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6101. Detection of Inpatient Health Care Associated Injuries: Comparing Two ICD-9-CM Code Classifications (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
      March 01, 2004 - positives (a PS Indicator detects a potential AE but further investigation shows an actual AE has not occurred … Additionally, ICD-9-CM codes in discharge data do not distinguish reliably between AEs that occurred … during hospitalization (in-hospital AEs) from AEs that occurred before hospitalization (arrived-with

6102. Chapter-8 - Diabetes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
      March 01, 2020 - direct intravenous dextrose infusion (triggered by glucose values less than 3.3 and 4.1 mmol/L) occurred … Hypoglycemic events occurred less often in the protocol group than in the control group (7/10,000 … No severe hypoglycemic episode requiring intervention occurred while on the BBB protocol.

6103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848110/psn-pdf
      April 26, 2023 - Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. April 26, 2023 Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes Disclosure of Relevant Financial R…

6104. A Tale of Two Falls | PSNet
      psnet.ahrq.gov/web-mm/tale-two-falls
      March 27, 2024 - A Tale of Two Falls Citation Text: Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

6105. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head | PSNet
      psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
      March 27, 2024 - SPOTLIGHT CASE Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head Citation Text: Martin R, Shahlaie K. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department …

6106. Archived: Postmenopausal Osteoporosis: Screening, 1996 | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/postmenopausal-osteoporosis-screening-1996
      January 01, 1996 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Postmenopausal Osteoporosis: Screening, 1996 January 01, 1996 Recommendations made by the USPSTF are independent of the U.S. gov…

6107. Archived: Visual Impairment in Children Ages 1-5: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/visual-impairment-in-children-ages-1-5-screening-2011
      January 15, 2011 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Visual Impairment in Children Ages 1-5: Screening January 15, 2011 Recommendations made by the USPSTF are independent of the U.S…

6108. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
      September 24, 2024 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement Carole Stockmeier, Sarah Mossburg, Lee Merton | September 24, 2024  Also Read the Essay View more articles from the same authors. …

6109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867035/psn-pdf
      October 30, 2024 - A Tale of Two Falls October 30, 2024 Jackson V, Satake A. A Tale of Two Falls. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/tale-two-falls The Cases Case #1: A 79-year-old woman with a history of impaired cognition at baseline was brought from a skilled nursing facility to the emergency department (ED) f…

6110. 2. Priority Questions and Recommendations | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap2.html
      July 01, 2013 - Clinical-Community Relationships Evaluation Roadmap 2. Priority Questions and Recommendations Previous Page Next Page Table of Contents Clinical-Community Relationships Evaluation Roadmap Executive Summary 1. Introduction and Purpose 2. Priority Questions and Recommendations 3. Conclusion …

6111. Slide 1
      effectivehealthcare.ahrq.gov/sites/default/files/sensitivity-analysis-chapter-11.pptx
      January 01, 2013 - Slide 1 Sensitivity Analysis for Observational Comparative Effectiveness Research Prepared for: Agency for Healthcare Research and Quality (AHRQ) www.ahrq.gov Sensitivity Analysis for Observational Comparative Effectiveness Research This slide set is based on a user guide titled Developing a Protocol for Observati…

6112. A Model for Sustaining and Spreading Safety Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
      October 01, 2015 - A Model for Sustaining and Spreading Safety Interventions Next Page Table of Contents A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability Contents Background and Acknowledgments How To Use This Guide Why Sustainab…

6113. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - Safety In Dentistry Rachel Badovinac Ramoni, DMD, ScD; Muhammad Walji, PhD; and Elsbeth Kalenderian, DDS, MPH, PhD | August 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Ramoni R, Walji MF, Kalenderian E. Safety In De…

6114. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises.html
      December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional Exercises Contents Nutrition Risk Reports Information Exercises     Exercise #1: Risk Criteria and Rules     Exercise #2: Identify Residents Meeting High-Risk Criteria     Exercise #3: Identify Resi…

6115. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/handouts2.html
      December 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Pressure Ulcer Prevention Handouts (continued) Implementation of the Prevention Reports Into Day-to-Day Practice Review of the Change Team's Process of Choosing On-Time Reports, Incorporating Them Into Huddles and Meetings, and Pilot…

6116. Archived: Aspirin for the Prevention of Cardiovascular Disease: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/recommendation/aspirin-for-the-prevention-of-cardiovascular-disease-preventive-medication-2009
      March 15, 2009 - Only 2 of these studies included women, and no substantial reduction in coronary heart disease events occurred … Five deaths due to gastrointestinal bleeding occurred in the study.

6117. Final Progress Report: Improving patient safety through leadership and team performance in simulations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/fernandez-report.pdf
      January 01, 2024 - Training evaluation occurred at multiple levels. … Training evaluation occurred at multiple levels.

6118. CRP Certification: Promoting Accountability and Learning After Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
      January 01, 2024 - The initial conversation with the patient and/or family occurred the same day as the event in 44% of … However, especially during the stakeholder engagement that occurred during the program’s design and

6119. Final Progress Report: Enhancing the Detection and Management of Adverse Drug Events in the Nursing Home (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/handler-report.pdf
      January 01, 2024 - 24 questions asked to the intervention group of physicians, a significant mean change in importance occurred … Statistically  significant improvement occurred for the following: provides disease management services

6120. Final Progress Report: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
      January 01, 2024 - Test ordering was defined as having occurred if there was at least one AHRQ Grant Final Progress … For example, complications in the billing system for the primary insurer that occurred during this project