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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
January 01, 2017 - Tool: SSA
Summary
The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-associated pneumonia (VAP). The intervention is supported unanimously by all four leading guidelines, and newer publications in the field acc…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english-2.0.pdf
April 09, 2025 - Staff are supported when they are involved
in a resident safety incident .........................
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/17354-Chetty-report.pdf
September 29, 2010 - Final Progress Report: Comprehensive Analysis of Data from Testing the Re-engineered Hospital Discharge
Final Progress Report
Title of Project: Comprehensive Analysis of Data from Testing the Re-engineered Hospital
Discharge
Principal Investigator and Team Members: Veerappa K. Chetty, PhD
Organization: Boston M…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-draft-1.pdf
March 29, 2022 - Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates
TITLE PAGE
Title: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative
Care to Neonates
Principal Investigator: Daniel Joseph France, PhD, MPH
Team Members:
Key Pe…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/26069-France-report.pdf
March 29, 2022 - Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates
TITLE PAGE
Title: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative
Care to Neonates
Principal Investigator: Daniel Joseph France, PhD, MPH
Team Members:
Key Pe…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
September 26, 2019 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae
Carbapenem-Resistant Enterobacteriaceae 6-1
6. Carbapenem-Resistant Enterobacteriaceae
Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H.
Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D.
Introduction
Background
Carbapenem-resistant Enterobacteria…
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www.ahrq.gov/research/findings/studies/index.html?page=360
January 01, 2024 - AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results 9001 to 9025 of 12214 Research Studies Displayed
Pagination
« first
« First
‹ previous
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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module11/m11impguide.pptx
February 03, 2006 - Key Actions:
Review unit performance and safety data
Incident reports
AHRQ patient safety survey
Clinical
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module11/ts2-0ltc_module11_impguide.pdf
June 22, 2017 - Key Actions:
■ Review unit/department/work
area performance and safety
data
■ Incident reports
■
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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/interdisciplinary-team.html
January 01, 2013 - 4D—Implementing Best Practices Checklist
Implementation Team leader
5A—Information To Include in Incident
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2a.docx
January 28, 2013 - Implementing Best Practices Checklist
Implementation Team leader
5A – Information To Include in Incident
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smith2slides.pdf
August 13, 2015 - When something happens that could harm the patient, but does not, how
often is it documented in an incident
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs5.html
June 01, 2018 - The cohorts include incident hemodialysis patients.
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www.ahrq.gov/research/findings/studies/index.html?page=283
January 01, 2024 - The researchers identified incident wrist fractures in men aged 65 or older. … , recurrent disease among previously treated individuals contributes substantially to the burden of incident
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-summary.pdf
January 01, 2025 - 2025 SOPS Nursing Home Database Report Executive Summary Overview Infographic
Surveys on Patient Safety Culture®
Findings From the 2025 SOPS Nursing Home Survey Database
107
Participating
Nursing Homes
4,411
Nursing Home Staff
Respondents
63%
Composite Measure
Average
Highest Scoring Composite Meas…
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www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
January 01, 2024 - Final Report: Using Risk Models To Improve Safety With Dispensing High-Alert Medications in Community Pharmacies
Final Report:
Using Risk Models to Improve Safety with Dispensing
High-Alert Medications in Community Pharmacies
Principal Investigator:
Michael R. Cohen, RPh, MS, ScD
Team Members:
Judy L. Smetzer, R…
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www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - Based
on published literature and ranking of injurious fall incident reports (n=85) from Brigham and … Data Sources/Collection: Data sources include the electronic health record (EHR) database, incident … process.1, 3
Measures: We used the following numbers to rank falls and their severity based on incident
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www.ahrq.gov/news/newsroom/case-studies/oerep0801.html
October 01, 2014 - North Carolina Nonprofit Promotes Preventive Health Among Latina Women and Children With AHRQ Research
Search All Impact Case Studies
May 2008
Based on AHRQ-funded research, an organization in North Carolina has strengthened its outreach and public education program to promote the use of preventive health s…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-vision.pdf
December 13, 2013 - NICU Family Information Packet, Appendix B, Vision Screening and Retinopathy
Vision Screening and Retinopathy of
Prematurity
Visual Deficits Seen in Preterm Infants
■ High-risk infants are more likely to have permanent visual deficits and/or show a delay in
visual development that persists until adolescence.
■ …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Infographic Summary
Findings From the 2023 Nursing Home Survey Database
62
participating
nursing homes
3,224
nursing home staff
respondents
Average Response Rate by
Survey Administration Mode
Paper 52%
Web 45%…