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3981. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
      September 01, 2015 - Infection prevention plays a consulting and facilitating role to support the effort. … care nurses and physical therapists would discourage UC use to reduce the risk for immobility and falls … Guidelines for the Prevention of intravascular catheter-related infections. … Consensus conference on prevention of central line-associated bloodstream infections: 2009. … Guideline for prevention of catheter‐associated urinary tract infections 2009.

3982. State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
      January 17, 2024 - Common geriatric syndromes such as frailty, dementia, delirium, falls, and incontinence may complicate … Geriatric syndromes (e.g., delirium, falls, reduced/loss of appetite or anorexia, or functional impairment … He was initially diagnosed with a labyrinthine concussion due to ongoing symptoms of “falling backwards … Recent research from the Centers for Disease Control and Prevention suggests that about 10 percent of … The U.S. eldercare workforce is falling further behind. Nature Aging. 2021;1(4):327-329.

3983. AHRQ Summit to Address Emergency Department Boarding (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/ed-boarding-summit-report.pdf
      March 01, 2025 - While strategies to support ED staff—such as violence prevention programs, peer-support groups, and … • Poorer infection prevention and control measures. • Lower compliance with standards of care. … tremendously stressful conditions that boarding can cause: • Develop and implement ED-specific violence prevention … Burnout Falls, But Still Hits These 6 Physician Specialties Most. American Medical Association. … Accessed December 2024. https://www.ama-assn.org/practice-management/physician- health/burnout-falls-still-hits-these

3984. C97Uqjxbuhjnuondkvchzu (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/c97uqjXbUHjNuoNDkvChZu
      August 01, 2013 - also been implicated as a major factor in morbidity and mortality as a result of trauma, including falls … Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention … Report to Congress on the Prevention and Reduction of Underage Drinking. … Centers for Disease Control and Prevention (CDC). … Fetal Alcohol Syndrome: Diagnosis, Epidemiology, Prevention, and Treatment.

3985. Puh-Implementation-Handouts (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-handouts.pdf
      July 01, 2016 - Rehab Director: We always consider if particular support surfaces are needed for pressure ulcer prevention … The need to do this was stressed during the pressure ulcer prevention and healing education that we … Then, once a week we meet with Curtis [Rehab Director] to talk about residents who have had falls and … Pressure ulcers are always on the agenda; sometimes we have QAA projects related more to prevention … AHRQ’s Safety Program for Nursing Homes: On-Time Prevention 27 Handouts: Implementation of the Healing

3986. In Conversation With… Ashish K. Jha, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
      May 01, 2013 - the adoption of evidence-based guidelines, including catheter-associated urinary tract infections and falls … from Medicare's Inpatient Quality Reporting (IQR) program, including process measures focused on the prevention … In 2014, the program will expand to include the prevention of catheter-associated urinary tract infection … The impact of computerized physician order entry on medication error prevention.

3987. Jul-2017-Cholesterol-Wg-Notes (doc file)
      cds.ahrq.gov/sites/default/files/workgroups/246/jul-2017-cholesterol-wg-notes.docx
      January 01, 2017 - experiences with numerous clinical domains under consideration for the Option Year work: Expand CVD prevention … Geriatric-fall prevention: This would provide high impact decision support for a well-defined target

3988. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49667/psn-pdf
      October 01, 2012 - Looking for Meds in All the Wrong Places October 1, 2012 Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places The Case A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She went to t…

3989. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50615/psn-pdf
      October 30, 2019 - patients of similar age arrived at the same time to the emergency department (ED) after sustaining falls

3990. CHIPRA - Spotlight on Colorado (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/co-statesum.pdf
      July 01, 2015 - CHIPRA - Spotlight on Colorado July 2015 This brief highlights the major strategies, lessons learned, and outcomes from Colorado’s experience in the quality demonstration funded by the Centers for Medicare & Medicaid Services (CMS) through the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIP…

3991. Spotlight on New Mexico | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/statesummaries/nm-spotlight.html
      July 01, 2015 - Spotlight on New Mexico July 2015 This brief highlights the major strategies, lessons learned, and outcomes from New Mexico's experience in the quality demonstration funded by the Centers for Medicare & Medicaid Services (CMS) through the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPR…

3992. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
      June 01, 2014 - ward or unit without assistance place themselves at risk for complications that include: Slips and falls

3993. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
      February 01, 2017 - The patient was alert and oriented when she arrived in the ED, but she did report falling and hitting

3994. Code Status vs. Care Status | PSNet
      psnet.ahrq.gov/web-mm/code-status-vs-care-status
      September 30, 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

3995. Preparing for and Recovering After Colorectal Surgery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/colorectal-booklet.pdf
      November 01, 2023 - Preparing for and Recovering After Colorectal Surgery Preparing for and Recovering After Colorectal Surgery e Colorectal Surgery Patient Education Guide 1 Preparing for and Recovering After Colorectal Surgery Patient Name ___________________________________________________________________ Surgeon Name __…

3996. Central Venous Catheter Indications and Alternatives Facilitator Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
      April 01, 2022 - resources · Routine use to manage incontinence without an appropriate indication · Reducing the risk for falls

3997. Unexpected Drawbacks of Electronic Order Sets | PSNet
      psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
      December 01, 2017 - Effect of computerized physician order entry and a team intervention on prevention of serious medication … Leads to Sepsis October 1, 2016 WebM&M Cases Falling

3998. Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
      March 01, 2020 - 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

3999. Outcomes and Objectives Workgroup: Integration of Patient-Centered Clinical Decision Support Into Shared Decision Making (pdf file)
      cdsic.ahrq.gov/sites/default/files/2023-09/FINAL%20OO%20PC%20CDS%20SDM%20Report.pdf
      January 01, 2023 - For example, a fall prevention toolkit that incorporated clinician talking points resulted in a 15% … reduction in patient falls.49 3.2.4 Health & Digital Literacy In addition to these barriers and facilitators … IDeA) designed to increase patient knowledge and lessen decision making uncertainty around stroke prevention … Personalized, Electronic Health Record- Integrated Decision Aid for Stroke Prevention in Atrial Fibrillation … Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries: A Nonrandomized

4000. Kidney-Stone-Prevention Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/kidney-stone-prevention_executive.pdf
      March 01, 2013 - regarding whether incidence is rising overall but consistently report rising incidence in women and a falling … • RCTs for prevention of recurrent struvite stones (and prevention of pyelonephritis and impaired … Kidney stones: prevention of recurrent calcium nephrolithiasis. … Randomized trial of allopurinol in the prevention of calcium oxalate calculi. … Soft drink consumption and urinary stone recurrence: a randomized prevention trial.