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  1. 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…
  2. 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…
  3. www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/clinical-pathway.html
    January 01, 2013 - Preventing Falls in Hospitals Tool 3A: Master Clinical Pathway for Inpatient Falls Previous Page Next Page Table of Contents Preventing Falls in Hospitals Roadmap Acknowledgments Overview Icons 1. Are you ready for this change? 2. How will you manage change? 3. Which fall prevention pr…
  4. 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 ‹‹ …
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
    December 01, 2017 - Learn From Defects Tool AHRQ Safety Program for Surgery Learn From Defects Tool – Perioperative Setting What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall. Problem statem…
  6. 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…
  7. 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…
  8. 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. ■ …
  9. Fallpxtool3N (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3n.docx
    January 01, 2008 - 3N: Postfall Assessment, Clinical Review Background: This protocol explains how to assess and follow injury risk in a patient who has fallen. Reference: Adapted from the South Australia Health Fall Prevention Toolkit. Available at: www.sahealth.sa.gov.au/wps/wcm/connect/5a7adb80464f6640a604fe2e504170d4/Post+fall+manage…
  10. www.ahrq.gov/chain/research-tools/featured-certs/electronic-fall-prevention-toolkit.html
    March 01, 2017 - Optimizing the Use of an Electronic Fall Prevention Toolkit To Prevent Falls in Hospitalized Patients By Geetha Achanta, PhD Patient falls are common in hospitals. Based on the number of older Americans discharged from hospitals in 2008 1 and published fall rates in this population, 2 approximately 2.5 million …
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/fraser_r24grant.pdf
    September 01, 2013 - Washington University Comparative Effectiveness Administrative Data Repository Expansion of Research Capability to Study Comparative Effectiveness in Complex Patients – R24 Grants Washington University Comparative Effectiveness Administrative Data Repository Principal Investigator: Victoria Fraser, M…
  12. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides5.html
    October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices Slide Presentation Slide 1: How To Measure Pressure Injury Rates and Prevention Practices ADD Hospital Name Here Module 5 Slide 2: Basic Quality Improvement  Principle If you can’t measure it, you can’t improve it. Image: Pu…
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
    July 02, 2008 - How To Measure Pressure Injury Rates and Prevention Practices How To Measure Pressure Injury Rates and Prevention Practices ADD Hospital Name Here Module 5 1 Basic Quality Improvement Principle If you can’t measure it, you can’t improve it. 2 2 Quality Improvement Principle Pressure injury rates and preven…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
    January 10, 2005 - Cost Effectiveness of a Multifaceted Program for Safe Patient Handling 347 Cost Effectiveness of a Multifaceted Program for Safe Patient Handling Kris Siddharthan, Audrey Nelson, Hope Tiesman, FangFei Chen Abstract Objective: The Patient Safety Center in the Veterans Health Administration (VHA) introduced …
  15. www.ahrq.gov/sites/default/files/publications2/files/measure-retirement-2013.pdf
    January 01, 2013 - Summary Background Report on 2013 Retirement of Measures from the Child Core Set Summary Report Background Report on 2013 Retirement of CHIPRA Measures from the Child Core Set Prepared for: Agency for Healthcare Research and Quality Rockville, MD Prepared by: RTI International Resear…
  16. www.ahrq.gov/policymakers/chipra/measure_retirement/measure_retirementapd.html
    July 01, 2018 - Background Report on 2013 Retirement of Measures from the Child Core Set Appendix D. Previous Page Next Page Table of Contents Background Report on 2013 Retirement of Measures from the Child Core Set Abstract Background Methods Results Conclusions References Appendix A. Appendix B.…
  17. www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
    January 01, 2024 - percutaneous injuries (i.e., injuries from needle sticks and scalpel laceration), and ‘fall-asleep’ incidents … events: 1) Direct Observation: Direct observation on morning rounds was the first method for detecting incidents … Data collected for incidents included description of the event, classification of the event, where the … Medication incidents also included name, dose, route and category of the drug involved, type of error
  18. www.ahrq.gov/patient-safety/resources/vtguide/guide6.html
    May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 6. Track Performance with Metrics Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Anal…
  19. www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide6.html
    May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism Chapter 6. Track Performance with Metrics Previous Page Next Page Table of Contents Preventing Hospital-Associated Venous Thromboembolism Preface Executive Summary Chapter 1. The Framework for Improvement Chapter 2. Analyze Care Delivery …
  20. www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Appendix A, Pt. 3 Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapter 2. ST-PRA Developm…

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