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101. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - About 40 percent of the overall reduction is from adverse drug events, about 28 percent from pressure … Tract Infections Central Line-Associated Bloodstream Infections Falls Obstetric Adverse Events Pressure … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … 2014) OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 74,000 2.3 Pressure … Ulcers MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 Surgical Site Infections

102. Gap Analysis Facilitator's Guide: Appendix E | Agency for Healthcare Research and Quality
     pcmh.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

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

104. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
     June 29, 2016 - purchasing • Sentinel event • Publicly reported • Public perception • Marketing • Competitive pressure … 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 … purchasing • Sentinel event • Publicly reported • Public perception • Marketing • Competitive pressure … purchasing • Sentinel event • Publicly reported • Public perception • Marketing • Competitive pressure … Y N 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

105. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - Adverse Events PSI OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) Pressure … Ulcers MPSMS Hospital-Acquired Pressure Ulcers Surgical Site Infections NHSN SSIs combined … Tract Infections 18.80 25.58 0.73 Falls In-Hospital Patient Falls 12.25 14.56 0.84 Pressure … Ulcers Hospital-Acquired Pressure Ulcers 53.03 62.45 0.85 VAP Ventilator-Associated Pneumonia … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,317,211 32,750,000 40.220 Surgical Site

106. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
     pcmh.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

107. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/pfp/2015-interim.html
     December 01, 2016 - About 42 percent of this reduction is from adverse drug events, about 23 percent from pressure ulcers … methods, tools, and resources to help hospitals and other providers prevent HACs, such as infections, pressure … Ulcers MPSMS (2015) Hospital-Acquired Pressure Ulcers 1,190,000 36.3 Surgical Site Infections … 17.4% 1,040,500 NA NA $9,141,150,000 35,647 * Additional costs per HAC for Falls and Pressure … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.

108. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
     pcmh.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

109. Clabsitoolsap5 (doc file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap5.doc
     December 11, 2012 - lumen (to avoid air embolism and ensure intravascular placement) Transduce central venous pressure … or estimate central venous pressure by fluid column (to avoid arterial placement) After the

110. What Is Patient Safety Culture? | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/sops/about/patient-safety-culture.html
     March 01, 2022 - Work Pressure and Pace. … include the following: Hospital units with more positive SOPS scores had: Fewer hospital-acquired pressure

111. AHRQ’s Research and Tools Help Transform Delivery of Primary Care | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/blog/ahrqviews/delivery-primary-care.html
     November 01, 2022 - Blood pressure control rose 1.6 percent, despite a national decline in blood pressure control over this

112. Making Patients Part of Conversations About Their Care: Integrating Patient-Generated Health Data into Electronic Health Records | Agency for Healthcare Research and Quality
     pcmh.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

113. Physician Burnout (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/ahrq-works/impact-burnout.pdf
     July 01, 2017 - Physician Burnout The health care environment—with its packed work days, demanding pace, time pressures … HS11955), found that more than half of primary care physicians report feeling stressed because of time pressures … More than half of the physicians reported experiencing time pressures when conducting physical examinations … Work conditions, such as time pressure, chaotic environments, low control over work pace, and unfavorable … screening quality improvement projects to engage office staff, enhance team work, and reduce the pressure

114. Advancing Heart Health | Agency for Healthcare Research and Quality
     pcmh.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.

115. Case Scenarios: Handling Challenging Communications | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.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 … Eventually the team is able to re-establish Mary's normal heart rate, blood pressure, and adequate blood … During the resuscitation efforts, information obtained from the devices monitoring Mary's EKG, blood pressure

116. EvidenceNOW: Oklahoma Cooperative | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/oklahoma.html
     March 01, 2021 - adopt  the ABCS of cardiovascular disease prevention: A spirin in high-risk individuals, B lood pressure … management of patients at risk for CVD events, especially methods such as smoking cessation, blood pressure … Community-level interventions, such as smoking quit line referral and blood pressure medication assistance … A second randomization assigns practices to work first on either smoking cessation and blood pressure

117. Technology Assessment Program | Agency for Healthcare Research and Quality
     pcmh.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

118. Tool 3H: Morse Fall Scale for Identifying Fall Risk Factors | Agency for Healthcare Research and Quality
     pcmh.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

119. EvidenceNow Executive Summary - North Carolina Cooperative (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-nc.pdf
     November 01, 2017 - patients adopt the ABCS of cardiovascular disease prevention: Aspirin in high-risk individuals, Blood pressure … physical activity targets.3 Only half of patients treated for hypertension currently have their blood pressure … • Blood pressure control among patients has increased close to an absolute of 5 percentage points … Recent trends in the prevalence of high blood pressure and its treatment and control, 1999-2008.

120. Communication Assessment Guide: Appendix 4 | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/ap4.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