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401. Antiseptic-impregnated catheters: Is the Juice Worth the Squeeze?
     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 - Learning Objectives Define basic principles of CAUTI prevention Describe approaches to consider if CAUTI … them to be State how the GPS can support units with ongoing CAUTI problems Apply mindfulness to CAUTI prevention … Fakih) Urinary Catheter Harm CAUTI Increased Length of Stay Patient discomfort Trauma Pressure … ulcers Immobility How can we reduce catheter use and prevent CAUTI? … practices on their units Examples Doctors have no idea what the nurses do with respect to CAUTI prevention

402. 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 - ulcers are not. … Most of the computer-based incident reporting research has targeted prevention of incidents, such as … Compared to 38.5% surveyor visits for burns and 22.7% for pressure ulcers, the numbers are fairly low … ulcers are not. … Falls and fall prevention in the nursing home. Clin Geriatr Med 1996;12:881-902. 7.

403. Meeting Minutes, November 2017 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
     February 01, 2018 - Chesley Richards, M.D., M.P.H., FACP, Centers for Disease Control and Prevention AHRQ Staff Members … for the primary prevention of fractures in adults, and behavioral counseling to prevent skin cancer. … They address prevention, training, education, treatment, and overdose. … AHRQ also released training materials for preventing pressure ulcers in hospitals. … Preliminary data on use of the materials showed significant decreases in pressure ulcers during a 1-year

404. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
     August 01, 2025 - Skin: Pressure Ulcer? POA? - Current descript ion of PU 10. Foley: Can it be removed? … in ICUs and non-ICUs https://www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/index.html 46 https: … //www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/index.html In Progress: AHRQ Safety Program for Telemedicine … index.html https://www.ahrq.gov/antibiotic-use/index.html Now Enrolling: AHRQ Safety Program for HAI Prevention … Safety Program for Telemedicine: Improving Antibiotic Use Now Enrolling: AHRQ Safety Program for HAI Prevention

405. Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
     June 02, 2025 - They then developed activities designed to improve DVT/PE prevention, including: • Providing additional … five PSIs that have been identified as priorities at HMC based on the volume of cases: • PSI 03 Pressure … Ulcer Rate • PSI 07 Central Venous Catheter-Related Blood Stream Infection Rate • PSI 11 Postoperative

406. Recovering After Emergency Laparotomy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/laparotomy-patient.pdf
     November 01, 2023 - Recovering After Emergency Laparotomy Recovering After Emergency Laparotomy e Emergency Laparotomy Patient Education Guide 1 Recovering After Emergency Laparotomy Patient Name ___________________________________________________________________ Surgeon Name ________________________________________________…

407. Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
     January 01, 2024 - example, by failing to provide the remaining patients with adequate nursing care required for fall prevention … and pressure injury (formerly known as ulcers) prevention and treatment due to lack of time or increased … NDNQI Unit-acquired pressure injury Unit Number of patients who acquired a pressure ulcer after arrival … to the unit/total number of patients assessed in the pressure ulcer survey.

408. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
     January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle Slide Title and Commentary Slide Number and Slide … Central line associated bloodstream infections and pressure ulcers can add an estimated $17,000 to care

409. Supportive and Palliative Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/supportive.html
     June 01, 2018 - Weight loss also may lead to muscle wasting, infections, and increased risk of pressure ulcers.

410. 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 - of the Heckler Report—Care for Diabetes Part 2: Trends in Priorities of the Heckler Report—Suicide Prevention … Male 25.1 33.2 Female 42 49.8 Source: Centers for Disease Control and Prevention … are restrained can become weak, lose their ability to go to the bathroom by themselves, and develop pressure … ulcers or other medical conditions.

411. Final Progress Report: A National Report of Nursing Home Quality Measures and Information Technology (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/alexander-report.pdf
     January 01, 2024 - Characteristics of United States Nursing Homes In 2014, according to the Centers for Disease Control and Prevention … sores; 4) who are at low risk and who have pressure sores; 5) who are physically restrained; 6) who … sores. … Ulcers, and % Short Stay Assessed/Given Pneumococcal Vaccine. … Centers for Disease Control and Prevention FastStats Homepage https://www.cdc.gov/nchs/fastats/nursing-home-care.htm

412. Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
     March 01, 2004 - represent an evolution of AHRQ’s interest in quality of care and consist of three indicator sets: prevention … ulcers, and mortality, with increasing detail in measure specification.11 For example, nosocomial … accepted n=7) Provisional NQF (n=13) ANA (n=10) Death in low mortality DRG X Decubitus/pressure … ulcer X X X Failure to rescue X X X Infection due to medical care X • Urinary tract infection … We see virtually no direct overlap in these measure sets, with the exception of decubitus/pressure ulcer

413. Preventing CAUTI in Specialized Patient Populations: The ICU | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
     December 01, 2017 - they were also that because of her immobility and functional incontinence that she might develop a pressure … ulcer or skin breakdown. … She started to get decubitus ulcers from her immobility, very stage I stage II decubitus ulcers. … And then she gets the CAUTI, which results in C. diff , which results in a pressure ulcer, increased

414. Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/meenan-report.pdf
     January 01, 2025 - Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record … 1  FINAL REPORT  Title:  Developing an HIV‐Specific Prevention Index Using the Electronic Medical … Key Words:  HIV/AIDS, electronic medical records, quality of care, health IT, screening, prevention,  … The overarching objective of this study was to show where both general health prevention and HIV‐related … The mechanism  for this exploration was the Prevention Index methodology developed at the Center for

415. Section 2. Implementing Recommendations in Academic Curricula | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf2.html
     June 01, 2022 - The Prevention TaskForce app is available both as a Web application and a mobile application. … Select for more information on the Prevention TaskForce app . … Students are asked to use the Prevention TaskForce app to answer the following questions. … Question 1: What prevention services would you recommend? … Question 1: What prevention services would you recommend?

416. A4A Combo Psi Casestudy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
     June 02, 2025 - They then developed activities designed to improve DVT/PE prevention, including: Tools Used by HMC … five PSIs that have been identified as priorities at HMC based on the volume of cases: • PSI 03 Pressure … Ulcer Rate • PSI 07 Central Venous Catheter-Related Blood Stream Infection Rate • PSI 11 Postoperative

417. Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
     September 21, 2010 - The USPSTF is the leading independent panel of private-sector experts in prevention and primary care … Pre-clinical Opportunities exist to incorporate prevention education in the pre-clinical portion of … Question 1: What prevention services would you recommend? … Other approaches to prevention: There is no evidence of benefit in health outcomes from screening for … Question 1: What prevention services would you recommend?

418. Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
     January 01, 2017 - "A" represents the assessment, prevention, and management of pain. … with safety through protocolization, the ABCDEF bundle, and delirium monitoring and management for the prevention … of such errors as hospital-acquired infections, falls, deep vein thromboses, pressure ulcers, and medication

419. Prompting Removal of Unnecessary Indwelling Urinary Catheters
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
     April 01, 2022 - intolerance due to severe impairment (e.g., severe contractures, pelvic or hip fractures) Open stage III/IV pressure … ulcer to sacrum/perineum AND incontinent and cannot protect wound otherwise Critically ill patient with … Don’t have a doubt, get the catheter out: a nurse-driven CAUTI prevention protocol.

420. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
     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