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4381. 2023 National Healthcare Quality and Disparities Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es-rev.pdf
      January 01, 2023 - 2023 National Healthcare Quality and Disparities Report 2023 National Healthcare Quality and Disparities Report Executive Summary This document is in the public domain and may be used and reprinted without permission. Citation of the source is appreciated. Suggested citation: 2023 National Healthcare Qual…

4382. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/index.html
      August 01, 2025 - their family caregivers in the design of health information technology (IT) tools to prevent patient falls … Spanish version of the Fall TIPS (Tailoring Interventions for Patient Safety) toolkit, which reduced falls … Interventions for Patient Safety) Program: a collaboration to end the persistent problem of patient falls

4383. Mobility Lost in the ICU | PSNet
      psnet.ahrq.gov/web-mm/mobility-lost-icu
      August 01, 2018 - Oxygen saturation less than 88% Development of a new arrhythmia Mean arterial blood pressure falls

4384. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
      January 01, 2024 - the cardioversion shock must be synchronized with the ECG to prevent the shock from inadvertently falling

4385. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865429/psn-pdf
      April 24, 2024 - the cardioversion shock must be synchronized with the ECG to prevent the shock from inadvertently falling

4386. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
      March 01, 2004 - • Prevention and Recovery Information System for Monitoring and Analysis. … Close call categories Blood/transfusion Diagnostic test/procedure Equipment/devices Falls Medication

4387. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/exec-summary.html
      July 01, 2019 - specific health-related issues receive intensive monitoring, for example elderly patients at risk for falls

4388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49443/psn-pdf
      May 01, 2004 - a monitoring device, we should have an alarm (19) for automatically indicating when that parameter falls

4389. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-slides.pptx
      January 01, 2017 - Presentation: Program Overview Measure Descriptions for Daily Early Mobility AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-49-EF January 2017 Early Mobility Measures ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this session, you …

4390. Critical Radiology Alert Process | PSNet
      psnet.ahrq.gov/innovation/critical-radiology-alert-process
      November 16, 2022 - July 23, 2024 Patient Safety Innovations Suicide Prevention

4391. Mutual Support Two-Day Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/mutual/teach/two-day.html
      July 01, 2024 - Mutual Support Two-Day Training If you are teaching the Situation Monitoring Module as part of a two-day training, you should be able to perform all the activities noted below in around 90 minutes. Components you can include in this section for a two-day training include the following: Introduction and Objectiv…

4392. Curated Article Libraries | PSNet
      psnet.ahrq.gov/curated-article-libraries
      March 18, 2025 - (1) Medical Complications (4) Nosocomial Infections (4) Patient Falls

4393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49623/psn-pdf
      March 01, 2011 - Are We Pushing Graduate Nurses Too Fast? March 1, 2011 Spector ND. Are We Pushing Graduate Nurses Too Fast? . PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast The Case A middle-aged man was admitted to the surgical intensive care unit (SICU) following a complex surgical…

4394. Information to Help Hospitals Get Started (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
      January 01, 2012 - family engagement, the center saw a 62 percent reduction in medication errors, a 40 percent reduction in falls

4395. Rural Iowa Redesign of Care Delivery with EHR Functions | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/rural-iowa-redesign-care-delivery-ehr-functions
      January 01, 2023 - to include quick registration, up-to-date medication lists, technical and content safety and error-prevention

4396. North Carolina | The Academy
      integrationacademy.ahrq.gov/about/initiatives/opioid/grantees/north_carolina
      June 01, 2024 - Mecklenburg County Opioid Summit March 2018 Charlotte, NC North Carolina Opioid Misuse and Overdose Prevention

4397. Ruptured Heterotopic Pregnancy | PSNet
      psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy
      August 16, 2023 - Ruptured Heterotopic Pregnancy Citation Text: Cedars MI. Ruptured Heterotopic Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

4398. Work Plan for Methods Research on (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/study-design-classification_research.pdf
      December 01, 2010 - Work-Related Falls Among Union Carpenters in Washington State Before and After the Vertical Fall Arrest … Outcome(s) Lipscomb 2003 ITS without comparison group To evaluate changes in rates and severity of falls … from elevations among union carpenters after fall prevention standard change Union carpenters … Rates before vs. rates after enactment of standard change Injuries, paid lost time due to falls … from elevation, mean direct payments for falls from heights Minassian 2005 Before-after To compare

4399. Screening for Syphilis Infection in Nonpregnant Adults and Adolescents: A Targeted Evidence Update for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/CVoJ9fc9nv2Zsgs8R8XabH
      September 01, 2022 - Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Sexually Transmitted Infection Testing of HIV-Positive Medicare and Medicaid Enrollees Falls Short … STD/HIV prevention practices among primary care clinicians: risk assessment, prevention counseling,

4400. Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-fullreport.pdf
      February 01, 2020 - Guidelines suggest that patients in the overweight category receive counseling about prevention; those … Daniels and colleagues argue that the model for obesity treatment and prevention should be developed … Providers who were familiar with guidelines for the assessment, prevention, and treatment of obesity … The measure highlights where providers or health systems are falling short in offering follow-up care … Prevention and treatment of childhood obesity: Care received by a state Medicaid population.