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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.
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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.)
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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…
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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
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preventiveservices.ahrq.gov/patient-safety/reports/engage/interventions/index.html
June 01, 2023 - Skip to main content
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July 01, 2018 - Skip to main content
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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,
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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
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preventiveservices.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
December 01, 2023 - Skip to main content
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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…
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - Skip to main content
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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
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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.
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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.
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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
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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…
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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
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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