-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/opioids-oa-protocol.pdf
June 29, 2019 - Prevention, Diagnosis, and Management of Opioids, Opioid Misuse and Opioid Use Disorder in Older Adults … : Protocol
Evidence-based Practice Center Technical Brief Protocol
Project Title: Prevention … agencies
to design an evidence-based research agenda to answer the most important questions regarding
prevention … characterize the existing empirical studies that
pertain to the guiding questions (risk, screening, prevention … Centers for Disease Control and Prevention.
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www.ahrq.gov/downloads/pub/advances/vol2/Hunt.pdf
July 01, 2004 - Especially important are the opinions of CMS's federal agency TEP partners,
Centers for Disease Control and Prevention … DVT/PE*
Hospital acquired UTI**
Ventilator associated
pneumonia**
Adverse drug events **
Pressure … ulcers*
Postoperative cardiac
events*
Hospital falls**
Angiographic adverse
events***
Methicillin-resistant
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - Especially important are the opinions of CMS's federal agency TEP partners,
Centers for Disease Control and Prevention … DVT/PE*
Hospital acquired UTI**
Ventilator associated
pneumonia**
Adverse drug events **
Pressure … ulcers*
Postoperative cardiac
events*
Hospital falls**
Angiographic adverse
events***
Methicillin-resistant
-
effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1312.pdf
December 01, 2013 - ulcers; large-faced clocks are used for better visibility and time
orientation; calendars and boards … clinical staff in large print
are used to lower risk of patient disorientation and delirium; fall-prevention … ulcers; large-faced clocks for improved visibility; calendars; boards with the names
of hospital and … clinical staff to reduce risk of patient delirium; fall prevention measures such as
nonskid floor … These mattresses can
increase risk of a patient developing pressure ulcers.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
January 01, 2003 - Usability Testing and the Relation of Clinical Information Systems to Patient Safety
365
Usability Testing and the Relation of Clinical
Information Systems to Patient Safety
Michelle L. Rogers, Emily Patterson, Roger Chapman, Marta Render
Abstract
Background: The success of clinical information systems depend…
-
psnet.ahrq.gov/web-mm/need-eat
February 10, 2021 - treated as an ancillary concern that is not prioritized in acute care until overt symptoms, such a pressure … ulcers, significant weight loss or failure to thrive occur. … Recognition and prevention of nosocomial malnutrition: a review and a call to action! … February 1, 2023
Barriers and enablers to nurses' use of harm prevention strategies for
-
psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - one in the San Fernando and Antelope Valleys, one in Santa Barbara and one in Kern County), a disease prevention … health systems, university pharmacist training programs, post-acute care transition programs, and fall prevention
-
www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
January 01, 2025 - biases.60,61 We used the modified National Coordinating Council for Medication Errors
Reporting and Prevention … National Academy of Medicine, and National Coordination Council for Medication Error
Reporting and Prevention … MERP = Medical Error Reporting and Prevention index. … care related (38.6% vs. 4.7%); the most common
subtypes were falls (48%), traumatic injury (11%), and pressure … ulcers (12.3%).
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psnet.ahrq.gov/classics
August 01, 2023 - Complications
(93)
Nosocomial Infections
(50)
Patient Falls
(8)
Pressure … Ulcers
(5)
Venous Thrombosis and Thromboembolism
(3)
Medication Safety
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/dental-post-transplant-complications-rapid-research.pdf
May 01, 2025 - Prevention of
viridas group
streptococcal
infective
endocarditis
(2021)29
Scientific
statement … Prevention of Viridans Group Streptococcal
Infective Endocarditis: A Scientific
Statement From the … Prevention of Infective Endocarditis:
Guidelines from the American Heart
Association: A Guideline from … The Effect
of Cryotherapy on the Prevention of Oral
Mucositis and on the Oral pH Value in
Multiple … Implementation of a standardized protocol
for prevention and management of oral
mucositis in patients
-
www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - Falls Prevention and Management. … He has a pressure ulcer that
developed weeks ago and measurements are about the same as last week. … He has a pressure ulcer that
developed weeks ago and measurements are about the same as last week. … Each QI effort may have its own intervention to enhance
falls prevention and management. … Falls Prevention
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
January 01, 2014 - , provider, and patient level for more than 60
quality measures encompassing primary and secondary prevention … Pressure ulcers in community-based older adults receiving home health care. … Prevention of falls in community-dwelling older adults: U.S.
-
psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - iatrogenic
infection (such as catheter-associated urinary tract infection or aspiration pneumonia), pressure … ulcers,
falls, and iatrogenic events.(9-11) On a larger scale, delirious patients require more staff
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Information Form, and Summary of Initial Report Form)
and then applying Common Formats for falls, pressure … ulcers, surgery/anesthesia, medications, and blood/
blood products.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
January 01, 2020 - Centers for Disease Control and Prevention. Meningitis. http://www.cdc.gov/meningitis/index.html. … Centers for Disease Control and Prevention. … Centers for Disease Control and Prevention. … Department of Health and Human Services, Centers for Disease Control and Prevention, National Center … Weight loss also may lead to muscle wasting, infections, and increased risk of pressure ulcers.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
December 01, 2000 - Stage 3 or 4 pressure ulcers
acquired after admission to a
health care facility
Excludes progression … facility means any licensed facility that is organized, maintained,
and operated for the diagnosis, prevention … Pharmacopeia’s MEDMARXSM system
and National Coordinating Council for Medication Error Reporting and
Prevention … Prevention strategies can include identifying points in the system of care where
protocols should be … These solutions should be focused
on systemic prevention strategies as described above.
-
psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure … ulcers: a systematic review and documentary analysis.
-
www.ahrq.gov/news/events/nac/2021-03-nac/nacmtg031821-minutes.html
July 01, 2021 - Ex Officio Members and Alternates Present
Ileana Arias, Ph.D., Centers for Disease Control and Prevention … revealed improvement in patient safety overall, especially with regard to urinary tract infections and pressure … ulcers for patients in nursing homes.
-
psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
April 26, 2023 - problems, it always seemed like we had to almost invent a new solution for every problem, whether it was pressure … ulcers, falls, or whatever.
-
hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jsp
July 01, 2025 - Risk factors for pressure ulcers in acute care hospitals. … Injury Prevention . 11; 267-273, 2005. http://ip.bmjjournals.com/cgi/reprint/11/5/267 .