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  1. IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care. | PSNet

    psnet.ahrq.gov/issue/ibeas-pioneer-study-patient-safety-latin-america-towards-safer-hospital-care
    January 29, 2019 - January 29, 2019 Report on the Burden of Endemic Health Care–Associated Infection Worldwide

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47221/psn-pdf
    August 29, 2018 - Barriers and facilitators to injection safety in ambulatory care settings. August 29, 2018 Leback C, Johnson DH, Anderson L, et al. Barriers and Facilitators to Injection Safety in Ambulatory Care Settings. Infect Control Hosp Epidemiol. 2018;39(7):841-848. doi:10.1017/ice.2018.82. https://psnet.ahrq.gov/issue/bar…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47667/psn-pdf
    February 27, 2019 - It is time to define antimicrobial never events. February 27, 2019 Liu J, Kaye KS, Mercuro NJ, et al. It is time to define antimicrobial never events. Infect Control Hosp Epidemiol. 2019;40(2):206-207. doi:10.1017/ice.2018.313. https://psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events Never events are…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43249/psn-pdf
    June 18, 2014 - Automated and electronically assisted hand hygiene monitoring systems: a systematic review. June 18, 2014 Ward MA, Schweizer ML, Polgreen PM, et al. Automated and electronically assisted hand hygiene monitoring systems: a systematic review. Am J Infect Control. 2014;42(5):472-8. doi:10.1016/j.ajic.2014.01.002. ht…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34955/psn-pdf
    June 23, 2009 - Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a randomized study. June 23, 2009 Kac G, Podglajen I, Gueneret M, et al. Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a rand…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39832/psn-pdf
    September 08, 2010 - Unintended transplantation of three organs from an HIV- positive donor: report of the analysis of an adverse event in a regional health care service in Italy. September 8, 2010 Bellandi T, Albolino S, Tartaglia R, et al. Unintended transplantation of three organs from an HIV-positive donor: report of the analysis …

  7. Co-occurrence of Physical Health Conditions and Mental Health and Substance Use Conditions Among Adult Inpatient Stays, 2010 Versus 2014 (pdf file)

    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

  8. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet

    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

  9. Final Progress Report: Pursuing Perfection in Pediatric Therapeutics (pdf file)

    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

  10. Return on Investment Tool (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_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

  11. Return on Investment Estimation (pdf file)

    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

  12. Characteristics of Emergency Department Visits for Super-Utilizers by Payer, 2014 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb221-Super-Utilizer-ED-Visits-Payer-2014.pdf
    January 01, 2014 - super-utilizers aged 65 years and older accounted for 19 percent of all ED visits for urinary tract infections … Superficial injury; contusion 2 14 Abdominal pain 3 1 1 1 21 34 15 24 Urinary tract infections … 5 4 22 7 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 … Urinary tract infection ranked fourth among common first-listed diagnoses of ED visits for Medicare

  13. Characteristics of Emergency Department Visits for Super-Utilizers by Payer, 2014 #221

    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

  14. Ad-Br2Otj67Fendhhkltpa (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/aD-Br2oTJ67FeNdHHkLtPA
    ModerateModerateModerateModerate � HighHighHighHigh � (tick one) Premature aging, wrinkling of the skin Respiratory infections … and asthma High blood pressure, diabetes Respiratory infections, allergies and asthma in children … behaviourThe injecting behaviour � If you inject you may damage your skin and veins and get infections … equipment (needles & syringes, spoons, filters, etc.) you are more likely to spread blood borne virus infections

  15. Microsoft Word - CaseforPOAIndicator_final_060806 _2_.doc (pdf file)

    hcup-us.ahrq.gov/reports/methods/2006_8.pdf
    January 01, 2006 - PSI 7 Selected infections due to medical care per 1000 discharges (excluding immunocompromised and cancer … patients and neonates)* * Also excludes admissions specifically for such infections, such as cases … sepsis per 1000 elective-surgery discharges of longer than 3 days (excluding patients admitted for infection … PSI 23 Selected infections due to medical care* per 100,000 population (excluding immunocompromised or … cancer patients and neonates) * Includes admissions specifically for such infections, such as cases

  16. Australian Commission on Safety and Quality in Health Care. | PSNet

    psnet.ahrq.gov/issue/australian-commission-safety-and-quality-health-care
    January 27, 2015 - August 13, 2018 Association for Professionals in Infection Control and Epidemiology.

  17. AHRQ Quality Indicators Toolkit Strengthens Nursing Coursework at University of Phoenix | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/202102.html
    September 01, 2021 - that student projects on topics such as falls prevention, cardiac care self-management, and urinary infection

  18. Addressing Questions Asked by Staff: Safety and Side Effects of Chlorhexidine and Iodophor (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-safety-chg-iodophor.pdf
    March 01, 2022 - hospital will be using chlorhexidine gluconate (CHG) and nasal iodophor to reduce bacteria that can cause infection

  19. National Collaborative for Innovation in Quality Measurement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusSpec-Pop.pdf
    June 02, 2025 - activity status – past Number of sexual partners Current or past diagnosis of a sexually transmitted infection

  20. National Collaborative for Innovation in Quality Measurement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusSpec-Prov.pdf
    June 02, 2025 - status – past Number of sexual partners Current or past diagnosis of a sexually transmitted infection
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