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41. Intervention Tracking (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/intervention-tracking-worksheet-mw.pdf
    May 19, 2016 - aspirin/antiplatelet drug for pts with IVD (or CVD) Alert staff to a patient with uncontrolled blood pressure … OTHER CLINICAL DECISION SUPPORT ACTIVITIES* Orders/patient instructions/education for home blood pressure … PRACTICE WORKFLOWS Blood pressure measurement protocol Blood pressure treatment protocol Workflow … for patient to report home blood pressures Tobacco use/smoking assessment part of intake or rooming … PERFORMANCE Metric for use of aspirin or another antithrombotic therapy in IVD Metric for blood pressure

42. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/talkingquality/translate/labels/describe.html
    January 01, 2023 - (To view complete information, go to https://www.massgeneral.org/quality-and-safety/patient-safety/pressure-injury-prevalence … Overall, the rate of patients who have pressure ulcers at MGH is low. … They are also supported in their work toward pressure ulcer prevention by their local Clinical Nurse … Bed surface is a key factor in preventing pressure ulcers. … The highest percentage of pressure ulcers occur in our intensive care areas where our patients have complex

43. Table 1: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/table-1.html
    July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Pre-admission doses of patient's blood pressure medications were changed due to hypotensive episodes. … The patient takes her blood pressure medication twice daily at home but it's ordere only once daily in … No indication for frequency change and patient's current blood pressure slightly elevated.

44. Table 3: Critical Thinking Process to Identify and Clarify Discrepancies | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/table-3.html
    July 01, 2022 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Pre-admission doses of patient's blood pressure medications were changed due to hypotensive episodes. … The patient takes her blood pressure medication twice daily at home but it's ordered only once daily … No indication for frequency change and patient's current blood pressure slightly elevated.

45. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/pfp/hacrate2013.html
    January 01, 2018 - The estimate for deaths associated with pressure ulcers was based primarily on the paper by Zhan and … Zhan and Miller estimated that excess mortality due to pressure ulcers was 72 deaths per 1,000 pressure … Mortality for patients with pressure ulcer was compared to mortality among a matched set of patients, … About 40 percent of this reduction is from ADEs, about 20 percent is from pressure ulcers, and about … For example, pressure ulcers had a high baseline prevalence, and excess mortality attributed to pressure

46. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/index.html
    March 01, 2024 - Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Preventing Pressure Ulcers in Hospitals is a toolkit that assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … Pressure Injury Prevention in Hospitals Training Program supports the training of hospital staff on … how to implement AHRQ's Preventing Pressure Ulcers in Hospitals Toolkit.

47. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - ............................................................................................... 4 Pressure … No other patient safety event was identified in the record (e.g., fall, pressure injury, medication … Pressure Injury Among the pressure injury events (n = 10; 3.3%), several records identified the development … of pressure injuries due to the interaction between patient pronation and poor patient mobility. … Four records identified the development of multiple pressure injuries to the lips, tongue, ears, and

48. Using Data To Tackle Undiagnosed Hypertension and Improve Care | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/evidencenow/projects/heart-health/about/stories/in-action/northshore.html
    March 01, 2021 - Hearts ® Hiding in Plain Sight model—an approach for identifying people who have undiagnosed high blood pressure … Mullins, was able to identify adults who were not diagnosed with hypertension but who had a high blood pressure … NorthShore's care team then followed up with those patients and invited them to come in for a free blood pressure … Several patients also were diagnosed with hypertension and prescribed medication to control their blood pressure … Other patients whose readings were normal shared that they felt more at ease after getting their blood pressure

49. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/home-mechanical-ventilators-refinement.pdf
    October 01, 2017 - level measurable improvements considered for the initiation and continuation of noninvasive positive pressure … 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 … reduction in hypercapnia) considered for the initiation and continuation of noninvasive positive pressure … Areas of device variability include: mode of ventilation (such as pressure targeted ventilation versus

50. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - University of Missouri University of Missouri Health Care (MU Health Care) utilized AHRQ’s Preventing Pressure … Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03 (PSI-03) (reportable pressure … and technology, MU Health Care rose from the 87th percentile ranking of all-cause hospital-acquired pressure … experience using this tool is summarized in "MU Health Care Uses AHRQ Toolkit to Reduce Reportable Pressure

51. Hospital Resources | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/about.html
    December 01, 2017 - Pressure Injury Prevention in Hospitals Training Program AHRQ developed the Pressure Injury Prevention … and learn how to overcome the challenges associated with developing, implementing, and sustaining a pressure … Preventing Pressure Ulcers in Hospitals Each year, more than 2.5 million people in the United States … develop pressure ulcers. … The aim of this toolkit is to assist hospital staff in implementing effective pressure ulcer prevention

52. EvidenceNOW Publications | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/evidencenow/projects/heart-health/research-results/results/publications.html
    June 01, 2023 - The North Carolina Cooperative examines small primary care practices’ performance on blood pressure … The authors found that practice facilitation had no effect on blood pressure control. … blood pressure readings. … to address seasonal variation in blood pressure. … Accounting for blood pressure seasonality alters evaluation of practice-level blood pressure control

53. Clinical Preventive Services | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/cps-measures.html
    June 01, 2018 - Adults who received a blood pressure measurement in the last 2 years and can state whether their blood … pressure was normal or high. … Receipt and Understanding of Blood Pressure Measurement Adults who received a blood pressure measurement … Because high blood pressure typically causes no symptoms, screening is essential. … and can state whether their blood pressure was normal or high was 90.6% (data not shown).

54. Men: Stay Healthy at 50 (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/patient-involvement/healthy-men/men-over-50.pdf
    March 01, 2014 - Blood pressure checks and tests for high blood cholesterol are examples of screenings. … You can get some screenings, such as blood pressure readings, in your doctor’s office. … medication for high blood pressure. … High Blood Pressure. Have your blood pressure checked at least every 2 years. … High blood pressure can cause strokes, heart attacks, kidney and eye problems, and heart failure.

55. AHRQ’s EvidenceNOW: Setting the Target for Improving Heart Health in America (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidencenow-baseline.pdf
    February 01, 2017 - DATA FROM 142,135 PATIENTS Blood Pressure Control 62% For people with high blood pressure, 62% … % O F PR AC TI CE S % OF PATIENTS USING ASPIRIN 20 15 10 5 0 % OF PATIENTS WITH BLOOD PRESSURE … 50 60 70 80 90 100% DA 968 PARTICIPATING TA FROM PRACTICES Blood Pressure

56. AHRQ’s EvidenceNOW: Setting the Target for Improving Heart Health in America (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/data/infographics/evidencenow.pdf
    February 01, 2017 - DATA FROM 142,135 PATIENTS Blood Pressure Control 62% For people with high blood pressure, 62% … % O F PR AC TI CE S % OF PATIENTS USING ASPIRIN 20 15 10 5 0 % OF PATIENTS WITH BLOOD PRESSURE … 50 60 70 80 90 100% DA 968 PARTICIPATING TA FROM PRACTICES Blood Pressure

57. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - 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% Surgical Site Infections 2.5 2.5 2.5 2.7 8% … Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs

58. EvidenceNOW: Midwest Cooperative | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/midwest.html
    March 01, 2021 - 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 … conduct direct outreach, developing partnerships with community pharmacists to enhance team-based blood pressure … 2017] 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

59. Event Investigation and Analysis Guide: Appendix B | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.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 … However, she felt pressure from senior leaders to comply with the request and did not speak up. … 0945) The CNA reports back to RN#1 the following: "Your new patient’s blood sugar was 149, the blood pressure … 0947) The CNA reports back to RN#2 the following: "Your new patient’s blood sugar was 525, the blood pressure

60. Cardiovascular Disease | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/cvd.html
    June 01, 2018 - Treatment of Hypertension Adults With Hypertension Whose Blood Pressure Is Under Control Adults with … hypertension whose blood pressure is under control, by age and education, 1999-2002, 2003-2006, 2007 … Blood pressure under control is defined as having a mean systolic blood pressure <140 and mean diastolic … blood pressure <90 among all hypertensive patients. … , blood pressure control among people with diagnosed high blood pressure remains a problem.