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  1. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
    March 01, 2013 - Nevertheless, there is widespread agreement that falls, however defined, occur frequently and can have … Hip fractures occur in 1 percent to 2 percent of falls.
  2. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module4/module4_fall-prevention.docx
    September 20, 2017 - Slide 16 SAY: Communication needs to occur among staff at all levels. … It needs to occur: Within the unit (among nurses, nurses and assistants, nurses and physicians, etc.)
  3. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.docx
    March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06 Appendix K. CAUTI Case Review Form Purpose The CAUTI Case Review Form is a performance improvement look-back tool that assists long-term care (LTC) facilities with identifying possible resident care issues that might have contributed to a catheter-associated urinary tract infecti…
  4. preventiveservices.ahrq.gov/teamstepps-program/curriculum/situation/teach/index.html
    August 01, 2023 - Both long-term memory and attitudinal and behavioral change are much more likely to occur when more active
  5. preventiveservices.ahrq.gov/patient-safety/reports/engage/interventions/index.html
    June 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  6. preventiveservices.ahrq.gov/teamstepps-program/curriculum/situation/tools/star.html
    June 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  7. preventiveservices.ahrq.gov/hai/cusp/toolkit/index.html
    July 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  8. preventiveservices.ahrq.gov/news/newsletters/e-newsletter/870.html
    June 01, 2023 - Medication errors that occur outside the hospital can be lethal for children with chronic conditions,
  9. preventiveservices.ahrq.gov/news/newsletters/e-newsletter/868.html
    June 01, 2023 - but Apneic Oxygenation Did Not Adverse tracheal intubation-associated events—unwanted events that occur
  10. preventiveservices.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
    December 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  11. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_bsw.pdf
    April 01, 2019 - Baylor Scott & White Health: Building a Foundation for Continuous Improvement Baylor Scott & White Health: Building a Foundation for Continuous Improvement The Agency for Healthcare Research and Quality (AHRQ) has developed a series of case studies to help health system chief executive officers and other C-sui…
  12. preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
    August 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  13. preventiveservices.ahrq.gov/hai/cusp/toolkit/content-calls/index.html
    September 01, 2013 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
  14. preventiveservices.ahrq.gov/patients-consumers/prevention/disease/bloodclots.html
    August 01, 2017 - Licensing Introduction Blood clots (also called deep vein thrombosis [throm-BO-sis]) most often occur
  15. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support.pptx
    July 01, 2023 - Two-Challenge Rule DESCR Script 27 Hospital AIM Team Leads SPPC-II SCRIPT Conflict can occur … in teams, and it is important to know how to handle such situations when they occur.
  16. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_5-mutual-support-speaker-notes.pdf
    July 01, 2023 - Conflict (Hostile and harassing behavior) Two‐Challenge Rule DESCR Script 23 SCRIPT Conflict can occur … in teams, and it is important to know how to handle such situations when they occur.
  17. preventiveservices.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
    July 01, 2021 - projects to generate impact across all categories, and the impacts of specific projects may not always occur
  18. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/dataspotlight-opioid.pdf
    February 20, 2020 - Blacks Experiencing Fast-Rising Rates of Overdose Deaths Involving Synthetic Opioids Other Than Methadone 1 Blacks Experiencing Fast-Rising Rates of Overdose Deaths Involving Synthetic Opioids Other Than Methadone To understand the current opioid epidemic, it is critical to know…
  19. preventiveservices.ahrq.gov/patient-safety/settings/hospital/index.html
    March 01, 2024 - Toolkit includes a set of medication reconciliation tools to reduce medication errors that frequently occur
  20. preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
    January 01, 2019 - Although the CFER can be used at the point of care, where patient safety events occur and where initial … Unsafe condition is any circumstance that increases the probability that a patient safety event may occur … Both near misses and unsafe conditions may occur more commonly in practice than incidents. … CFER- H V1.2 captures information on where patient safety concerns occur in thirteen LOCATION (AREA … CFER-H V1.2 captures data on 15 different types of INCORRECT ACTIONS that may occur in the hospital

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