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  1. effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-1-year-final-report-updated-title_0.pdf
    May 01, 2024 - judged to be preventable.9 The leading types of harm found in the OIG report (i.e., medication errors, pressureulcers, surgical procedural errors, and infections) align with the topics in the initial MHS report … hygiene • “Do Not Use” list for hazardous abbreviations • Multicomponent interventions to reduce pressureulcers • Barrier precautions to prevent healthcare-associated infections • Use of real-time ultrasound
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
    March 25, 2008 - For instance, if an injury-based metric identifies a falsely high rate of decubitus ulcers at a hospital
  3. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
    October 01, 2019 - ulcers. … events associated with the hospital stay and not present on hospital admission (in-hospital falls and pressureulcers). … After Cardiac Surgery Postoperative Cardiac Event After Non-cardiac Surgery Hospital-Acquired PressureUlcer General 2004-2007 and 2009-2016 Adverse Events Associated With Femoral Artery Puncture for
  4. 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 pressureulcers—that qualify for reduced reimbursement (CMS, 2007). … : "Naloxone administration," “Health care- associated infections: positive C. difficile test,” and "Pressureulcer documentation."
  5. www.uspreventiveservicestaskforce.org/home/getfilebytoken/wBcZfBcVp8N3-cyT3Peysv
    April 01, 2016 - Aspirin for the Primary Prevention of Cardiovascular Events: A Systematic Evidence Review for the USPSTF Aspirin for the Primary Prevention of Cardiovascular Events: A Systematic Evidence Review for the U.S. Preventive Services Task Force Janelle M. Guirguis-Blake, MD; Corinne V. Evans, MPP; Caitlyn A. Senger, MPH; E…
  6. 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 pressureulcer department, our walk nurses to reduce those, and make sure that that wasn't going to affect them
  7. 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 pressureulcer department, our walk nurses to reduce those, and make sure that that wasn't going to affect them
  8. effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation-ablation_surveillance.pdf
    May 16, 2013 - Source: www.effectivehealthcare.ahrq.gov Published online: May 16, 2013   CER # 15: Effectiveness of Radiofrequency Catheter Ablation for Atrial Fibrillation Original release date July 6, 2009 Surveillance Report (1st Assessment/cycle 1) November, 2011 Surveillance Report (2nd Assessment/cycle 2)…
  9. hcup-us.ahrq.gov/db/nation/nis/APS-DRGs%20V22%20Definitions%20Manual.pdf
    April 01, 2006 - ___APS-Def_Public.book 2 3 2 1 W h i t n e y A v e n u e • H a m d e n , C T 0 6 5 1 8 • 1 - 8 0 0 - 9 9 9 - 3 7 4 7 D e f i n i t i o n s M a n u a l APS-DRGs ALL-PAYER SEVERITY-ADJUSTED DRG (APS-DRGS®) ASSIGNMENT FOR PUBLIC USE VERSION 22 ® PUB 4.5.2006 COPYRIGHT PAGE Copyright © 2006 HSS Inc. A…
  10. effectivehealthcare.ahrq.gov/sites/default/files/pdf/horizon-scan_research-2015.pdf
    January 01, 2015 - pose a risk of falls for elderly patients, narrow and thin mattresses increase the risk of developing pressureulcers, fluorescent lights and a lack of windows foster disorientation in cognitively impaired older
  11. 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, pressureulcers, falls, etc Module 12 Breakout session Interventional care settings: surgical care; infection
  12. 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 pressureulcer 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
  13. psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
    August 01, 2012 - SPOTLIGHT CASE The Risks of a Malpositioned Gastrostomy Tube and Poor Communication Citation Text: Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…
  14. www.uspreventiveservicestaskforce.org/home/getfilebytoken/2GDCmTe7akyrAHsTMbfz72
    May 06, 2022 - Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Updated Evidence Report and Systematic Review for the USPSTF Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Janelle M. Guirguis-Blake, MD; C…
  15. effectivehealthcare.ahrq.gov/sites/default/files/vte-protocol-8-4-10.pdf
    February 01, 2008 - Evidence Report on the Source: www.effectivehealthcare.ahrq.gov Published Online: August 06, 2010 Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness of Venous Thromboembolism (VTE) Prophylaxis in Orthopedic Surgery I. Background and Objectives for the …
  16. effectivehealthcare.ahrq.gov/sites/default/files/pdf/blood-clots-hip-knee-surgery_research-protocol.pdf
    February 01, 2008 - Evidence Report on the Source: www.effectivehealthcare.ahrq.gov Published Online: August 06, 2010 Evidence-based Practice Center Systematic Review Protocol Project Title: Comparative Effectiveness of Venous Thromboembolism (VTE) Prophylaxis in Orthopedic Surgery I. Background and Objectives for the …
  17. hcup-us.ahrq.gov/reports/methods/2020-04.pdf
    January 01, 2020 - PSI03 Admissions with pressure ulcers per 1,000 medical and surgical discharges of length 3 or more … days,a,b age18 and over a The AHRQ PSI software requires that the pressure ulcers be reported as … the AHRQ PSI software, the following cases are excluded: admissions with a principal diagnosis of pressureulcer stage III or IV or unstageable; admissions involving severe burns or exfoliative disorders; obstetric
  18. 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), pressureulcer (p=0.028), or diabetes mellitus (p=0.007), there were no differences in the primary infection
  19. psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
    March 27, 2024 - likelihood that a patient will decompensate , have an adverse reaction to a medication, or develop a pressureulcer and then alerting clinicians if the risk is high enough.
  20. psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
    March 27, 2024 - likelihood that a patient will decompensate , have an adverse reaction to a medication, or develop a pressureulcer and then alerting clinicians if the risk is high enough.