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psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey
October 04, 2006 - June 8, 2016
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/improved-outcomes-fewer-cesarean-deliveries-and-reduced-litigation-results-new-paradigm
November 27, 2012 - September 23, 2020
Universal protection: operationalizing infection prevention guidance … November 14, 2018
A comprehensive program to reduce rates of hospital-acquired pressure … ulcers in a system of community hospitals.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 02, 2025 - Medication reaction
Mental status change
Mental disorder/psychosis
Neoplasm
Pneumonia
Pressure … ulcer
Peripheral vascular disease
Respiratory, other nonpneumonia
Renal disease
Seizure
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain-2006_executive.pdf
January 01, 2006 - long-term studies of these drugs for treating
osteoarthritis or rheumatoid arthritis and for cancer
prevention … serious CV events
(CV death or myocardial infarction) relative to
placebo in a long-term trial of polyp
prevention … Most of the CV events with celecoxib
were reported in two large polyp-prevention
trials evaluating 200
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psnet.ahrq.gov/issue/patient-safety-indicators-during-initial-covid-19-pandemic-surge-united-states
August 03, 2022 - Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention … About The Topic
Hospitals
Public Health
Infectious Diseases
Medical Complications
Pressure … Ulcers
View More
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain_executive.pdf
October 01, 2011 - includes studies of these drugs
for treating osteoarthritis or rheumatoid arthritis and for
cancer prevention … safety in patients with
rheumatoid arthritis or who were taking the drug for
cancer or Alzheimer’s prevention … Much of the evidence for increased risks comes from
two large colon polyp prevention trials. … and 6.7% vs. 8.2% per year,
p<0.0001 for secondary prevention). … An update on the epidemiology of knee
and hip osteoarthritis with a view to prevention.
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psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions
December 04, 2016 - June 8, 2016
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/node/46404/psn-pdf
December 07, 2017 - Adverse
events included medication errors and hospital-acquired conditions, such as pressure ulcers
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psnet.ahrq.gov/node/39777/psn-pdf
November 04, 2012 - The
most common preventable errors were pressure ulcers—considered a never event—and health
care–associated
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psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - contribute to delirium, hypotension, falls, and immobility along with its complications, such as pressure … ulcers and, as may have occurred in this case, aspiration pneumonia.
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psnet.ahrq.gov/node/49701/psn-pdf
February 01, 2014 - fully closed system that collects and contains liquid or semi-liquid stools and can assist
in the prevention
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www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
January 01, 2025 - ulcers are
not. … Most of the
computer-based incident reporting research has targeted prevention of incidents, such
as … Compared to 38.5% surveyor
visits for burns and 22.7% for pressure ulcers, the numbers are fairly low … ulcers are not. … Falls and fall prevention in the
nursing home. Clin Geriatr Med 1996;12:881-902.
7.
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psnet.ahrq.gov/node/44388/psn-pdf
October 14, 2015 - The study
looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated
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psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - is that there are four risk factors that underlie many of our hospital acquired
conditions, (i.e., pressure … ulcers and catheter associated infections, falls, and delirium). … Whereas, working on mobility, delirium
prevention, skin care, etc. is a more horizontal cross-cutting … In the health system I’m at right
now, we’re increasingly marrying our falls prevention work with our … We placed fall prevention above safe mobility.
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www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
February 01, 2018 - Chesley Richards, M.D., M.P.H., FACP, Centers for Disease Control and Prevention
AHRQ Staff Members … for the primary prevention of fractures in adults, and behavioral counseling to prevent skin cancer. … They address prevention, training, education, treatment, and overdose. … AHRQ also released training materials for preventing pressure ulcers in hospitals. … Preliminary data on use of the materials showed significant decreases in pressure ulcers during a 1-year
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
August 01, 2025 - Skin: Pressure Ulcer? POA?
- Current descript ion of PU
10. Foley: Can it be removed? … in ICUs and non-ICUs
https://www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/index.html 46
https: … //www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/index.html
In Progress:
AHRQ Safety Program for Telemedicine … index.html
https://www.ahrq.gov/antibiotic-use/index.html
Now Enrolling:
AHRQ Safety Program for HAI Prevention … Safety Program for Telemedicine: Improving Antibiotic Use
Now Enrolling: AHRQ Safety Program for HAI Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-110414.pptx
January 01, 2013 - Learning Objectives
Define basic principles of CAUTI prevention
Describe approaches to consider if CAUTI … them to be
State how the GPS can support units with ongoing CAUTI problems
Apply mindfulness to CAUTI prevention … Fakih)
Urinary Catheter Harm
CAUTI
Increased Length of Stay
Patient discomfort
Trauma
Pressure … ulcers
Immobility
How can we reduce catheter use and prevent CAUTI? … practices on their units
Examples
Doctors have no idea what the nurses do with respect to CAUTI prevention
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www.ahrq.gov/pqmp/measures/index.html?page=0
Measurement (CEPQM) NQF Endorsement Number: 3136
Initial Risk Assessment for Immobility-Related Pressure … Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure Subdomain: Management
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
June 02, 2025 - Medication reaction
Mental status change
Mental disorder/psychosis
Neoplasm
Pneumonia
Pressure … ulcer
Peripheral vascular disease
Respiratory, other nonpneumonia
Renal disease
Seizure
-
www.ahrq.gov/pqmp/measures/index.html
June 09, 2025 - Measurement (CEPQM) NQF Endorsement Number: 3136
Initial Risk Assessment for Immobility-Related Pressure … Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure Subdomain: Management