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561. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
     April 01, 2018 - reasonably” preventable hospital-acquired conditions—such as hospital-acquired urinary tract infections and pressure … ulcers—that qualify for reduced reimbursement (CMS, 2007). … : "Naloxone administration," “Health care- associated infections: positive C. difficile test,” and "Pressure … ulcer documentation."

562. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
     September 01, 2023 - /Surgical Supply, Fall, Healthcare-Associated Infection, Medication or Other Substance, Perinatal, Pressure … Ulcer, Surgery or Anesthesia, and Venous Thromboembolism iii As of September 2023, the total number

563. Engaging-Nurse-Physician-Patient-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
     June 02, 2025 - We've expanded to better chucks, putting in chucks that wick, because we also work with the pressure … ulcer department, our walk nurses to reduce those, and make sure that that wasn't going to affect them

564. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
     December 01, 2017 - We've expanded to better chucks, putting in chucks that wick, because we also work with the pressure … ulcer department, our walk nurses to reduce those, and make sure that that wasn't going to affect them

565. 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

566. The Patient Safety Education Project: An international Collaboration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
     February 20, 2008 - rapid response teams, ICU, ER, etc Module 11 Breakout session Chronic care settings: palliative care, pressure … ulcers, falls, etc Module 12 Breakout session Interventional care settings: surgical care; infection

567. 2022 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
     October 25, 2022 - injury to neonate per 1,000 live births HCUP 2019 High-risk, long-stay nursing home patients with pressure … ulcer MDS 2019 Low-risk, long-stay nursing home residents with a catheter inserted and left in the … ulcers that are new or worsened MDS 2018 Adults who reported a home health care provider talking with … ulcer MDS 2019 Low-risk, long-stay nursing home residents with a catheter inserted and left in the … ulcers that are new or worsened MDS 2018 Adults who reported a home health care provider talking with

568. Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
     January 01, 2025 - that a significantly higher number of patients in the MRSA group had an indwelling device (p<0.001), pressure … ulcer (p=0.028), or diabetes mellitus (p=0.007), there were no differences in the primary infection

569. 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 …

570. 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 …

571. 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…

572. 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

573. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
     January 01, 2024 - Stage 3 or 4 pressure ulcers acquired after admission to a healthcare facility 0.0 G. … perioperative bleed, deep vein thrombosis, fall, nerve injury, organ injury, pneumonia, pneumothorax, pressure … sore, sepsis, shock, urinary tract infection, postoperative wound infection, and other.

574. Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
     January 01, 2024 - medication management module was not mandatory, and other more urgent clinical situations (e.g., a worsened pressure … ulcer) with their associated modules may well have taken precedence.

575. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
     January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) Title of Project: Failure to Rescue-Patient Safety Learning Lab (FTR-PSLL) Principal Investigator and Team Members: Dartmouth-Hitchcock: George Blike, MD, MHCDS, PI; Susan McGrath, PhD, CoI; Todd McKenzie, PhD; Irina Pearrard, PhD…

576. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.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

577. 2021 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.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

578. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.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).

579. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     www.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

580. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.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