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141. PS Grantee Report | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/final-reports/index.html?page=7
     December 01, 2007 - 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

142. Mercy Health Uses AHRQ's Patient Safety Culture Survey and TeamSTEPPS® to Enhance Care | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/201411.html
     August 01, 2014 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Mercy also replaced patient beds to reduce incidents of pressure ulcers and to promote patient and staff

143. Grantee Final Reports: Patient Safety | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/final-reports/index.html
     June 01, 2023 - 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

144. Care for the Caregiver Program Implementation Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide6.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

145. Module 4: How To Implement the Fall Prevention Program in Your Organization—Training Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/guide.html
     October 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 … Critical Thinking for Fall Injury Prevention —AHRQ Fall Prevention Program Implementation Sharing Webinar … Fall prevention should be included in four areas of training: Annual fall prevention education for

146. PS Grantee Report | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/final-reports/index.html?page=2
     September 01, 2018 - 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

147. Module 2: How To Manage Change—Training Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/guide.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 … Members who influence the areas involved in fall prevention. … In addition, they assessed their staff knowledge of fall prevention.

148. Re-Engineered Discharge (RED) Toolkit | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/red/toolkit/index.html
     April 01, 2023 - 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

149. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.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

150. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.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

151. PS Grantee Report | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/final-reports/index.html?page=4
     July 01, 2013 - 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) Consumer Assessment of Healthcare Providers (1) Detection/ … Triggers (1) Diagnostic Safety (1) Disabilities (1) Fall Prevention (1) Patient Safety

152. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.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

153. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.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 … Lucian Leape stated, "The single greatest impediment to error prevention in the medical industry is that

154. AHRQ Stats | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/ahrq-stats.html
     November 01, 2023 - Prevalence of Pressure Ulcers by Race In 2019, 7 percent of Black patients, 6.9 percent of American … ulcer, compared with just 4.3 percent of White patients. … Decreasing Pressure Ulcers Among Hospital Patients The average rate of hospital-associated pressure … Pressure Ulcer Rates of Hospital Patients About 1.2 million cases of hospital-acquired pressure ulcers … Hospital-Acquired Conditions The overall rate of hospital-acquired conditions, such as pressure ulcers

155. PS Grantee Report | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/final-reports/index.html?page=0
     June 01, 2023 - 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) Consumer Assessment of Healthcare Providers (1) Detection/Triggers (1) Diagnostic

156. 3. Which fall prevention practices do you want to use? | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
     January 01, 2013 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … principles of patient autonomy and cause all the complications of bed rest, such as deconditioning, pressure … ulcers, aspiration, and deep vein thrombosis, thereby keeping the patient in the hospital longer and … prevention program.

157. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.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 … After the Action Plan for fall prevention work is in place and successful, the Fall Prevention Team will … Fall prevention continues to be in front of everyone.

158. Module 3: Best Practices in Fall Prevention—Training Guide | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/guide.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 … improvement related to fall prevention practices: Which fall prevention practices to use. … Evidence for Fall Prevention Strategies —AHRQ Fall Prevention Program Implementation Sharing Webinar.

159. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.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

160. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
     August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training 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 … Patients and families can be engaged as partners in organizational discussions about harm prevention … It is preferable to share the most important root causes and the prevention plan.