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521. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
     May 06, 2008 - • Reduce errors through prevention. … • Foster excellence, with direct error-prevention efforts aimed at the root cause of system and process … ulcer risk assessment and mitigation, and a suicide risk assessment, all of which have been hard-wired … ulcers, and suicide consistently across all 14 organizations. … There has been a 36 percent reduction in the pressure ulcer rate since July 2006.

522. The Emergency Department & Catheter Insertions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
     December 01, 2017 - Smith (2) Because of his immobility, he develops a pressure ulcer on his sacrum. … Urinary Catheter Harm is in the middle, with several issues surrounding it (i.e. immobility, CAUTI, pressure … ulcers), that could lead to Falls and VTE.

523. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=3
     January 01, 2024 - 888539 ) Principal Investigators: Morse and Merryweather Grant Number: R03 HS 26264 Topic(s): Fall Prevention … Grant Number: R01 HS 22903 Topic(s): Pressure Ulcers Publication Date: June 2020 Quality Improvement

524. Sampleransferandintakenotes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
     September 11, 2017 - Medication reaction  Mental status change  Mental disorder/psychosis  Neoplasm  Pneumonia  Pressure … ulcer  Peripheral vascular disease  Respiratory, other nonpneumonia  Renal disease  Seizure

525. 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

526. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
     September 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of urinary incontinence despite wound care … Incontinence without a sacral or perineal pressure sore—Urinary catheters should not be routinely placed … ulcers), and deep venous thrombosis. … ulcer, or similarly severe wounds of other types, that cannot be kept clear of urinary incontinence … ulcers or similarly severe wounds of other types that cannot be kept clear of urinary incontinence

527. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
     September 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of urinary incontinence despite wound care … Incontinence without a sacral or perineal pressure sore—Urinary catheters should not be routinely placed … ulcers), and deep venous thrombosis. … ulcer, or similarly severe wounds of other types, that cannot be kept clear of urinary incontinence … ulcers or similarly severe wounds of other types that cannot be kept clear of urinary incontinence

528. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=227
     January 01, 2024 - Keywords: Children/Adolescents, Newborns/Infants, Pressure Ulcers, Injuries and Wounds, Care Management … controlled trial of mobile short message service among participants in a rural cardiovascular disease prevention … Keywords: Cardiovascular Conditions, Health Information Technology (HIT), Prevention, Rural Health … Brain health and dementia prevention: a mixed-method analysis. … Keywords: Dementia, Neurological Disorders, Prevention Dir AL , Saldana L , Chapman JE

529. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/042-vap-prevention-slides.pptx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Prevention of Ventilator-Associated Pneumonia & Non-Ventilator … No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU VAP & NV-HAP Prevention … AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU VAP & NV-HAP Prevention Preventing Device- … | 4 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU VAP & NV-HAP Prevention 4 Pneumonia1,5 … | 50 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU VAP & NV-HAP Prevention 50

530. 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

531. 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.

532. 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
     August 03, 2016 - 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

533. Treatment Strategies for Patients with Lower Extremity Chronic Venous Disease (LECVD): Disposition of Comments (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/comments/lecvd-comments.pdf
     April 01, 2017 - For example, much evidence supporting compression for venous ulcer management(1) and prevention of … (2014)(2) metaanalyses supporting efficacy of elastic compression on VU healing and prevention of … , treatment, and prevention of recurrence of CVI. … Public Reviewer #6 from the Society for Vascular Surgery and American Venous Forum Results Prevention … Cost and cost effectiveness of venous and pressure ulcer protocols of care.

534. 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 ________________________________________________…

535. 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.

536. 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.

537. Recovering After Emergency Laparotomy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/37-laparotomy-patient.pdf
     June 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 ________________________________________________…

538. 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?

539. National Quality Strategy Agency-Specific Plan: Centers for Medicare & Medicaid Services (CMS) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/workingforquality/cms-specific-plan_nqs2013.pdf
     January 01, 2013 - sectors. 1 2 3 4 5 6 • Conduct educational campaigns to increase awareness about heart disease prevention … • Achieve 65% adherence to proven prevention techniques—aspirin use, blood pressure control, and … bloodstream infections (CLABSI), injuries from falls and immobility, obstetrical adverse events, pressure … ulcers, surgical site infections, venous thromboembolism (VTE), ventilator-associated pneumonia … systems to improve quality of care and reduce health disparities. 4 Promoting the most effective prevention

540. 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.