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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866846/psn-pdf
    September 24, 2024 - found a 37% increase in reporting, and decreases in preventable harm: 39% decrease in injuries with falls
  2. www.ahrq.gov/news/newsletters/e-newsletter/928.html
    September 01, 2024 - Applicants Sought to Establish State-Based Healthcare Extension Cooperatives Issue Number 928 AHRQ News Now is a weekly newsletter that highlights agency research and program activities. September 10, 2024 AHRQ Stats: Sepsis Treatment Locations 2019 to 2021 About 85 percent of sepsis cases were treated…
  3. psnet.ahrq.gov/web-mm/failure-report
    July 01, 2008 - The nurse's failure to confirm the medication's identity prior to administration falls into the category
  4. effectivehealthcare.ahrq.gov/sites/default/files/crosscutting_hi_impact.pdf
    January 01, 2012 - names of hospital and clinical staff to reduce risk of patient disorientation and delirium; fall prevention … calendars; boards with the names of hospital and clinical staff to reduce risk for patient delirium; fall prevention … lighting, soft colors, and noise abatement features, handrails, flooring that is less likely to cause falls … available resources. 35 However, this design poses many risks to the elderly population, including falls
  5. effectivehealthcare.ahrq.gov/sites/default/files/pdf/patient-safety-practices_research-protocol.pdf
    November 09, 2011 -  Medication reconciliation (Transitions in care)  Rapid response team  In addition to fall prevention … decision support  Protocols for notification of test results to patients  Geriatric/delirium prevention …  Preventing ventilator-associated pneumonia – coordinate with AHRQ HAI report  Pressure ulcer prevention … checklists as a general strategy (not just for specific indications)  Simulator-based training  prevention … strategies for preventing tubing misconnections  Clinical pharmacist consultation services  Prevention
  6. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology5.html
    April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Conceptual Paradigms of Diagnostic Quality, Safety, and Excellence Previous Page Next Page Table of Contents Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Introduction Perspectives on Di…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861738/psn-pdf
    January 31, 2024 - Patients should lie supine during the exam to avoid vasovagal reactions that could lead to falls and … Human errors and their prevention in healthcare. … Human errors and their prevention in healthcare.
  8. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-01/spotlight_case_laceration_needed_exam_not_x-ray_final.pdf
    January 01, 2024 - • Patients should lie supine during the exam to avoid vasovagal reactions that could lead to falls … Human errors and their prevention in healthcare. … Human errors and their prevention in healthcare.
  9. psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
    January 31, 2024 - February 26, 2025 Patient Safety Innovations Suicide Prevention … May 31, 2023 Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023
  10. psnet.ahrq.gov/web-mm/which-line-ordering-provider-or-proceduralist
    September 16, 2015 - The Lean management approach provides a useful taxonomy for such prevention of error propagation, termed … 28, 2023 Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023
  11. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
    November 11, 2019 - Office of Disease Prevention and Health Promotion. … medications simultaneously was significantly associated with reductions in both the number of reported falls … 0.34 (p<0.001), reflecting a decrease in the cumulative exposure to medications, and the number of falls … Office of Disease Prevention and Health Promotion. … cognition scores or reported quality of life Reduction in drug burden index scores, numbers of falls
  12. psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
    November 30, 2023 - Increasing Hospitalizations for DKA: A Need for Prevention Programs.  … Centers for Disease Control and Prevention (CDC). National Diabetes Statistics Report, 2020. … Atlanta, GA: Center for Disease Control and Prevention, U.S.
  13. www.uspreventiveservicestaskforce.org/uspstf/recommendation/gonorrhea-screening-including-ocular-prophylaxis-newborns-1996
    January 01, 1996 - Centers for Disease Control and Prevention. Summary of notifiable diseases, United States, 1994. … Centers for Disease Control and Prevention, Division of STD/HIV Prevention. 1993 annual report. … Atlanta: Centers for Disease Control and Prevention, 1993. 3. Hook EW III, Handsfield HH. … Centers for Disease Control and Prevention, Division of STD/HIV Prevention. … Atlanta: Centers for Disease Control and Prevention. 1995. 8. Webster LA, Berman SM, Greenspan JR.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49626/psn-pdf
    May 01, 2011 - Effective prevention strategies are available that can significantly reduce the risk of HCWs contracting … Prevention Strategies In addition to disease-specific strategies, HCW screening and ongoing guidance … Atlanta, GA: Centers for Disease Control and Prevention. [Available at] 2. … Recommendations for prevention of HIV transmission in health-care settings. … Washington, DC: Centers for Disease Control and Prevention; April 13, 1999. [Available at] 8.
  15. effectivehealthcare.ahrq.gov/sites/default/files/pdf/gout_consumer.pdf
    January 01, 2017 - tissues hold extra water) ��Mood changes �� Increased appetite ��Weight gain �� Insomnia (trouble falling
  16. effectivehealthcare.ahrq.gov/sites/default/files/related_files/cancer-ovarian-contraceptives_executive.pdf
    June 01, 2013 - Scope and Key Questions This evidence report was funded by the Centers for Disease Control and Prevention … sample size Publications • English-language only • Peer-reviewed articles • Outcome reporting falls … There are few available data on patient preferences relevant to the use of OCs as primary prevention … This is in addition to the beneficial effects of prevention of unwanted pregnancy. … Oral Contraceptive Use for the Primary Prevention of Ovarian Cancer.
  17. psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
    March 27, 2024 - SPOTLIGHT CASE Hidden Heparins: HIT Happens Citation Text: Fogarty PF. Hidden Heparins: HIT Happens. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3…
  18. psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
    January 24, 2018 - The prevention and management of complications associated with PEG tubes in adults. … March 8, 2023 Falling through the cracks: the invisible hospital cleaning workforce.
  19. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2010
    January 01, 2010 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2010 Project Name Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home Princi…
  20. digital.ahrq.gov/ahrq-funded-projects/flualert-influenza-vaccine-alerts-providers-electronic-health-record/annual-summary/2012
    January 01, 2012 - FluAlert: Influenza Vaccine Alerts for Providers in the Electronic Health Record - 2012 Project Name FluAlert: Influenza Vaccine Alerts for Providers in the Electronic Health Record Principal Investigator Stockwell, Melissa S. Organization Columbia University Funding …