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6361. 3. Which fall prevention practices do you want to use? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
      January 01, 2013 - Preventing Falls in Hospitals 3. Which fall prevention practices do you want to use? 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 …

6362. Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
      January 01, 2024 - Final Progress Report: Implementing Reduced Work Hours for All House Staff To Improve Patient Safety Final Progress Report: Implementing Reduced Work Hours for All House Staff to Improve Patient Safety Principal Investigator: Christopher P. Landrigan, MD, MPH Team Members: Charles A. Czeisler, PhD, MD, David W. …

6363. Regulation of Health Policy: Patient Safety and the States (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
      March 01, 2004 - Regulation of Health Policy: Patient Safety and the States 405 Regulation of Health Policy: Patient Safety and the States Joanna Weinberg, Lee H. Hilborne, Quang-Tuyen Nguyen Abstract In its 1999 report on patient safety, the Institute of Medicine recommended a nationwide mandatory reporting system to co…

6364. National Institute for Research on Safety and Quality (NIRSQ) FY 2018 Budget Justification (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2018/NIRSQ.pdf
      January 01, 2018 - offices, and nursing homes, and will now be better positioned to incorporate findings and lessons learned

6365. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/14281-Scott-Cawiezell-draft-1.pdf
      September 29, 2007 - good performance and the medication team’s additional information from other nursing home’s lessons learned

6366. Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
      March 01, 2004 - These failures are due largely to organizational barriers.38, 39 The “lessons learned” in participating

6367. Re-engineering the Hospital Discharge: An Example of a Multifaceted Process Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Anthony.pdf
      January 01, 2005 - As a concrete example of the value of our multifaceted approach, we have begun to take what we have learned

6368. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
      February 26, 2008 - An evidence- based approach to fall risk assessment, prevention, and management: Lessons learned.

6369. Resident Sign-Out: A Precarious Exchange of Critical Information in a Fast-Paced World (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Borowitz_4.pdf
      January 22, 2008 - ability to sign-out to his or her colleagues.4, 12, 23, 24 Presently, sign-out is almost always learned

6370. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
      January 01, 2024 - These “lessons learned” now allow us to be an invaluable resource to others.

6371. Final Progress Report: Triage and Allocation Model for Primary PCI After STEMI (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/concannon-report.pdf
      January 01, 2025 - potential impact on patients, hospitals, and EMS systems, one approach is to conduct a scan of lessons learned

6372. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
      January 01, 2024 - good performance and the medication team’s additional information from other nursing home’s lessons learned

6373. Understanding CAHPS® Surveys Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-101-webcast-transcript.pdf
      January 01, 2019 - We hope that you have learned a little something about the overview of CAHPS, the use of CAHPS Surveys

6374. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
      February 26, 2008 - An evidence- based approach to fall risk assessment, prevention, and management: Lessons learned.

6375. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-transcript.doc
      July 08, 2014 - So, in summary, what have we learned? A multi-disciplinary team is critical.

6376. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use (July 8, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-transcript.html
      December 01, 2017 - So, in summary, what have we learned? A multi-disciplinary team is critical.

6377. An Organizational Guide to Building Health Services Research Capacity (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/hsrguide/hsrguide.pdf
      October 01, 2011 - completing this research, AHRQ and AIR developed this guide to synthesize and share what has been learned

6378. An Organizational Guide to Building Health Services Research Capacity (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/hsrguide.pdf
      October 01, 2011 - completing this research, AHRQ and AIR developed this guide to synthesize and share what has been learned

6379. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pptx
      March 04, 2016 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 NATIONAL HEALTHCARE QUALITY AND DISPARITIES REPORT Chartbook on Patient Safety March 2016 This presentation contains notes. Select View, then Notes page to read them. 1 National Healthcare Qua…

6380. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
      October 18, 2012 - This report discusses project background, implementation, impact, and lessons learned and provides