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3201. On-Time Falls Prevention: Electronic Reports (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.pdf
      June 02, 2025 - Orthostatic hypotension /dehydration • Vertigo/dizziness • Syncope/fainting • Hypoglycemia • Possible infection

3202. Final Progress Report: Physician Organization and the Efficiency of Surgical Specialty Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/miller-birkmeyer-report.pdf
      January 01, 2024 - venous thrombosis/pulmonary embolism, acute renal failure, postoperative hemorrhage, surgical site infection

3203. Section 5, Tables 8 and 9 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
      January 01, 2013 - Eligible patients were 3 to 24 months old, had bronchiolitis not complicated by a serious bacterial infection

3204. Module 1. Detecting Change in a Resident's Condition | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1.html
      March 01, 2018 - Stool tests showed that she had a bowel infection with Clostridium difficile .

3205. What Happens After a Patient Safety Event? Medical Expenditures and Outcomes in Medicare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Encinosa.pdf
      January 01, 2003 - foreign body left in during the procedure, post-operative hemorrhage or hematoma, wound dehiscence, infection

3206. Decision Support System Design and Implementation for Outpatient Prescribing: The Safety in Prescribing Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Feldstein.pdf
      January 01, 2004 - Influencing prescribing for urinary tract infection and asthma in primary care in Sweden: a randomized

3207. VHA’s National Falls Collaborative and Prevention Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
      March 01, 2006 - intervention was so effective because signage is commonly used in other areas of hospital care (i.e., infection

3208. Common Cause Analysis: Focus on Institutional Change (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Browne_5.pdf
      January 20, 2008 - Aggregate data from FMEAs, infection control findings, and a newly developed process within our institution

3209. Subcommittee on Quality Measures for Children's Healthcare for Medicaid and CHIP | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/snac_members.html
      November 01, 2013 - Subcommittee on Quality Measures for Children's Healthcare for Medicaid and CHIP Members List: 2013 List of 2013 members of the Subcommittee on Quality Measures for Children's Healthcare (SNAC). Mary S. Applegate, MD, FAAP, FACP Medicaid Medical Director for Ohio Office of Medical Assistance Columbus, OH…

3210. Availability of Multidisciplinary Outpatient Care for Women with High-Risk Pregnancies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-134-fullreport.pdf
      November 01, 2019 - generally they will consist of an obstetrician, an MFM specialist, a subspecialist (i.e., cardiologist, infection … pregnancy-related deaths in the United States are as follows: Cardiovascular diseases (14.6 percent), Infection

3211. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
      February 04, 2022 - � It makes sense that an infection could be present (e.g., would explain everything). … � If this is an infection, the patient will qualify as having “sepsis” and early interventions with antibiotics … multipoint auscultation, assessment for unilateral/single-limb vs. bilateral/sacral edema, other sources of infection

3212. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
      January 01, 2024 - Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System Principal Investigator: David G. Bundy, MD, MPH Team Members: Marlene R. Miller, MD, MSc Michael L. Rinke, M…

3213. Assemble the Team and Engage Leadership for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/assemble/assemble-team-facilitator-guide.pdf
      May 01, 2017 - Key hospital departments, such as risk management, quality improvement, and infection prevention, that

3214. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
      September 01, 2023 - CFER-H include: Blood or Blood Product, Device or Medical/Surgical Supply, Fall, Healthcare-Associated Infection

3215. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
      January 01, 2004 - The new event categories included infection control issues, airway management difficulties, and diagnosis

3216. Development of a Multipurpose Dataset to Evaluate Potential Medication Errors in Ambulatory Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Chan.pdf
      July 01, 2004 - Medical errors kill more people each year in the United States than motor vehicle accidents, HIV infection

3217. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
      April 07, 2008 - Carilion Clinic is planning to examine the relation between TeamSTEPPS and hospital-acquired infection

3218. The Patient Safety Education Project: An international Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
      February 20, 2008 - pressure ulcers, falls, etc Module 12 Breakout session Interventional care settings: surgical care; infection

3219. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
      June 18, 2008 - intervention secondary to RD, this can result in increased length of stay, risk of hospital-acquired infections

3220. Appendix: State Overviews (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap2.html
      October 01, 2014 - Wyoming's vendor distributes a Healthwise Handbook, which is a self-care guide covering topics from ear infections