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561. The Patient Safety Education Project: An international Collaboration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
     February 20, 2008 - rapid response teams, ICU, ER, etc Module 11 Breakout session Chronic care settings: palliative care, pressure … ulcers, falls, etc Module 12 Breakout session Interventional care settings: surgical care; infection

562. 2022 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
     October 25, 2022 - injury to neonate per 1,000 live births HCUP 2019 High-risk, long-stay nursing home patients with pressure … ulcer MDS 2019 Low-risk, long-stay nursing home residents with a catheter inserted and left in the … ulcers that are new or worsened MDS 2018 Adults who reported a home health care provider talking with … ulcer MDS 2019 Low-risk, long-stay nursing home residents with a catheter inserted and left in the … ulcers that are new or worsened MDS 2018 Adults who reported a home health care provider talking with

563. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE.pdf
     January 01, 2023 - neonate per 1,000 live births HCUP 2020 High-risk, long-stay nursing home patients with stages 2-4 pressure … ulcer or unstageable pressure ulcer MDS 2021 Low-risk, long-stay nursing home residents with a catheter … neonate per 1,000 live births HCUP 2020 High-risk, long-stay nursing home patients with stages 2-4 pressure … ulcer or unstageable pressure ulcer MDS 2021 Low-risk, long-stay nursing home residents with a catheter

564. 2023 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-NHQDR-appendixes-ACDE-rev.pdf
     January 01, 2023 - neonate per 1,000 live births HCUP 2020 High-risk, long-stay nursing home patients with stages 2-4 pressure … ulcer or unstageable pressure ulcer MDS 2021 Low-risk, long-stay nursing home residents with a catheter … neonate per 1,000 live births HCUP 2020 High-risk, long-stay nursing home patients with stages 2-4 pressure … ulcer or unstageable pressure ulcer MDS 2021 Low-risk, long-stay nursing home residents with a catheter

565. 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 …

566. 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 …

567. Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
     January 01, 2025 - that a significantly higher number of patients in the MRSA group had an indwelling device (p<0.001), pressure … ulcer (p=0.028), or diabetes mellitus (p=0.007), there were no differences in the primary infection

568. 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?

569. 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 …

570. 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.

571. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
     January 01, 2024 - Stage 3 or 4 pressure ulcers acquired after admission to a healthcare facility 0.0 G. … perioperative bleed, deep vein thrombosis, fall, nerve injury, organ injury, pneumonia, pneumothorax, pressure … sore, sepsis, shock, urinary tract infection, postoperative wound infection, and other.

572. 2021 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
     December 31, 2021 - infections; seven types of adverse events associated with surgery; patient falls; and hospital-acquired pressure … ulcers. … events associated with the hospital stay and not present on hospital admission (in patient falls and pressure … ulcers) MPSMS also collects and examines patient risk factors, such as demographics and comorbid

573. Final Progress Report: REdesigning SystEms to Improve Teamwork and Quality for Hospitalized Patients (RESET) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/oleary-report.pdf
     January 01, 2024 - hospitalized general medical patients, including adverse drug events, hospital acquired infections, pressure … ulcers, and falls.

574. 2019 National Healthcare Quality and Disparities Report Data Sources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
     December 01, 2020 - infections; seven types of adverse events associated with surgery; patient falls; and hospital-acquired pressure … ulcers. … events associated with the hospital stay and not present on hospital admission (inpatient falls and pressure … ulcers).

575. A Playbook for Preventing CLABSI and CAUTI in the ICU Setting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/playbook_revised.pdf
     April 01, 2022 - CLINICAL INDICATIONS for use of external catheters:32 • Stage III or Stage IV or unstageable pressure … ulcers • Moderate to severe incontinence-associated dermatitis • Daily (not hourly) measurement of

576. Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide for Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
     September 01, 2012 - admissions and/or discharge.68 • Greater risk of line infections, surgical infections, falls, and pressure … ulcers due to LEP patients’ longer hospital stays compared to English-speaking patients with the same … • LEP patients are at greater risk of line infections, surgical infections, falls, and pressure ulcers

577. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
     January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) Title of Project: Failure to Rescue-Patient Safety Learning Lab (FTR-PSLL) Principal Investigator and Team Members: Dartmouth-Hitchcock: George Blike, MD, MHCDS, PI; Susan McGrath, PhD, CoI; Todd McKenzie, PhD; Irina Pearrard, PhD…

578. National Healthcare Quality And Disparities Report Patient Safety Chartbook (pdf file)
     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

579. Final Progress Report: Improving Medication Management Practices and Care Transitions Through Technology (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
     January 01, 2024 - medication management module was not mandatory, and other more urgent clinical situations (e.g., a worsened pressure … ulcer) with their associated modules may well have taken precedence.

580. Chartbook on Hispanic Health Care: Slide Presentation—Part 3 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
     May 01, 2018 - restrained daily can become weak, lose their ability to go to the bathroom by themselves, and develop pressure … ulcers or other medical conditions.