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3781. In Conversation with...Geri Amori, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
      December 01, 2010 - remember most vividly was that the focus of people in the C-suite was very much on lawsuits: lawsuit prevention … First, in the mid-1990s, RMF's loss prevention staff saw an alarming trend in malpractice cases related … More recent evidence comes from the Malpractice Insurers Medical Error Prevention Study, a large study … 31, 2024 Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

3782. R18Hs017203-Gurwitz-Final-Report-2011 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017203-gurwitz-final-report-2011.pdf
      January 01, 2011 - Implications for prevention. ADE Prevention Study Group. JAMA. … Falling through the cracks: challenges and opportunities for improving transitional care for persons

3783. Using HIT to Improve Transitions of Complex Elderly Patients from SNF to Home - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017817-field-final-report-2012.pdf
      January 01, 2012 - fracture 13 13 0.9559 Hip joint replacement 10 3 0.0407 History of frequent falls … Implications for prevention. ADE Prevention Study Group. … Falling through the cracks: challenges and opportunities for improving transitional care for persons

3784. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
      June 01, 2023 - Falling through the cracks: information breakdowns in critical care handoff communication.

3785. Health Care Worker Presenteeism: A Challenge for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/health-care-worker-presenteeism-challenge-patient-safety
      November 03, 2015 - Although infection prevention efforts have traditionally focused on preventing transmission of infection … Training Program November 1, 2011 WebM&M Cases Falling

3786. Program Impact | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal3.html
      January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Program Impact Previous Page Next Page Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Final Report Executive Summary Report Organization Program Implementation Program Impact What We Learned…

3787. EvidenceNOW: Virginia Cooperative | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/virginia.html
      March 01, 2021 - practices have the evidence they need to help their patients adopt the ABCS of cardiovascular disease prevention … Centers for Disease Control and Prevention. Interactive Atlas of Heart Disease and Stroke. … Centers for Disease Control and Prevention. Interactive Atlas of Heart Disease and Stroke.

3788. Improving Patient Safety with the Military Electronic Health Record (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
      January 24, 2004 - reporting, the DoD forwards nonindividually identifiable diagnoses to the Centers for Disease Control and Prevention … Department of Defense (Health Affairs), Falls Church, VA (MJC, PSJ, BJH). … Department of Defense (Health Affairs), 5111 Leesburg Pike, Suite 810, Falls Church, VA 22041; phone

3789. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
      January 01, 2024 - Massachusetts Coalition for the Prevention of Medical Errors Lucian L. Leape, M.D. … Massachusetts Coalition for the Prevention of Medical Errors Katherine Howitt, M.A. … Adjustments to the sample included under-sampling reported falls to insure inclusion of all rarer types … A larger percentage of these incidents were falls involving fracture, but not death of the patient, … Paula Griswold, Executive Director of the Massachusetts Coalition for the Prevention of Medical Errors

3790. Info FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/faqs/index.html?page=13
      What type of information falls under FOIA?

3791. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
      June 02, 2025 - AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions SOPS® Hospital Survey Items and Composite Version: 1.0 Language: English Note • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a …

3792. Heart Health NOW! Advancing Heart Health in NC Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/timeline-checklist-nc.pdf
      April 01, 2018 - practice availability and needs, to implement evidence-based practices for cardiovascular disease (CVD) prevention … informatics support with the expectation that you will: implement evidence-based practices for CVD prevention

3793. Staying Active and Healthy with Blood Thinners - Transcript | Agency for Healthcare Research and Quality
      www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/stayactive-tr.html
      September 01, 2015 - Staying Active and Healthy with Blood Thinners - Transcript Special Report: Blood Thinner Medications Narrator: Recently, your doctor has prescribed a blood-thinning drug, like Warfarin, for you. And you probably have lots of questions. Well, sit back and relax as over the next few minutes we'll attempt to a…

3794. Rafael Borja (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
      September 09, 2014 - Wayne State University School of Medicine & Hospital Epidemiologist, and Medical Director of Infection Prevention … Fletcher will be discussing the role of unis culture on prevention of claudi. … We know, of course, that having catheter in could lead to falls, but having a catheter out can also theoretically … lead to falls because patients are getting up to the bathroom more and may or may not wait for the nurse … One of the goals of this study was to better understand unit level culture around CAUTI prevention.

3795. Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
      November 01, 2015 - Wayne State University School of Medicine & Hospital Epidemiologist, and Medical Director of Infection Prevention … Fletcher will be discussing the role of unis culture on prevention of claudi. … We know, of course, that having catheter in could lead to falls, but having a catheter out can also theoretically … lead to falls because patients are getting up to the bathroom more and may or may not wait for the nurse … One of the goals of this study was to better understand unit level culture around CAUTI prevention.

3796. Opioid Safety | PSNet
      psnet.ahrq.gov/primer/opioid-safety
      December 15, 2024 - The Department of Health and Human Services has released an  overdose prevention strategy  to combat … the opioid crisis which includes prevention, harm reduction, treatment, and recovery. … May 4, 2022 The Joint Commission's new and revised workplace violence prevention standards … March 6, 2019 Prevention of prescription opioid misuse and projected overdose deaths

3797. Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
      April 24, 2024 - Although differences have been reported on patient variables like hospital-acquired pressure ulcers, falls … After the onset of the COVID-19 pandemic, and with a grant through the Centers for Disease Control and Prevention

3798. In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges | PSNet
      psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
      April 24, 2024 - After the onset of the COVID-19 pandemic, and with a grant through the Centers for Disease Control and Prevention … Although differences have been reported on patient variables like hospital-acquired pressure ulcers, falls

3799. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866395/psn-pdf
      July 23, 2024 - Rescue Improvement Conference Innovation Summary July 23, 2024 https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary Summary The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure to rescue with a particular focus on communication and com…

3800. Measurement | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/implement/pre/measure.html
      January 01, 2024 - physician, nurse, pharmacist), and sometimes the grouping is based on the level the object or action falls