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901. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73642/psn-pdf
     August 25, 2021 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected August 25, 2021 Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect- unexpected …

902. DXCCSR-vs-Beta-CCS-Comparison (pdf file)
     hcup-us.ahrq.gov/toolssoftware/ccsr/DXCCSR-vs-Beta-CCS-Comparison.pdf
     January 01, 2020 - 199 Chronic ulcer of skin 3 SKN003 – Pressure ulcer of skin SKN004 – Non-pressure ulcer of skin 200

903. Microsoft Word - NHQRDR9_HCUP Methods Report_final.doc (pdf file)
     hcup-us.ahrq.gov/reports/methods/2011_06.pdf
     January 01, 2011 - ulcers – Stage III or IV – per 1,000 discharges of length 5 or more daysa (excluding neonates; transfers … ulcers – Stage III or IV – per 1,000 discharges of length 5 or more days (excluding transfers; patients … ulcers, such as cases from earlier admissions or from other hospitals. … Ulcer  PSI 8 – Post-operative hip fractures  PSI 9 – Post-operative hemorrhage or hematoma … Ulcer  PDI 5 Pediatric: Iatrogenic Pneumothorax  PDI 8 Pediatric: Postoperative Hemorrhage or

904. Medication/Drug Errors | PSNet
     psnet.ahrq.gov/curated-library/medicationdrug-errors
     March 12, 2021 - hospital-acquired infections, medication errors, inpatient suicide, and specific clinical harms such as falls and pressure … ulcers.

905. Prevehosp-Reports-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
     November 30, 2013 - ulcer  Peripheral vascular disease  Respiratory, other nonpneumonia  Renal disease  Seizure … ulcer, fall risk, late-loss ADL index score greater than or equal to 12 [based on RUG-III], cognitive … ulcer, and two medical conditions (cellulitis and hypertension) would trigger Rule 2. … ulcer. … If there is a pressure ulcer stage 2, 3, 4, or unstageable recorded as present within 7 days of the

906. Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: USPSTF Recommendation Statement (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/by8VJVre6h6BmadrGxaFMM
     April 01, 2016 - Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: USPSTF Recommendation Statement Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: U.S. Preventive Services Task Force Recommendation Statement Kirsten Bibbins-Domingo, PhD, MD, MAS, on behalf …

907. Archived: Evidence Summary: Bleeding Risks With Aspirin Use: Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Preventive Medication | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-bleeding-risks-with-aspirin-use/aspirin-to-prevent-cardiovascular-disease-and-cancer-april-2016
     April 11, 2016 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Evidence Summary: Bleeding Risks With Aspirin Use Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Preventive Medication April 11, 2016 Recomme…

908. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865698/psn-pdf
     April 24, 2024 - Although differences have been reported on patient variables like hospital-acquired pressure ulcers,

909. Applying the AHRQ Pediatric Quality Indicators to Hospital Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b1_pdi_applyingpdis.pdf
     March 01, 2016 - In this example, two hypothetical hospitals (A and B) are assessing their performance on PDI 02, Pressure … Ulcers. … signifies better performance because fewer adverse events have occurred, in this case fewer patients with pressure … ulcers.) 4.

910. Applying the AHRQ Quality Indicators to Hospital Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
     March 01, 2016 - In this example, two hypothetical hospitals (A and B) are assessing their performance on PSI 03, Pressure … Ulcers. … signifies better performance because fewer adverse events have occurred, in this case fewer patients with pressure … ulcers.) 4.

911. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
     January 01, 2004 - Nursing-related patient safety events include hip fractures and decubitus ulcers (the remaining 2 of

912. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
     January 01, 2025 - states, however; for example, abuse incidents are taken very seriously, but falls, other incidents, and pressure … ulcers are not. … Compared to 38.5% surveyor visits for burns and 22.7% for pressure ulcers, the numbers are fairly low … ulcers are not. … ulcers 26 38.4 4.0 49.2 8.5 22 18.2 9.1 50.0 22.7 Burns 26 12.1 4.4 65.4 18.1 26 11.5 0.0 50.0 38.5

913. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
     August 30, 2023 - States, we have since experienced higher rates of preventable infections, as well as increases in pressure … ulcers and falls. … Studies show that an increase in healthcare-acquired infections, falls, and pressure ulcers has occurred … Similar increases were observed in falls and pressure ulcers at skilled nursing facilities and preventable

914. Beyond the Pandemic: Creating Total Systems Safety | PSNet
     psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
     August 30, 2023 - Studies show that an increase in healthcare-acquired infections, falls, and pressure ulcers has occurred … Similar increases were observed in falls and pressure ulcers at skilled nursing facilities and preventable … States, we have since experienced higher rates of preventable infections, as well as increases in pressure … ulcers and falls.

915. In Conversation With… Jack Needleman, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
     September 01, 2012 - They're getting decubitus ulcers.

916. Engineering Safe Practices Affinity Group | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
     April 01, 2025 - . * Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care . * OSHA Safe Patient

917. Module 15: Preparing and Presenting Performance Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
     September 01, 2015 - Module 15: Preparing and Presenting Performance Data Primary Care Practice Facilitation Curriculum Module 15: Preparing and Presenting Performance Data Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

918. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33872/psn-pdf
     January 01, 2018 - While this intervention did not reduce safety incidents like pressure ulcers or falls, it did identify

919. Part 3: National Quality Strategy Priority—Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs2.html
     June 01, 2018 - are restrained can become weak, lose their ability to go to the bathroom by themselves, and develop pressure … ulcers or other medical conditions.

920. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
     May 01, 2009 - and malnutrition Aspiration pneumonia Nosocomial infection (especially due to urinary catheters) Pressure … ulcers See Notes for reference.