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41. Patient Safety Tools | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - Prevention Quality Indicators identify hospital admissions in geographic areas that evidence suggests … The strategies can help prevent harmful events such as medication errors, bed sores, and healthcare-associated … The Preventing Pressure Ulcers in Hospitals Toolkit assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … The toolkit draws on literature on best practices in pressure ulcer prevention and includes both validated

42. Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/research/findings/studies/index.html?page=484
    January 01, 2024 - Ulcers (28) Prevention (794) Primary Care (718) Primary Care: Models of Care (86) Provider … ulcer prevention. … ulcer prevention program and integrating health information technology (HIT) tools into practice at … ulcer prevention. … Keywords: Health Information Technology (HIT), Nursing Homes, Pressure Ulcers, Prevention, Quality Improvement

43. American College of Physicians Uses AHRQ Research to Create Clinical Guidelines for Physicians | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/news/newsroom/case-studies/202203.html
    April 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Other previous topics based on AHRQ research include depression, diabetes, kidney disease, pressure ulcers … Depression, Diabetes, Kidney Disease and Health, Outcomes, Patient Safety, Pressure … Ulcers, Prevention, Primary Care, Quality of Care Geographic Location:

44. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2017 (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
    January 01, 2019 - ulcers/pressure injuries and falls. … Comparing these data with other sources of information, such as the Centers for Disease Control and Prevention … measured with MPSMS, the AHRQ Patient Safety Indicators (PSIs), the Centers for Disease Control and Prevention … Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs … Ulcer MPSMS Hospital- Acquired Pressure 647,096 21.75 699,790 23.52 676,834 22.75 682,984 22.96

45. Practice Improvement | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/practiceimprovement/index.html
    August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Improving Quality  Tools Toolkit Training Prevention Task Force Application to help primary … On-Time Pressure Ulcer Prevention Tools to assist nursing homes that have electronic medical record

46. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
    January 01, 2016 - ulcers and falls. … measured with MPSMS, the AHRQ Patient Safety Indicators (PSIs), the Centers for Disease Control and Prevention … Ulcer MPSMS Hospital-Acquired Pressure Ulcers Surgical Site Infection NHSN SSIs for 17 procedures … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 643,230 21.62 Surgical Site Infection NHSN SSIs … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 0643,23 21.62 708,301 23.81 704,906 23.69 Surgical

47. Fall Prevention in Hospitals—Webinars | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinars/index.html
    September 01, 2017 - in Hospitals Training Program Fall Prevention in Hospitals—Webinars … in Hospitals Training Program Fall Prevention Program Implementation Guide 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 … https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinars/index.html

48. References | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/hai/pfp/hacrate2013-refs.html
    October 01, 2015 - Pressure Ulcers Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health . … Improvement report on reduction of nosocomial pressure ulcers, University of Minnesota Medical Center … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit

49. Pediatric Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/qitool/pediatric.html
    December 01, 2017 - Data & Measures Digital Healthcare Research Education & Training 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 … Introduction PDF [ - 38.47 KB] PDI01 Accidental Puncture or Laceration PDF [ - 62.74 KB] PDI02 Pressure … Ulcer PDF [ - 110.08 KB] PDI03 Foreign Body PDF [ -96.96 KB] PDI05/NQI01 Iatrogenic Pneumothorax

50. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … University of Missouri University of Missouri Health Care (MU Health Care) utilized AHRQ’s Preventing Pressure … Ulcers in Hospitals: A Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03 … Initially focused on two medical-telemetry units and eventually expanding to include additional units, fall prevention

51. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/news/newsroom/case-studies/index.html
    February 01, 2024 - Preventing Falls in Hospitals Toolkit (4) Preventing Hospital-Related VTE Guide (1) Preventing Pressure … Ulcers in Hospitals Toolkit (1) Prevention TaskForce app (formerly Electronic Preventive Services … Labs (1) Patient Safety Organizations (3) Patient Self-Management (29) Policy (61) Pressure … Ulcers (5) Prevention (66) Primary Care (13) Provider: Pharmacist (2) Quality Improvement … Ulcers, Prevention, Primary Care, Quality of Care Geographic Location: National Country: United States

52. Introduction to the Quality Indicators Best Practices Tool (pdf file)
    www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
    June 05, 2016 - Best practices forms exist for the following 14 PSIs: • PSI 03 Pressure Ulcer Rate • PSI 05 Retained … 03 Neonatal Blood Stream Infection Rate • PDI 01 Accidental Puncture or Laceration Rate • PDI 02 Pressure … Ulcer Rate • PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count • PDI 05 Iatrogenic

53. Special Edition – Patient Safety Awareness Week | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/854.html
    March 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … March 13, 2023 AHRQ Stats: Prevalence of Pressure Ulcers by Race In 2019, 7 percent of Black patients … American Native patients, 5.9 percent of Asian patients and 4.8 percent of Hispanic patients developed a pressure … ulcer, compared with just 4.3 percent of White patients. … In the AHRQ Safety Program for MRSA Prevention, long-term care facilities will receive evidence-based

54. Fall Prevention in Hospitals Training Program | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/index.html
    September 01, 2018 - in Hospitals Training Program Fall Prevention Program Implementation Guide 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 … improvement efforts related to fall prevention in hospital settings. … Program Implementation Sharing Webinar Patient-Centered Fall Prevention Care Planning —AHRQ Fall Prevention

55. Appropriate Disclosure to a Patient: Video | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/app-disclosure.html
    August 01, 2022 - 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

56. Accountability—Peer to Peer Coaching: Video | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/accountability.html
    August 01, 2022 - 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

57. Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Video | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/grpresentation.html
    August 01, 2022 - 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

58. Planning for Meetings with Family: Video | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/meeting.html
    August 01, 2022 - 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

59. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
    August 01, 2022 - 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

60. Event Investigation and Analysis Guide: Appendix G | Agency for Healthcare Research and Quality
    www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
    August 01, 2022 - 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