clinical practice guidelines focus on the prevention of infection, malposition, and hemorrhage

2639. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/sands.html
      August 01, 2017 - of Registration in Medicine, the Massachusetts Bar Association, the Massachusetts Coalition for the Prevention … Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006. 3. … MeritCare (Fargo, ND) and Sanford Health (Sioux Falls, SD) systems combine to form SHS. … Vanderbilt CPPA receives four back-years of patient complaint data from Fargo, ND hospital (North) and Sioux Falls

2640. Mothers face broken addiction treatment system. | PSNet
      psnet.ahrq.gov/issue/mothers-face-broken-addiction-treatment-system
      January 25, 2023 - Newspaper/Magazine Article Mothers face broken addiction treatment system. Citation Text: Mothers face broken addiction treatment system. D'Ambrosio A. MedPage Today. March 31, 2023. Copy Citation Save Save to your library Print Download PDF Sh…