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301. Appendix 3-A. Suggested Slides for Module 3 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
     October 01, 2014 - Nursing staff must have the knowledge and skills to prevent injury from falls. … Collapsing from a sudden medical condition.

302. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
     October 01, 2023 - received a 3-year AHRQ grant in 2015 to identify the factors that contribute to medication error and injury … Nephrotoxic medicines, such as contrast dye or nonsteroidal anti-inflammatory drugs, can cause acute kidney injury … She developed a customized prototype based on the AHRQ-funded Nephrotoxic Injury Negated by Just-in-Time

303. Screening for Family and Intimate Partner Violence: Systematic Evidence Review (pdf file)
     www.ahrq.gov/downloads/pub/prevent/pdfser/famviolser.pdf
     March 01, 2004 - Inflicted injury versus accidental injury. [Review] [87 refs]. … Analytic Framework and Key Questions *Including physical trauma (fractures, dislocations, brain injury … If answer is yes, code “1” for no injury, “2” for possible injury, and “3” for injury. … 6 = Use of weapon, wound from weapon 4. … FAIR Medical records were reviewed for pregnancy outcomes, ingestions, children's injuries, and immunizations

304. Blood Thinner Pills: Your Guide to Using Them Safely | Agency for Healthcare Research and Quality
     www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html
     March 01, 2023 - Blood clots can put you at risk for heart attack, stroke, and other serious medical problems. … You also need to avoid activities and sports that could cause injury. … Ask your doctor about whether you should wear a medical alert bracelet or necklace. … To prevent injury indoors: Be very careful using knives and scissors. … To prevent injury outdoors: Always wear shoes. Wear gloves when using sharp tools.

305. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
     April 30, 2025 - For example: ■ The Communication to Prevent and Respond to Medical Injuries project resulted in the … • Communication training to prevent and respond to medical injuries. … injury. … injury. … Patient outcomes for trauma resuscitations were obtained through the Harborview Medical Center Trauma

306. On-Time Preventable Hospital and Emergency Department Visits (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
     November 30, 2013 - nurse, dietitian, Rehab director, medical director or wound physician, nurse practitioner, QI nurse … nurse, dietitian, Rehab director, medical director or wound physician, nurse practitioner, QI nurse … or skin issues • Fall-related injury • Non-fall-related injury • Abnormal labs • Fever/possible infection … disease • Asthma • Circulatory problems • Hypertension • Gastroenteritis • Angina pectoris • Falls/trauma … obstructive pulmonary disease, asthma, circulatory problems, hypertension, gastroenteritis, angina, falls/trauma

307. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
     January 01, 2021 - • Injury falls/1,000 patient days. … • Percent of patients with suspected deep tissue injury. 3 Table 1. … • Percent of patients with hospital-acquired suspected deep tissue injury. … , surgical, medical/surgical units. … • Pediatric acute care: o Medical, surgical, medical/surgical units. o Step down units.

308. The Challenge and Potential for Assuring Quality Health Care for the 21st Century | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/index.html
     June 01, 2018 - Negligence was blamed for 27.6 percent of the injuries and 51.3 percent of the deaths. … There is also a wide variation of medical practices across the country. … Evidence of high rates of misuse of services include: Hospital Injuries . … In the landmark Harvard Medical Practice Study of hospitals in New York State, adverse events, where … injuries result from medical management rather than underlying disease, occurred in 3.7 percent of all

309. Emerging Research Spotlights | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-d-emerging.html
     May 01, 2024 - Appendix D: Grant Summaries P1: Does A New Care Model Improve Care for Patients with Acute Kidney Injury … Reform Models P7: Understanding the Relationship Between Proximity and Utilization of Patient-Centered Medical … Understanding How Nurse Practitioners Increase Access to Primary Care S9: Using Integrated Social and Medical … Nurse Practitioners Improve Access to Primary Care (PI: Neprash) S9: Using Integrated Social and Medical

310. 3. What are the best practices in pressure ulcer prevention that we want to use? | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
     October 01, 2014 - Determining the correct etiology of wounds: Many different types of lesions may occur on the skin and … Spinal cord injury: Immobility, incontinence, and impaired sensation may combine to place these patients … The level and completeness of the spinal cord injury is critical in this determination. … Adv Skin Wound Care 2009;22(2):83-92. Magan MA, Maklebust J. … Adv Skin Wound Care 2008;21(3):124-33.

311. 3. What are the best practices in pressure ulcer prevention that we want to use? | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3.html
     October 01, 2014 - Determining the correct etiology of wounds: Many different types of lesions may occur on the skin and … Spinal cord injury: Immobility, incontinence, and impaired sensation may combine to place these patients … The level and completeness of the spinal cord injury is critical in this determination. … Adv Skin Wound Care 2009;22(2):83-92. Magan MA, Maklebust J. … Adv Skin Wound Care 2008;21(3):124-33.

312. Final Progress Report: Real-time assessment of risk factors for medication errors (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/dresselhaus-report.pdf
     January 01, 2024 - Center ALARIS Medical Systems, Inc. … , which lead to avoidable patient injury and considerable healthcare costs, particularly for inpatient … event that occurs in the process of ordering, processing, or administering a medication, regardless of injury … A computer alert system to prevent injury from adverse drug events: development and evaluation in a … Adult medical care settings included the inpatient medical (adult) units of a large, urban teaching

313. Module 3. Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
     October 01, 2014 - In addition, they should be able to manage injuries that result from falls. … They can lead to medical complications or even death. … Risk factors are identified, and ways to prevent injury are discussed. … Develop participants' knowledge and skills in preventing falls and fall-related injuries. … If you use technical medical terms, be sure to explain the meaning of the terms.

314. A Unit Guide To Infection Prevention for Long-Term Care Staff | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
     March 01, 2017 - Infections cause pain, injury, disability, and sometimes even death, and can be very expensive to treat … Medical conditions such as lung disease and diabetes. … resident, if needed, that the law requires the use of safety lancets and needles to prevent needle stick injuries … Make sure that wounds are covered. Contain any urine, stool, or wound drainage. … Used for a medical problem that is not an infection.

315. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4g_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - o Decreased central nervous system input (head injury, ingestion of central nervous system depressant … o Peripheral nerve/neuromuscular junction (spinal cord injury, organophosphate/carbamate poisoning, … feedback to all stakeholders (physicians and other providers, nursing, and ancillary staff; senior medical

316. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
     May 17, 2016 - o Decreased central nervous system input (head injury, ingestion of central nervous system depressant … o Peripheral nerve/neuromuscular junction (spinal cord injury, organophosphate/carbamate poisoning, … feedback to all stakeholders (physicians and other providers, nursing, and ancillary staff; senior medical

317. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
     April 23, 2008 - Patient Falls Project aimed to reduce the incidence of patient falls and the severity of fall-related injury … The study involved a convenience sample of 77 medical-surgical units drawn from 33 CalNOC member acute … • Implement individualized interventions to prevent falls/reduce injury. … improvements Monitor organizational change over time; analyze falls risk assessment, incidence, and injury … Effect of clinical guidelines on medical practice: A systematic review of rigorous evaluations.

318. Appendix A, Pt. 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
     April 01, 2018 - Other risk factors were male sex (OR 2.01, 95% CL 0.44-10.45), injury-operation interval less than … The incidence increased from 13.2% in clean wounds to 70.0% in dirty wounds. … Risks include effusions (12% or procedures), deep vein thrombosis (1.8%-46%), nerve injuries, and arterial … injury or aneurysm formation. … drainage, wound hematoma, or wound dehiscence) in 29 cases and 1 control.

319. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/neumiller.html
     August 01, 2017 - Introduction The goal of patient safety is to reduce the risk of injury or harm to patients by improving … range of health care services that can be provided within the home environment to manage illness and/or injury … Minor potential ADEs were defined as those that could result in minimal injury or discomfort such as … Lastly, serious ADEs were defined as those that could potentially result in significant organ failure or injury … Collins, MD; Chief Medical Officer, Providence Sacred Heart Medical Center.

320. Technical Interventions To Prevent CAUTI | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
     October 01, 2015 - that cannot be kept clear of urinary incontinence despite wound care and other urinary management strategies … Examples include instability in the thoracic or lumbar spine, multiple traumatic injuries such as pelvic … Intermittent catheterization is most often used in patients with neurogenic bladder or spinal cord injury … of other types, that cannot be kept clear of urinary incontinence despite wound care and other urinary … of other types that cannot be kept clear of urinary incontinence despite wound care and other urinary