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psnet.ahrq.gov/primer/patient-safety-indicators
June 15, 2024 - deaths due to health care-associated venous thromboembolism, sepsis, or patient falls; in-hospital pressure … ulcers; and ventilator-associated pneumonia incidents.
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psnet.ahrq.gov/node/842919/psn-pdf
February 01, 2023 - Hospital-Acquired Diabetic Ketoacidosis.
February 1, 2023
Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
The Cases
Case #1: A 46-year-old Hindi-speaking resident of a skilled nursing facility (SNF) …
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/obstructive-sleep-apnea-in-adults-screening-january-2017
January 24, 2017 - Share to Facebook
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archived
Final Recommendation Statement
Obstructive Sleep Apnea in Adults: Screening
January 24, 2017
Recommendations made by the USPSTF are independent of the U.S. gover…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Gavin.pdf
January 01, 2001 - systems do
not fit the individual needs of nursing homes residents, many problems can
become evident: pressure … ulcers, difficulty in propulsion, discomfort, dysphagia,
falls, and decreased quality of life.5, 8– … diagnosis, cognitive status,
communication ability, sensation level, skin integrity (presence/absence of
pressure … ulcers), swallowing problems, and ability to transfer and ambulate.
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Complications
(4)
Nosocomial Infections
(4)
Patient Falls
(1)
Pressure … Ulcers
(1)
Medication Safety
(6)
Medication Errors/Preventable Adverse
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
March 01, 2010 - • More positive patient experiences associated with fewer
inpatient care complications, especially pressure … ulcers,
post-operative respiratory failure, and pulmonary
embolism or deep venous thrombosis
• Better
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-110414.pptx
January 01, 2013 - Fakih)
Urinary Catheter Harm
CAUTI
Increased Length of Stay
Patient discomfort
Trauma
Pressure … ulcers
Immobility
How can we reduce catheter use and prevent CAUTI?
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www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
January 01, 2017 - management for the prevention of such errors as hospital-acquired infections, falls, deep vein thromboses, pressure … ulcers, and medication errors.
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
June 01, 2012 - Reddened or
darkened skin near a pressure point, or skin breakdown in
those areas, can lead to a full pressure … ulcer (bed sore) if not
responded to promptly.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.xlsx
January 01, 2006 - 0.00057 -47.8771929825 -100 88.5614035088 PDI 01 No Statistically Significant Difference 0
PDI 02 Pressure … Ulcer Rate 0
PDI 03 Retained Surgical Item or Unretrieved Device 0
PDI 05 Iatrogenic
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
June 01, 2021 - He has dementia and is bedbound due to a prior stroke and had several infected sacral decubitus ulcers
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/aspirin-to-prevent-cardiovascular-disease-preventive-medication
April 26, 2022 - Share to Facebook
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Final Recommendation Statement
Aspirin Use to Prevent Cardiovascular Disease: Preventive Medication
April 26, 2022
Recommendations made by the USPSTF are independent of t…
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digital.ahrq.gov/sites/default/files/docs/resource/James_Fricton_IQHIT_Q1_HP_Recommendations_for_Preventing_Complications_for_Chronic_Illnesses.pdf
January 01, 2005 - Dental Recommendations for Preventing Complications in Patients with Chronic Conditions Health Partners Research Foundation eDent Study
Dental Recommendations for Preventing Complications in Patients with Chronic Conditions
Health Partners Research Foundation eDent Study
Introduction
Health Partners Resea…
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - patients with any diagnosis code for drug dependence, abuse of drugs, or self-inflicted injury Decubitus … ulcer Pressure sores in patients hospitalized for 4 days or longer Discharges with ICD-9-CM
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - deaths due to health care-associated venous
thromboembolism, sepsis, or patient falls; in-hospital pressure … ulcers; and ventilator-associated pneumonia
incidents.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
August 01, 2025 - ulcers, urinary
tract infections (UTIs), and pneumonia, all of which are generally preventable but … ulcers at 68%, and infections at even
lower rates (UTIs: 19–29%, pneumonia: 66–71%). … ulcer rates than Black residents, and facilities
with higher proportions of White residents showed … better reporting for falls but
worse for pressure ulcers. … ulcers,
skin tears, and falls with injury representing the most common types of events in
this category
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - Hospital-Acquired Diabetic Ketoacidosis.
Citation Text:
Zuidema D, Bagley B, Tan CL. Hospital-Acquired Diabetic Ketoacidosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
Copy Citation
Format:
Google Scholar Bi…
-
www.ahrq.gov/sites/default/files/2024-07/congdon-magilvy-report.pdf
January 01, 2024 - homes include indicators of physical care, such as rate of restraint
use (physical and chemical), pressure … sore prevalence, urinary tract infections, pain,
injuries, hospitalizations, functional decline; staffing … follows: .626 for urinary tract infections, .528 for weight
loss, .853 for tube feeding, .570 for pressure … ulcers, and .812 for behavior affecting
others. … ulcers.
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary10/aspirin-for-the-prevention-of-cardiovascular-disease-preventive-medication-2009
March 15, 2009 - Share to Facebook
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archived
Evidence Summary
Aspirin for the Prevention of Cardiovascular Disease: Preventive Medication
March 15, 2009
Recommendations made by the USPSTF are independent of t…
-
psnet.ahrq.gov/node/49737/psn-pdf
June 01, 2015 - because like restraints, catheters
can cause functional impairment leading to emboli, discomfort, and pressure … ulcers.