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  1. 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
  2. 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.
  3. Psn-Pdf (pdf file)

    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.
  4. Psn-Pdf (pdf file)

    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…
  5. 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 (preventionPrevention 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
  6. 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…
  7. Psn-Pdf (pdf file)

    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…
  8. 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.
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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?
  16. 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.
  17. 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…
  18. 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
  19. 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
  20. Psn-Pdf (pdf file)

    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…