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3701. 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

3702. 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

3703. 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.

3704. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49754/psn-pdf
      February 01, 2016 - Although ascertaining tip position generally falls to radiologists, frontline clinicians should remember … Use of designated nurse PICC teams and CLABSI prevention practices among U.S. hospitals: a survey-based

3705. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49407/psn-pdf
      July 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

3706. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet
      psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
      June 15, 2024 - Nurses' perspectives on interprofessional communication in the prevention of functional decline in hospitalized … April 27, 2022 WebM&M Cases A Tale of Two Falls

3707. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-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

3708. 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

3709. Health IT Research Priorities To Support the Health Care Delivery System of the Future (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/health-it-research-priorities-to-support-health-care-delivery-system-of-future.pdf
      October 19, 2014 - One-size-fits-all approaches to prevention and chronic disease management will be replaced by economically … and clinically effective strategies that assess an individual patient’s specific needs and create prevention … • How might high-quality data visualization change the way care is delivered for wellness, prevention … • How might high-quality data visualization change the way care is delivered for wellness, prevention … http://www.ahrq.gov/professionals/prevention- chronic-care/improve/coordination/index.html.

3710. Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
      February 26, 2025 - With falls, for example, we have an aging population. … This may lead to more falls, not because the care has been compromised, but because there is a larger … population at risk for falls. … Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

3711. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
      February 26, 2025 - With falls, for example, we have an aging population. … This may lead to more falls, not because the care has been compromised, but because there is a larger … population at risk for falls. … Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

3712. Hard to Swallow | PSNet
      psnet.ahrq.gov/web-mm/hard-swallow
      April 26, 2023 - However, the responsibility hardly falls on the speech therapist alone. … Hospitals and clinicians should be cautious of quick fixes or reliance on a single prevention technique

3713. PowerPoint Presentation: Learn From Defects Through Sensemaking
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
      December 01, 2017 - Infection rates from hospital epidemiology and infection prevention also present known complications. … SAY: In the case of an elderly woman falling down in her hospital room, let’s list some factors that … Patient tries to get to the bathroom during the night and falls. 16 System Factors Impact Safety3 … occurs rarely but has a singular impact on this particular defect, consider working on a factor that falls

3714. High Reliability | PSNet
      psnet.ahrq.gov/primer/high-reliability
      January 29, 2020 - 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

3715. Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs: Summary (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/haidesign-summary.pdf
      September 01, 2013 - Understanding the Role of Health Care Facility Design in the Acquisition and Prevention of HAIs: Summary … Contract Final Report Understanding the Role of Health Care Facility Design in the Acquisition and Prevention … Understanding the role of health care facility design in the acquisition and prevention of HAIs. … Department of Health and Human Services, AHRQ, or the Centers for Disease Control and Prevention (CDC … This report describes and examines the role of the built environment in the acquisition and prevention

3716. 035-Importance-Mrsa-Prevention-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention The Importance of MRSA Prevention ICU & Non-ICU Slide Title … on the Importance of Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention. … Understanding how MRSA spreads and occurs is important for purposes of MRSA prevention. … The AHRQ Toolkit for MRSA Prevention in the ICU & Non-ICU optimizes MRSA prevention by focusing on decolonizing … No. 25-0007 October 2024 Importance of MRSA Prevention | 1 AHRQ Safety Program for MRSA Prevention

3717. Making It Work Tip Sheet: Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses.pdf
      April 01, 2022 - CAUTI prevention and urinary catheter maintenance. American Nurse. … April 2020;15(4). https://www.myamericannurse.com/cauti-prevention-and-urinary-catheter- maintenance … Catheter-associated urinary tract infection: a successful prevention effort employing a multipronged … Implementation of a nurse-driven CAUTI prevention algorithm. Nurs Clin North Am. 2019;54(1):81-96. … Prevention of nosocomial catheter-associated urinary tract infections through computerized feedback

3718. Final Recommendation Statement: Cervical Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/RecommendationStatementFinal/cervical-cancer-screening
      August 21, 2018 - Additional Approaches to Prevention The Centers for Disease Control and Prevention’s Advisory Council … The Centers for Disease Control and Prevention, the National Institutes of Health, and the HIV Medicine … While this is a much higher coverage rate than that of many other cancer screening programs, it still falls … 93% of women aged 21 to 65 years. 21 Further, the burden of cervical cancer incidence and mortality falls … Practice Bulletin No. 168: cervical cancer screening and prevention.

3719. Disposition of Comments_Comparative Effectiveness Review No. 275: Healthcare Delivery of Clinical Preventive Services for People With Disabilities (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-275-people-with-disabilities-disposition-comments.pdf
      September 16, 2024 - Association on Intellectual and Developmental Disabilities Executive summary The definition of "prevention … Public Reviewer #3 American Association on Intellectual and Introduction The definition of "prevention

3720. Jan-2017-Cholesterol-Wg-Notes (doc file)
      cds.ahrq.gov/sites/default/files/workgroups/216/jan-2017-cholesterol-wg-notes.docx
      January 01, 2017 - pursuing development of artifacts in alignment with other quality measures: · Statin use for primary prevention