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psnet.ahrq.gov/node/41568/psn-pdf
April 05, 2013 - Preventable deaths due to problems in care in English
acute hospitals: a retrospective case record review study.
April 5, 2013
Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals:
a retrospective case record review study. BMJ Qual Saf. 2012;21(9):737-745. doi:10.…
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - Falls
June 15, 2024
Falls. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/falls
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Background
Falls are a common …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/123-mrsa-toolkit-implementation-guide.docx
October 01, 2024 - Implementation Guide: Toolkit for MRSA Prevention in ICU & Non-ICU Settings
AHRQ Safety Program for MRSA Prevention
Implementation Guide:
Toolkit for MRSA Prevention
in ICU & Non-ICU Settings
Introduction 1
The Importance of MRSA Prevention 1
Four Key Strategies of MRSA Prevention 1
Decolonize Patients 2
Decontamina…
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psnet.ahrq.gov/node/849592/psn-pdf
May 31, 2023 - Preventing Falls Through Patient and Family Engagement
to Create Customized Prevention Plans
May 31, 2023
https://psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-
customized-prevention
Summary
Patient falls in hospitals are common and debilitating adverse events that persis…
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psnet.ahrq.gov/node/49498/psn-pdf
January 01, 2006 - A computerized reminder
system to increase the use of preventive care for hospitalized patients.
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psnet.ahrq.gov/primer/long-term-care-and-patient-safety
February 24, 2022 - research to examine the epidemiology of adverse events in long-term care settings and identify effective preventive
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www.ahrq.gov/patient-safety/about/chesapeake-regional-healthcare.html
February 01, 2024 - Chesapeake Regional Healthcare’s Success in Preventing Falls in Hospitals
The hospital can be a dangerous place for a patient, due in part to the unfamiliar environment. This can increase the patient’s risk for falling while hospitalized. Approximately 25% of hospital falls result in injuries, including fractur…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Get Ready
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
Appendix B. Prioritize Opportunities for I…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/022-ss-mrsa-surveillance.pptx
April 01, 2025 - PowerPoint Presentation
AHRQ Safety Program for MRSA Prevention: Targeting SSI
MRSA Surveillance
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention | Surgical Services
MRSA Surveillance
1
Educational …
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
October 01, 2017 - Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed
Training Guide
Module Aim
The aim of Module 1 is to introduce the Preventing Pressure Ulcers in Hospitals Toolkit training.
Module Goals
The goals of this introductory module are to identify the overall objectives…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/normothermia.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
Normothermia
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI Prevention
MRSA Surveillance
The Evidence…
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psnet.ahrq.gov/node/39987/psn-pdf
September 20, 2011 - Fall prevention in acute care hospitals: a randomized trial.
September 20, 2011
Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA.
2010;304(17):1912-1918. doi:10.1001/jama.2010.1567.
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-t…
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psnet.ahrq.gov/node/47831/psn-pdf
May 08, 2019 - What US hospitals are currently doing to prevent common
device-associated infections: results from a national
survey.
May 8, 2019
Saint S, Greene MT, Fowler KE, et al. What US hospitals are currently doing to prevent common device-
associated infections: results from a national survey. BMJ Qual Saf. 2019;28(9):741…
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psnet.ahrq.gov/node/34721/psn-pdf
November 19, 2015 - Preventing medical injury.
November 19, 2015
Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull.
1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x.
https://psnet.ahrq.gov/issue/preventing-medical-injury
Reviewing cases of medical error in the Harvard Medical Practice Study…
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psnet.ahrq.gov/issue/evaluation-patient-centered-fall-prevention-tool-kit-reduce-falls-and-injuries-nonrandomized
February 01, 2023 - Study
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.
Citation Text:
Dykes PC, Burns Z, Adelman JS, et al. Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized con…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-implementation-ig.pdf
June 02, 2025 - AHRQ’s Safety Program for Nursing Homes: Preventable Hospital and ED Visits 1
On-Time
Preventable Hospital
and ED Visits:
Implementation
AHRQ’s Safety Program for Nursing
Homes: On-Time Facilitator Training
Implementation of the Preventable Hospital
and ED Visits Reports
Note: This part of the traini…
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psnet.ahrq.gov/node/837804/psn-pdf
August 10, 2022 - Nurses' harm prevention practices during admission of an
older person to the hospital: a multi-method qualitative
study.
August 10, 2022
Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person
to the hospital: a multi?method qualitative study. J Adv Nurs. 2022;78(1…
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psnet.ahrq.gov/node/73324/psn-pdf
May 26, 2021 - Medication-related hospital readmissions within 30 days
of discharge: prevalence, preventability, type of
medication errors and risk factors.
May 26, 2021
Uitvlugt EB, Janssen MJA, Siegert CEH, et al. Medication-related hospital readmissions within 30 days of
discharge: prevalence, preventability, type of medicati…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/intro.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Introduction
On-Time Falls Prevention was developed to provide the multidisciplinary nursing home team with electronic medical record (EMR)-based tools to effectively monitor resident fall risk and implement proactive strategies to prevent fal…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
December 31, 2021 - Primary Survey Content
The objective of the BRFSS is to collect uniform, state-specific data on preventive … Questions cover behavioral risk factors (e.g., alcohol and tobacco use), preventive health
measures, … • Child Health and Preventive Care (CHPR) section: Starting in 2001, the CHPR section
was added to … • Preventive Care: For each person, a series of questions was asked primarily about the
receipt of … preventive care or screening examinations.