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41. Board and Senior Leadership PowerPoint Presentations on the AHRQ Quality Indicators (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
    October 01, 2015 - • Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … • Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … An Example: Pressure Ulcer (PDI 02) http://www.qualityindicators.ahrq.gov/Downloads/Modules/PDI/V45/ … A PSI Example: Pressure Ulcer (PSI 03)� What are the Inpatient Quality Indicators (IQIs)? … An Example: Pressure Ulcer (PDI 02)� How can the AHRQ QIs be used in quality assessment?

42. EvidenceNow Executive Summary - Midwest Cooperative (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-midwest.pdf
    November 01, 2017 - patients adopt the ABCS of cardiovascular disease prevention: Aspirin in high-risk individuals, Blood pressure … ethnically and socioeconomically) faces many cardiac health challenges: 31.2 percent have high blood pressure … prescription and cholesterol management; education and patient self-management tools to improve blood pressure … • Crash Course: Diving Deep into MIPS [2017] • Implementing a Practice-Led Self-Measured Blood Pressure … Monitoring Program [2017] • Improving Health Outcomes: Blood Pressure Measurement [2017] • Improving

43. B3A Combo Chartsforpresentations (xls file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
    January 01, 2006 - Death in low-mortality DRGs 0 0 0.000717 0.265 -100 0 0.2705660377 PSI 02 Statistically Lower 0 PSI 03 Pressure … 0.00057 -47.8771929825 -100 88.5614035088 PDI 01 No Statistically Significant Difference 0 PDI 02 Pressure … Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest

44. Evidence-based Practice Center Systematic Review Protocol: Home Mechanical Ventilators (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol.pdf
    February 02, 2018 - addition, some patients with chronic respiratory failure may benefit from continuous positive airway pressure … Areas of device variability include: mode of ventilation (such as pressure targeted ventilation versus … targeted ventilation using a mask interface, the FDA has approved HMVs which can provide pressure targeted … ventilation supplied by a Home Mechanical Ventilator (HMV), Bilevel Positive Airway Pressure device … (BPAP), and Continuous Positive Airway Pressure device (CPAP) in the home through a noninvasive interface

45. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - ulcers/pressure injuries and falls. … For example, measured adverse drug events continued to drop from 2014 to 2017, while measured pressure … ulcers/pressure injuries increased from 2014 to 2015 and then decreased somewhat from 2015 to 2016 … Ulcers/ Pressure Injuries 21.7 23.5 22.7 23.0 6% 17.4 Surgical Site Infections 2.5 2.5 2.5 … Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs

46. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
    talkingquality.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
    October 01, 2015 - As shown in Exhibit 1 we estimate that pressure ulcers are associated with an excess mortality rate … Zhan and Miller estimated that excess mortality due to pressure ulcers was 72 deaths per 1,000 pressure … For example, pressure ulcers had a high baseline prevalence, and excess mortality attributed to pressure … Eliminating facility-acquired pressure ulcers at Ascension Health . … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care.

47. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
    May 01, 2017 - McRoberts maneuver used concurrently with suprapubic pressure [Call time] (hh:mm:ss) ____:____:____ … Rotational Procedures If McRoberts and suprapubic pressure fail to relieve the obstruction, the clinician … The clinician’s entire hand is placed on the posterior surface of the fetal anterior shoulder, and pressure … The ideal approach is for the clinician to put pressure in the antecubital fossa of the posterior arm … It is performed by applying upward (in a cephalic direction) digital pressure on the fetal clavicle,

48. Achievements in Primary Care | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/evidencenow/projects/heart-health/about/stories/achievements.html
    March 01, 2021 - Health Center Holly Clinic (Holy, CO)   Helping primary care practices use evidence to improve blood pressure … selected Million Hearts® Hypertension Control Champions have worked with their patients to achieve blood pressure

49. C1 Prioritization Worksheet (xls file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
    July 01, 2016 - Value-based purchasing • Sentinel event • Publicly reported • Public perception • Marketing • Competitive pressure … Patient Safety PSI 03 Pressure Ulcer   PSI 06 Iatrogenic Pneumothorax PSI 07 Central Venous Catheter-Related … Neonatal Blood Stream Infection Rate Pediatric PDI 01 Accidental Puncture or Laceration Rate PDI 02 Pressure

50. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    talkingquality.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

51. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
    talkingquality.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

52. Clabsitoolsap5 (doc file)
    talkingquality.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

53. Reducing Diagnostic Errors in Primary Care Pediatrics Toolkit | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/ambulatory/diagnostic-safety/toolkit.html
    November 01, 2018 - systematic approach to reduce diagnostic errors among children in three important areas: Elevated blood pressure … Increased Provider Recognition of Elevated Blood Pressure in Children. 

54. EvidenceNOW: North Carolina Cooperative | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/north-carolina.html
    March 01, 2021 - 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.

55. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - About 40 percent of the overall reduction is from adverse drug events, about 28 percent from 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 … been wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure

56. Appropriate Disclosure to a Patient: Video | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/app-disclosure.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

57. Inappropriate Disclosure to a Patient: Video | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/inapp-disclosure.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

58. Offer of Compensation—6 Months Later: Video | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/compensation.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

59. Introduction to Communication and Optimal Resolution (CANDOR): Video | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/introduction.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

60. Resolution Planning: Video | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/planning.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