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281. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
     August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … The sole objective of the event investigation and analysis of an adverse event or near miss is the prevention

282. Tool 2: How To Begin the Re-engineered Discharge Implementation at Your Hospital | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
     March 01, 2013 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

283. Executive Summary | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
     September 01, 2020 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … admissions and/or discharge. 68 Greater risk of line infections, surgical infections, falls, and pressure … ulcers due to LEP patients' longer hospital stays compared to English-speaking patients with the same … better understand root causes and high-risk scenarios, and develop strategies for improvement and error prevention

284. Tool 6: How To Monitor RED Implementation and Outcomes | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool6.html
     March 01, 2013 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism

285. Chapter 1: Background on Patient Safety and LEP Populations | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
     September 01, 2020 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … LEP patients are at greater risk of line infections, surgical infections, falls, and pressure ulcers … conditions, surgeries, medications, and allergies are paramount to high-quality patient care and the prevention

286. Advancing Patient Safety | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/patient-safety/reports/advancing/index.html
     July 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … By using hospital administrative data, PSIs can identify pressure ulcers, postoperative pulmonary emboli … the health care system up to $20 billion each year, according to the Centers for Disease Control and Prevention

287. Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/research/findings/studies/index.html
     January 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Network (PBRN) (16) Practice Improvement (34) Practice Patterns (305) Pregnancy (289) Pressure … Ulcers (28) Prevention (794) Primary Care (718) Primary Care: Models of Care (86) Provider

288. TeamSTEPPS in Long-Term Care (LTC): Financial and Safety Benefits of Implementing TeamSTEPPS in Nursing Homes and LTC Facilities
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-sept2013.pptx
     January 01, 2013 - Multi-faceted approach to improve resident safety in our participating facilities Areas of clinical focus are pressure … ulcers, pain management, medication errors, and falls Key to improvement is effective team delivery

289. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
     September 01, 2023 - /Surgical Supply, Fall, Healthcare-Associated Infection, Medication or Other Substance, Perinatal, Pressure … Ulcer, Surgery or Anesthesia, and Venous Thromboembolism iii As of September 2023, the total number … Understanding these intervention patterns provides greater insight into current fall prevention practices … Based on current fall prevention research, patients with differing risks of falling would benefit from … Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized

290. Recommendations to Improve Children’s Health Care Quality Measures: Background Report on the 2012 Process (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf
     January 01, 2012 - According to the Centers for Disease Control and Prevention (CDC), sexually transmitted diseases (STDs … Accessed Dec. 7, 2012. 17 Centers for Disease Control and Prevention. … children miss due to illness (CAHMI) 6,3 0081 Pediatric Global Health Scale (CHOP) N/A 7, 3.75 Prevention … PDI 3) (AHRQ) 6,3 4.5, 2 0010 Postoperative wound dehiscence (PDI 11) (AHRQ) 6,3 5, 3.75 0005 Pressure … ulcer rate (PDI 2) (AHRQ) 7,3 6.5, 3.75 0004 Accidental puncture or laceration (PDI 1) (AHRQ) 6,2

291. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
     April 01, 2018 - ulcers—that qualify for reduced reimbursement (CMS, 2007). … : "Naloxone administration," “Health care- associated infections: positive C. difficile test,” and "Pressure … ulcer documentation." … Prevention of adverse drug events through computerized surveillance. … Atlanta, GA: Centers for Disease Control and Prevention; 2009.

292. 2022 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
     December 01, 2022 - Prevention Quality Indicators: Technical Specifications, AHRQ Quality Indicators, v2020.1 SAS. … References Centers for Disease Control and Prevention. The BRFSS Data User Guide. … Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP). … Healthcare-associated Infection Patients with one or more falls during stay Fall Stays with one or more pressure … ulcer adverse events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related

293. 2023 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
     December 01, 2023 - Prevention Quality Indicators: Technical Specifications, AHRQ Quality Indicators, v2020.1 SAS. … Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP). … Atlanta, GA: Centers for Disease Control and Prevention; November 2022. … Healthcare-associated Infection (HAI) Patients with one or more falls during stay Fall Stays with one or more pressure … ulcer adverse events Pressure Ulcer Venous thromboembolism/pulmonary embolism (VTE/PE) not related

294. Change Management (Instructor Guide) (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module8/ts2-0ltc_module8_ig_chmgmt.pdf
     June 09, 2017 - frontline (or direct care) staff about residents who might be at risk for a bad outcome, such as pressure … ulcers or falls.

295. SOPS™ 101 Webcast Transcript (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript.pdf
     June 01, 2020 - impact, so the patient safety problems that most of us know about, whether it's medication safety, pressure … ulcers, healthcare-associated infections and, unfortunately, several other things that threaten patient … three safety programs that are listed here, Patient Safety Research, Healthcare-Associated Infections Prevention … might think more about the technical issues related to, for example, medication safety, or infection prevention

296. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
     September 01, 2012 - admissions and/or discharge.68 • Greater risk of line infections, surgical infections, falls, and pressure … ulcers due to LEP patients’ longer hospital stays compared to English-speaking patients with the same … • LEP patients are at greater risk of line infections, surgical infections, falls, and pressure ulcers … understand root causes and high-risk scenarios, and develop strategies for improvement and error prevention … Burlington, MA: Coalition for the Prevention of Medical Errors; 2006. 59.

297. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - Center for Chronic Disease Prevention and Health Promotion. … infections; seven types of adverse events associated with surgery; patient falls; and hospital-acquired pressure … ulcers. … events associated with the hospital stay and not present on hospital admission (inpatient falls and pressure … ulcers).

298. Return on Investment Tool (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
     January 01, 2013 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers … The costs and savings associated with prevention of adverse events by critical care nurses.

299. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
     January 01, 2023 - Systems (CAHPS®) Database – CAHPS® Health Plan Survey Database Centers for Disease Control and Prevention … ulcer or unstageable pressure ulcer MDS 2021 Low-risk, long-stay nursing home residents with a catheter … ulcer or unstageable pressure ulcer MDS 2021 Low-risk, long-stay nursing home residents with a catheter … Office of the Assistant Secretary for Planning and Evaluation • CDC: Centers for Disease Control and Prevention … Federal Sources of Data Agency for Healthcare Research and Quality Centers for Disease Control and Prevention

300. INSTRUCTIONS: Return on Investment Estimation (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/f1-returnoninvestment.pdf
     January 01, 2009 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers … The costs and savings associated with prevention of adverse events by critical care nurses.