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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - Premature infants beyond the immediate neonatal period can experience apnea following ketamine sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-litreview.docx
January 01, 2017 - that most patients tolerate lung-protective mechanical ventilation well without the need for excessive sedation
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www.ahrq.gov/teamstepps/instructor/fundamentals/module7/igsummary.html
March 01, 2014 - TeamSTEPPS Fundamentals Course: Module 7. Summary
Instructor's Guide
TeamSTEPPS is a teamwork system developed jointly by the Department of Defense (DoD)and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional collaboration and communication relating to patient safety.
Instruct…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module7/igsummary.pdf
February 21, 2014 - TeamSTEPPS Module 7 Summary: Pulling It All Together (Instructor Slides)
SUMMARY—PULLING IT ALL TOGETHER
SUBSECTIONS
• Review of Teamwork Skills,
Team Effectiveness, and
TeamSTEPPS Outcomes
• Skills Practice Exercise
• Identifying Opportunities to
Use TeamSTEPPS
Strategies and Tools
• Practice Teachi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4e_combo_psi08-postophipfx-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4e
Selected Best Practices and Suggestions for Improvement
PSI 08: Postoperative Hip Fracture
Why Focus on Postoperative Hip Fracture?
• Hip fracture…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
September 18, 2014 - Section 6-B, Expert Workgroup Roster and Materials
…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
September 18, 2014 - Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster
…
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-workgroup.pdf
September 18, 2014 - PMCoE PICU Expert Work Group and Leadership Team Roster
…
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www.ahrq.gov/research/findings/studies/index.html?page=8
January 01, 2024 - AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results 201 to 225 of 12392 Research Studies Displayed
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…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal-notes.docx
April 01, 2022 - Consider using mobilization and sedation vacation to help prevent urinary retention while epidurals are
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes
Slide 1: Patient and Family Engagement in the Surgical Environment Module
Say:
The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Pati…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/ade.pdf
November 11, 2019 - Making Healthcare Safer Practices: 9. Reducing Adverse Drug Events in Older Adults
Reducing Adverse Drug Events in Older Adults 9-1
9. Reducing Adverse Drug Events in Older Adults
Authors: Tara R. Earl, Ph.D., M.S.W., Nicole D. Katapodis, M.P.H., and Stephanie R. Schneiderman, M.P.P.
Reviewers: Scott Winiecki, M.…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - in-facility falls; in-depth review
Common/Low High Moderate
(increased use
of restraints
and/or
sedation … , stop orders, or nurse-initiated removal protocols
• Bundles that include head-of-bed elevation, sedation
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
October 01, 2014 - Module 3: Falls Prevention and Management
Session 1
Previous Page Next Page
Table of Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Appendix. Additional Tools and Resources
Introduction
Case Study: Mr.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtools.docx
January 01, 2013 - Service Class
Comments
3 (High)
Analgesics,* antipsychotics, anticonvulsants, benzodiazepines†
Sedation … Patient factors
Mental state
Identify those patients most vulnerable to falls because of sedation, … Y
Y
Y
Y
Y
N
Y
Y
N
N
Y
Y
Y
Y
16/20
Medication administration record: given night sedation … Medication administration record: given night sedation last night?
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-toolkit-prepare.pdf
February 18, 2021 - Six Building Blocks How-To-Implement Toolkit: Prepare and Launch Guide
Table of Contents
Introduction ......................................................................................................................................1
What Is the Prepare and Launch Guide? .....................................…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
June 16, 2017 - Key Risk Factors for Falls
Medications
Patients taking a large number of medications that could cause sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
May 01, 2017 - engagement skills (lack of skills or negative experiences)
Patient situation upon discharge
Patient sedation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
September 29, 2017 - Abt Single-Sided Body Template
On-Time Falls Prevention: Electronic Reports
Four types of reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The types of reports are:
· On-Time Falls High-Risk Report.
· Quarterly Summary of Falls Risk Facto…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience
131
Quantitative and Qualitative Analysis of
Medication Errors: The New York Experience
Elizabeth Duthie, Barbara Favreau, Angelo Ruperto,
Janet Mannion, Ellen Flink, Ruth Leslie
Abstract
Objectives: In June 2000, the New Yo…