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psnet.ahrq.gov/node/40507/psn-pdf
June 08, 2011 - five hospitals faced in implementing new systems for prospective detection
of adverse drug events and pressure … ulcers, and recommends steps organizations can take to ensure
smoother implementation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - Daily Goals Checklist
Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - “common;” examples include falls,
venous thromboembolism (VTE), potential adverse drug
events, or pressure … ulcers. … ulcers;
and PSPs designed to improve the overall system or to
address multiple patient safety targets … ulcers; in-depth review
Common/
Moderate
Moderate Negligible Moderate Moderate/
Moderate
9
Table … ulcers, and other
nursing sensitive outcomes (other than
mortality); in-depth review
Common/High
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psnet.ahrq.gov/node/45289/psn-pdf
May 03, 2017 - the severity of harm for specific adverse events including falls,
health care–associated infections, pressure … ulcers, and blood product errors.
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www.ahrq.gov/patient-safety/settings/hospital/resource/index.html
February 01, 2025 - Improving Patient Safety Systems for Patients with Limited English Proficiency NICU Toolkit Preventing Pressure … Ulcers in Hospitals QI Toolkit for Hospitals RED (Re-Engineered Discharge) Toolkit Universal ICU Decolonization
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www.ahrq.gov/action-alliance/resources/index.html
March 01, 2025 - Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure … Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Interested in
-
psnet.ahrq.gov/node/33580/psn-pdf
April 01, 2022 - However, the key findings in a recent integrative review
include fewer pressure ulcers and urinary tract … included patient-centered outcomes considered to be markers of nursing care quality (such as falls
and pressure … ulcers) and system-related measures including nursing skill mix, nursing care hours,
measures of the
-
psnet.ahrq.gov/primer/nursing-and-patient-safety
September 15, 2024 - However, the key findings in a recent integrative review include fewer pressure ulcers and urinary tract … included patient-centered outcomes considered to be markers of nursing care quality (such as falls and pressure … ulcers) and system-related measures including nursing skill mix, nursing care hours, measures of the
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psnet.ahrq.gov/node/43121/psn-pdf
April 16, 2014 - implementing a patient safety
measurement tool that incentivized improvement in four areas: falls, pressure … ulcers, venous
thromboembolisms, and catheter-associated urinary tract infections.
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psnet.ahrq.gov/node/41985/psn-pdf
October 26, 2016 - The most common adverse events reported were pressure ulcers and fall-
related injuries or deaths.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/venous-ulcers-treatment_disposition-comments.pdf
January 27, 2014 - Disposition of Comments Report for Chronic Venous Ulcers: A Comparative Effectiveness Review of Treatment Modalities
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Chronic Venous Ulcers: A Comparative Effectiveness Review of
Treatment Modalities
Draft review av…
-
psnet.ahrq.gov/node/841759/psn-pdf
December 21, 2022 - Increased spending on both improved outcomes in catheter-related
blood stream infections, pressure ulcers
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psnet.ahrq.gov/node/41344/psn-pdf
June 15, 2012 - issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england-
2009-and-2010
Pressure … ulcers were the most common voluntarily reported patient safety issue in intensive care units in
this
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - problem, such as higher than expected cases of accidental punctures or lacerations during procedures or pressure … ulcers, the team would review the data from that time period. … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes
-
psnet.ahrq.gov/node/837728/psn-pdf
July 27, 2022 - adverse
drug events, hospital-acquired infections, postoperative adverse events, hospital-acquired pressure … ulcers,
falls) over time among patients hospitalized for four common conditions – acute myocardial
-
psnet.ahrq.gov/node/60846/psn-pdf
January 01, 2021 - injuries
from falls and catheter use, and that environmental safety was associated with lower rates of pressure … ulcers, major injuries from falls, and catheter use.
-
psnet.ahrq.gov/node/60616/psn-pdf
June 24, 2020 - central-line-associated
blood stream infections, catheter-associated urinary tract infections, hospital-acquired pressure … ulcers, and
ventilator-associated events).
-
psnet.ahrq.gov/node/45879/psn-pdf
July 02, 2017 - This study aimed to use modeling, a strategy to detect safety hazards, to characterize the risk of pressure … ulcers and catheter-associated infections.
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psnet.ahrq.gov/node/46041/psn-pdf
September 20, 2017 - retrospective-and
This economic analysis estimated the impact of nurse-sensitive adverse events—including pressure … ulcers,
falls, medication administration errors, pneumonia, and urinary tract infection—for the Canadian
-
psnet.ahrq.gov/node/47349/psn-pdf
January 30, 2019 - networks on several patient safety outcomes, including medication errors,
falls, and hospital-acquired pressure … ulcers, across 24 medical and surgical inpatient units at 3 hospitals.