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www.uspreventiveservicestaskforce.org/home/getfilebytoken/-YHCmR_8bdShSaMTx6Mrgx
Research Gaps for Interventions to Prevent Falls in Community-Dwelling Older Adults: Evidence Gaps Research Taxonomy Table
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Evidence Gaps Research Taxonomy Table
Topic: Research Gaps for Interventions to Prevent Falls in Community-Dwelling Older Adults
To fulfill its mission to improve health by making evi…
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digital.ahrq.gov/sites/default/files/docs/page/2006Nace_051811comp.pdf
January 01, 2001 - The Discharge Assistant: Facilitating Information Transfer at Hospital Discharge
The Discharge Assistant: Facilitating
Information Transfer at Hospital Discharge
G. Stephen Nace, M.D.
Assistant Professor of Clinical Medicine and
Director of Information Technology
Department of Medicine
University of Illinois Coll…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2024-sops-deidentified-research-datasets.pdf
January 01, 2024 - SOPS® Database De-Identified Research Dataset Contents
Contents of SOPS De-identified Research Datasets
Last Updated: April 2024 1
Agency for Healthcare Research and Quality (AHRQ)
SOPS® Database
De-Identified Research Dataset Contents
This document is for researchers interested in requesting de-identified …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/advanced-practice-guide.pdf
March 01, 2016 - module https://www.stepsforward.org/modules/
empathetic-listening
Using the SafeMed model to improve
transitions
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digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-final-report.pdf
July 01, 2015 - evidence and evidence-based tools to support patient-centered care, the
coordination of care across transitions … evidence and evidence-based tools to support patient-centered care, the coordination of care across transitions
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 01, 2025 - Medication transitions: vulnerable periods of change in need of human factors and ergonomics . … Real-time surveys reveal important safety risks during interhospital care transitions for neurologic … and identified barriers and facilitators of these processes, disposition decision making, and care transitions … Patient-Driven Medication Safety Learning Laboratory in Care Transitions Principal Investigator: Ranjit … Re-engineering Surgical Recovery and Transitions Using Technology Patient Safety Learning Laboratory
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hcup-us.ahrq.gov/tech_assist/toolstutorial/508/508course.jsp
January 01, 2020 - HCUP Tools for ICD-10-CM/PCS Loading Tutorial - Accessible Version
An official website of the Department of Health & Human Services
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Espanol …
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psnet.ahrq.gov/issue/preventing-and-managing-impact-anesthesia-awareness
May 27, 2020 - Sentinel Event Alerts
Preventing, and managing the impact of, anesthesia awareness.
Citation Text:
Preventing, and managing the impact of, anesthesia awareness. Sentinel Event Alert. 2004;32:1-3.
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psnet.ahrq.gov/issue/preventing-vincristine-administration-errors
June 16, 2019 - Sentinel Event Alerts
Preventing vincristine administration errors.
Citation Text:
Preventing vincristine administration errors. Sentinel Event Alert. 2005;34(34):1-3.
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psnet.ahrq.gov/node/41748/psn-pdf
April 05, 2013 - Factors contributing to all-cause 30-day readmissions: a
structured case series across 18 hospitals.
April 5, 2013
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a
structured case series across 18 hospitals. Med Care. 2012;50(7):599-605.
doi:10.1097/MLR.0b013e…
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digital.ahrq.gov/track-8-patient-and-family-centered-health-it-and-safety
January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
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psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite
July 18, 2024 - Press Release/Announcement
Preventing accidents and injuries in the MRI suite.
Citation Text:
Preventing accidents and injuries in the MRI suite. Sentinel Event Alert. 2008;38(38):1-3.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024071-lindquist-final-report-2018.pdf
January 01, 2018 - 155 0.25 1.27 64 2.42 3.22
DME / PT 80 0.13 0.84 28 2.86 2.8
Scheduling 303 0.49 1.89 85 3.56 3.87
Transitions … Lab Order 31 50 33 40.2 0.3097
DME / PT 11 17.7 17 20.7 0.6776
Scheduling 39 62.9 46 56.1 0.4942
Transitions … 1.21 2.25 0.98 2.61 0.5729
DME / PT 0.52 1.72 0.59 1.63 0.8056
Scheduling 2.6 3.73 1.73 3.19 0.1369
Transitions … 9.2) 82 (8.3)
Medication refills 83 (10.5) 80 (8.1)
Appreciation for help 46 (5.8) 77 (7.8)
Care Transitions … medication refills (nc=80, 8.1%;np=83, 10.5%), appreciation for help (nc=77, 7.8%;np=46,
5.8%), care transitions
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www.ahrq.gov/sites/default/files/2024-01/dierks-report.pdf
January 01, 2024 - need to coordinate care across
several different services and manage
the patient across several transitions … transition through the physical and
function phases of care, the resources required to achieve these transitions
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/60-tenn-health-coach-sustainability-plan-toolkit.pdf
June 02, 2025 - Health Coach Intervention Sustainability Plan
Health Coach Intervention Sustainability Plan
Medicare Preventative Services
i. In Office Visits, Modifiers and Add-On Codes
a. Annual Wellness Visits
1. Medicare
i. Description-Initial Preventative Physical Exam (IPPE) also known as
“Welcome to Medicare” visit
ii. …
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/engaging-caregivers-appendix-b.xlsx
May 29, 2025 - teach-back (n=289) NR Not specifically, but used teach-back questions from IHI recommendations for ideal transitions … Teach-back was chosen as an easy-to-use effective communication tool to address care transitions for
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psnet.ahrq.gov/perspective/patient-safety-home-dialysis
April 28, 2021 - provides a critical role in the prevention of harms, both during patient training and once the patient transitions
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www.ahrq.gov/sites/default/files/2025-05/bisantz-report.pdf
January 01, 2025 - account transition repetition as well as dwell time to identify common
patterns beyond first-state transitions … , screen capture data is being analyzed in terms of times spent per display as well
as patterns in transitions
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psnet.ahrq.gov/node/33787/psn-pdf
January 01, 2018 - We're also looking at transitions from hospital to home.
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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - dangerously increased production pressure, cognitive aid from planned organized handover checklists for transitions