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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
April 23, 2008 - PhD
Abstract
The California Nursing Outcomes Coalition (CalNOC) Partners for Quality (PFQ) to Reduce … Patient Falls Project aimed to reduce the incidence of patient falls and the severity of fall-related … Introduction
The primary aim of the California Nursing Outcomes Coalition Partners for Quality to Reduce … Patient Falls Project (CalNOC PFQ) was to reduce the incidence of patient falls and the severity
of … • Implement individualized interventions to prevent falls/reduce injury.
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www.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - through an AHRQ-led task force, released Doing What Counts for Patient Safety: Federal Actions to Reduce … The action plan is designed to:
Reduce MRSA infections through the use of novel interventions. … Test methods to reduce hospitalization for treatment of community-acquired MRSA. … Understand the role of nursing home transmission of MRSA and develop interventions to reduce transmission … Department of Health and Human Services Secretary Kathleen Sebelius called on all hospitals to reduce
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
June 02, 2025 - Declines in Hospital Acquired Conditions
Declines in Hospital-
Acquired Conditions
National efforts to reduce
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
October 01, 2024 - How will you reduce the likelihood of this
How will you know the risk is reduced? … Safety Program for MRSA Prevention | ICU & Non-ICU
Learning From Defects
14
Question 3
How Will You Reduce … | 17
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Learning From Defects
17
Tips To Reduce … How will you reduce the likelihood of this defect happening again?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - Make sure your staff members understand how they can reduce CLABSI. … Educate staff members about how to reduce CLABSI
3. … removed
One of the most effective strategies for preventing CLABSI is to eliminate, or at least reduce … Nonetheless, to reduce patient
exposure to central lines, units should have a systematic approach to
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state3.html
January 01, 2024 - The current research suggests various strategies to reduce clinicians’ sensitivity to diagnostic biases … 3 months of the pandemic. 175 Importantly, telemedicine can provide access to specialist care and reduce … been identified as a significant contributor to cases of diagnostic error. 195 As such, efforts to reduce … Cognitive Interventions
Cognitive interventions provide support to reduce clinicians’ cognitive burden … Checklists have long been proposed as a cognitive aid to reduce diagnostic error, 244 although empirical
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www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
April 01, 2025 - Organizing processes, supplies, equipment, and technology interfaces with human factors principles can reduce … Physical Environment Rationale: Structuring the built environment to minimize physical hazards and reduce … Caregiver Innovations to Reduce Harm in Neonatal Intensive Care . * * Indicates an AHRQ-supported tool
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/167-hospital-level-gap-analysis.pdf
June 02, 2025 - Does the hospital have an antibiotic stewardship program or processes to reduce use of
unnecessary antibiotics … antibiotic stewardship program
Order sets for common infectious disease syndromes
Activities to reduce … the use of vancomycin
Activities to reduce the use of fluoroquinolones
Other
AHRQ Safety Program … antibiotic stewardship program: Off
Order sets for common infectious disease syndromes: Off
Activities to reduce … the use of vancomycin: Off
Activities to reduce the use of fluoroquinolones: Off
Other_15: Off
No
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/009-ss-evidence-decolonization-fg.docx
April 01, 2025 - Phases: Decolonization (Nasal and CHG Skin Antisepsis)
SAY:
There are different strategies and tools to reduce … presentation focus on the evidence supporting nasal decolonization and chlorhexidine skin antisepsis to reduce … Many studies show that nasal decolonization alone can reduce the rate of S. aureus and MRSA carriage … A meta-analysis found that mupirocin alone was able to reduce MRSA and S. aureus nasal carriage. … Studied
SAY:
CHG has been used and studied in two key ways as it pertains to pre-operative patients, to reduce
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_4-speaker-notes.docx
September 01, 2015 - learned about the influence of unit culture on practice change and the importance of a team approach to reduce … Being sure that you foster communication between nurses and doctors or between shifts will help you reduce
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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-fact-sheet.html
January 01, 2017 - Low tidal volume ventilation can benefit patients with or without ARDS. 3
Low tidal volume can reduce … Lower tidal volume at initiation of mechanical ventilation may reduce progression to acute respiratory
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-factsheet.docx
January 01, 2017 - .2
· Low tidal volume ventilation can benefit patients with or without ARDS.3
· Low tidal volume can reduce … Lower tidal volume at initiation of mechanical ventilation may reduce progression to acute respiratory
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
October 01, 2014 - There are many interventions that providers can use to reduce the number of falls. … Using the HEAR ME tips can help reduce falls.
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www.ahrq.gov/news/newsroom/case-studies/201507.html
April 01, 2015 - "RED was adopted in 2012 as a way to further reduce the hospital's relatively low readmission rates for … their medications and schedule follow-up appointments with their primary care physicians, hospitals can reduce
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - Fall TIPS Tool to help
patients, families, and professional care teams reliably identify, assess, and reduce … implemented a biometric patient identification and treatment verification system
using fingerprints to reduce … ■ Reduce patient harms and errors within hospital settings (e.g., falls, adverse drug interactions, … The goal is to
reduce unnecessary transfusions and improve patient outcomes in critically ill children … Underserved Populations: Use HIM, HIT, and telehealth to reduce disparities
in healthcare treatment
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/016-ss-hand-hygiene-periop.pptx
April 01, 2025 - How to reduce the likelihood of this defect from happening again? … MRSA Prevention | Surgical Services
Hand Hygiene in the Perioperative Setting
Case Example: How To Reduce … Setting
29
Key Takeaways
Hand hygiene is a fundamental strategy to mitigate the risk of HAIs and reduce … Surgical hand antisepsis to reduce surgical site infection. … Association of periOperative Registered Nurses (AORN). 5 New Hand Hygiene Practices to Reduce Infection
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/051-top-10-successful-decolonization.docx
October 01, 2024 - Ensure correct application of CHG.6,7
Incorrect bathing with CHG will reduce or inactivate its effectiveness … Daily skin cleansing with chlorhexidine did not reduce the rate of central-line associated bloodstream
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www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
December 01, 2009 - Reduce potentially
preventable readmissions by assigning a staff member to
work closely with patients … AHRQ-funded research shows
that taking these steps can help reduce potentially
preventable readmissions … Reduce infections by offering single-
bed rooms, improving air filtration systems, and
providing multiple
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - Determine risk factors for postoperative wound dehiscence
and identify pediatric patients at risk.2-5
Reduce … encourage elimination of tobacco products prior to surgery, where relevant.3,4
Recommended Practice: Reduce … Essential First Steps
Recommended Practice: Assess for risk of wound dehiscence
Recommended Practice: Reduce
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www.ahrq.gov/talkingquality/explain/support/help.html
November 01, 2018 - Reduce the burden of decisionmaking. … Reduce the Burden of Decisionmaking
Too much information can be a burden. … Reducing the Decisionmaking Burden
One important way to maximize use of quality data is to help people reduce