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541. Return on Investment Estimation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.pdf
     January 01, 2013 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers

542. Serious Reportable Adverse Events in Health Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
     December 01, 2000 - Stage 3 or 4 pressure ulcers acquired after admission to a health care facility Excludes progression

543. Return on Investment Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.pdf
     January 01, 2013 - For example, improvement actions might reduce hospital-associated infections, rates of pressure ulcers

544. Recommendations to Improve Children’s Health Care Quality Measures: Background Report on the 2012 Process (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf
     January 01, 2012 - 3) (AHRQ) 6,3 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) (AHRQ) 6,2

545. 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%

546. Final Progress Report: Impact of state policies on nursing home patient safety culture (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
     January 01, 2024 - ongoing quality and safety shortcomings in nursing homes, such as inappropriate medication use and high pressure … ulcer rates.

547. Improving Patient Safety in Long-Term Care Facilities: Training Modules (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
     June 01, 2012 - He has a pressure ulcer that developed weeks ago and measurements are about the same as last week. … He has a pressure ulcer that developed weeks ago and measurements are about the same as last week.

548. 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

549. SOPS™ 101 Webcast Transcript (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops101-webcast-transcript-ad.pdf
     June 01, 2020 - impact, so the patient safety problems that most of us know about, whether it's medication safety, pressure … ulcers, healthcare-associated infections and, unfortunately, several other things that threaten patient

550. 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.

551. 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.

552. Preparing for and Recovering After Colorectal Surgery (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/colorectal-booklet.pdf
     November 01, 2023 - Preparing for and Recovering After Colorectal Surgery Preparing for and Recovering After Colorectal Surgery e Colorectal Surgery Patient Education Guide 1 Preparing for and Recovering After Colorectal Surgery Patient Name ___________________________________________________________________ Surgeon Name __…

553. 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.

554. Redesigning Systems To Improve Teamwork and Quality for Hospitalized Patients: RESET Project Implementation Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
     January 01, 2020 - ordered (e.g., subcutaneous heparin, sequential compression device) • Diarrhea – present or absent • Pressure … ulcer risk – As assessed by the Braden score; includes whether any pressure ulcers are present

555. Risk-Based Patient Safety Metrics (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
     March 25, 2008 - For instance, if an injury-based metric identifies a falsely high rate of decubitus ulcers at a hospital

556. 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 …

557. 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 …

558. 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?

559. 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 …

560. 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.