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www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
November 01, 2017 - Unit-based Safety Program in long-term care settings revealed a 54 percent drop in rates of catheter-associated … urinary tract infections.
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www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
January 01, 2024 - Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist … Factors Associated with Effective Implementation of a Surgical Safety Checklist
Sara J. … We also
believed that effective implementation would be associated with measurable improvements in … Urinary Tract Infection
(CAUTI), and Central Line-Associated Blood Stream Infection Programs.
5 … Achieving implementation objectives appears associated with improvement in checklist
outcomes.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es.pdf
January 01, 2023 - Data show increased ED visits and hospital admissions during the spike in cases
associated with the … ■ Rates of central line-associated bloodstream infections decreased from 0.13 to 0.09
infection … ■ Rates of hospital-associated pulmonary embolism or deep vein thrombosis (blood
clots) decreased … Rates of long-stay nursing home
residents with urinary tract infections were 1.8% in 2019 and 1.9% in … Postoperative Sepsis – Efforts to improve patient safety by avoiding healthcare-associated
infections
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es-rev.pdf
January 01, 2023 - Data show increased ED visits and hospital admissions during the spike in cases
associated with the … ■ Rates of central line-associated bloodstream infections decreased from 0.13 to 0.09
infection … ■ Rates of hospital-associated pulmonary embolism or deep vein thrombosis (blood
clots) decreased … Rates of long-stay nursing home
residents with urinary tract infections were 1.8% in 2019 and 1.9% in … Postoperative Sepsis – Efforts to improve patient safety by avoiding healthcare-associated
infections
-
www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
January 01, 2025 - not reimburse what are considered to be inappropriate imaging studies.35 Finally, there is
the risk associated … The use of computed tomography in pediatrics
and the associated radiation exposure and estimated … CT in Detecting Urinary Tract Calculi: Influence on
Patient Imaging and Clinical Outcomes1. … Figures require alternate text
Nested alternate text Passed Alternate text that will never be read
Associated … with content Passed Alternate text must be associated with some content
Hides annotation Passed Alternate
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - evaluate whether there are improvements in outcomes such as:
· Surgical site infections (SSI)
· Catheter-associated … urinary tract infections (CAUTI)
· Venous thromboembolism (VTE) events
· Reduced opioid use
· Patient
-
www.ahrq.gov/sites/default/files/2024-01/joseph1-report.pdf
January 01, 2024 - Recent studies have demonstrated no significant improvement for a number of
healthcare-associated conditions … , including the failure to reduce postoperative, bloodstream, and
catheter-associated urinary tract … air quality, room layout, and others, contribute to adverse patient safety outcomes
like healthcare-associated … importance of collecting baseline
data around key patient safety outcomes, such as falls, healthcare-associated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/strat3_tool_3_pres_video_508.pptx
July 23, 2010 - communication during shift report can help catch potential medical errors in blood incompatibility, catheter-associated … urinary tract infections, and air embolism, all of which are on CMS’s list of hospital-acquired complications … progressive care unit, a 2-month review of overtime data demonstrated an $8,000 reduction directly associated
-
www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
January 01, 2024 - Among the bypasses, three were
associated with preventable ADEs and 44 were associated with nonintercepted … residents is a telephone call from the nursing home to a covering physician about a
resident with a urinary … tract infection without noting that the resident is taking warfarin.1
The result may be an order for … Hierarchical cultures reflect the
values and norms associated with bureaucracy. … Medical Device-Associated Safety and Risk: Surveillance and
Stratagems.
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www.ahrq.gov/sites/default/files/2024-01/stifter-report.pdf
January 01, 2024 - Nutrition, mobility, perfusion, hydration, and skin problems on admission and patient age were associated … and interactions between nurse
continuity and other nurse staffing variables were not significantly associated … nurse-to-
patient ratios, and decreasing RN care hours.6 Recent healthcare reorganization has been associated … The regression analysis revealed that continuity was not significantly associated with the HAPU
outcome … pneumonia, catheter-associated urinary tract infections) may not be the most effective strategy to
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
September 29, 2014 - Urinary Tract Infections projects. … The audit was used to assist facilities in evaluating processes and procedures that could be associated … Prior to use in NOTICE, HRET partners used CDS in
On the CUSP: Stop CAUTI (catheter-associated urinary … tract infections) and the Hospital Engagement
Network projects. … Proper scrubbing in both cases was associated with decreased infection rates.
34
Figure 18.
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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-Ehringer_17.pdf
February 08, 2008 - For example, consider ruling out a urinary tract
infection when a Foley catheter is first inserted, … The CBP also reviews orders (and any associated references, information, alerts, or attachments)
on
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
February 01, 2018 - Sepsis Prevalence and Incidence
While sepsis-associated mortality in children has declined in recent … Mortality is strongly
associated with multiple organ dysfunction syndrome, occurring in 7 percent of … Higher charges were also associated with higher severity of illness. … of infection in patients with severe sepsis and
septic shock are the lungs, bloodstream, abdomen, urinary … tract, and skin and soft tissue (Bochud,
et al., 2004).
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
December 01, 2017 - the [inaudible 00:11:17] what really happened and can continue to happen when someone just develops a urinary … tract infection, which is sometimes how we think about it. … This is a screenshot of our urinary catheter insertion assessment.
-
www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - For incidents that fell in either category 1 or 2, the associated never-event
was assigned. … Patient death or serious disability associated with the use or function of a device in patient care, … Patient death associated with a fall while being cared for in a healthcare facility 18.
7
E. … thrombosis, fall, nerve injury, organ injury, pneumonia, pneumothorax, pressure sore,
sepsis, shock, urinary … tract infection, postoperative wound infection, and other.
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www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
April 01, 2013 - Certainly, the CLABSI work in our critical care units, the recent catheter-associated urinary tract infections … adopted the Learning From Defects with the root cause tool for specific defects for CLABSI, ventilator-associated
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
August 01, 2010 - communication during shift report can help catch potential medical errors in blood incompatibility, catheter-associated … urinary tract infections, and air embolism, all of which are on the Centers for Medicare and Medicaid … progressive care unit, a 2-month review of overtime data demonstrated an $8,000 reduction directly associated … never events by 5 percent by the end
of the fourth quarter
Reduce the incidence of vascular catheter-associated
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - In the case of reducing central line-associated bloodstream infections or catheter-associated urinary … tract infections, measure the outcome rates of these events.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - In the case of reducing central line-associated bloodstream infections or catheter-associated urinary … tract infections, measure the outcome rates of these events.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
January 01, 2023 - with a catheter
inserted and left in the bladder
MDS 2021
Long-stay nursing home residents with a urinary … tract infection MDS 2021
Long-stay nursing home patients experiencing one or more falls
with major … tract infection MDS 2021
Long-stay nursing home patients experiencing one or more falls
with major … tract infection per 100,000
population, ages 3 months-17 years
HCUP 2019
Hospital admissions for … urinary tract infections
• CCRC: continuing care retirement community
• CD4: cluster of differentiation