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  1. 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.
  2. 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
  3. 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
  4. 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?
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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.
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
  19. 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
  20. 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

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