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1021. Interventions-Horizon-Scan-High-Impact-1306 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/interventions-horizon-scan-high-impact-1306.pdf
      June 01, 2013 - as reclining chairs and padded or lined stretchers to improve patient comfort and reduce risk of pressure … ulcers; large-faced clocks for better visibility; calendars and boards with the names of hospital … ulcers; large-faced clocks for improved visibility; calendars; boards with the names of hospital and … that patients lie on while awaiting admission or tests, which increases risk of a patient developing pressure … ulcers; fluorescent lighting and a lack of windows, which promote disorientation in cognitively impaired

1022. 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

1023. 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

1024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865374/psn-pdf
      March 27, 2024 - likelihood that a patient will decompensate, have an adverse reaction to a medication, or develop a pressure … ulcer and then alerting clinicians if the risk is high enough.

1025. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy | PSNet
      psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
      April 08, 2019 - He was diagnosed, again, with sepsis secondary to sacral decubitus ulcers.

1026. Methods Guide for Comparative Effectiveness Reviews - Avoiding Bias in Selecting Studies (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-bias_methods.pdf
      February 01, 2013 - Methods Guide for Comparative Effectiveness Reviews - Avoiding Bias in Selecting Studies Methods Guide for Comparative Effectiveness Reviews Avoiding Bias in Selecting Studies ii This report is based on research conducted by the Oregon Health & Science Uni…

1027. 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.

1028. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33788/psn-pdf
      June 01, 2015 - Or a patient falls or gets what might be a preventable pressure ulcer, or a mistake occurs in a surgical

1029. Making Healthcare Safer IV Rapid Review: Prevention in Adults of Infection With Transmission of Multidrug-Resistant Organisms (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-rapid-research.pdf
      April 01, 2024 - ulcers) adverse effects when compared with standard precautions, though based on before/after studies … ulcers after stopping routine contact isolation for patients infected/colonized by MRSA or VRE … ulcers, and falls/trauma. … Similarly for non-infectious outcomes like falls, pressure ulcer, “any adverse event”, the authors conclude … ulcers, hemorrhage, thrombosis, and post-operative respiratory failure, and wound dehiscence) after

1030. 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.

1031. Archived: Evidence Summary: Abnormal Blood Glucose and Type 2 Diabetes Mellitus: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary25/screening-for-abnormal-blood-glucose-and-type-2-diabetes-october-2015
      April 13, 2015 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Evidence Summary Abnormal Blood Glucose and Type 2 Diabetes Mellitus: Screening April 13, 2015 Recommendations made by the USPSTF are independent of the U.S. gov…

1032. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865540/psn-pdf
      April 11, 2024 - Misplaced Nasogastric Tube Resulting in Aspiration April 11, 2024 Singh A, Huang C. Misplaced Nasogastric Tube Resulting in Aspiration. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration The Case An 82-year-old woman presented to the Emergency Department (ED) for …

1033. Microsoft Word - QDR 2014 HCUP Short Methods Report_041015_FINAL.docx (pdf file)
      hcup-us.ahrq.gov/reports/methods/2015_02.pdf
      January 01, 2015 - In addition the QIs for pressure ulcer (PDI 2 and PSI 3) are not reported for any year because numerous … Incidence measures PDI 2 (pressure ulcer), PDI 3 (foreign body), and PDI 13 (transfusion reaction) are … Incidence measures PSI 3 (pressure ulcer), PSI 5 (foreign body), and PSI 16 (transfusion reaction) are … The AHRQ PSI for pressure ulcers is excluded. … Ulcer was excluded due to its dependence upon reporting whether the diagnosis is present on admission

1034. 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

1035. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet
      psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
      November 01, 2008 - On the one hand, we're trying to get patients up out of bed to prevent deconditioning, decubitus ulcers … , and pressure sores, but the urinary catheter is tethering them to the bed, preventing them from getting

1036. 15 Crosscutting Potential High Impact 2012-12-11 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/15_crosscutting_potential_high_impact_2012-12-11.pdf
      January 01, 2012 - as reclining chairs and padded or lined stretchers to improve patient comfort and reduce risk of pressure … ulcers; large-faced clocks for better visibility; calendars and boards with the names of hospital … ulcers; large-faced clocks for improved visibility; calendars; boards with the names of hospital and … with thin mattresses that patients lie on while awaiting admission or tests, which increases risk of pressure … ulcers; fluorescent lighting and a lack of windows, which promote disorientation in cognitively

1037. 15 Crosscutting Potential High Impact June 2012 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/15_crosscutting_potential_high_impact_june_2012.pdf
      January 01, 2012 - such as reclining chairs and padded/ lined stretchers to improve patient comfort and reduce risk of pressure … ulcers; large-faced clocks for better visibility; calendars and boards with the names of hospital … ulcers; large-faced clocks for improved visibility; calendars; boards with the names of hospital and … with thin mattresses that patients lie on while awaiting admission or tests, which increases risk of pressure … ulcers; fluorescent lighting and a lack of windows, which promote disorientation in cognitively

1038. In Conversation With... Heidi Wald, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-heidi-wald-md
      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).

1039. Patient Safety in Frail Older Patients | PSNet
      psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
      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).

1040. In Conversation With… Christine Cassel, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-christine-cassel-md
      February 26, 2025 - Or a patient falls or gets what might be a preventable pressure ulcer, or a mistake occurs in a surgical