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1021. 2019NHQDRMethodsReport (pdf file)
      hcup-us.ahrq.gov/reports/methods/2020-04.pdf
      January 01, 2020 - The AHRQ QIs include four sets of measures: • Prevention Quality Indicators (PQIs) — or ambulatory … PSI03 Admissions with pressure ulcers per 1,000 medical and surgical discharges of length 3 or more … days,a,b age18 and over a The AHRQ PSI software requires that the pressure ulcers be reported as … the AHRQ PSI software, the following cases are excluded: admissions with a principal diagnosis of pressure … ulcer stage III or IV or unstageable; admissions involving severe burns or exfoliative disorders; obstetric

1022. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.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).

1023. 2021 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
      December 31, 2021 - Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP). … 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 (in patient falls and pressure … ulcers) MPSMS also collects and examines patient risk factors, such as demographics and comorbid

1024. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
      January 01, 2024 - Massachusetts Coalition for the Prevention of Medical Errors Lucian L. Leape, M.D. … Massachusetts Coalition for the Prevention of Medical Errors Katherine Howitt, M.A. … Stage 3 or 4 pressure ulcers acquired after admission to a healthcare facility 0.0 G. … perioperative bleed, deep vein thrombosis, fall, nerve injury, organ injury, pneumonia, pneumothorax, pressure … sore, sepsis, shock, urinary tract infection, postoperative wound infection, and other.

1025. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
      March 27, 2024 - likelihood that a patient will decompensate , have an adverse reaction to a medication, or develop a pressure … ulcer and then alerting clinicians if the risk is high enough. … November 27, 2023 Perspectives on Safety Suicide Prevention … Interview In Conversation with Edwin Boudreaux about Suicide Prevention

1026. Advances in Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advances/index.html
      July 01, 2022 - Nozick Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure … Ulcers in Nursing Home Environments (   PDF , 317 KB) Christie Teigland, Richard Gardiner, Hailing

1027. User Guide: Clinical Classifications Software Refined (CCSR) (pdf file)
      hcup-us.ahrq.gov/toolssoftware/ccsr/DXCCSR-User-Guide-v2019-1.pdf
      September 01, 2019 - This decision was made after consultation with injury experts at the Centers for Disease Control and Prevention … biliary perforation; noninfective hepatitis • Diseases of the skin and subcutaneous tissue (SKN) – pressure … ulcer of skin; non- pressure ulcer of skin; contact dermatitis • Diseases of the musculoskeletal system

1028. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
      www.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.

1029. Final Progress Report: Impact of state policies on nursing home patient safety culture (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
      January 01, 2024 - ongoing quality and safety shortcomings in nursing homes, such as inappropriate medication use and high pressure … ulcer rates.

1030. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
      psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
      August 01, 2012 - 7,8,10,11 In this case, the patient had none of these risk factors, so there was no missed opportunity for prevention … Prevention and management of major complications in percutaneous endoscopic gastrostomy.

1031. Obesity (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1506.pdf
      June 01, 2015 - Centers for Disease Control and Prevention (CDC). Overweight and obesity: adult obesity facts. … Atlanta (GA): Centers for Disease Control and Prevention (CDC); 2014 Mar 28 [accessed 2014 May 23 … Centers for Disease Control and Prevention. Overweight and obesity: childhood obesity facts. … Atlanta (GA): Centers for Disease Control and Prevention; 2014 Sep 3 [accessed 2015 Feb 19]. [4 p

1032. Weight-Loss-Surgery Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/weight-loss-surgery_executive.pdf
      June 01, 2013 - 1 Comparative Effectiveness Review Number 82 Bariatric Surgery and Nonsurgical Therapy in Adults With Metabolic Conditions and a Body Mass Index of 30.0 to 34.9 kg/m2 Executive Summary Background Bariatric surgery, also known as weight-loss surgery, refers to surgical procedures usually performed on people …

1033. T6Tquunynv3Twm65Bfash2 (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/T6Tquunynv3tWM65BFash2
      October 01, 2015 - Department of Health and Human Services, Centers for Disease Control and Prevention, National Cen- ter … for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014. … Atlanta, GA: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention … Atlanta, GA: Centers for Disease Control and Prevention; 2010. 4. World Health Organization. … Centers for Disease Control and Prevention. Tobacco Use and Pregnancy.

1034. The Patient Safety Education Project: An international Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
      February 20, 2008 - rapid response teams, ICU, ER, etc Module 11 Breakout session Chronic care settings: palliative care, pressure … ulcers, falls, etc Module 12 Breakout session Interventional care settings: surgical care; infection

1035. Alcohol-Misuse-Drug-Therapy Executive (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/alcohol-misuse-drug-therapy_executive.pdf
      January 27, 2012 - CCM included motivational enhancement therapy; relapse prevention counseling; onsite medical, addiction … Centers for Disease Control and Prevention. FastStats: Alcohol Use. Updated January 27, 2012. … Centers for Disease Control and Prevention. … Comparing and combining naltrexone and acamprosate in relapse prevention of alcoholism: a double-blind

1036. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/vte-prophyalaxis_research-protocol.pdf
      March 01, 2011 - of recurrent PE when anticoagulants are contraindicated Celect ® Retrievable Cook Prevention of … recurrent PE when anticoagulants are contraindicated Gunther Tulip ® Retrievable Cook Prevention … of recurrent PE G2x ® Retrievable Bard Peripheral Vascular Prevention of recurrent PE when … Prevention of Venous Thromboembolism After Injury. … Prevention of venous thromboembolism in obesity.

1037. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
      January 01, 2025 - The ultimate goal was to apply insights and tools from the fields of medical error prevention, medication … measures failure to diagnose. 4 Although, for each of these AHRQ 20 “sentinel complications” (e.g., decubitus … ulcer, iatrogenic pneumothorax, post-op septicemia, accidental puncture/laceration), timely diagnosis … special theme issue) and which featured both our own work and that of the Massachusetts Coalition for Prevention

1038. In Conversation With… Robert Hirschtick, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
      January 01, 2018 - Maybe she has a pressure ulcer that's red, inflamed. But trainees don't prioritize those things.

1039. In Conversation with…William B. Munier, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
      July 01, 2011 - for the more common types of events, such as health care–associated infections, medication errors, pressure … ulcers, falls, and a few others.

1040. Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
      January 01, 2024 - Methods: We modified the AHRQ Indicator Sets (Prevention Quality Indicators, Inpatient Quality Indicators … they were deemed to be not relevant for this population (PSI #2: Death in low-mortality DRGs, PSI #3: Decubitus … ulcer, PSI #4: Failure to rescue, PSI #6: Iatrogenic pneumothorax, PSI #7: Selected infections due … Prevention Quality Indicators Indicator Pregnancy Part of AHRQ Specifications Recommend as Potential … Obstetrical Inpatient Quality Indicators/Obstetrical Prevention Quality Indicators b.