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661. TeamSTEPPS Long-Term Care Specialty Scenarios (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/scenarios/ts2-0ltc_scenarios.pdf
     April 24, 2017 - nurse is signing out Margaret for the leave of absence, she tells Beth, “Your mother is at risk for pressure … ulcers now that she uses the wheelchair.

662. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/handouts.html
     September 01, 2017 - Weekly Wound Review Meetings Multidisciplinary team weekly review of residents with stage 2 or above pressure … ulcers at risk for infection who potentially require hospitalization/ED visit. … Reports provide information about current and changing risks for pressure ulcer healing and can aid root

663. Project Summaries for ACTION III Projects Awarded in 2016 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/actioniii-2016-summaries-revised.pdf
     January 01, 2016 - • Pressure ulcers. • Surgical Site Infections. 25 • Ventilator-associated pneumonia. … The HACs of interest include falls, hospital-acquired pressure ulcers (HAPUs), and several hospital-acquired … to remove or leave an IUC in place, taking into account patient- specific characteristics, such as pressure … ulcer risk assessments and fall risk assessments.

664. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/thomas-report.pdf
     June 30, 2015 - ventilator-associated pneumonia, trading off from setting the angle to something less than 30 degrees, which prevents pressure … ulcer formation.

665. AHRQ Grant Final Progress Report: Real-Time, Wireless, Networked Feedback for Bed-Tilt Compliance (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/thomas1-report.pdf
     January 01, 2024 - ventilator-associated pneumonia, trading off from setting the angle to something less than 30 degrees, which prevents pressure … ulcer formation.

666. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
     September 01, 2015 - associated with many infectious and noninfectious complications including immobility (with potential pressure … ulcers and increased risk for thromboembolism), trauma, and debility.

667. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
     September 01, 2015 - associated with many infectious and noninfectious complications including immobility (with potential pressure … ulcers and increased risk for thromboembolism), trauma, and debility.

668. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
     September 01, 2015 - associated with many infectious and noninfectious complications including immobility (with potential pressure … ulcers and increased risk for thromboembolism), trauma, and debility.

669. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=250
     January 01, 2024 - gastrointestinal medication that affected the gut microbiome, the number of visits from healthcare workers, pressure … ulcers, and not residing in a dementia unit.

670. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=441
     January 01, 2024 - infections and catheter-related urinary tract infections but no improvements for either hospital acquired pressure … ulcers or injurious patient falls.

671. Change Management (Instructor Guide) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module8/ts2-0ltc_module8_ig_chmgmt.pdf
     June 09, 2017 - frontline (or direct care) staff about residents who might be at risk for a bad outcome, such as pressure … ulcers or falls.

672. Imp-Handouts (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
     June 28, 2017 - Wound Review Meetings Multidisciplinary team weekly review of residents with stage 2 or above pressure … ulcers at risk for infection who potentially require hospitalization/ED visit. … Reports provide information about current and changing risks for pressure ulcer healing and can aid

673. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
     June 01, 2024 - Illinois R36 HS23072 [Grant] Using an Electronic Health Record To Examine Nurse Continuity and Pressure … Ulcers 2014-2015 $40,192 Final Report Purpose: To examine the influence of nurse continuity on the … prevention of hospital- acquired pressure ulcers (HAPUs).

674. Carbapenem-Resistant Enterbacteriaceae (CRE) Control and Prevention Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/cretoolkit.pdf
     April 01, 2014 - you find that your organization has fully operationalized quality improvement processes, connect the pressure … ulcer prevention initiative with these existing processes. … If some processes are missing, advocate for them to be put into place in the context of the pressure … ulcer initiative. … ulcer prevention

675. Carbapenem-Resistant Enterbacteriaceae (CRE) Control and Prevention Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/cretoolkit_0.pdf
     April 01, 2014 - you find that your organization has fully operationalized quality improvement processes, connect the pressure … ulcer prevention initiative with these existing processes. … If some processes are missing, advocate for them to be put into place in the context of the pressure … ulcer initiative. … ulcer prevention

676. Usability Testing and the Relation of Clinical Information Systems to Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rogers.pdf
     January 01, 2003 - Usability Testing and the Relation of Clinical Information Systems to Patient Safety 365 Usability Testing and the Relation of Clinical Information Systems to Patient Safety Michelle L. Rogers, Emily Patterson, Roger Chapman, Marta Render Abstract Background: The success of clinical information systems depend…

677. Methods (continued, 2) | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
     July 01, 2018 - hospital-associated infections, reducing risk of harm from patient falls, and preventing hospital-associated pressure … ulcers. 99,100 Internal Motivators Empirical work on quality improvement suggests that although

678. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/index.html
     April 01, 2025 - Identify areas of skin at risk for developing pressure ulcers (recently renamed by expert organizations … of indwelling urinary catheters, central venous catheters, and pressure injuries (formerly called ‘pressure … ulcers’).

679. National Healthcare Quality and Disparities Report Chartbook on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2016-ptschartbook.pdf
     July 19, 2017 - Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated Urinary Tract Infections Falls … 60 80 100 120 140 160 2010 2011 2012 2013 2014 2015 R at e 1 ,0 0 0 D is ch ar ge s Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated Urinary Tract Infections Falls … ulcers (36.3 per 1,000 hospital discharges) accounted for 31.6% of the total … ulcers decreased the most between 2010 and 2014, dropping from 40.3 per 1,000 discharges (more than

680. Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb.pdf
     December 10, 2013 - Transitioning Newborns from NICU to Home: Family Information Packet, Appendix B Appendix B: Clinical Materials to Share With Primary Care Providers Diagnoses and Conditions ■ Anemia of Prematurity ■ Apnea of Prematurity ■ Bronchopulmonary Dysplasia ■ Gastroesophageal Reflux ■ Nephrocalcinosis ■ Patent D…