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psnet.ahrq.gov/classics
August 01, 2023 - Complications
(93)
Nosocomial Infections
(50)
Patient Falls
(8)
Pressure … Ulcers
(5)
Venous Thrombosis and Thromboembolism
(3)
Medication Safety
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - serious problem in the
hospital, putting patients at risk for many other problems, including delirium, pressure … ulcers, and functional
decline.
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary23/diabetes-mellitus-type-2-in-adults-screening-2008
June 15, 2008 - Share to Facebook
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archived
Final Evidence Summary
Diabetes Mellitus (Type 2) in Adults: Screening
June 15, 2008
Recommendations made by the USPSTF are independent of the U.S. government. …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/imp-handouts.pdf
June 02, 2025 - 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
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psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure … ulcers: a systematic review and documentary analysis.
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - serious problem in the hospital, putting patients at risk for many other problems, including delirium, pressure … ulcers, and functional decline.
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psnet.ahrq.gov/web-mm/delirium-or-dementia
September 27, 2023 - iatrogenic infection (such as catheter-associated urinary tract infection or aspiration pneumonia), pressure … ulcers, falls, and iatrogenic events.( 9-11 ) On a larger scale, delirious patients require more staff
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/c-7ARQE9RuXKjjpeLABkaH
March 01, 2007 - Aspirin or Nonsteroidal Anti-inflammatory Drugs for the Primary Prevention of Colorectal Cancer
Routine Aspirin or Nonsteroidal Anti-inflammatory Drugs for the
Primary Prevention of Colorectal Cancer: U.S. Preventive Services
Task Force Recommendation Statement
U.S. Preventive Services Task Force*
This statement sum…
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psnet.ahrq.gov/node/33831/psn-pdf
April 01, 2017 - problems, it
always seemed like we had to almost invent a new solution for every problem, whether it was pressure … ulcers, falls, or whatever.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/sZN5HHS8w5Sar6bBPabsaB
June 01, 2008 - Screening Adults for Type 2 Diabetes: A Review of the Evidence for
the U.S. Preventive Services Task Force
Susan L. Norris, MD, MPH; Devan Kansagara, MD; Christina Bougatsos, BS; and Rongwei Fu, PhD
Background: More than 19 million Americans are affected by type
2 diabetes mellitus, which is undiagnosed in one third o…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
June 30, 2025 - 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).
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024750-sherwin-final-report-2019.pdf
January 01, 2019 - co-morbidities: end stage renal disease
(13 diagnoses in Problem List), paraplegia (18 diagnoses), decubitus … ulcer (8 diagnoses) while there is only one
that represents the presence of multiple sclerosis. … addition to the SFR
based definition, ISA now included any patient with evidence multiple sclerosis, decubitus … ulcer or paraplegia on
their EMR Problem List in the NHE category.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/TjDzC7rzm3WzCDHFC4sJhQ
June 01, 2015 - Screening for Type 2 Diabetes Mellitus: A Systematic Review for the
U.S. Preventive Services Task Force
Shelley Selph, MD, MPH; Tracy Dana, MLS; Ian Blazina, MPH; Christina Bougatsos, MPH; Hetal Patel, MD; and Roger Chou, MD
Background: Screening for type 2 diabetes mellitus could lead
to earlier identification and tr…
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
January 01, 2014 - Pressure ulcers in community-based older adults receiving home health care.
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effectivehealthcare.ahrq.gov/sites/default/files/nursing-home-safety_disposition-comments.pdf
May 27, 2016 - Falls yes
but infections, pressure ulcers? … ulcers, etc., coordination of care with primary care and rehab and
avoiding unnecessary hospitalizations … Peer reviewer #5 Findings GQ1c—The discussion on pressure ulcers is insufficient. … Pressure ulcers-- Again the NPUAP guidelines would help
summarize what is known and where the gaps are … ulcers from studies on
potential contributing factors, such as depression and urinary
incontinence
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effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1312.pdf
December 01, 2013 - Reclining chairs and padded/lined stretchers are intended to improve patient comfort and
reduce risk of pressure … ulcers; large-faced clocks are used for better visibility and time
orientation; calendars and boards … senior-friendly” include reclining chairs or padded or lined stretchers to improve patient comfort and
reduce pressure … ulcers; large-faced clocks for improved visibility; calendars; boards with the names
of hospital and … These mattresses can
increase risk of a patient developing pressure ulcers.
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www.ahrq.gov/patient-safety/resources/learning-lab/index.html
August 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’).
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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
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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…
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hcup-us.ahrq.gov/reports/methods/2006_1.pdf
January 01, 2006 - Of 9 PSIs evaluated (such as decubitus ulcers, infection
due to medical care, post-operative hemorrhage