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121. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
     August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

122. Preventing Falls in Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
     June 01, 2018 - in Hospitals Training Program Fall Prevention Program Implementation Guide Fall Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … Falls Prevention Toolkit for Hospitals Web based design Evidence-based tools for falls prevention … A Falls Prevention Initiative took place in 2009.

123. Communication Assessment Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
     August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

124. Module 4: How To Implement the Fall Prevention Program in Your Organization—Slide Presentation | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/slides.html
     September 01, 2017 - in Hospitals Training Program Fall Prevention Program Implementation Guide Fall Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … How should prevention work be organized at the unit level? … What fall prevention practices go beyond the unit?

125. PQMP Measures | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/pqmp/measures/index.html
     Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Measurement (CEPQM) NQF Endorsement Number: 3136 Initial Risk Assessment for Immobility-Related Pressure … Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure Subdomain: Management

126. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
     September 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … events, including certain hospital-acquired conditions (HACs), such as postsurgical complications and pressure … ulcers but has some limitations that AHRQ is addressing with a new surveillance system.

127. North Shore-LIJ Health System Implements TeamSTEPPS® to Improve Patient Safety | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/201521.html
     July 01, 2015 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … decrease in central line-associated bloodstream infections and a 50 percent decrease in hospital-acquired pressure … ulcers since 2011.

128. Acknowledgments | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
     August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … Hickson, M.D., Senior Vice President for Quality, Safety and Risk Prevention, Assistant Vice Chancellor

129. Fall Prevention Toolkit (doc file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
     March 01, 2013 - Fall Prevention Toolkit Fall Prevention Toolkit Module 1 Tools Tool 1E: Resource Needs Assessment Miake-Lye … study by van Gaal and colleagues evaluated a program that targeted three patient safety practices (pressure … ulcers, urinary tract infections, and falls prevention) simultaneously and found an overall positive … effect on the development of any adverse event, a composite measure of pressure ulcers, urinary tract … Prevention Study.

130. Main Line Health System Uses Patient Safety Culture Survey in Suburban Philadelphia Facilities | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/cquips1302.html
     December 01, 2012 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … percent, all hospital central line-related bloodstream infections have decreased by 51 percent, and pressure … ulcers rated at stage II or worse have decreased by 44 percent.

131. Peterson Regional Medical Center Uses AHRQ's CUSP and Hospital Survey to Advance Patient Safety | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/201419.html
     November 01, 2014 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … protocols for communication, teamwork, and leadership to address other patient safety issues such as falls prevention … , medication safety, urinary tract infection, and pressure ulcers.  

132. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
     healthcare411.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
     September 01, 2013 - CHG is also safe for superficial wounds, including stage 1 and stage 2 decubitus ulcers. 12. … 36 CHG can be applied to any superficial wound, including stage 1 and stage 2 decubitus ulcers … • Use over superficial wounds, including stages 1 and 2 decubitus ulcers. … Y N N/A Uses CHG on superficial wounds, rash, and stage 1 & 2 decubitus ulcers. … Are you comfortable applying CHG to stage 1 & 2 decubitus ulcers?

133. First-of-Its-Kind Study Examines Disparities in Healthcare Costs and Outcomes of Cigarette Smoking in the United States | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/893.html
     December 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … The winners of the competition are: University of Missouri Health Care utilized AHRQ’s Preventing Pressure … Ulcers in Hospitals: A Toolkit for Improving Quality of Care to decrease reportable pressure injuries

134. Module 3: Best Practices in Fall Prevention—Slide Presentation | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
     September 01, 2017 - in Hospitals Training Program Fall Prevention Program Implementation Guide Fall Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … Slide 13:  Fall Prevention Is a 3-Step Process Image: A triangle represents the 3-Step Fall Prevention … Centers for Disease Control and Prevention. STEADI - Older Adult Fall Prevention.

135. Gap Analysis Facilitator's Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3.html
     August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

136. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
     August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

137. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Slide Presentation | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
     September 01, 2017 - in Hospitals Training Program Fall Prevention Program Implementation Guide Fall Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … Measuring fall prevention practices. … Slide 44: Assessing Fall Prevention Care Processes Images: Two screenshots show a sample fall prevention

138. Module 7: Resolution | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
     August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … Ability to distinguish and separate process components: explanation, apology, prevention, and resolution

139. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
     September 01, 2017 - in Hospitals Training Program Fall Prevention Program Implementation Guide Fall Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … How do you measure fall rates and prevention practices? … Designated fall prevention Implementation Team Leader.

140. PS Grantee Report | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/final-reports/index.html?page=8
     September 01, 2005 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Human and Environmental Factors (3) Patient and Family Engagement (3) Pain Management (2) Pressure … Ulcers (2) Rural Settings (2) Surgical Quality Improvement (2) Consumer Assessment of Healthcare … Providers (1) Detection/Triggers (1) Diagnostic Safety (1) Disabilities (1) Fall Prevention