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  1. Module 5: How To Measure Pressure Injury Rates and Prevention Practices | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
    October 01, 2017 - Epibole (rolled edges), undermining, and/or tunneling often occur.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49714/psn-pdf
    August 21, 2014 - Pitfalls in Diagnosing Necrotizing Fasciitis August 21, 2014 Goh T, Goh LG. Pitfalls in Diagnosing Necrotizing Fasciitis. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis Case Objectives State the epidemiology of necrotizing fasciitis. Appreciate the high mortality a…

  3. In Conversation With… Lucian Leape, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-lucian-leape-md
    June 12, 2019 - In Conversation With… Lucian Leape, MD April 1, 2015  Citation Text: In Conversation With… Lucian Leape, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: …

  4. Promising Areas for Patient Safety Research | PSNet

    psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
    November 02, 2016 - This creates different types of opportunities for patient safety events to occur and is further complicated

  5. Appendix V: Tested Measures by DRA Domain | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apv.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix V: Tested Measures by DRA Domain Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and S…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865466/psn-pdf
    March 27, 2024 - also achieve equity through systems designed to undo inequalities in care that, like medical error, occur

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72516/psn-pdf
    November 25, 2020 - Premature Closure: Was It Just Syncope? November 25, 2020 Maurier D, Barnes DK. Premature Closure: Was It Just Syncope? PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council fo…

  8. Slide 1

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
    May 28, 2015 - since surgery, but he has not been included in any rounds with the nurses or physicians, because they occur

  9. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
    January 01, 2017 - Slide 17 VAE Prevention Ideas SAY: VACs occur for many reasons.

  10. Labor and Delivery Unit Safety: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
    July 01, 2023 - Checklists are cognitive aids that— Reduce slips that occur due to lapses in concentration, distractions

  11. Improving Communication and Teamwork in the Surgical Environment

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
    May 01, 2017 - The team should decide whether the debriefing should occur with the patient present.

  12. Chipra202-Materials Viiia (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_VIIIA.pdf
    June 02, 2025 - who are included in the denominator population, but for whom a process or outcome of care does not occur

  13. Chipra204-Materials Viiia (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VIIIA.pdf
    June 02, 2025 - who are included in the denominator population, but for whom a process or outcome of care does not occur

  14. Chipra205-Materials Viiia (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIIIA.pdf
    June 02, 2025 - who are included in the denominator population, but for whom a process or outcome of care does not occur

  15. Communication Strategies to Promote Resident Safety

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/communication-and-teamwork/communication-strategies.pptx
    September 01, 2016 - Shift change—Transitions in care are the most significant time when communication breakdowns occur. 7

  16. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
    January 01, 2022 - is often consulted when a patient is hospitalized; however, the vast majority of chronic illnesses occur

  17. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-facilitator-guide.pdf
    November 01, 2019 - In addition to antibiotics, management of the underlying associated process must also occur whenever

  18. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
    January 01, 2022 - Spotlight Spotlight Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy Source and Credits • This presentation is based on the August 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by K…

  19. Ff 2009 Exhibit5 2 (pdf file)

    hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit5_2.pdf
    January 01, 2009 - 5.2A HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 65 EXHIBIT 5.2 Common Conditions During Hospital Stays for Females 5.3 6.4 1.1 1.21.4 1.91.5 1.91.9 2.13.1 2.7 2.2 2.1 4.6 0 5 10 15 20 25 Male Stays 16.4 Million Stays (42% of All Stays) Female Stays 22.…

  20. U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Primary Care Interventions to Prevent Child Maltreatment (pdf file)

    www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/child-maltreatment-interventions-draft-rec-bulletin.pdf
    September 25, 2023 - U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Primary Care Interventions to Prevent Child Maltreatment www.uspreventiveservicestaskforce.org 1 U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Primary Care Interventions to Prevent Child Maltreatmen…
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