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61. Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-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

62. PMCoE PICU Expert Work Group and Leadership Team Roster (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-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

63. EvidenceNow Executive Summary - Midwest Cooperative (pdf file)
    www.healthcare411.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

64. ENSW FIELD NOTE FORM (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/intervention-tracking-notes-sw.pdf
    July 19, 2018 - follow up; PDSA on data accuracy of aspirin therapy; established a standardized clinic-wide blood pressure … on this topic Started work on this topic and achieved aim/goal Aspirin therapy Blood Pressure … management: Started work on this topic but stopped before reaching aimgoalBlood Pressure management … : Started and continue to work on this topicBlood Pressure management: Started work on this topic … and achieved aimgoalBlood Pressure management: Did not formally work on thisCholesterol management

65. B3A Combo Chartsforpresentations (xls file)
    www.healthcare411.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

66. Evidence-based Practice Center Systematic Review Protocol: Home Mechanical Ventilators (pdf file)
    www.healthcare411.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

67. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    www.healthcare411.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

68. Evidence Now: Bridging Research & Practice in Primary Care (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/about/evidencenow-factsheet.pdf
    April 01, 2021 - This included the “ABCS” of heart health: Aspirin use by high-risk individuals, Blood pressure control … Such pressures worsen a fundamental problem: it takes many years for new evidence to make its way into … aspirin for eligible patients n A 6.3% increase in cholesterol management n A 2.8% increase in blood pressure … control – an important finding, given decreasing national rates of blood pressure control.

69. Achievements in Primary Care | Agency for Healthcare Research and Quality
    www.healthcare411.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

70. C1 Prioritization Worksheet (xls file)
    www.healthcare411.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

71. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    www.healthcare411.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

72. AHRQ Quality Indicators Prioritization Worksheet Example (pdf file)
    www.healthcare411.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

73. Clabsitoolsap5 (doc file)
    www.healthcare411.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

74. Physician Burnout (pdf file)
    www.healthcare411.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

75. EvidenceNOW: North Carolina Cooperative | Agency for Healthcare Research and Quality
    www.healthcare411.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.

76. AHRQ Pediatric Quality Indicators Prioritization Worksheet (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheet.pdf
    June 05, 2016 - purchasing • Sentinel event • Publicly reported • Public perception • Marketing • Competitive pressure … Neonatal Blood Stream Infection Rate Pediatric PDI 01 Accidental Puncture or Laceration Rate PDI 02 Pressure

77. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    www.healthcare411.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

78. Evidence Now Fact Sheets - Cholesterol Management (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/cholesterol-pcor.pdf
    November 01, 2016 - The initiative is focusing on the ABCS of heart health—Aspirin use by high-risk individuals, Blood pressure … www.nhlbi.nih.gov/files/cholesterol-in-adults.pdf http://www.ahrq.gov/evidencenow http://www.ahrq.gov Blood Pressure … Control Rationale for Blood Pressure Control Evaluating and Measuring Use ofPCOR-supported Recommendations

79. Introduction to Communication and Optimal Resolution (CANDOR): Video | Agency for Healthcare Research and Quality
    www.healthcare411.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

80. Inappropriate Disclosure to a Patient: Video | Agency for Healthcare Research and Quality
    www.healthcare411.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