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521. Final Progress Report: Pursuing Perfection in Pediatric Therapeutics (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
     January 01, 2024 - Final Progress Report: Pursuing Perfection in Pediatric Therapeutics Title Page • Title of Project: PURSUING PERFECTION IN PEDIATRIC THERAPEUTICS • Principal Investigator and Team Members: CAROLE MARIE LANNON, MD, MPH; Peter Margolis, MD, PhD; Michael Seid, PhD; Jeffrey Anderson, MD, MPH, MBA; Patrick Brady, MD, MS…

522. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
     June 01, 2025 - Summary of Evidence Summary of Evidence (all patients) (Not reviewed) (Not reviewed) Prevention of Pressure … Ulcers in Older Patients Summary of Evidence Summary of Evidence (all patients) (Not reviewed) (Not

523. Sustaining Zero CLABSIs (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
     April 01, 2013 - infections, urinary catheter infections, ventilator-associated infections, obstetric disasters, falls, and pressure … ulcers.

524. Chartbook on Hispanic Health Care: Slide Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
     March 01, 2020 - restrained daily can become weak, lose their ability to go to the bathroom by themselves, and develop pressure … ulcers or other medical conditions.

525. Prompting Removal of Unnecessary Indwelling Urinary Catheters
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
     April 01, 2022 - intolerance due to severe impairment (e.g., severe contractures, pelvic or hip fractures) Open stage III/IV pressure … ulcer to sacrum/perineum AND incontinent and cannot protect wound otherwise Critically ill patient with

526. Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
     September 21, 2010 - Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education TECHNICAL ASSISTANCE DOCUMENT IMPLEMENTING U.S. PREVENTIVE SERVICES TASK FORCE (USPSTF) RECOMMENDATIONS INTO HEALTH PROFESSIONS EDUCATION September 21…

527. Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/meenan-report.pdf
     January 01, 2025 - Final Progress Report: Developing an HIV-Specific Prevention Index Using the Electronic Medical Record 1  FINAL REPORT  Title:  Developing an HIV‐Specific Prevention Index Using the Electronic Medical Record  Principal Investigator: Richard T. Meenan, PhD, MPH, MBA, Center for Health Research ‐ Kaiser Permanente, …

528. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-slides.pptx
     January 01, 2017 - ABCDEs, delirium monitoring and management, hospital-acquired infections, falls, deep vein thromboses, pressure … ulcers, medication errors Physiological Support for failing organs (e.g., mechanical ventilation, vasopressors

529. Views of Emergency Medicine Trainees on Adverse Events and Negligence: Survey Results from an Emergency Medicine Training Program in a Regional Health Care System Following the National Standard of Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
     March 23, 2008 - medical error and adverse events causes: “pneumothorax, retained objects, hospital-acquired infections, decubitus … ulcers, perioperative myocardial infarctions (MIs), line infections, and falls.” … A few examples include pneumothorax, retained objects, hospital-acquired infections, decubitus ulcers

530. B3A Pdi Chartsforpresentations (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.xlsx
     January 01, 2006 - 0.00057 -47.8771929825 -100 88.5614035088 PDI 01 No Statistically Significant Difference 0 PDI 02 Pressure … Ulcer Rate 0 PDI 03 Retained Surgical Item or Unretrieved Device 0 PDI 05 Iatrogenic

531. Improving the Safety and Quality of Health Care: The Impact of the National Academy of Medicine on Research and Collaboration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/dzau-summit2016.pdf
     September 28, 2016 - approximately $19.8 billion in health care costs were saved from 2010 to 2014 Adverse Drug Events Pressure … Ulcers Catheter Associated Urinary Tract Infections Surgical Site Infections Falls 39.8%

532. Final Progress Report:: The National Quality Forum – Annual Meeting 2003 (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/kizer-report.pdf
     January 01, 2024 - disease; immunization; and several areas pertaining to patient safety: hospital-acquired infections, pressure … ulcers, and patient identification. … how the Project Steering Committee recently finalized discussion on various recommendations on the pressure … ulcer prevalence measure; discussed various versions of the Nursing Work Index (e.g., NWI-R, PES-NWI

533. Ed-Catheter-Insertions-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
     September 10, 2013 - So because of his immobility, he developed a pressure ulcer on his sacrum and the physician decided to … then you have the infectious issues such as CAUTI, but other issues related to the catheter such as pressure … ulcers, immobility.

534. Emergency Department and Catheter Insertion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
     December 01, 2017 - So because of his immobility, he developed a pressure ulcer on his sacrum and the physician decided to … then you have the infectious issues such as CAUTI, but other issues related to the catheter such as pressure … ulcers, immobility.

535. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
     January 01, 2014 - Information Form, and Summary of Initial Report Form) and then applying Common Formats for falls, pressure … ulcers, surgery/anesthesia, medications, and blood/ blood products.

536. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
     December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers (continued) Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet …

537. Appendix B. Clinical Materials to Share With Primary Care Providers (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb2.html
     December 01, 2013 - Transitioning Newborns from NICU to Home Appendix B. Clinical Materials to Share With Primary Care Providers (continued) Previous Page Next Page Table of Contents Transitioning Newborns from NICU to Home A Resource Toolkit Basic Components of the Health Coach Program Family Information Packet …

538. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
     June 30, 2025 - Skin: Pressure Ulcer? POA? - Current descript ion of PU 10. Foley: Can it be removed?

539. Nutrition Research Series: Volume 3: Reporting of Systematic Reviews of Micronutrients and Health: A Critical Appraisa (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp3.pdf
     March 01, 2009 - Nutrition Research Series: Volume 3: Reporting of Systematic Reviews of Micronutrients and Health: A Critical Appraisa Technical Review #17 Nutrition Research Series Volume 3: Reporting of Systematic Reviews of Micronutrients …

540. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
     September 01, 2015 - associated with many infectious and noninfectious complications including immobility (with potential pressure … ulcers and increased risk for thromboembolism), trauma, and debility.