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781. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/25649-O'%20Leary-draft-1.pdf
     March 16, 2023 - hospitalized general medical patients, including adverse drug events, hospital acquired infections, pressure … ulcers, and falls.

782. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
     January 01, 2024 - hospitalized general medical patients, including adverse drug events, hospital acquired infections, pressure … ulcers, and falls.

783. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance (pdf file)
     www.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

784. Hemoglobin S Monitoring Prior to Chronic Transfusion Among Children With Sickle Cell Anemia (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-214-fullreport.pdf
     February 01, 2019 - Hemoglobin S Monitoring Prior to Chronic Transfusion Among Children With Sickle Cell Anemia 1 Hemoglobin S Monitoring Prior to Chronic Transfusion Among Children with Sickle Cell Anemia Section 1. Basic Measure Information 1.A. Measure Name Hemoglobin S Monitoring Prior to Chronic Transfusion Among Children wi…

785. Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
     January 01, 2024 - they were deemed to be not relevant for this population (PSI #2: Death in low-mortality DRGs, PSI #3: Decubitus … ulcer, PSI #4: Failure to rescue, PSI #6: Iatrogenic pneumothorax, PSI #7: Selected infections due

786. A Playbook for Preventing CLABSI and CAUTI in the ICU Setting (pdf file)
     www.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

787. A Playbook for Preventing CLABSI and CAUTI in the ICU Setting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.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

788. Chartbook on Hispanic Health Care: Slide Presentation—Part 3 | Agency for Healthcare Research and Quality
     www.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.

789. National Healthcare Quality And Disparities Report Patient Safety Chartbook (pdf file)
     www.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

790. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
     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.

791. Final Progress Report: Making Acute Care More Patient Centered, Patient Safety Learning Laboratory (PSLL) (pdf file)
     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

792. Case 3. Grand Hospital Center | Agency for Healthcare Research and Quality
     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.

793. Evaluation and Research on Antimicrobial Stewardship's Effect on Clostridium difficile (ERASE C. difficile) Project: toolkit (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
     September 01, 2012 - Source: Developed by AHRQ Pressure Ulcer Prevention Toolkit project team.

794. Anticipatory Guidance for Prevention of Stroke in Children with Sickle Cell Disease (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-225-fullreport.pdf
     June 01, 2019 - Anticipatory Guidance for Prevention of Stroke in Children with Sickle Cell Disease 1 Anticipatory Guidance for Prevention of Stroke in Children with Sickle Cell Disease Section 1. Basic Measure Information 1.A. Measure Name Anticipatory Guidance for Prevention of Stroke in Children with Sickle Cell Disease …

795. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
     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

796. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/16658-Gallagher-report.pdf
     January 01, 2009 - 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…

797. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
     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…

798. Final2016Qdr-Cx (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr16/final2016qdr-cx.pdf
     October 01, 2017 - Measures include hospital-acquired infections, pressure ulcers in nursing homes, inappropriate prescription

799. QDR 2014: Chartbook for Hispanic Health Care, Part 3 (pdf file)
     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

800. FY 2019 Congressional Justification (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2019/NIRSQ.pdf
     January 01, 2019 - (Morbidity and Mortality Rounds on the Web); • AHRQ’s Safety Program for Nursing Homes: On-Time Pressure … Ulcer Prevention; • Common Formats (standardized specifications for reporting patient safety events