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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-cord-prolapse.html
July 01, 2023 - Sample Scenario for Umbilical Cord Prolapse In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Umbilical Cord Prolapse In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in…
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/most-expensive-conditions.pdf
June 02, 2025 - The Top Five Most Expensive Conditions Treated in U.S. Hospitals
Sources: HCUP Statistical Brief #160
(http://www.hcup-us.ahrq.gov/reports/statbriefs/statbriefs.jsp)
and HCUPnet (http://hcupnet.ahrq.gov/).
Costs associated with inpatient stays constitute the largest single component of
health care spending. Heal…
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www.ahrq.gov/sites/default/files/2024-10/mchugh-report.pdf
January 01, 2024 - Final Progress Report: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes
Final Progress Report
Title: Nurse Staffing Policy, Hospital Occupancy, Market Structure, and Patient Outcomes
Principal Investigator: Matthew D. McHugh
Team Members: Linda H. Aiken (primary mentor); Jeffrey H.…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4f
Selected Best Practices and Suggestions for Improvement
PDI 08: Perioperative Hemorrhage or Hematoma
Why focus on perioperative hemorrhage an…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
May 16, 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.4t
Selected Best Practices and Suggestions for Improvement
PDI 08: Perioperative Hemorrhage or Hematoma
Why focus on perioperative hemorrhage and hematoma…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-leadership-slides.html
December 01, 2017 - increased resistance and Clostridium difficile disease
Hospitalists
Infectious and mechanical complications … Potential catheter complications prolonging length of stay
Often salaried physicians with incentives … based on hospital-based quality and efficiency
Urologists
Reduce trauma (mechanical complications
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - The factor driving readmissions is complications, and specifically infections, so care of coordination … In emergency cases—where patients tend to be a high risk for complications like wound infections— only
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/133-translating-research-into-practice-fg.docx
April 01, 2025 - Evidence-based interventions are shown to be more effective, leading to better health outcomes, reduced complications
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www.ahrq.gov/funding/grantee-profiles/grtprofile-schoenthaler.html
March 01, 2024 - influence a person’s ability to manage their chronic condition in order to prevent downstream negative complications
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/aom-children-slides.pptx
September 01, 2022 - since widespread use of pneumococcal vaccine
S. pneumoniae AOM is more likely to cause significant complications … Acute Otitis Media and Associated Complications in United States Emergency Departments.
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www.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
October 01, 2020 - having patients catheterized would save time, but clearly, with extended lengths of stay, infection complications … Slide 77
Saves time for the bedside nurse:
With infection complications, extended stay and other
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www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf2.html
June 01, 2022 - : This recommendation concerns adults without symptoms of diabetes or evidence of possible diabetes complications … Possible diabetes complications include nonhealing ulcers or infections and established vascular disease … Risk assessment: Blood pressure is an important predictor of complications of cardiovascular disease … has less intraindividual variation, and has similar predictive value for development of microvascular complications … mortality rates from these procedures in asymptomatic individuals are not available, mortality rates due to complications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
December 01, 2017 - The factor driving readmissions is complications, and specifically infections, so care of coordination … In emergency cases—where patients tend to be a high risk for complications like wound infections— only
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt2.html
May 01, 2018 - Having these conditions in combination with diagnosed diabetes increases the likelihood of complications … Hispanic adults and White adults had similar rates of admission for short-term complications of diabetes … Slide 31
Hospital admissions for uncontrolled diabetes without complications per 100,000 population … Trends:
The rate of hospital admissions for uncontrolled diabetes without complications per 100,000 … Note:
Importance: Low birth weight can put infants at risk of various complications and death.
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www.ahrq.gov/es/tools/index.html?page=1
December 01, 2012 - catheter-associated urinary tract infections (CAUTI), infections associated with ventilators, surgical complications
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
December 01, 2017 - 2
1 in 25 people will undergo surgery worldwide.
7 million complications follow inpatient surgeries … Complications impact 25% of inpatient surgeries.
1 million deaths follow surgery.
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www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-slides.html
February 01, 2017 - 2
Decreases hospital and intensive care unit (ICU) length of stay. 1,2
Mitigates the short-term complications … mechanical ventilation and ICU and hospital length of stay. 1,2
Mitigates both short- and long-term complications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.docx
January 01, 2012 - informed choices, safe medication use, infection control initiatives, observing care processes, reporting complications … care also decreases litigation and malpractice claims6 and leads to lower costs per case due to fewer complications
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ.html
July 01, 2023 - In Situ Simulation
Toolkit for Improving Perinatal Safety
This pillar explains how to use in situ simulation to practice perinatal safety skills and why it is an important part of improving perinatal safety.
Establishing a Program of In Situ Simulations: Slide Presentation ( PowerPoint , 982 KB; Text V…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
January 01, 2003 - near miss detection capabilities anticipate
potential errors before they occur and prevent resulting complications … understanding is necessary if the surgeon is to navigate the patient’s
sinus passages safely and avoid complications … Complications are not the
sole standard, since mechanisms in current training practices largely prevent … to avoid them.23
The key to error prevention is not so much the detection of errors and related
complications … , but rather the detection of near misses and the prevention of
related errors and complications.