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3681. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
      January 01, 2020 - Implement the VTE Prevention Protocol Chapter 6. Track Performance with Metrics Chapter 7. … Risk assessment as a guide for the prevention of the many faces of venous thromboembolism. … VTE prevention guidelines for medical inpatients: mind the (implementation) gap. … VTE prevention guidelines for medical inpatients: mind the (implementation) gap. … Prevention of VTE in nonsurgical patients.

3682. CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
      September 08, 2015 - Measures in the Child Core Set cover a range of health domains, including prevention and health promotion … member said, “Until you get your EHR up to speed with what you’re doing clinically, your EHR is falling … “Until you get your EHR up to speed with what you’re doing clinically, your EHR is falling short.

3683. Schwitzer_ECCS2012 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/schwitzer_eccs2012.pdf
      July 23, 2012 - o He eventually  decided to  undergo  surgery:  “When you see the  people   around you falling … decision-­‐making issues Slide 22: Resources  for Journalists • NIH  Office  of Disease  Prevention

3684. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/vte-prophyalaxis_research-protocol.pdf
      March 01, 2011 - Generally, the burden of VTE among patients with CKD also falls disproportionately on Hispanics and … of recurrent PE when anticoagulants are contraindicated Celect ® Retrievable Cook Prevention of … recurrent PE when anticoagulants are contraindicated Gunther Tulip ® Retrievable Cook Prevention … Prevention of Venous Thromboembolism After Injury. … Prevention of venous thromboembolism in obesity.

3685. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
      December 01, 2017 - Ulcers in Hospitals Guide to Patient and Family Engagement in Hospital Quality and Safety Preventing Falls … Provider-level (and area-level * ) indicators Risk-adjusted (age, sex, birth weight, MS-DRG, MDCs, CCS) Prevention

3686. Final Progress Report: Demonstration Project To Refine, Automate and Test a Novel Emergency Department Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
      January 01, 2025 - National Academy of Medicine, and National Coordination Council for Medication Error Reporting and Prevention … MERP = Medical Error Reporting and Prevention index. … POA AEs were more likely to be patient care related (38.6% vs. 4.7%); the most common subtypes were falls … In contrast, in non-PA/ LTC patients, falls and traumatic injury accounted for only 8% of patient care-related … hypotension, delirium/ confusion, various bleeding events, surgical complications and injuries from falls

3687. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
      March 10, 2008 - countries: (1) cardiac care, (2) diabetes mellitus, (3) mental health, (4) patient safety, and (5) prevention … denominator exclusions for this indicator, which are intended to exclude patients at high risk of falling … patients excluded are precisely those for whom a “safe” hospital could institute safeguards to prevent falls … AHRQ should revisit the large block of denominator exclusions identifying patients at risk for falls … no discernible effect on, or association with, alertness and presumably no effect on the risk of falling

3688. Recurrent Hypoglycemia: A Care Transition Failure? | PSNet
      psnet.ahrq.gov/web-mm/recurrent-hypoglycemia-care-transition-failure
      December 23, 2020 - Take-Home Points An EHR facilitates error prevention at the point of care, as a first layer of protection … Related Resources Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

3689. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet
      psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
      February 26, 2025 - reconciliation : For sites seeking to improve the medication reconciliation as part of readmission prevention … May 31, 2023 Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

3690. Retained Surgical Items: Definition and Epidemiology. | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
      September 15, 2024 - Patient Safety Primers Retained Surgical Items: Causation and Prevention … Patient Safety Primers Retained Surgical Items: Causation and Prevention … Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Patient falls

3691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837791/psn-pdf
      August 05, 2022 - For example, health information technology (HIT)-based solutions for infection prevention that were … diagnosis); however, they remain challenging and progress to date on decreasing diagnostic errors falls … include renewed interest in new and well- established patient safety practices (PSPs), such as infection prevention-related

3692. Traumatic-Brain-Injury-Rehabilitation Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/traumatic-brain-injury-rehabilitation_research-protocol.pdf
      October 25, 2010 - Major causes of civilian TBIs include falls (35.2 percent), motor vehicle accidents (17.3 percent), … long-term disability increases with age, is higher among women, and occurs most often with TBIs from falls … Atlanta, GA: Centers for Disease Control and Prevention, National Center for Injury Prevention and

3693. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Health Information Technology and Health Information Exchange (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
      January 01, 2025 - help providers learn from errors ■ Reduce patient harms and errors within hospital settings (e.g., falls … both the electronic and print versions, because patients are more likely to believe they need a fall prevention … plan and then follow that plan if they know their risks of harm for falling. … from prospective medication monitoring care plans when complex medication regimens carry risks for falls

3694. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
      September 01, 2016 - during Safe Table events: ■ Failure to inform patients of abnormal test results ■ Factors related to falls … ■ Prevention of health care-associated infections ■ Responses to patient violence and aggression

3695. Create a Safe Medicine List Together (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-slides-508.pdf
      June 02, 2025 - taken as prescribed Presenter Presentation Notes According to the Centers for Disease Control and Prevention … He did have a few falls from his bike and has started using a stationary bike instead.

3696. Using Geographic Information to Target Health Disparities: State Experience
      hcup-us.ahrq.gov/reports/race/GeographicInfoIB.jsp
      June 01, 2016 - times higher than the average. 9 In the hardest hit census blocks in Providence, Pawtucket, Central Falls … See additional resources on GIS mapping from the Centers for Disease Control and Prevention at http:/

3697. Bleeding Risk | PSNet
      psnet.ahrq.gov/web-mm/bleeding-risk
      November 01, 2003 - heparin, with a plan to initiate warfarin once it became clear that that she was not at high risk for falls … Take-Home Points Oral warfarin is safe and effective in the treatment and prevention of many thromboembolic

3698. Glucose Roller Coaster | PSNet
      psnet.ahrq.gov/web-mm/glucose-roller-coaster
      February 02, 2022 - May 31, 2023 Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

3699. Patient Safety and Adherence to Self-Administered Medications | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
      September 29, 2011 - 31, 2024 Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

3700. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50756/psn-pdf
      December 18, 2019 - , also requires a prescriber to provide education to a patient and his or her designee on overdose prevention … The responsibility to provide education falls on both the prescriber and the dispensing pharmacist.