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3921. An Ambulatory Care Curriculum for Advancing Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
      June 01, 2005 - Programmatically, it falls under AHRQ’s overall patient safety initiative aimed at medical societies

3922. Emergency Nurses Association content and transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/ena-slides.pdf
      September 01, 2015 - Transcript 25 Quality Improvements Click on each quality improvement program for CAUTI prevention … • We traditionally thought that a catheter was helpful in preventing falls because patients didn’t … catheter doesn’t eliminate the urge to urinate, and tubing can actually contribute to tripping and falling

3923. Emergency Nurses Association content and transcript (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/ena-slides.pdf
      September 01, 2015 - Transcript 25 Quality Improvements Click on each quality improvement program for CAUTI prevention … • We traditionally thought that a catheter was helpful in preventing falls because patients didn’t … catheter doesn’t eliminate the urge to urinate, and tubing can actually contribute to tripping and falling

3924. Eliminating CLABSI, A National Patient Safety Imperative: Final Report (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
      October 01, 2012 - Many States used their regional HAI-prevention work groups developed as a result of the Centers for … Disease Control and Prevention (CDC) American Recovery and Reinvestment Act (ARRA) grants or other mechanisms … These included representatives from the State QIO, State health department, PSO, State infection prevention … gained in the project and through stakeholder consortia, 2) spread the CUSP model and spread CLABSI prevention … (Prompt: QIOs, State Department of Health, local chapters on infection prevention, State Medical Societies

3925. Chapter 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/vision/resources/vision1.html
      October 01, 2002 - Chapter 1 Vision Rehabilitation: Care and Benefit Plan Models: Literature Review Introduction There is a growing need for public and private health and social services programs to serve people with disabilities. Rehabilitation services may include medical or surgical therapy, environmental measures, or so…

3926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846564/psn-pdf
      March 29, 2023 - Technology as a Tool for Improving Patient Safety March 29, 2023 Holmgren AJ, McBride S, Gale B, et al. Technology as a Tool for Improving Patient Safety . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety Introduction  In the past several decades, technological a…

3927. Technology as a Tool for Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
      April 26, 2023 - November 27, 2023 Perspectives on Safety Suicide Prevention … Interview In Conversation with Edwin Boudreaux about Suicide Prevention

3928. Screening for Depression and Suicide Risk in Adults: US Preventive Services Task Force Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/bF_Y9vcT3eNPdHjTxPZsUZ
      April 17, 2023 - Evidence of other harm- ful outcomes (eg, cardiovascular-related, bleeding, mortality, risk of falls … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention; 2019. 18. … Centers for Disease Control and Prevention. Published 2017. … Centers for Disease Control and Prevention. Published 2019.

3929. HIT Based Regional Medication Management Pharmacy System (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014965-schmidt-final-report-2007.pdf
      January 01, 2007 - Im po rt an ce S ca le Im po rt an ce S ca le Green Zone: Definitely measure any metric falling … Yellow Zone: For metrics falling within this zone, weigh the importance of the metric to the project … Red Zone: The costs of obtaining the data for metrics falling within this zone exceed the value of the

3930. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72586/psn-pdf
      December 23, 2020 - intuitive sense when we think about the sheer number of demands on our health care teams, but often falls … possible solutions, but they must be implemented at a system-wide level to ensure no vulnerable patient falls

3931. Strategy 3: Bedside Shift Report (Tool 3)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
      July 23, 2010 - improves patient safety and service delivery.2,3 For example, one study showed a decrease in patient falls … during change of shift, dropping from one to two patient falls per month to one patient fall in 6 months

3932. High Reliability Organization (HRO) Principles and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
      February 26, 2025 - together, high reliability principles are associated with lower levels of medication errors and patient falls … (measured on a 1-to-7 scale) was associated with 25% fewer medication errors and 37% fewer patient falls … high reliability approaches are associated with things like fewer medication errors, fewer patient falls … And the source of both becoming highly reliable and falling apart was leadership.

3933. In Conversation with Timothy Vogus about High Reliability Organization (HRO) Principles and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
      February 26, 2025 - high reliability approaches are associated with things like fewer medication errors, fewer patient falls … And the source of both becoming highly reliable and falling apart was leadership. … together, high reliability principles are associated with lower levels of medication errors and patient falls … (measured on a 1-to-7 scale) was associated with 25% fewer medication errors and 37% fewer patient falls

3934. Trends and Disparities in Delivery Hospitalizations Involving Severe Maternal Morbidity, 2006-2015 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb243-Severe-Maternal-Morbidity-Delivery-Trends-Disparities.pdf
      February 01, 2018 - Centers for Disease Control and Prevention. … Accessed April 24, 2018. 12 Centers for Disease Control and Prevention. … indicator of severe maternal morbidity; during the first 3 quarters of 2015, the number of deliveries falling … Hospitals were ranked by this percentage, and those hospitals falling in the top 25 percent were defined … Hospitals were ranked by this percentage, and those hospitals falling in the top 25 percent were defined

3935. 2021 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
      December 01, 2021 - Health Plan Survey Database • National Patient Safety Database (NPSD) Centers for Disease Control and Prevention … Office of the Assistant Secretary for Planning and Evaluation • CDC: Centers for Disease Control and Prevention … NPCR: National Program of Cancer Registries ◼ NCCDPHP-ONDIEH: National Center for Chronic Disease Prevention … tract infection MDS 2018 Long-stay nursing major injury home patients experiencing one or more falls … tract infection MDS 2018 Long-stay nursing major injury home patients experiencing one or more falls

3936. Using Health Information Technology to Support Population-Based Clinical Practice - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/k08hs018538-gesteland-final-report-2014.pdf
      January 01, 2014 - epidemiology perspective, 3) evidence-based practice, 4) an emphasis on outcomes and 5) an emphasis on prevention … e) An emphasis on prevention: Knowledge of available prevention strategies and how to apply them. … activity—coupled with data about their individual practice patterns and recommendations about diagnosis, prevention

3937. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/health-literacy-pfe-transcript.doc
      July 09, 2013 - , first helping you to understand the concept of health literacy and its role in your work on CAUTI prevention … Moving on now to Slide 11, how does this apply to our CAUTI prevention efforts? … catheter because they’re afraid of soiling linens, or they’re afraid of incontinence, or they’re afraid of falling … If you’re concerned about falling, please let the hospital staff know, because there are extra precautions … So for example, care plans for patient safety will often include plans to try to prevent falls.

3938. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
      June 10, 2014 - Arjun Srinivasan is the Associate Director for Healthcare-Associated Infection Prevention Programs in … the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention, and … little bit, I think, different from many of the webinars that you guys probably have talking about CAUTI prevention … But I think this is an incredibly important topic for all of you who were so focused on CAUTI prevention … is being asked with respect to documentation, quality, fall risk, urinary catheter appropriateness, falls

3939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49705/psn-pdf
      January 01, 2020 - Due to these symptoms, he had multiple falls and an inability to grasp simple objects. … patient returned 2 more times to the same clinic with worsening symptoms, including more frequent falls

3940. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
      February 01, 2023 - May 31, 2023 Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023