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www.ahrq.gov/research/findings/final-reports/index.html?page=14
January 01, 2024 - Engagement Publication Date: June 2009
Developing an Integrated Engineering-Based Model To Reduce Infections
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - Cedars-Sinai has virtually eliminated central line-associated bloodstream infections (CLABSIs) by implementing
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www.ahrq.gov/funding/grantee-profiles/grtprofile-dalal.html
January 01, 2024 - Potential problems include medication errors, falls, infections, procedural complications, management
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www.ahrq.gov/news/blog/ahrqviews/patient-workforce-safety.html
March 01, 2023 - Healthcare-associated infections in hospitals, for example, were trending sharply downward in the years
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hcup-us.ahrq.gov/news/exhibit_booth/sedd_brochure.jsp
May 01, 2018 - care
Trends and correlations between emergency department use and environmental events
Emerging infections
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www.ahrq.gov/news/newsletters/e-newsletter/917.html
June 01, 2024 - AHRQ in the Professional Literature Implementing nasal povidone-iodine decolonization to reduce infections
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psnet.ahrq.gov/node/40628/psn-pdf
July 20, 2011 - Entire UPMC transplant team missed hepatitis alert.
July 20, 2011
Hamill SD.
https://psnet.ahrq.gov/issue/entire-upmc-transplant-team-missed-hepatitis-alert
This newspaper article reports how a missed test result alert led to a disease-free transplant patient being
infected with hepatitis.
https://psnet.ahrq.gov/…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
February 08, 2008 - Education regarding safety, “best practice,” infection control, and outpatient
referrals might also … Is consideration given to infection
control measures?
Prep and clip hair of right groin area. … Infection Control
Health care providers should be aware that determining if infections are present … For example, consider ruling out a urinary tract
infection when a Foley catheter is first inserted, … Medication Safety
Education
Patient Safety
“Best Practice”
Referrals to Outpatient Services
Infection
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - with falls, 37% fewer pressure injuries and a 34% reduction in central line-associated blood stream infections … not, and preventability is even harder to determine for non-fatal harms like healthcare associated infection … bloodstream infections; there are a variety of preventable harms that we already have the knowledge … go months or years without any ventilator-associated pneumonias or have no central line bloodstream infections … There can be a goal of zero for things we know how to prevent, like central line-associated bloodstream infections
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hcup-us.ahrq.gov/reports/statbriefs/sb240-Co-occurring-Physical-Mental-Substance-Conditions-Hospital-Stays.pdf
February 01, 2018 - Pneumonia (N=794,200)
Coronary atherosclerosis (N=397,700)
Acute myocardial infarction (N=608,700)
Skin infections … 900,000)
Intestinal obstruction without hernia (N=329,700)
Septicemia (N=1,491,100)
Urinary tract infections … among stays for
biliary tract disease (39.1 percent), osteoarthritis (40.6 percent), and urinary tract infections … ■ Over 10 percent of stays with a principal diagnosis of gastrointestinal hemorrhage, skin
infections … co-occurring alcohol/substance-related condition were gastrointestinal hemorrhage
(14.5 percent), skin infections
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www.ahrq.gov/hai/cusp/modules/learn/fac-cusp.html
December 01, 2012 - An infection reduction project of the Michigan Health and Hospital Association Keystone Center for Patient … Michigan Keystone Center launched an AHRQ-funded project to reduce central line-associated bloodstream infections … In 2008, AHRQ funded national projects to apply the CUSP model to reduce infections nationwide. … total number central-line days, percentage of case fatalities, total number of incidents, and cost per infection … Distributing pocket cards with information on necessary improvement areas, such as unit infection rates
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www.ahrq.gov/funding/training-grants/grants/active/kawards/kawards.html
July 01, 2019 - K08 HS020939
Children's Hospital of San Francisco
Healthcare-associated Respiratory Infection in … Amy
K08 HS018578
Virginia Commonwealth University, Richmond
Evaluating Clostridium Difficile Infection
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www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
October 01, 2014 - Flook, RN, MPH, CIC
Director, Workforce Development & Infection Prevention
Lorna Martin, RN
Patient … Flook, RN, MPH,CIC
Director, Workforce Development/Infection Prevention
770-249-4518
dflook@gha.org
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_staffpresentation.pdf
July 01, 2004 - Safety
Tool C.3 Slide 12
• In this example, we will examine the rates of
Neonatal Blood Stream Infection … Improving] Over
Time
Pe
r 1
,0
00
C
as
es
Examining Observed Rates of Neonatal Blood Stream Infection
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hcup-us.ahrq.gov/reports/statbriefs/sb195-Potentially-Preventable-Hospitalizations.pdf
December 01, 2014 - Medical
conditions such as asthma, urinary tract infections, and
complications of diabetes are considered … ■ The rate of treat-and-release ED
visits increased 17 percent for
urinary tract infection and 23 … Dehydration 174 121 –30.5 171 179 4.9
Bacterial pneumonia 360 306 –15.0 218 223 2.1
Urinary tract infection … 2008 through 2012,
the rate of potentially preventable treat-and-release ED visits for urinary tract infection … through 2012, the rate of treat-and-release ED visits increased by 16.7 percent for urinary
tract infection
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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - antibiotic and opioid stewardship in dentistry and one of the things that struck me was her description of infection … Whereas if you go to medical school, you don't necessarily get that infection control instruction. … KH : Going back to our discussion about specific adverse events, we had talked about infection control … EK: Yes, we weren’t really finding AEs around infections or aspiration, which all the dentists are worried … Infection control and aspiration prevention are already key components of dental education and top of
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - Infection control and aspiration prevention are already key components of dental education and top of … antibiotic and opioid stewardship in dentistry and one of the things that struck me was her description of infection … Whereas if you go to medical school, you don't necessarily get that infection control instruction. … KH : Going back to our discussion about specific adverse events, we had talked about infection control … EK: Yes, we weren’t really finding AEs around infections or aspiration, which all the dentists are worried
-
www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
January 01, 2024 - OPQC has also improved infant outcomes by reducing bloodstream infections by 30% in infants hospitalized … falls by 81%,
ventilator-associated pneumonias by 47%, adverse drug events by 42%, and surgical-site infections … LN
Donovan EF,
Sparling K,
Lake MR, et
al
The investment case
for preventing NICU-
associated infections … ’Riordan M,
Cunningham
DJ, et al
A Statewide
Collaborative to
Reduce Pediatric
Surgical Site
Infections … 25107545 2015 NPC-QIC
Improvement/outcomes
Schaffzin JK,
Harte L,
Marquette S,
et al
Surgical Site Infection
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.pdf
January 01, 2013 - For example, by reducing its infection rates, a hospital could
eliminate the costs it had been incurring … to provide the extra care required to treat infections. … It
also could enhance or protect its revenues, if insurers offered incentives for infection control … or
imposed penalties for occurrences of infections. … For example, reducing infections will affect costs to insurers from changes in payments
made to the
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hcup-us.ahrq.gov/reports/statbriefs/sb221-Super-Utilizer-ED-Visits-Payer-2014.jsp
February 01, 2017 - super-utilizers aged 65 years and older accounted for 19 percent of all ED visits for urinary tract infections …
14
Abdominal pain
3
1
1
1
21
34
15
24
Urinary tract infections … Other complications of pregnancy
2
22
Other upper respiratory infections … Urinary tract infection was the fourth most common first-listed diagnosis for ED visits among Medicare … Urinary tract infection ranked fourth among common first-listed diagnoses of ED visits for Medicare super-utilizers