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4041. Hospital Survey on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
      June 02, 2025 - • “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events

4042. Staffing During the COVID-19 Pandemic: A Guide for Nursing Home Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/materials/guide-staffing-during-COVID19.pdf
      June 02, 2025 - therapists can conduct accident investigations, implement care plan updates, and lead teams in fall/injury prevention … Coronavirus Waivers and Flexibilities for Health Care Providers The Centers for Disease Control and Prevention

4043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33660/psn-pdf
      December 01, 2007 - Number one, because there's a notion that this is not something that falls within our accountability

4044. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33721/psn-pdf
      November 01, 2011 - Reducing falls and fall-related injuries in the VA system. J Healthc Saf Q. 2003;1:25-33. 8.

4045. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
      April 09, 2004 - Incident reporting in New York State emerged statutorily in 1986 as part of the Malpractice Prevention … outcomes and incidents, placing the already- existing reporting system into the context of malpractice prevention … Embolic and related disorders • Laparoscopic complications • Perioperative injuries • Burns • Falls … Issue #13 provided guidance to facilities regarding prevention of surgical fires and burns. … Public Health Law §2805-j, Medical, dental and podiatric malpractice prevention program (Added L.

4046. Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults: USPSTF Recommendation Statement (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/RwHjq3L5fN5gdWsp_sSwA3
      August 02, 2018 - academic consequences from drinking such as miss- ing class, doing poorly on examinations or papers, falling … vehicle collisions),25,42 and about 1 in 4 stu- dents report that alcohol use contributes to missing or falling … Centers for Disease Control and Prevention (CDC). Fact sheets—underage drinking. … Centers for Disease Control and Prevention (CDC). … Committee on Substance Use and Prevention.

4047. Improving the Management of Menopausal Symptoms in Perimenopausal and Early Postmenopausal Women: A Systematic Review (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/menopausal-symptoms-protocol-final.pdf
      October 15, 2024 - The findings of this review will inform the NIH Pathways to Prevention Workshop on Improving the Management … Once the highest remaining priority score consistently falls below 0.20, we will evaluate the remaining … Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Persons: Updated … Role of the Funder This project was commissioned by the Office of Disease Prevention (ODP) of the National … Institutes of Health (NIH) to inform a Pathways to Prevention workshop.

4048. Mapping a Large Patient Safety Database to the 2005 Patient Safety Event Taxonomy (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Clarke_8.pdf
      January 25, 2008 - the organizational, technical, patient, and practitioner causes for any error, plus the indicated prevention … Practitioner 38.3 21.0 59.3 Type: Communication 36.2 21.7 57.9 Cause: Organizational 43.3 10.5 53.8 Prevention … : Selective 8.3 Prevention: Universal 7.6 6 Table 2. … We already spend time critiquing causes and prevention during discussions in weekly group analyses of … domain (setting, providers, and patient characteristics); three, the cause; four, the impact; and five, prevention

4049. 003-Clabsi-Prevention-Webinar-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/003-clabsi-prevention-webinar-fg.docx
      October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Central Line-Associated Bloodstream Infections … ICU & Non-ICU Slide Title and Commentary Slide Number and Slide Prevention of Central Line-Associated … Bloodstream Infections SAY: Welcome to this presentation on the Prevention of Central Line-Associated … This principle applies to central line insertion and CLABSI prevention as well. … No. 25-0007 October 2024 Prevention of CLABSI AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU

4050. Recommendation: Gestational Diabetes: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/gestational-diabetes-screening
      August 10, 2021 - The USPSTF has several recommendations related to pregnancy and the prevention of gestational diabetes … Screening for Gestational Diabetes: AFP's Putting Prevention … Related USPSTF Recommendations The USPSTF has several recommendations related to pregnancy and the prevention

4051. Self-management via Health Kiosk by Community-residing Older Adults - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs022889-matthews-final-report-2021.pdf
      January 01, 2021 - providers (Medical Interview Satisfaction Survey);7 self-efficacy pertaining to health promotion and prevention … Topics included: 1) principles of self-management including health promotion, disease prevention, and … Managing Chronic Disease Scale • Questions ascertaining self-efficacy pertaining to health promotion and prevention … , kicking, punching, screaming); restless legs; snoring, gasping, breathing pauses; and difficulty falling … We also detected differences across venues for history of falls and fear of falling, bladder control

4052. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
      January 01, 2025 - accident prompted concerns about the safety of nuclear power and led to a system-level focus of error prevention … As an example, use of a FMEA to evaluate the slips and falls prevention process in one hospital resulted … in a 50% reduction in slips and falls over a 2-year period.14 C.6. … BMJ 1998;316:1154-57. 19 Engineers study design, hospital cuts falls 50%.

4053. Mother's Milk, but Whose Mother? | PSNet
      psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
      November 15, 2023 - The role of critical incident monitoring in detection and prevention of human breast milk confusions.

4054. Vitamin D and Calcium: A Systematic Review of Health Outcomes (Update) (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/vitamin-d-calcium_executive.pdf
      September 01, 2014 - Fractures, Falls, or Performance Measures of Strength The current report did not identify any new RCTs … An association was seen between lower 25(OH)D concentrations and increased risk for falls over a year … A B-rated subgroup analysis of a secondary prevention trial of adenomatous adenoma reported that people … no significant effect of combined vitamin D (1200 IU/d) and calcium (375 mg/d) supplementation on prevention … We identified one new RCT that assessed effects of supplementation on risk for falling: This study found

4055. On-Time Pressure Ulcer Healing: Introduction to Pressure Ulcer Healing Reports Facilitator Training Instructor's Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/erepguide.html
      December 01, 2016 - The criteria for delayed healing were derived from the 2014 International Pressure Ulcer Prevention … Prevention and treatment of pressure ulcers: quick reference guide. … This item is calculated according to the rules for the Pressure Ulcer Prevention Risk Change Report. … This item is calculated according to the rules for the Pressure Ulcer Prevention Risk Change Report. … If a Braden Score is available and the Braden Score date falls within the week parameters for the report

4056. Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/2018mosopsdatabasereport-part1.pdf
      April 01, 2018 - 90th %ile Max Item 1 8% 10% 25% 35% 49% 62% 96% If your medical office’s score is 55%, your score falls … here: If your medical office’s score is 65%, your score falls here: If your medical office’s score … is 55 percent positive, it falls above the 75th percentile (but below the 90th), meaning that your … If your medical office’s score is 65 percent positive, it falls above the 90th percentile, meaning your

4057. Medical Office Survey on Patient Safety Culture: 2018 User Database Report Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2018mosopsdatabasereport-part1-rev0921.pdf
      April 01, 2018 - 90th %ile Max Item 1 8% 10% 25% 35% 49% 62% 96% If your medical office’s score is 55%, your score falls … here: If your medical office’s score is 65%, your score falls here: If your medical office’s score … is 55 percent positive, it falls above the 75th percentile (but below the 90th), meaning that your … If your medical office’s score is 65 percent positive, it falls above the 90th percentile, meaning your

4058. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
      August 01, 2009 - They started tackling some really tough problems: patient falls, surgical site infections, central line … region as a whole cut the infection rate 70%, and other hospitals eliminated other "never events" like falls … April 1, 2014 Perspective How Does Infection Prevention

4059. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training | PSNet
      psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
      February 28, 2024 - seen frequently with virtual teams where a diagnosis isn’t communicated quickly enough, or something falls … Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls

4060. 2021 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
      December 31, 2021 - Prevention Quality Indicators: Technical Specifications, AHRQ Quality Indicators, v2020.1 SAS. … Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP). … Hyattsville, MD: Centers for Disease Control and Prevention; 2007. … types of hospital-acquired infections; seven types of adverse events associated with surgery; patient falls … Adverse events associated with the hospital stay and not present on hospital admission (in patient falls