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421. Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
     January 01, 2024 - NDNQI Unit-acquired pressure injury Unit Number of patients who acquired a pressure ulcer after arrival … to the unit/total number of patients assessed in the pressure ulcer survey.

422. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
     September 01, 2017 - showing 15 active medications during the report week, active high-risk diagnosis of UTI, stage III pressure … ulcer, and two medical conditions: cellulitis and hypertension. … DNR,DNH, MOLST, or POLST Order in Place Oxygen Therapy Catheter or Ostomy Present Stage II or > Pressure … Ulcer Fall Risk Late-Loss ADL Score ≥12 Cognitive Impairment Medical Conditions ** High-Risk

423. Meeting Minutes, November 2017 | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/events/nac/2017-11-nac/nacmtg1117-minutes.html
     February 01, 2018 - 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

424. Appendix E. Training and Educational Materials | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape.html
     September 01, 2013 - CHG can be applied to any superficial wound, including stage 1 and stage 2 decubitus ulcers, friable

425. Appendix E. Training and Educational Materials | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape.html
     September 01, 2013 - CHG can be applied to any superficial wound, including stage 1 and stage 2 decubitus ulcers, friable

426. Final Progress Report: Labor and Delivery Nurse Staffing: A Patient Safety Intervention (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/wilson-report.pdf
     January 01, 2024 - relationship between nurse staffing and adverse outcomes for medical/surgical patients, including pressure … ulcers and patient falls, among others. … Just as hospital- acquired pressure ulcers constitute an adverse hospital event and are sensitive to … levels and adverse outcomes for acute- care medical and surgical patients, including hospital-acquired pressure … ulcers, pneumonia, patient falls, medication errors, and failure to rescue, among others.

427. CAHPS® Moving Forward: Innovations in Tools and Research Webcast (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
     March 01, 2010 - • More positive patient experiences associated with fewer inpatient care complications, especially pressure … ulcers, post-operative respiratory failure, and pulmonary embolism or deep venous thrombosis • Better

428. Antiseptic-impregnated catheters: Is the Juice Worth the Squeeze?
     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 - Fakih) Urinary Catheter Harm CAUTI Increased Length of Stay Patient discomfort Trauma Pressure … ulcers Immobility How can we reduce catheter use and prevent CAUTI?

429. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
     May 06, 2008 - have also been instrumental in the development of programs for falls risk assessment and mitigation, pressure … ulcer risk assessment and mitigation, and a suicide risk assessment, all of which have been hard-wired … assessments, implemented in 14 organizations, require every nurse to assess each patient’s risk for falls, pressure … ulcers, and suicide consistently across all 14 organizations. … There has been a 36 percent reduction in the pressure ulcer rate since July 2006.

430. 2021 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
     December 01, 2021 - neonate per 1,000 selected live births HCUP 2018 High-risk, long-stay nursing home patients with pressure … ulcer MDS 2018 Low-risk, and left in long-stay nursing the bladder home residents with a catheter … ulcers that are new or MDS 2018 Adults who reported a home health care provider talking about how … ulcer MDS 2018 Low-risk, and left in long-stay nursing the bladder home residents with a catheter … ulcers that are new or MDS 2018 Adults who reported a home health care provider talking about how

431. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
     January 01, 2004 - Nursing-related patient safety events include hip fractures and decubitus ulcers (the remaining 2 of

432. Prevehosp-Reports-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
     November 30, 2013 - ulcer  Peripheral vascular disease  Respiratory, other nonpneumonia  Renal disease  Seizure … ulcer, fall risk, late-loss ADL index score greater than or equal to 12 [based on RUG-III], cognitive … ulcer, and two medical conditions (cellulitis and hypertension) would trigger Rule 2. … ulcer. … If there is a pressure ulcer stage 2, 3, 4, or unstageable recorded as present within 7 days of the

433. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
     October 01, 2014 - Reddened or darkened skin near a pressure point, or skin breakdown in those areas, can lead to a full pressure … ulcer (bed sore) if not responded to promptly.

434. Section 7: Measuring Value in a Care Management Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
     October 01, 2014 - A State interested in tracking pressure ulcers in its Supplemental Security Income (SSI) population,

435. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
     September 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of urinary incontinence despite wound care … Incontinence without a sacral or perineal pressure sore—Urinary catheters should not be routinely placed … ulcers), and deep venous thrombosis. … ulcer, or similarly severe wounds of other types, that cannot be kept clear of urinary incontinence … ulcers or similarly severe wounds of other types that cannot be kept clear of urinary incontinence

436. Toolkit for Reducing CAUTI in Hospital Units: Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
     September 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of urinary incontinence despite wound care … Incontinence without a sacral or perineal pressure sore—Urinary catheters should not be routinely placed … ulcers), and deep venous thrombosis. … ulcer, or similarly severe wounds of other types, that cannot be kept clear of urinary incontinence … ulcers or similarly severe wounds of other types that cannot be kept clear of urinary incontinence

437. Recovering After Emergency Laparotomy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/laparotomy-patient.pdf
     November 01, 2023 - Recovering After Emergency Laparotomy Recovering After Emergency Laparotomy e Emergency Laparotomy Patient Education Guide 1 Recovering After Emergency Laparotomy Patient Name ___________________________________________________________________ Surgeon Name ________________________________________________…

438. Module 15: Preparing and Presenting Performance Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
     September 01, 2015 - Module 15: Preparing and Presenting Performance Data Primary Care Practice Facilitation Curriculum Module 15: Preparing and Presenting Performance Data Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

439. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
     January 01, 2017 - management for the prevention of such errors as hospital-acquired infections, falls, deep vein thromboses, pressure … ulcers, and medication errors.

440. Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/pain-mgmt-fac-guide.html
     January 01, 2017 - management for the prevention of such errors as hospital-acquired infections, falls, deep vein thromboses, pressure … ulcers, and medication errors.