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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
September 01, 2021 - Such changes may represent a patient safety problem, and they can be a signal that the resident is at increased
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supln-slides.html
January 01, 2016 - Measures-focused States gradually increased the median number of measures reported from 9 in FFY 2010 … Measures-focused States gradually increased the median number of measures reported from 9 in FFY 2010 … The rate steadily increased over time. … Among the 21 practices, 18 increased their vaccination rates. … Screening rates by age 2 increased from 3-6 percent to 17- 26 percent from 2011 to 2014.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults4.html
September 01, 2024 - Despite increased attention to the burden and causes of diagnostic errors among older adults, implementation
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
April 01, 2025 - In a systematic review and meta-analysis, the risk of SSI was increased by 64 percent when razors were … But does this translate to an increased risk for SSIs? … Various studies have shown hyperglycemia is associated with increased risk for SSIs, greater mortality … These increased risks are seen in patients with and without diabetes, and in different types of surgeries … This increased risk has been observed when looking at instances of preoperative, day of surgery, and
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
April 01, 2025 - In a systematic review and meta-analysis, the risk of SSI was increased by 64 percent when razors were … But does this translate to an increased risk for SSIs? … Various studies have shown hyperglycemia is associated with increased risk for SSIs, greater mortality … These increased risks are seen in patients with and without diabetes, and in different types of surgeries … This increased risk has been observed when looking at instances of preoperative, day of surgery, and
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www.ahrq.gov/teamstepps-program/curriculum/situation/tools/star.html
July 01, 2024 - Situation: I emailed my doctor to let him know that the frequency and intensity of my arrythmia has increased … Action: As instructed, I increased the dosage from 100 to 150 milligrams, which I’ve taken for the past
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www.ahrq.gov/news/newsletters/e-newsletter/926.html
August 01, 2024 - August 20, 2024
AHRQ Stats: Sepsis-related Inpatient Stays Increased between 2016-2021 From 2016 to … 2019, the number of all sepsis-related inpatient stays in the U.S. increased by 20.1 percent to 2.1
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0232-table2.pdf
January 01, 2011 - Genetic, metabolic, and hormonal factors such
as insulin resistance, increased serum
aldosterone levels … Higher BMI in childhood is directly associated
with increased coronary heart disease in adult
life. … next 25 years, with more than
100,000 excess cases of coronary heart disease
attributable to increased
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.docx
October 01, 2016 - Clostridium difficile infections, the emergence of multi-drug resistant organisms, antibiotic failure, increased … mortality, and greatly increased costs.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T5-Sample_Policy_Letter_final.pdf
October 01, 2016 - Clostridium difficile infections, the emergence of multi-drug
resistant organisms, antibiotic failure, increased … mortality, and greatly increased costs.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - PMID: 15083000.
10
Increased antimicrobial resistance4,5,16,17
Increased risk of C. difficile infection4,17 … Increased risk of acute kidney injury (AKI)4
| 11
Harms of Extending Prophylactic Duration2
AHRQ … who received intraoperative topical vancomycin
8.8% of patients with AKI,
similar to prior reports
Increased … risk of AKI (17% [cardiac] and 21% [non-cardiac] increased odds)
Benefits of adding vancomycin to standard … PMID: 24188976.
24
| 25
Blumenthal et al., 201828
>8,000 surgical patients
50% increased odds of SSI
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www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
January 01, 2024 - Rates of adverse
nurse job outcomes increased in hospitals where the work environment worsened over … Among patients who had experienced an acute myocardial infarction (AMI),
mortality rates increased slightly … in hospitals where staffing worsened over time (the number of
patients per nurse was increased), although … The percentage of patients with at least three comorbidities increased
from 12% in 1999 to 19% in 2006 … The rates of burnout, intent to
leave, and job satisfaction increased in hospitals where the practice
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www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf2.html
June 01, 2022 - Asymptomatic pregnant women 24 and younger and others at increased risk.
9. … All adolescents and adults at increased risk for HIV infection and all pregnant women.
18. … Women 65 and older and women 60 and older at increased risk for osteoporotic fractures.
25. … All sexually active adolescents and adults at increased risk for STIs.
28. Newborns
29. … Persons at increased risk and all pregnant women.
30.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/018-ss-importance-ssi-mrsa-prevention.pptx
April 01, 2025 - PMID: 31767041.
9
Surgical site infections
Increased morbidity and mortality2
Increased hospital … PMID: 31767041.
10
MRSA and SSIs Lead to Increased Mortality
SSIs associated with higher death rates7 … PMID: 12594640.
11
MRSA and SSIs Lead to Increased Costs
SSIs lead to increased costs. … $3.5 to $10 billion annually in healthcare expenditures.2,10
SSIs are associated with increased postoperative … MRSA colonization is tied to increased risk of SSI due to MRSA.15
Decolonization can prevent SSI.16,
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load4.html
May 01, 2024 - using subjective measurement tools to study if perception of rising cognitive load is associated with increased … For instance, a recent study found that increased nursing workload in the neonatal intensive care unit … missed care variables were modeled independently, only 7 of the 12 missed care outcomes showed that increased … However, higher NASA-TLX scores were associated with an increased risk of missed care in all 12 missed … up to 50 percent of a clinician’s day now spent in front of a computer. 62 Clinicians also report increased
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.pdf
January 01, 2012 - hospitals that implemented the strategies in the
Guide observed improved patient experiences of
care, increased … in
the form of delays and waste due to higher call volume,
repetitive patient education efforts, increased … incorporating patient-and
family-centered care into their business model, Cleveland
Clinic in Ohio increased … percent indicated they would be
willing to switch hospitals for a better patient
experience.20
Increased … example,
Bronson’s experience engaging patients and families in
nurse bedside change-of-shift report increased
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-slides.pptx
January 01, 2017 - )
VAP
Mortality
Cost
IVAC
Clostridium difficile colitis
Antibiotic resistance
VAC
Morbidity
Increased … include quantitative evidence of respiratory deterioration after a period of stability strongly predict increased … Respiratory deterioration in previously stable patients is a risk factor for increased morbidity and … Intubated and placed on ventilator
Stable until day 6 when she has progressive oxygenation demands
Increased … Program for Mechanically Ventilated Patients
Case Review 2 – Outcomes
Patient has a VAC
No fever
No increased
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - The increased risk for infection in patients undergoing revision surgery requires careful preoperative … The difficulty in performing these operations results in increased operating times and increases the … The life expectancy of patients with malignant tumors has generally increased because of advances in … Perioperative steroid therapy increased the risk of wound complications. … Other variables that remained independently associated with an increased risk of surgical site infection
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www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-slides.html
February 01, 2017 - include quantitative evidence of respiratory deterioration after a period of stability strongly predict increased … Respiratory deterioration in previously stable patients is a risk factor for increased morbidity and … Increased demands last for 72 hours. … No increased white blood cell count.
No new antibiotics.
Diagnosis: Pulmonary edema. … Rochester Medical Center, Highland Hospital
Slide 29: The Bottom Line
VAEs are associated with increased
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www.ahrq.gov/research/findings/nhqrdr/data-spotlights/index.html
July 01, 2024 - pandemic had a negative effect on mental health (PDF, 1.5 MB) Hospital deaths for common heart conditions increased