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psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection
January 22, 2014 - Review
Hospital organisation, management, and structure for prevention of health-care-associated … Hospital organisation, management, and structure for prevention of health-care-associated infection: … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … July 1, 2016
Advances in the Prevention and Control of HAIs.
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psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care
August 21, 2024 - Study
The challenge of risk prevention in home healthcare-an interview study with … The challenge of risk prevention in home healthcare—an interview study with nurses in municipal care. … The challenge of risk prevention in home healthcare—an interview study with nurses in municipal care. … More
See More About The Topic
Home Care
Home Nursing
Medical Complications
Pressure … Ulcers
Patient Falls
View More
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
September 01, 2017 - Current clinical conditions contributing to transfer risk: use of oxygen, catheter or ostomy, any pressure … ulcer other than stage I, fall risk, late-loss activities of daily living (ADL) score greater than or … Presence of stage II or greater pressure ulcer.
Fall risk or previous fall in last 90 days. … ulcer, and two medical conditions, cellulitis and hypertension, would trigger Rule 2. … teams can use the report to track patterns, follow up on areas of decline, and monitor progress of new prevention
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www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndapb.html
December 01, 2012 - illness (CAHMI)
6,3
0081
Pediatric Global Health Scale (CHOP)
N/A
7,3.75
Prevention … 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
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/h-FnuqpAKFeMyTDcr_m9tS
Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: Clinical Summary … Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: Clinical Summary … Preventive
Medication
Aspirin’s anticlotting effect is useful for primary and secondary CVD prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 02, 2025 - 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
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psnet.ahrq.gov/issue/detection-adverse-events-acute-geriatric-hospital-over-6-year-period-using-global-trigger
March 09, 2022 - attribute improvements to systems strategies, including checklists , safety culture surveys, and prevention … of pressure ulcers and infections . … April 7, 2021
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - The Prevention of Positioning Injuries during Gynecologic Operations. … Hip fracture and pressure ulcers - the Pan-European Pressure Ulcer Study - intrinsic and extrinsic risk … Prevention of well-leg compartment syndrome following lengthy medical operations in the lithotomy position … Well leg compartment syndrome: pathophysiology, prevention, and treatment.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1a_pdi_pdifactsheet.pdf
October 01, 2015 - Each PDI in the composite is amenable to prevention through
system-level related structures and processes … Infection Rate 25.18 0478 2013
PDI 01 Accidental Puncture or Laceration Rate 0.46 0344 2012
PDI 02 Pressure … Ulcer Rate 0.27 0337 2015
PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count N/A*
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
October 01, 2015 - Each PDI in the composite is amenable to prevention through
system-level related structures and processes … Infection Rate 25.18 0478 2013
PDI 01 Accidental Puncture or Laceration Rate 0.46 0344 2012
PDI 02 Pressure … Ulcer Rate 0.27 0337 2015
PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count N/A*
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psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
December 22, 2021 - See More About The Topic
Hospitals
Quality and Safety Professionals
Nurse Care
Pressure … Ulcers
Latent Errors
View More
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psnet.ahrq.gov/node/35088/psn-pdf
January 01, 2025 - hospital-acquired infections, medication errors, inpatient
suicide, and specific clinical harms such as falls and pressure … ulcers.
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
June 02, 2025 - Infections
+CLABSI - Central Line-Associated Bloodstream Infection
Falls
Obstetric
Adverse
Events
Pressure … Ulcers
Surgical
Site
Infections
Ventilator-
Associated
Pneumonias
0%
(Post-op)
Venous
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psnet.ahrq.gov/issue/defects-value-associated-hospital-acquired-conditions-how-improving-quality-could-save-us
October 30, 2024 - They suggest the investment in HAC prevention would be less than costs associated with treatment, in … October 30, 2024
Are evidence-based practices associated with effective prevention of … hospital-acquired pressure ulcers in US academic medical centers? … December 21, 2017
Complexity bias in the prevention of iatrogenic injury: why specific
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - ulcers, and thromboembolic events) compared with patients operated on after 48 hours.( 7 ) Surgery for … anticoagulation management, early mobilization, and postdischarge care to optimize secondary fracture prevention … ulcers, and significant functional decline. … ulcers, and thromboembolic events. … January 31, 2011
WebM&M Cases
An Ounce of Prevention
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psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-medicare-program-payments
November 18, 2016 - evaluated costs related to the index hospitalization and 90 days following discharge of six HACs—severe pressure … ulcers, fractures, catheter-associated urinary tract infections, venous catheter-related infections, … Severe pressure ulcers and orthopedic surgical site infections resulted in an average increase in payments
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psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
August 28, 2024 - July 29, 2020
Evaluation of clinical practice guidelines on fall prevention and management … January 12, 2022
Are evidence-based practices associated with effective prevention of … hospital-acquired pressure ulcers in US academic medical centers?
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psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
October 09, 2024 - October 9, 2024
Are evidence-based practices associated with effective prevention of … hospital-acquired pressure ulcers in US academic medical centers? … December 21, 2017
Complexity bias in the prevention of iatrogenic injury: why specific … Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention … April 22, 2020
Global Guidelines on the Prevention of Surgical Site Infection.
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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - In certain categories, particularly with something like pressure ulcers, there is almost certainly underreporting … Are pressure ulcers not being discovered, or are they not being correctly staged so that people know … ulcers and other errors. … One was a facility that had a high number of pressure ulcers. … As a result of that really concerted effort to identify pressure ulcers, they have identified many ulcers
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
January 01, 2004 - The WRAMC Department of Nursing is presently developing
similar evidence-based procedures for pressure … ulcer prevention, deep vein
thrombosis prophylaxis, and for enteral feeding. … Ongoing and future projects funded
through the TriService Nursing Research Program (TSNRP) include pressure … ulcer prevention, deep vein thrombosis prophylaxis, and enteral feeding
precautions to reduce aspiration