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581. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.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

582. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.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

583. Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Facilitator Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
     January 01, 2017 - management for the prevention of such errors as hospital-acquired infections, falls, deep vein thromboses, pressure … ulcers, and medication errors. 

584. Presentation: Program Overview
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
     January 01, 2017 - Estimated Additional Costs of Healthcare-Acquired Conditions (HACs) Series 1 VAPs SSIs CLABSI Other HACs Pressure … Ulcers Post-op DVTs Falls Adverse Drug Events Obstetric Adverse Events CAUTI 21001 21000 17000 17000

585. Module 4: How To Implement the Fall Prevention Program in Your Organization—Training Guide | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-4/guide.html
     October 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

586. Tool 5: How To Conduct a Postdischarge Followup Phone Call | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool5.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

587. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
     December 01, 2017 - So because of his immobility, he developed a pressure ulcer on his sacrum and the physician decided to … then you have the infectious issues such as CAUTI, but other issues related to the catheter such as pressure … ulcers, immobility.

588. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
     December 01, 2022 - Healthcare-associated Infection Patients with one or more falls during stay Fall Stays with one or more pressure … ulcer adverse events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related

589. 2021 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
     December 31, 2021 - infections; seven types of adverse events associated with surgery; patient falls; and hospital-acquired pressure … ulcers. … events associated with the hospital stay and not present on hospital admission (in patient falls and pressure … ulcers) MPSMS also collects and examines patient risk factors, such as demographics and comorbid

590. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - infections; seven types of adverse events associated with surgery; patient falls; and hospital-acquired pressure … ulcers. … events associated with the hospital stay and not present on hospital admission (inpatient falls and pressure … ulcers).

591. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
     September 01, 2012 - admissions and/or discharge.68 • Greater risk of line infections, surgical infections, falls, and pressure … ulcers due to LEP patients’ longer hospital stays compared to English-speaking patients with the same … • LEP patients are at greater risk of line infections, surgical infections, falls, and pressure ulcers

592. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
     December 01, 2023 - Healthcare-associated Infection (HAI) Patients with one or more falls during stay Fall Stays with one or more pressure … ulcer adverse events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related

593. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
     March 01, 2016 - in hospitals, as well as related component measures, such as an A1c value less than 8 percent, and pressure … ulcer rate, for primary care clinicians and hospitals, respectively

594. A Playbook for Preventing CLABSI and CAUTI in the ICU Setting (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook.pdf
     April 01, 2022 - CLINICAL INDICATIONS for use of external catheters:32 • Stage III or Stage IV or unstageable pressure … ulcers • Moderate to severe incontinence-associated dermatitis • Daily (not hourly) measurement of

595. 2017Qdr-Patsafchartbook (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
     October 01, 2018 - 40 60 80 100 2014 2015 2016 2017 2018 2019 GOAL Ra te p er 1 ,0 00 D is ch ar ge s Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated Urinary Tract Infections Falls Lower … 40 60 80 100 2014 2015 2016 2017 2018 2019 GOAL Ra te p er 1 ,0 00 D is ch ar ge s Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated Urinary Tract Infections Falls Lower

596. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pptx
     September 19, 2015 - restrained daily can become weak, lose their ability to go to the bathroom by themselves, and develop pressure … ulcers or other medical conditions.

597. Chartbook on Hispanic Health Care: Slide Presentation—Part 3 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
     May 01, 2018 - restrained daily can become weak, lose their ability to go to the bathroom by themselves, and develop pressure … ulcers or other medical conditions.

598. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
     June 01, 2013 - Complications 26 429 -- Delirium 2 427 -- Nosocomial Infections 3 450 -- Patient Falls 11 428 -- Pressure … Ulcers 5 430 -- Venous Thrombosis and Thromboembolism 0 414 Medication Safety 126 416 -- Medication

599. QDR 2014: Chartbook for Hispanic Health Care, Part 3 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pdf
     June 01, 2014 - restrained daily can become weak, lose their ability to go to the bathroom by themselves, and develop pressure … ulcers or other medical conditions

600. Developing and Assessing the Validity of Claims-based Indicators of Frailty & Functional Disabilities in Electronic Health Records (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/learning-health-systems/frailty-ehr.pdf
     September 01, 2022 - constructs: absence of fecal control (2.1%, 2.3 times as much as structured claims and EHR data combined), decubitus … ulcer (1.4%, 1.7 times), dementia (6.7%, 1.5 times), falls (23.6%, 3.2 times), malnutrition (2.5%,