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3001. Table 18B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18b.html
      December 01, 2012 - Pressure Ulcer 4,754 3,486 3,908 3,901 4,595 3,208 4,736 3,445 Injurious Falls

3002. Table 13B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13b.html
      December 01, 2012 - Pressure Ulcer 4,306 4,221 3,413 4,523 4,155 3,058 3,454 4,564 Injurious Falls

3003. Table 13E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
      December 01, 2012 - Pressure Ulcer 3,490 2,892 2,126 3,314 2,623 2,679 2,298 3,287 Injurious Falls

3004. Mistaken Identity | PSNet
      psnet.ahrq.gov/web-mm/mistaken-identity
      December 18, 2014 - patients.( 8,9 ) All of these characteristics suggest a patient population that could be targeted for prevention … Given all of the noted "risk factors" for patient misidentification, a series of prevention strategies

3005. Information to Help Hospitals Get Started
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pptx
      July 23, 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

3006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860050/psn-pdf
      January 04, 2024 - While falling asleep, he was noted to have eye-rolling and he did not respond to his name, shaking his … On physical exam, the patient was asleep, arousing briefly with stimulation but then falling back to … Children’s Bureau Learning and Coordination Center (CBLCC), Prevent Child Abuse America, The Child Abuse Prevention

3007. A Stroke of Error | PSNet
      psnet.ahrq.gov/web-mm/stroke-error
      February 01, 2016 - Drift is scored if the arm falls before 10 seconds. … degrees, drifts down to bed, but has some effort against gravity. 3 = No effort against gravity; limb falls … Drift is scored if the leg falls before 5 seconds. … by the end of the 5-second period but does not hit bed. 2 = Some effort against gravity; leg falls … to bed by 5 seconds, but has some effort against gravity. 3 = No effort against gravity; leg falls to

3008. Crossed Coverage | PSNet
      psnet.ahrq.gov/web-mm/crossed-coverage
      September 01, 2015 - Implications for prevention. ADE Prevention Study Group. JAMA. 1995;274:29-34. … Wait until aPTT is For INRs significantly above the therapeutic range, hold warfarin until INR falls

3009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72624/psn-pdf
      January 05, 2021 - achieved performance goals but also supports accountability and data transparency when performance falls … Preventing Hospital-acquired pneumonia (HAP) Outside of the Ventilator-associated Pneumonia Bundle,” Prevention

3010. Final Research Plan: Prediabetes and Type 2 Diabetes: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/screening-for-prediabetes-and-type-2-diabetes
      November 15, 2018 - counseling or pharmacotherapy interventions for glycemic control Counseling interventions aimed at falls … prevention, balance, flexibility, gait, depression, or cognitive functioning Prenatal or postnatal

3011. Medication/Drug Errors | PSNet
      psnet.ahrq.gov/curated-library/medicationdrug-errors
      March 12, 2021 - hospital-acquired infections, medication errors, inpatient suicide, and specific clinical harms such as falls … Twitter Linkedin Copy URL Atlanta, GA: Centers for Disease Control and Prevention

3012. Electrocardiogram Results: ***READ ME*** | PSNet
      psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
      May 01, 2019 - May 31, 2023 Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

3013. Archived: Coronary Heart Disease: Screening Using Non-Traditional Risk Factors | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/coronary-heart-disease-screening-using-non-traditional-risk-factors-2009
      October 15, 2009 - reduction in CAC scores. 33 , 34 hs-CRP Level JUPITER (Justification for the Use of Statins in Prevention … ." 38 A joint statement by the American Heart Association and the Centers for Disease Control and Prevention … , at the discretion of the physician, may help direct further evaluation and therapy in the primary prevention … [PMID: 16531614] Lonn E, Yusuf S, Arnold MJ, Sheridan P, Pogue J, Micks M, et al; Heart Outcomes Prevention … Rosuvastatin in the primary prevention of cardiovascular disease among patients with low levels of low-density

3014. Record Linkage Concepts (pdf file)
      hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or19.pdf
      June 16, 2014 - Record Linkage Concepts Record Linkage Concepts Acknowledgements Slides adapted from training materials developed by CDC–NPCR Faculty: • Melissa Jim, CDC/IHS melissa.jim@ihs.gov • David Espey, CDC/IHS david.espey@ihs.gov CDC/Link Plus development and training: • Kathleen Thoburn • David Gu A…

3015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33589/psn-pdf
      September 15, 2024 - A regional health system in Canada reported a decrease in adverse events such as falls, pressure injuries … nurses to recommend organizational change was associated with fewer medication errors and patient falls

3016. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
      January 01, 2024 - are preventable. 17 From a safety engineering perspective,18, 19 this evidence, though informative, falls … Patient gets dizzy after first dose, falls, breaks hip and ends up in nursing home for rest of life. … Patient gets dizzy after first dose, falls, hits head, resulting in subdural hematoma. … Patient gets dizzy after first dose, falls, sprains dominant hand/wrist, needs in-home care for 2 weeks … Patient gets dizzy after first dose, falls, but no injury and stops med.

3017. Evidence Summary: Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Disease Risk Factors: Behavioral Counseling Interventions | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/healthy-lifestyle-and-physical-activity-for-cvd-prevention-adults-without-known-risk-factors-behavioral-counseling
      July 26, 2022 - -31 , 48 , 56 , 82 Twelve trials reported the incidence of musculoskeletal injuries, fractures, or falls … Prevention of weight gain in young adults through a seminar-based intervention program.  … Preventing weight gain in adults: the Pound of Prevention study.  … Prevention of cardiovascular risk factor elevations in healthy premenopausal women.  … physical activity counseling reported generally no differences in rates of musculoskeletal injuries or falls

3018. Referrals and Care Coordination | The Academy
      integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/referrals-and-care-coordination
      December 01, 2023 - community—can work with patients to guide them through the health care system and help prevent them from “falling … https://www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/index.html . … Assessment Tracking Patient Outcomes Recovery Plans for Recurrence of Use Prevention

3019. Archived: Osteoporosis: Screening, 2002 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/osteoporosis-screening-2002
      September 17, 2002 - white or Asian ethnicity, history of fracture, family history of osteoporotic fracture, history of falls … Washington, DC: Office of Disease Prevention and Health Promotion; 1996. 2. … Prevention of bone loss with alendronate in postmenopausal women under 60 years of age. … Alendronate Osteoporosis Prevention Study Group. Ann Intern Med 1998:253-61. 24. … Physician's guide to prevention and treatment of osteoporosis. Washington, DC: NOF; 1999.

3020. The Impact of Communication on Medication Errors | PSNet
      psnet.ahrq.gov/web-mm/impact-communication-medication-errors
      August 01, 2009 - failure and with a ventricular assist device (VAD) had been on warfarin for his VAD and for stroke prevention … risk factor for adverse drug events 4 and in 2008, for example, the Centers for Disease Control and Prevention … “Anticoagulant-Related Bleeding: Clinical Epidemiology, Prediction, and Prevention.” … Journal of Family Medicine and Disease Prevention 1 (3): 1–7. … August 1, 2009 WebM&M Cases A Tale of Two Falls