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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
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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…
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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
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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
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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
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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…
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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.
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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.
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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
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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
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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
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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.
-
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.
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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.
-
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
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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.
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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…
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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.
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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…
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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 …