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2401. Facilitator Guide: Learning From Defects Through Sensemaking (doc file)
      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 - Infection rates from hospital epidemiology and infection prevention also present known complications. … reminder, the two questions are listed: 1) How will the next patient be harmed or get a surgical site infection … In the case of reducing central line-associated bloodstream infections or catheter-associated urinary … tract infections, measure the outcome rates of these events. … For example, if you want to measure how often patients maintain normothermia to prevent surgical-site infection

2402. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/treat-release.html
      September 01, 2017 - Related Injury: Not Fall Related Musculoskeletal Symptoms Abnormal Labs or Anemia Fever/Possible Infection

2403. Background for AHRQ Quality Indicators
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
      October 01, 2015 - during procedure   PSI 06 Iatrogenic pneumothorax   PSI 07 Central venous catheter-related bloodstream infections … 01 Neonatal Iatrogenic Pneumothorax Rate NQI 02 Neonatal Mortality Rate NQI 03 Neonatal Blood Stream Infection … Rate PDI 11 Postoperative Wound Dehiscence Rate PDI 12 Central Venous Catheter-Related Blood Stream Infection … PDI 16 Gastroenteritis Admission Rate PDI 17 Perforated Appendix Admission Rate PDI 18 Urinary Tract Infection

2404. Final Progress Report: Care and Safety Practices During the COVID-19 Pandemic in Home-Based Long-Term Services and Supports (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/wendel-hummell-report.pdf
      January 01, 2024 - Research on infection control and emergency management in home care is sparse. … emergency response in home care was sparse, with the former focusing primarily on isolated patient infections … conducted with a small portion of early interview participants (9%), to beter understand how changes in infections … Poster presented at: Association of Professionals in Infection Control and Epidemiology. 2022 Jun 13 … Infection control in home care.

2405. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
      December 01, 2017 - Communication and Optimal Resolution (CANDOR) Toolkit Tools for Reducing Central Line-Associated Blood Stream Infections … Fragment PSI 06: Iatrogenic Pneumothorax * PSI 07: Central Venous Catheter-­‐Related Bloodstream Infection … Sepsis PDI 11: Postoperative Wound Dehiscence PDI 12: Central Venous Catheter-­‐Related Bloodstream Infection … NQI 03: Neonatal Bloodstream Infection * PDI 06 is not yet available in ICD-­‐10 Slide 47

2406. Appendix N. Part 1: A Clear View of Flexible Endoscope Processing: Transport, Leak Testing, Cleaning - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-n.html
      May 01, 2017 - Explain infection prevention guidelines for transport, leak testing, and cleaning.

2407. Timely Fluid Bolus for Children With Severe Sepsis or Septic Shock (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-fullreport.pdf
      May 01, 2018 - Sepsis is a potentially catastrophic condition that can escalate from infection to organ failure and … Children with infections often display the inflammatory triad of fever, tachycardia, and vasodilation … Other clinical signs of septic shock in children with a suspected infection include: (1) hypothermia … Age is an important determinant of risk of bacterial infection, whether related to maturation of the … Group B streptococci, Escherichia coli, Listeria, and herpes simplex virus commonly cause neonatal infections

2408. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
      January 01, 2020 - common risk factors (e.g., congestive heart failure, chronic obstructive pulmonary disease, active infection … Heart and/or respiratory failure 1 Acute myocardial infarction or stroke 1 Acute infection … Acute infection and/or rheumatologic disorder. Obesity (BMI ≥30).

2409. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb2.html
      January 01, 2020 - common risk factors (e.g., congestive heart failure, chronic obstructive pulmonary disease, active infection … Heart and/or respiratory failure 1 Acute myocardial infarction or stroke 1 Acute infection … Acute infection and/or rheumatologic disorder. Obesity (BMI ≥30).

2410. | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/tools/index.html?page=2
      January 01, 2018 - to help tackle the complex problems of methicillin-resistant Staphylococcus aureus and surgical site infection

2411. Case Studies | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp2.html
      August 01, 2015 - demonstrated less consistent results (e.g., variation among units or occasional sharp upticks in their infection

2412. Module 3: PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
      May 01, 2017 - Escalation • Sentinel events • Problems raised in huddle Safety Work by Staff • Using surgical checklist • Infection

2413. Assemble the Team, Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/assemble/team-notes.html
      December 01, 2012 - Additional members who would be helpful to involve in the initiative are: Infection preventionists … provide to the CUSP team members to educate them about the avoidance of catheter-associated urinary tract infections … Infection preventionists. … Key hospital departments, such as risk management, quality improvement, and infection prevention, that

2414. Webinar 2: Analyze Data and Patient/Caregiver Perspectives (Section 1 of the Guide): Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web2.html
      December 01, 2017 - Obstructive chronic bronchitis with (acute) exacerbation 330 525 149 Urinary tract infection … 267 318 355 Subendocardial infection 214 424 174 Acute and chronic respiratory

2415. Final Progress Report: Quality Factors in Nursing Home Choice (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
      January 01, 2024 - care, such as rate of restraint use (physical and chemical), pressure sore prevalence, urinary tract infections … Spearman rank correlation for each of 11 the five indicators were as follows: .626 for urinary tract infections … multivariate analyses indicated that NHs with higher total hours of care had higher rates of urinary tract infections … hours provided by licensed nurses had lower levels of new fractures and higher levels of urinary tract infections

2416. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
      April 04, 2008 - rescue (PSI 4), foreign body left during procedure (PSI 5), iatrogenic pneumothorax (PSI 6), selected infections … pneumothorax 2,149,966 1,838 0.85 1.08 1,561,928 1,407 0.90 1.13 415,555 298 0.72 0.95 (7) Selected infections … Iatrogenic pneumothorax 68,928 41 0.59 0.85 16,048 13 0.81 1.05 11,074 5 0.45 0.63 (7) Selected infections … during procedure 0.84 1.53 2.49 1.46 (6) Iatrogenic pneumothorax 0.88 0.75 0.95 0.56 (7) Selected infections

2417. Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
      January 01, 2025 - Reducing PICU central line-associated bloodstream infections: 3-year results. … An intervention to decrease catheter- related bloodstream infections in the ICU. … Sexually transmitted infections and increased risk of co-infection with human immunodeficiency virus … Risk behaviors, medical care, and chlamydial infection among young men in the United States. … Group A streptococcal throat infection - to treat or not to treat?

2418. The Comprehensive Unit-based Safety Program (CUSP) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-cusp.html
      May 01, 2017 - Comprehensive Unit-based Safety Program (CUSP) Measurement Implementing the Surgical Safety Checklist Infection

2419. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamilysum.html
      July 01, 2018 - patient safety, communication with providers, patient engagement and activation, care coordination, and infection … Main topics included communication with patients, infection control, teamwork and communication training … With the exception of infection control, we found few complementary or paired tools that support the

2420. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
      June 01, 2021 - Maybe she has an infection. Let’s get a UA and urine culture. … Assessment: He has no signs or symptoms of a urinary tract infection; his vital signs are stable and