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481. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
     August 01, 2025 - ulcers, urinary tract infections (UTIs), and pneumonia, all of which are generally preventable but … ulcers at 68%, and infections at even lower rates (UTIs: 19–29%, pneumonia: 66–71%). … ulcer rates than Black residents, and facilities with higher proportions of White residents showed … better reporting for falls but worse for pressure ulcers. … ulcers, skin tears, and falls with injury representing the most common types of events in this category

482. Final Progress Report: Quality Factors in Nursing Home Choice (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
     January 01, 2024 - homes include indicators of physical care, such as rate of restraint use (physical and chemical), pressure … sore prevalence, urinary tract infections, pain, injuries, hospitalizations, functional decline; staffing … follows: .626 for urinary tract infections, .528 for weight loss, .853 for tube feeding, .570 for pressure … ulcers, and .812 for behavior affecting others. … ulcers.

483. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
     August 01, 2025 - Skin: Pressure Ulcer? POA? - Current descript ion of PU 10. Foley: Can it be removed?

484. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
     January 01, 2017 - management for the prevention of such errors as hospital-acquired infections, falls, deep vein thromboses, pressure … ulcers, and medication errors.

485. Section 2. Implementing Recommendations in Academic Curricula | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf2.html
     June 01, 2022 - Section 2. Implementing Recommendations in Academic Curricula Implementing USPSTF Recommendations into Health Professions Education This document was developed as part of an Agency for Healthcare Research and Quality (AHRQ) initiative to increase the use of the U.S. Preventive Services Task Force (USPSTF) rec…

486. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
     March 23, 2008 - medical error and adverse events causes: “pneumothorax, retained objects, hospital-acquired infections, decubitus … ulcers, perioperative myocardial infarctions (MIs), line infections, and falls.” … A few examples include pneumothorax, retained objects, hospital-acquired infections, decubitus ulcers

487. Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
     September 21, 2010 - Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education TECHNICAL ASSISTANCE DOCUMENT IMPLEMENTING U.S. PREVENTIVE SERVICES TASK FORCE (USPSTF) RECOMMENDATIONS INTO HEALTH PROFESSIONS EDUCATION September 21…

488. Voluntary Hospital Coalitions to Promote Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rask.pdf
     January 01, 2004 - hospitals were required to choose to focus on one of the following priority patient-safety issues: (1) pressure … ulcers, (2) patient falls, or (3) deep vein thrombosis (DVT). … Hospitals may (1) continue their self-assessment/improvement plans relative to pressure ulcers, falls

489. Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/meenan-report.pdf
     January 01, 2025 - Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record 1  FINAL REPORT  Title:  Developing an HIV‐Specific Prevention Index Using the Electronic Medical Record  Principal Investigator: Richard T. Meenan, PhD, MPH, MBA, Center for Health Research ‐ Kaiser Permanente, …

490. Build a Business Case for Quality Improvement: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
     February 01, 2017 - Central line associated bloodstream infections and pressure ulcers can add an estimated $17,000 to care

491. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/042-vap-prevention-slides.pptx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Ventilator-Associated Pneumonia & Non-Ventilator Healthcare-Associated Pneumonia ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU VAP & NV-HAP Prevention 1 Educational Objectives Discuss the causes and ri…

492. Final Progress Report:: The National Quality Forum – Annual Meeting 2003 (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/kizer-report.pdf
     January 01, 2024 - disease; immunization; and several areas pertaining to patient safety: hospital-acquired infections, pressure … ulcers, and patient identification. … how the Project Steering Committee recently finalized discussion on various recommendations on the pressure … ulcer prevalence measure; discussed various versions of the Nursing Work Index (e.g., NWI-R, PES-NWI

493. Ed-Catheter-Insertions-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
     September 10, 2013 - 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.

494. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
     www.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.

495. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
     January 01, 2017 - Central line associated bloodstream infections and pressure ulcers can add an estimated $17,000 to care

496. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
     June 01, 2025 - Summary of Evidence Summary of Evidence (all patients) (Not reviewed) (Not reviewed) Prevention of Pressure … Ulcers in Older Patients Summary of Evidence Summary of Evidence (all patients) (Not reviewed) (Not

497. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
     December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers (continued) Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet …

498. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
     December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers (continued) Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet …

499. Multiple Chronic Conditions Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
     April 01, 2014 - Multiple Chronic Conditions Chartbook Multiple Chronic Conditions Chartbook 2010 MEDICAL EXPENDITURE PANEL SURVEY DATA ALL OF THE INFORMATION INCLUDED IN THIS CHARTBOOK IS FREELY AVAILABLE FOR REPRODUCTION. PERMISSION FROM THE AUTHORS FOR THE USE THE CHARTS OR GRAPHICS CONTAINED IN THIS REPORT IS NOT NECESSA…

500. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-slides.pptx
     January 01, 2017 - ABCDEs, delirium monitoring and management, hospital-acquired infections, falls, deep vein thromboses, pressure … ulcers, medication errors Physiological Support for failing organs (e.g., mechanical ventilation, vasopressors