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141. Ingestion of Illicit Substances Among Young Children Increased Significantly During COVID-19 Pandemic | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/861.html
     April 01, 2023 - The COVID-19 pandemic has intensified these pressures. … J Trauma Acute Care Surg 2023 Apr;94(5):592-8. Epub 2023 Nov 18. … Renal outcomes following intravenous contrast administration in patients with acute kidney injury: a

142. New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/870.html
     June 01, 2023 - for an estimated 4 million patients who might benefit from “ABCS” interventions ( a spirin, b lood pressure … Walsh has identified factors that contribute to medication errors and injuries in children with chronic … Trauma Case Rep . 2023 Apr;44:100800. Epub 2022 Feb 18.

143. Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/research/findings/studies/index.html
     January 01, 2024 - Autism (31) Back Health and Pain (58) Behavioral Health (699) Blood Clots (62) Blood Pressure … (132) Blood Thinners (79) Brain Injury (64) Breast Feeding (18) Burnout (64) Cancer … (255) Imaging (245) Implementation (191) Infectious Diseases (260) Influenza (41) Injuries … and Wounds (207) Inpatient Care (221) Intensive Care Unit (ICU) (267) Kidney Disease and … Tools & Toolkits (49) Training (143) Transitions of Care (192) Transplantation (141) Trauma

144. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/resources/learning-lab/index.html
     February 01, 2024 - as pressure injury) from exposure to intense and/or prolonged pressure, moisture, friction, and shear … ’s achievements include the creation of a digital bedside display that shows patients’ catheter and wound … injuries (formerly called ‘pressure ulcers’). … injury) and rhythmic motion (for detection of seizure). … caregivers in the design of health information technology (IT) tools to prevent patient falls and related injuries

145. Module 2: How To Manage Change—Training Guide | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.html
     September 01, 2017 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … applied to other quality improvement efforts in a hospital, such as preventing: Hospital-acquired pressure … injuries.

146. Final Topic Refinement Document - Therapeutic Options for Obesity in the Medicare Population (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/obesity_topic-refinement.pdf
     May 22, 2014 - Adverse effects of interventions ● Activity-related injury ● Adverse effects of medication ( diarrhea … Respiratory disease (i.e., asthma, COPD) ● Sleep apnea o BMI o Adverse effects ● Activity-related injuries … Question 1b CMS Intermediate outcomes We are excluding all intermediate outcomes (adherence, blood pressure … outcomes CMS Intermediate outcomes We are excluding all intermediate outcomes (adherence, blood pressure … skinfold thickness and waist circumference; excluding all intermediate outcomes (adherence, blood pressure

147. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
     August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

148. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
     September 01, 2022 - Evidence (Not reviewed) (Not reviewed) Interventions To Prevent Contrast-Induced Acute Kidney Injury … Summary of Evidence Update (all patients) (Not reviewed) Preventing Patient Death or Serious Injury … Institutionalized Older People Summary of Evidence Update (all patients) (Not reviewed) Prevention of Pressure

149. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
     December 01, 2017 - So because of his immobility, he developed a pressure ulcer on his sacrum and the physician decided to … Now we know the elderly are very vulnerable to infection and other injury in the hospital. … Possibly, the patient needs immobilization for trauma or surgery, patient is incontinent with open wounds … ; protocolized care for trauma; incontinence without open sacral or perineal wounds; pre-operative placement … On the next slide, we’ll – one case study is trauma.

150. Module 4: How To Implement the Fall Prevention Program in Your Organization—Training Guide | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/guide.html
     October 01, 2017 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Critical Thinking for Fall Injury Prevention —AHRQ Fall Prevention Program Implementation Sharing Webinar

151. Patient Safety Tools | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - The Preventing Pressure Ulcers in Hospitals Toolkit assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … The toolkit draws on literature on best practices in pressure ulcer prevention and includes both validated … patients can suffer adverse outcomes and even fatal complications, and clinicians can be exposed to injury

152. Harnessing Data Visualization to Advance Equity in Clinical Services | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/challenges/data-visualization/index.html
     February 01, 2024 - higher prevalence of HIV in men who have sex with men), or socioeconomic factors (e.g., higher blood pressure … the Federal Government and its related entities, except in the case of willful misconduct, for any injury … whether direct, indirect, or consequential, arising from participation in this prize contest, whether the injury

153. Module 3: Best Practices in Fall Prevention (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_fall-prevention.docx
     January 01, 2013 - Prevention Program Training Webinar Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries … medications or medicines that could cause sedation, confusion, impaired balance, or orthostatic blood pressure … The patient should be carefully and systematically assessed for injuries. … The post-fall clinical review focuses on immediate risk of injury or complications. … RCA is often used for a fall with injury.

154. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
     August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

155. Webinar 6: Enhance Services for High-Risk Patients | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
     December 01, 2017 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

156. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
     August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

157. Survey on Patient Safety (facility version) (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
     November 15, 2019 - · “Patient safety” is defined as the avoidance and prevention of patient injuries or adverse events … Whenever pressure builds up, my supervisor/manager wants us to work faster, even if it means taking shortcuts

158. Chapter 3. Developing Change: Designing the Medication Reconciliation Process | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.html
     July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

159. Guide-Infection-Prevention (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
     March 01, 2017 - ▪ Infections cause pain, injury, disability, and sometimes even death, and can be very expensive … ▪ Cover all cuts and wounds with a dressing. … 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. … ▪ An LTC facility must have negative pressure rooms and a respiratory fit-test program in order to

160. How To Manage Change
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
     August 24, 2017 - Process Change process strategies can be applied to other quality improvement efforts: Hospital-acquired pressure … injuries Catheter-associated urinary tract infections Deep vein thrombosis or pulmonary embolism following