- 
                                        
www.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - By using hospital administrative data, PSIs can identify pressure ulcers, postoperative pulmonary emboli
                                     
                                                                    - 
                                        
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/qdr-blackhealth-slides.html
November 01, 2020 - are restrained can become weak, lose their ability to go to the bathroom by themselves, and develop pressure … ulcers or other medical conditions.
                                     
                                                                    - 
                                        
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
November 01, 2014 - other metrics include: turnaround time, number of procedures, cost reports, or frequency of falls or pressure … ulcers.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
January 01, 2024 - Bowel Regimen, Venous Thromboembolism (VTE) Prophylaxis, Opioid Management, 
Antibiotic Management, Pressure … Ulcer Prevention and Management, Delirium Management, Fall Risk, Vascular 
Access, Urinary Catheter
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
January 01, 2025 - care related (38.6% vs. 4.7%); the most common 
subtypes were falls (48%), traumatic injury (11%), and pressure … ulcers (12.3%).
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
January 01, 2024 - Final Progress Report: Pursuing Perfection in Pediatric Therapeutics
Title Page
• Title of Project: PURSUING PERFECTION IN PEDIATRIC THERAPEUTICS
• Principal Investigator and Team Members: CAROLE MARIE LANNON, MD, MPH; Peter Margolis,
MD, PhD; Michael Seid, PhD; Jeffrey Anderson, MD, MPH, MBA; Patrick Brady, MD, MS… 
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - Evaluate each patient upon admission, and regularly thereafter, for his or her risk of 
developing pressure … ulcers.
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
March 09, 2005 - Activities  
Falls* Nutritional status 
Dehydration Dental care 
Feeding tubes† Physical restraints† 
Pressure … ulcers Psychotropic drug use 
*RAPs targeted by the intervention
                                     
                                                                    - 
                                        
www.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
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
January 01, 2024 - Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture
AHRQ Grant Final Progress Report
Title of Project: Using Team Simulation to Improve Error Disclosure to Patients and Safety 
Culture 
Principal Investigator: Thomas H. Gallagher, MD
Co-Investigators: Sarah Shann… 
                                     
                                                                    - 
                                        
www.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.
                                     
                                                                    - 
                                        
www.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
                                     
                                                                    - 
                                        
www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
January 01, 2021 - Rounds on the Web); 
• AHRQ QuestionBuilder App; 
• AHRQ’s Safety Program for Nursing Homes: On-Time Pressure … Ulcer Prevention;  
• Common Formats (standardized specifications for reporting patient safety events