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  1. National Advisory Council Meeting, July 14, 2020: Minutes (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/news/events/nac/2020-07-nac/nacminutes-071420.pdf
    January 01, 2020 - transmission by redesigning workflow and processes, conducting environmental cleaning, improving infection-control … It will develop and disseminate tools and training for infection prevention and control in nursing … Its efforts have contributed to reductions in healthcare-associated infections during the past decade … One example is dealing with infections in long-term care facilities. … The agency also could study the effects of the COVID-19 crisis on clinicians (infection, stresses,

  2. Appendix B. Detailed Research Domain Framework Definitions and Classification Rules | Agency for Healthcare Research and Quality

    www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
    June 01, 2020 - , and asthma symptoms), patient safety related events (e.g., surgical errors, healthcare-associated infections … produced by health care (e.g., studies on how to best treat Methicillin-resistant Staphylococcus aureus infection … accidental or preventable injuries or diseases produced by health services (e.g., hospital-acquired infections … specialty clinicians (e.g., when patients rely on their gynecologist, oncologist, cardiologist, or HIV infection … accidental or preventable injuries or diseases produced by health services (e.g., hospital-acquired infections

  3. Change Log (v2024.1 to v2025.1) for the Clinical Classifications Software Refined (CCSR) for ICD-10-PCS (xls file)

    hcup-us.ahrq.gov/toolssoftware/ccsr/PRCCSR-ChangeLog-v20241-v20251.xlsx
    November 01, 2024 - New Technology Group 7 CAR021 CAR011 MAM015 Measurement and monitoring, NEC XXEBXQ6 Measurement of Infection … New Technology Group 10 MAM012 ICP and other CNS monitoring (excluding EEG) XXE5X2A Measurement of Infection … Controlled Inoculum, New Technology Group 10 MAM015 Measurement and monitoring, NEC XXE5X4A Measurement of Infection

  4. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - Nearly all of these reports were submitted under the event type category of Healthcare-Associated Infection … descriptions that included references to COVID-19 fell into the Other event type, or Healthcare- Associate Infections … injury as a result of fall o Risk assessment prior to fall o At risk of fall • Healthcare-associated infection … Blood or blood product 12 12 Device of medical/surgical supply 35 8 Fall 69 17 Healthcare-associated infection

  5. The PeaceHealth Governance Journey in Support of Quality and Safety | PSNet

    psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
    August 01, 2007 - But the routine stories of medication errors with harm, serious post-op and surgical infections, and … The best boards right now are actually asking for their own data on things like hospital-acquired infections … They're hearing about the rates of central line infections, but they're also hearing stories—stories … computer programmer who is a father of three, admitted with pancreatitis, who developed a central line infection

  6. In Conversation with…Robert M. Wachter, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
    October 01, 2008 - Let's think about central line–associated bloodstream infections, which we know with good scientific … Pronovost's work in Michigan and other studies in preventing central line–associated bloodstream infections … every doctor or nurse to remember to do these five things to prevent catheter-associated bloodstream infections

  7. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/nppv-respiratory-failure_research-protocol.pdf
    April 21, 2011 - ventilator-associated pneumonia, critical illness-associated weakness, pneumothorax, delirium, and infections … o Adverse effects of interventions (KQs 1–4): Rates of: – Aspiration – Secondary infections … The safety outcomes will be framed to help identify adverse events, including aspiration, secondary infections

  8. In Conversation with...Joseph Britto, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
    February 01, 2007 - For example, toxic shock syndrome would be a diagnosis node under streptococcal or staphylococcal infections … , which would be a diagnosis node under gram-positive infections, that being under bacterial infections

  9. In Conversation with...James L. Reinertsen, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
    August 01, 2007 - But the routine stories of medication errors with harm, serious post-op and surgical infections, and … The best boards right now are actually asking for their own data on things like hospital-acquired infections … They're hearing about the rates of central line infections, but they're also hearing stories—stories … computer programmer who is a father of three, admitted with pancreatitis, who developed a central line infection

  10. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
    February 01, 2007 - For example, toxic shock syndrome would be a diagnosis node under streptococcal or staphylococcal infections … , which would be a diagnosis node under gram-positive infections, that being under bacterial infections

  11. Changes in Pediatric Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April–September 2020), 13 States (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb283-COVID-19-PediatricHosptl.pdf
    August 23, 2021 - Updated August 23, 2021. www.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/children-and-covid … reports/statbriefs/statbriefs.jsp https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections … children-and-covid-19-state-level-data-report/ https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections

  12. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
    January 01, 2021 - patient falls; pressure ulcer prevalence; restraint prevalence; central line-associated blood stream infections … Catheter-associated blood stream infections – PICC lines • Catheter-associated blood stream infections

  13. Ankyloglossia-protocol-140630 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/ankyloglossia_research-protocol.pdf
    June 30, 2014 - sham therapy) Outcomes • Breastfeeding, including latch, nipple pain, nipple excoriations, nipple infections … discomfort, dysphagia, complications related to dysphagia such as aspiration pneumonia, surgical site infection … discomfort, dysphagia, complications related to dysphasia such as aspiration pneumonia, surgical site infection … discomfort, dysphagia, complications related to dysphasia such as aspiration pneumonia, surgical site infection … outcomes includes the following: breastfeeding (including latch, nipple pain, nipple excoriations, nipple infections

  14. Kahn, James | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/kahn-james
    January 01, 2023 - Kahn, James Randomized Control Trial Embedded in an Electronic Health Record - 2012 Principal Investigator Kahn, James Project Name Randomized Controlled Trial Embedded in an Electronic Health Record Personal health records in a public hos…

  15. Collaboration focused on priority issues promotes safety. | PSNet

    psnet.ahrq.gov/issue/collaboration-focused-priority-issues-promotes-safety
    May 05, 2018 - Newspaper/Magazine Article Collaboration focused on priority issues promotes safety. Citation Text: Collaboration focused on priority issues promotes safety. ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3. Copy Citation Save Save to your…

  16. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
    June 02, 2025 - ■ Fungal infections: can occur in the warm, moist environment beneath the barrier and erode skin … ■ Infection – Bronchitis/tracheitis may cause increase in purulent secretions with an increased … subsequent mental development in term/preterm infants as well as provide enhanced protection against infection … – Stomal infection requiring antibiotics (45%). … Pain or discomfort at periostomal site ■ Incorrect insertion ■ Infection ■ Failure of fixation

  17. SOPS Bibliography | Agency for Healthcare Research and Quality

    www.ahrq.gov/sops/bibliography/index.html?page=7
    January 01, 2025 - On the CUSP: Stop BSI: Evaluating the relationship between central line-associated bloodstream infection

  18. SOPS Bibliography | Agency for Healthcare Research and Quality

    www.ahrq.gov/sops/bibliography/index.html?page=3
    January 01, 2025 - A demonstration project on the impact of safety culture on infection control practices in hemodialysis

  19. SOPS Bibliography | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/sops/bibliography/index.html?page=7
    January 01, 2025 - On the CUSP: Stop BSI: Evaluating the relationship between central line-associated bloodstream infection

  20. SOPS Bibliography | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/sops/bibliography/index.html?page=3
    January 01, 2025 - A demonstration project on the impact of safety culture on infection control practices in hemodialysis
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