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121. AHRQ’s Safety Program for Nursing Homes: On-Time Prevention | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
     November 01, 2017 - Adverse Events Pressure Ulcer Prevention . Pressure Ulcer Healing .

122. Implementation Guide for the CANDOR Process: Appendix D | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
     February 01, 2017 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

123. C1 Prioritization Matrix (xls file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
     July 01, 2016 - Value-based purchasing • Sentinel event • Publicly reported • Public perception • Marketing • Competitive pressure … Patient Safety PSI 03 Pressure Ulcer   1.2 1.3 7 $109,870 $ 769,087 N 6 7 7 Y Y Y Y Y PSI 06 Iatrogenic … Y N Pediatric PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y PDI 02 Pressure

124. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
     June 01, 2014 - Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51 77,000 2.36 Pressure … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical Site Infection

125. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
     August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

126. Gap Analysis Facilitator's Guide: Appendix D | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apd.html
     August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

127. Event Investigation and Analysis Guide: Appendix E | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.html
     August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

128. Event Investigation and Analysis Guide: Appendix F | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apf.html
     August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

129. EvidenceNOW Building State Capacity Profile: Michigan Cooperative (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/EvidenceNOW-BSC-MI-profile.pdf
     September 01, 2021 - facilitators and barriers to sustainable implementation and test whether the model improves: (a) blood pressure … technology; (3) optimization of telehealth tools, including support for remote monitoring of blood pressure

130. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/pfp/haccost2017.html
     November 01, 2017 - Pressure Ulcers. Surgical Site Infections. Venous Thromboembolism. … Line-Associated Bloodstream Infections          Falls          Obstetric Adverse Events          Pressure … Tract Infections Central Line-Associated Bloodstream Infections Falls Obstetric Adverse Events Pressure … Central Line-Associated Blood Stream Infections (CLABSI) Falls Obstetric Adverse Events (OBAE) Pressure … Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present

131. Making Patients Part of Conversations About Their Care: Integrating Patient-Generated Health Data into Electronic Health Records | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/blog/ahrqviews/making-patients-part-of-conversations.html
     February 01, 2022 - With encouragement from his family, he checks his blood pressure daily using a digital blood pressure

132. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
     August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

133. Tool 3H: Morse Fall Scale for Identifying Fall Risk Factors | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/morse-fall-scale.html
     July 01, 2023 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

134. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
     August 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI

135. Advancing Heart Health | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/evidencenow/projects/heart-health/index.html
     March 01, 2024 - A 1.6% increase in blood pressure control—an important finding, given decreasing national rates of … blood pressure control.

136. Create a Safe Medicine List Together: Role Play Scenarios (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medicinelist-roleplay-final508.pdf
     April 03, 2018 - � The hydrochlorothiazide (blood pressure medicine) makes Mr. Thomas “pee a lot.” … Thomas does not readily offer that he only takes his blood pressure medicine 3 to 4 times a week, but … If he is asked whether he takes his blood pressure medicine, he answers, “for the most part. … ” � His blood pressure this morning was 152/91.

137. Technology Assessment Program | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/research/findings/ta/index.html
     January 01, 2024 - Outcomes in Obstructive Sleep Apnea: A Systematic Review of Comparative Studies Evaluating Positive Airway Pressure … 24, 2019, and October 3, 2019 ]     Disposition of Comments ( PDF - 1 MB) Noninvasive Positive Pressure

138. Appendix 5: Central Line Insertion Care Team Checklist | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/clabsi-tools/appendix-5.html
     March 01, 2018 - to avoid air embolism and ensure intravascular placement)         Transduce central venous pressure … or estimate central venous pressure by fluid column (to avoid arterial placement)        

139. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/prevention/guidelines/archive.html
     July 01, 2018 - Pressure Ulcer Prevention Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish … Pressure Ulcer Treatment Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish

140. 2019 Community Pharmacy SOPS Database Report Executive Summary Infograpic (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-execsum.pdf
     January 01, 2019 - AREA OF POTENTIAL IMPROVEMENT: Average percent positive response Staffing, Work Pressure, and