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41. Final Topic Refinement Document: Home Mechanical Ventilators (pdf file)
    www.healthcare411.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

42. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
    www.healthcare411.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

43. Hospital Resources | Agency for Healthcare Research and Quality
    www.healthcare411.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

44. Section 5, Table 6 (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-section-5-table-6.pdf
    January 01, 2013 - heart rate thresholds, establishing capillary refill of 2 seconds or less, and restoring normal blood pressure … [p. 1368] Fluid should be pushed with the goal of attaining normal perfusion and blood pressure. … improved perfusion using clinical criteria, such as a reduction in heart rate and improvement in blood pressure … perfusion as the principal endpoint of resuscitation, along with normal heart rate and arterial blood pressure … Positive response to fluid loading include: >10% increase of systolic/mean arterial blood pressure,

45. EvidenceNOW Publications | Agency for Healthcare Research and Quality
    www.healthcare411.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

46. Development of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Slide Presentation (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smith2slides.pdf
    August 13, 2015 - Staffing, Work Pressure, and Pace 4. Teamwork 5. Staff Training 6. … Response Communication Openness 85% Response to Mistakes 82% Staff Training 78% Staffing, Work Pressure … Training Staff feel pressured to do tasks they haven't been trained to do 72% Staffing, Work Pressure … Staffing, Work Pressure, and Pace Sometimes I feel some of the doctors are all about how fast you … were more positive than larger ASCs (6 Rooms or More) on Response to Mistakes and Staffing, Work Pressure

47. Digestive Health Clinic, LLC: Slide Presentation (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/brownslides.pdf
    August 13, 2015 - Training 78% 79% Response to Mistakes 82% 78% Communication Openness 85% 73% Staffing, Work Pressure … going through a staff transition • Decided to focus on  Communication Openness  Staffing, Work Pressure … physicians, facilitate continuity of care, and validate staff concerns 44 44 Staffing, Work Pressure … Survey Results Reactions & Follow Up Communication Openness Change Implemented Staffing, Work Pressure

48. AHRQ’s EvidenceNOW: Setting the Target for Improving Heart Health in America (pdf file)
    www.healthcare411.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

49. AHRQ’s EvidenceNOW: Setting the Target for Improving Heart Health in America (pdf file)
    www.healthcare411.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

50. Table 3. Evidence for Timely Bolus for Treatment of Children with Severe Sepsis of Septic Shock (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-5-table-3.pdf
    January 01, 2013 - : Goals include maintenance or restoration of circulation, defined as normal perfusion and blood pressure … mL/kg (isotonic crystalloid or 5% albumin) can be administered by push or rapid infusion device (pressure … Fluid can be pushed with the goal of attaining normal perfusion and blood pressure. … Fluid should be pushed with the goal of attaining normal perfusion and blood pressure. … clearly defined end point in fluid resuscitation in the absence of a measurement of central venous pressure

51. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    www.healthcare411.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

52. Section 8-A, EHR Data Feasibility Tool (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-8-a-ehr-data-feasibility-tool.pdf
    November 20, 2017 - or Transfer" that lasted at least 24 hours N/A 3 Initial Risk Assessment for Immobility-related Pressure … by standardized tool (Occurrence B) Patient had an assessment of immobility-related pressure ulcer … N/A 3 Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 hours of PICU Admission … If not, do you use another standardized pressure ulcer risk assessment tool? … 3 How do you document the results of a standardized pressure ulcer risk assessment tool?

53. EvidenceNOW: Midwest Cooperative | Agency for Healthcare Research and Quality
    www.healthcare411.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

54. Event Investigation and Analysis Guide: Appendix B | Agency for Healthcare Research and Quality
    www.healthcare411.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

55. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/index.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 … Patients with Limited English Proficiency NICU Toolkit Preventing Falls in Hospitals Preventing Pressure

56. Appendix | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/hai/pfp/hacrate2013-appendix.html
    October 01, 2015 - (2013) OB Trauma in Vaginal Delivery With (PSI18) and Without Instrument (PSI19) 77,000 2.4 Pressure … Ulcers MPSMS (2013) Hospital-Acquired Pressure Ulcers 1,060,000 32.5 Surgical Site Infections … $144,680,000 1' 100 Obstetric Adverse Events 82,000 77,000 5,000 6% $15,000,000 7 Pressure … 12.5% 25,000 $7,234 Obstetric Adverse Events 380,000 30% 50% 15% 57,000 $3,000 Pressure … been wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure

57. Section 8, Data Feasibility Tool and Feasibility Testing Results (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-8-data-feasibility-tool-1.pdf
    November 28, 2017 - or Transfer" that lasted at least 24 hours N/A 3 Initial Risk Assessment for Immobility-related Pressure … by standardized tool (Occurrence B) Patient had an assessment of immobility-related pressure ulcer … N/A 3 Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 hours of PICU Admission … If not, do you use another standardized pressure ulcer risk assessment tool? … 3 How do you document the results of a standardized pressure ulcer risk assessment tool?

58. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
    December 01, 2017 - Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … The number of hospitalizations involving pressure ulcers increased by about 80% between 1993 and 2006 … patients may have pressure ulcers at any one time. … Include in the medical record complete documentation of any pressure ulcer found. … Pressure Ulcer Risk Assessment at Admission and Daily: Evaluate all patients for pressure ulcers and

59. Board and Senior Leadership PowerPoint Presentations on the AHRQ Quality Indicators (pdf file)
    www.healthcare411.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?

60. Section 6-B, Expert Workgroup Roster and Materials (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
    September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative claims) 3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients (administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … • Evaluation of potential pressure injury is labor intensive and subjective; data cannot be obtained