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361. Building the Business Case for CANDOR Worksheet | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/worksheet2.html
     August 01, 2022 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

362. Implementation Guide for the CANDOR Process: Appendix A | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apa.html
     August 01, 2022 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

363. Communication Assessment Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
     August 01, 2022 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

364. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhac2013-ap2.html
     December 01, 2014 - Adverse Events (2012 data used in lieu of 2013) 82,000 77,000 5,000 6% $15,000,000 7 Pressure … Ulcers 1,320,000 1,060,000 260,000 20% $4,420,000,000 18,824 Surgical Site Infections

365. Main Line Health System Uses Patient Safety Culture Survey in Suburban Philadelphia Facilities | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/cquips1302.html
     December 01, 2012 - percent, all hospital central line-related bloodstream infections have decreased by 51 percent, and pressure … ulcers rated at stage II or worse have decreased by 44 percent.

366. Tool 1: Overview (continued) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool1ref.html
     March 01, 2013 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

367. Tool 3M: Sample Care Plan | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/sample-care-plan.html
     January 01, 2013 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

368. Tool 5B: Assessing Fall Prevention Care Processes | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/assessing-procedures.html
     January 01, 2013 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

369. Tool Overview | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/guide/tools.html
     October 01, 2016 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

370. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
     December 01, 2017 - they were also that because of her immobility and functional incontinence that she might develop a pressure … ulcer or skin breakdown. … She started to get decubitus ulcers from her immobility, very stage I stage II decubitus ulcers. … And then she gets the CAUTI, which results in C. diff , which results in a pressure ulcer, increased

371. Appendix B. Prioritize Opportunities for Improvement | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-b.html
     September 01, 2017 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

372. Improving the Value of Patient Safety Reporting Systems (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
     June 12, 2008 - taxonomies include mistakes (e.g., prescribing errors) and the outcome of mistakes (e.g., p falls, decubitus … ulcers) as event types. … However, falls and decubitus ulcers are visible ha (outcomes) that might have resulted from failure to … the proportion of incidents in the ICUSRS with harm identified, it is not surprising that falls and decubitus … ulcers were among the highest.

373. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
     September 01, 2022 - events, including certain hospital-acquired conditions (HACs), such as postsurgical complications and pressure … ulcers but has some limitations that AHRQ is addressing with a new surveillance system.

374. Module 2: How To Manage Change—Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-2/slides.html
     September 01, 2017 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

375. Acknowledgments | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
     August 01, 2022 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

376. Preventablehospitalandedvisits-Implmatl (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
     September 08, 2017 - status   Oxygen dependency   Confusion/mental status change   Any full thickness wound (e.g., pressure … ulcers [Stage II or greater], surgical wound, stasis ulcer)   Polypharmacy (15 or more medications … Chronic pressure ulcers Yes  No  L. Recurrent UTI Yes  No  M. Anemia Yes  No  N.

377. Chapter 7. High-Risk Situations for Medication Reconciliation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/chapter-7.html
     July 01, 2022 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

378. Tool 4 (continued) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4ref.html
     March 01, 2013 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

379. Roadmap | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/roadmap.html
     January 01, 2013 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

380. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
     March 10, 2008 - puerperium) No No PSI 2: Death in low- mortality No, because it heavily relies on DRG PSI 3: Decubitus … ulcer Yes All medical and surgical discharges age ≥18 years, length of stay >4 days MDC 9 (skin … For decubitus ulcer (PSI 3), a major exclusion group covers hemiplegias and other neurologic problems … Although there are specific codes for decubitus ulcer (PSI 3) in both ICD-9-CM and ICD-10-WHO, the ICD … -10-WHO code L89 (decubitus ulcer) does not specify the site of the ulcer, while M70 codes describe