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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man6.html December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities 
 Chapter 6. Environment and Equipment Safety 
 
 
 
 
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 Table of Contents 
 
 The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities 
 Chapter 1. Introduction and Program Over…  
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb.html December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities 
 Appendix B. Forms and Training Materials (Appendix Contents) 
 
 
 
 
 Previous Page Next Page 
 
 Table of Contents 
 
 The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities 
 Chapter 1. Introduction…  
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc.html November 01, 2018 - Improving Patient Safety in Long-Term Care Facilities 
 
 
 
 
 
 
 
 
 
 Training Modules 
 
 Detecting and promptly reporting changes in a nursing home resident's condition are critical for ensuring the resident's well-being and safety. Such changes may represent a patient safety problem, and they can be a signal tha…  
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www.ahrq.gov/patient-safety/about/areas/improve-discharge.html August 01, 2024 - Resources and Tools To Improve Discharge and Transitions of Care and Reduce Readmissions 
 
 
 
 The Agency for Healthcare Research and Quality supports research on the quality and safety of the hospital discharge process and care transitions. Improvements in these areas can lead to reductions in potentially avoidable …  
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf January 01, 2023 - Safety Review System (QSRS) 
Academic Institutions 
University of Michigan 
• University of Michigan Kidney … under age 70 who were registered on a waiting 
list for transplantation or received a deceased donor kidney … transplant within a year of initiation 
USRDS 2019 
Patients with treated chronic kidney failure … From 2000 to 2021, 83% of cancer measures, 43% of cardiovascular disease measures, 20% 
of chronic kidney … Hospital Association
• QSRS-Yale: Quality and Safety Review System
• UMKECC: University of Michigan Kidney 
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf January 01, 2023 - Safety Review System (QSRS) 
Academic Institutions 
University of Michigan 
• University of Michigan Kidney … under age 70 who were registered on a waiting 
list for transplantation or received a deceased donor kidney … transplant within a year of initiation 
USRDS 2019 
Patients with treated chronic kidney failure … From 2000 to 2021, 83% of cancer measures, 43% of cardiovascular disease measures, 20% 
of chronic kidney … Association 
• MPSMS-Yale: Medicare Patient Safety Monitoring System 
• UMKECC: University of Michigan Kidney 
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Evanoff.pdf January 01, 2003 - out of 3 No overlap of 
priorities; 
opposing plans 
regarding bed 
rest 
 
Keep her clean  Improve kidney 
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meps.ahrq.gov/data_files/publications/st552/stat552.pdf September 20, 2023 - People covered only by
noncomprehensive State-specific programs, such as Maryland Kidney
Disease Program 
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care July 08, 2022 - Laboratory tests were notable for acute kidney injury, metabolic acidosis, hypomagnesemia, hypophosphatemia 
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psnet.ahrq.gov/node/865373/psn-pdf March 27, 2024 - medication, there may be a risk of respiratory depression, medication addiction or dependence, or
kidney 
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation June 28, 2023 - onset agitation often represents a manifestation of metabolic derangements (e.g., hypoxia, acidosis, kidney 
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psnet.ahrq.gov/node/60328/psn-pdf May 27, 2020 - fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
A 69-year-old man with a history of cervical stenosis, coronary artery disease, chronic kidney 
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6.html May 01, 2018 - 2009, quality measurement groups include preventive care, diabetes, end stage renal disease, chronic kidney 
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html October 01, 2014 - Diseases covered included asthma, diabetes, CHF, cardiovascular disease, and chronic kidney disease. 
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-final-es.pdf October 01, 2022 - which measures a complication of pregnancy
characterized by high blood pressure that can progress to kidney 
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meps.ahrq.gov/data_files/publications/st552/stat552.shtml September 01, 2023 - People covered only by noncomprehensive State-specific programs, such as Maryland Kidney Disease Program 
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx February 07, 2014 - 49
“if you touch them they desaturate”
“they are on high doses of vasopressors and their kidney function 
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psnet.ahrq.gov/node/867672/psn-pdf February 26, 2025 - dysfunction from early sepsis (especially in combination with the mild
creatinine elevation, consistent with kidney 
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psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors January 31, 2020 - If a patient has a CT scan for a kidney stone two days ago across the street, that hospital is not going 
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psnet.ahrq.gov/perspective/conversation-david-gruen-md January 31, 2020 - If a patient has a CT scan for a kidney stone two days ago across the street, that hospital is not going