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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
June 02, 2025 - (Tool 2C)
Present the assessment of current pressure injury prevention policies and procedures. … recommendations into the action plan.
4
Expected Outcomes
Begin to write a draft Pressure Injury Prevention … Links to quality improvement expertise
Members who influence the areas involved in pressure injury prevention … Pilot Unit Manager
8
Multidisciplinary Team (2A)
Tool 2A
9
QI Process
Link the Pressure Injury Prevention
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-eff.html
September 01, 2015 - Source: Centers for Disease Control and Prevention, National Vital Statistics System, 2008-2012. … Importance: According to the Centers for Disease Control and Prevention ( Xu, et al., 2014 ), the rate … are available), 41,149 suicides were reported ( CDC WISQARS, 2013 ; American Foundation for Suicide Prevention … Source: Centers for Disease Control and Prevention, National Vital Statistics System.
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psnet.ahrq.gov/node/49748/psn-pdf
December 01, 2015 - If a patient develops a
large fall in blood pressure, as occasionally occurs, I would give vasopressor … Large volume paracentesis is generally safe, but blood pressure may fall and require treatment.
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psnet.ahrq.gov/node/45769/psn-pdf
December 21, 2016 - National Scorecard on Rates of Hospital-Acquired
Conditions 2010 to 2015: Interim Data From National
Efforts to Make Health Care Safer.
December 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2016.
https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010…
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www.ahrq.gov/research/findings/evidence-based-reports/er208-overview.html
October 01, 2014 - improvement strategies related to chronic conditions (diabetes, asthma, hypertension), practice areas (prevention … Prevention of healthcare-associated infections (HAI). … approaches to improving quality of care, and as a guide to those quality improvement activities that may fall … Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies, Volume 6—Prevention of
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
December 01, 2012 - Assessing the Health and Welfare of the HCBS Population
Table A: Indicator Rates for the HCBS and Full Medicaid Populations (Rates of Admission per 100,000 Persons)
Previous Page Next Page
Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Av…
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psnet.ahrq.gov/node/36244/psn-pdf
June 13, 2012 - With Safety in Mind: Mental Health Services and Patient
Safety.
June 13, 2012
Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006.
https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
This report, the second in a series from the United Kingdom's Nati…
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digital.ahrq.gov/sites/default/files/docs/citation/u18hs026154-crane-final-report-2023.pdf
January 01, 2023 - The falls instrument was 2 items including
number of recent falls and fall severity as defined by requiring … One in
five PWH reported at least one fall in the past 12 months (N=606), with half of those reporting … fall … reporting past or
current cocaine/crack, illicit opioid, or methamphetamine use were more likely to fall … Missed opportunities: prevention with HIV-infected patients in
clinical care settings.
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psnet.ahrq.gov/issue/dissecting-leapfrog-how-well-do-leapfrog-safe-practices-scores-correlate-hospital-compare
September 19, 2012 - October 29, 2017
Success in hospital-acquired pressure ulcer prevention: a tale in two … September 23, 2020
Comparing catheter-associated urinary tract infection prevention programs
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
April 01, 2022 - -5
2009 HICPAC Guidelines American Nurses Association’s Streamlined Evidence-Based RN Tool: CAUTI Prevention … She has chronic urinary incontinence and is a high fall risk. … Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009. … Streamlined Evidence-Based RN Tool: Catheter Associated Urinary Tract Infection (CAUTI) Prevention. https … www.nursingworld.org/~4aede8/globalassets/practiceandpolicy/innovation--evidence/clinical-practice-material/cauti-prevention-tool
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Comparing these data with other sources of information, such as the Centers
for Disease Control and Prevention … measured with MPSMS, the AHRQ Patient Safety Indicators
(PSIs), the Centers for Disease Control and Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - tested
draft items
Obtained input from
WPS SMEs &
SOPS TEP
Conducted
pilot study
Summer/Fall … CDC's Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All
Settings … 2Fhicpac%2Frecommen
dations%2Fcore-practices.html
Th is document describes a core set of infection prevention … The pract ices were selected from exist ing Centers for Disease
Control and Prevention (CDC) recommendations
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psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
September 07, 2016 - December 30, 2014
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
August 04, 2021 - November 16, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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www.ahrq.gov/sites/default/files/2024-11/stafford-fortmann-report.pdf
January 01, 2024 - We examine the quality of outpatient care using 23 quality indicators we have measured, which
fall into … The 23 quality indicators fall into five categories: medical
management of common diseases (10 indicators … Are evidence-based cardiovascular prevention therapies being used? … Prevention and Control 2005;1:285-295.
Ma J, Lee K-V, Stafford RS. … Are evidence-based cardiovascular prevention therapies being used?
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
March 04, 2016 - Nursing home residents who had a fall with major injury. … 2.5
3.0
3.5
4.0
4.5
5.0
P
e
rc
e
n
t
2012 2013
Long-stay nursing home residents who had a fall … 2.5
3.0
3.5
4.0
4.5
5.0
P
e
rc
e
n
t
2012 2013
Long-stay nursing home residents who had a fall … Overall Percentage: In 2013, the percentage of long-stay nursing home residents who had a
fall … Centers for Disease Control and Prevention.
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psnet.ahrq.gov/issue/health-care-leaders-action-guide-hospital-strategies-reducing-preventable-mortality
May 06, 2015 - Book/Report
Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality.
Citation Text:
Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality. Chicago, IL: Health Research & Educational Trust; March 2011.
Copy Cita…
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psnet.ahrq.gov/issue/improving-reliability-verbal-communication-between-primary-care-physicians-and-pediatric
November 16, 2015 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/issue/mortality-among-patients-acute-myocardial-infarction-influences-patient-centered-care-and
April 10, 2024 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention
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psnet.ahrq.gov/node/60280/psn-pdf
April 29, 2020 - Missed, rationed or unfinished nursing care: a scoping
review of patient outcomes.
April 29, 2020
Kalánková D, Kirwan M, Bartoní?ková D, et al. Missed, rationed or unfinished nursing care: A scoping
review of patient outcomes. J Nurs Manag. 2020;28(8):1783-1797. doi:10.1111/jonm.12978.
https://psnet.ahrq.gov/issue…