-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … Centers for Disease Control and Prevention.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … Centers for Disease Control and Prevention.
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … Centers for Disease Control and Prevention.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … Centers for Disease Control and Prevention.
-
www.monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … Centers for Disease Control and Prevention.
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … Centers for Disease Control and Prevention.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … Centers for Disease Control and Prevention.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … 40
60
80
100
2014 2015 2016 2017 2018 2019 GOAL
Ra
te
p
er
1
,0
00
D
is
ch
ar
ge
s
Pressure … Ulcers Adverse Drug Events Physician-Diagnosed Catheter-Associated
Urinary Tract Infections
Falls Lower … Centers for Disease Control and Prevention.
-
effectivehealthcare.ahrq.gov/products/cultural-competence/research-protocol
July 08, 2014 - conditions secondary to the disability such as urinary tract infections, asthma, obesity, hypertension, and pressure … ulcers. 5
As the overlapping circles in Figure 1 suggest, there are also interventions encompassed … instruct* or coach* or skills or content*)).tw.
113
health education/ or health promotion/ or primary prevention … instruct* or coach* or skills or content*)).tw.
105
health education/ or health promotion/ or primary prevention
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2017qdrslides110718.pptx
January 01, 2018 - Source: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control … death for the total population, United States, 2015 and 2016
Source: Centers for Disease Control and Prevention … ongoing care, which increased from 87.5% in 2009 to 90.5% in 2016 (Centers for Disease Control and Prevention … Measures include healthcare-associated infections, pressure ulcers in nursing homes, inappropriate prescription … These include measures for:
Clinical preventive services,
Maternal and child care,
Obesity prevention
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs015274-carayon-final-report-2009.pdf
January 01, 2009 - urinary tract
infections, ventilator bundle compliance, self-extubations and percent reintubations, pressure … ulcers and skin erosion, percentage of antibiotics given in one hour or less, a nd compliance with … Effect of
computerized physician order entry and a team intervention
on prevention of serious medication … The impact of computerized
physician order entry on medication error prevention.
-
www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2019/NIRSQ.pdf
January 01, 2019 - Services Task Force (USPSTF) is an independent, volunteer panel of nationally-recognized
experts in prevention … Solution: NIRSQ is uniquely positioned to accelerate the implementation of new evidence on the
prevention … Support faculty --experts in the prevention and treatment of substance abuse-- to provide
practical … (Morbidity and Mortality
Rounds on the Web);
• AHRQ’s Safety Program for Nursing Homes: On-Time Pressure … Ulcer Prevention;
• Common Formats (standardized specifications for reporting patient safety events
-
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.
-
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.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/disabilities-quality-improvement-outcomes_executive.pdf
October 01, 2012 - (e.g., hospitals, ERs)
Comprehensive programs designed to integrate medical and
social services
Prevention … including:
8
• Preventive dental care
• Preventive medical care
• Urinary tract infections
• Pressure … ulcers
• Diabetes and diabetic complications
• Pneumonia
• Asthma
• Gastroenteritis
• Hypertension … Academy of
Medicine Grey Literature Report and Web sites such as the
Centers for Disease Control and Prevention … provider experience; functional status, independence, and
community participation; health status; and prevention
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/disabilities-quality-improvement-outcomes_executive.pdf
October 01, 2012 - (e.g., hospitals, ERs)
Comprehensive programs designed to integrate medical and
social services
Prevention … including:
8
• Preventive dental care
• Preventive medical care
• Urinary tract infections
• Pressure … ulcers
• Diabetes and diabetic complications
• Pneumonia
• Asthma
• Gastroenteritis
• Hypertension … Academy of
Medicine Grey Literature Report and Web sites such as the
Centers for Disease Control and Prevention … provider experience; functional status, independence, and
community participation; health status; and prevention
-
psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - .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.
-
effectivehealthcare-admin.ahrq.gov/products/cultural-competence/research-protocol
December 01, 2019 - conditions secondary to the disability such as urinary tract infections, asthma, obesity, hypertension, and pressure … ulcers. 5
As the overlapping circles in Figure 1 suggest, there are also interventions encompassed … or coach* or skills or content*)).tw.
113
health education/ or health promotion/ or primary prevention … or coach* or skills or content*)).tw.
105
health education/ or health promotion/ or primary prevention
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/medication-therapy-management-1_research.pdf
July 01, 2012 - mechanisms of patient-to-pharmacist and pharmacist-to-
physician communication, and optimizing ADE prevention … These are:
• Education about medication use;
• Adverse drug event prevention, identification, and … Adverse drug event prevention,
identification, and resolution requires a more substantial interaction … information regarding
how the patient takes the medications is collected, and an assessment of potential (prevention
-
effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1512.pdf
December 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