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121. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
     patientregistry.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

122. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     patientregistry.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

123. AHRQ Stats | Agency for Healthcare Research and Quality
     patientregistry.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

124. 3. Which fall prevention practices do you want to use? | Agency for Healthcare Research and Quality
     patientregistry.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.

125. PS Grantee Report | Agency for Healthcare Research and Quality
     patientregistry.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

126. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     patientregistry.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.

127. Module 3: Best Practices in Fall Prevention—Training Guide | Agency for Healthcare Research and Quality
     patientregistry.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.

128. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
     patientregistry.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

129. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
     patientregistry.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.

130. Module 5: How To Measure Fall Rates and Fall Prevention Practices—Training Guide | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/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 … How do you measure fall prevention practices? … How to measure fall prevention practices.

131. Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/research/findings/studies/index.html?page=485
     January 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Network (PBRN) (16) Practice Improvement (34) Practice Patterns (305) Pregnancy (289) Pressure … Ulcers (28) Prevention (794) Primary Care (718) Primary Care: Models of Care (86) Provider … Keywords: Cancer, Electronic Health Records (EHRs), Data, Health Information Technology (HIT), Prevention

132. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
     January 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … HAC events amount to more than $28 billion in excess healthcare costs, including pressure ulcers ($9.9

133. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/impguide.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

134. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
     September 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Cleaning & Decontamination (Not reviewed) (Not reviewed) Summary of Evidence Multicomponent Prevention … of Pressure Ulcers in Older Patients Summary of Evidence Update (all patients) (Not reviewed … ) Prevention of Delirium in Older Hospitalized Patients Summary of Evidence (Also listed under

135. Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/research/findings/studies/index.html?page=1
     January 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Network (PBRN) (16) Practice Improvement (34) Practice Patterns (305) Pregnancy (289) Pressure … Ulcers (28) Prevention (793) Primary Care (717) Primary Care: Models of Care (86) Provider … programs and urinary tract infection prevention practices in nursing homes: a mixed-methods study. … Characterizing infection prevention programs and urinary tract infection prevention practices in nursing

136. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/resources/learning-lab/index.html
     February 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Identify areas of skin at risk for developing pressure ulcers (recently renamed by expert organizations … of indwelling urinary catheters, central venous catheters, and pressure injuries (formerly called ‘pressure … ulcers’).

137. Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/research/findings/studies/index.html?page=481
     January 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Network (PBRN) (16) Practice Improvement (34) Practice Patterns (305) Pregnancy (289) Pressure … Ulcers (28) Prevention (794) Primary Care (718) Primary Care: Models of Care (86) Provider … In addition, the prevention of transmission through interventions involving the built environment is … The role of the hospital environment in the prevention of healthcare-associated infections by contact

138. Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/research/findings/studies/index.html?page=480
     January 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Network (PBRN) (16) Practice Improvement (34) Practice Patterns (305) Pregnancy (289) Pressure … Ulcers (28) Prevention (793) Primary Care (717) Primary Care: Models of Care (86) Provider … In addition, the prevention of transmission through interventions involving the built environment is … The role of the hospital environment in the prevention of healthcare-associated infections by contact

139. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.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

140. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.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 … The sole objective of the event investigation and analysis of an adverse event or near miss is the prevention