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1161. 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

1162. 2018 National Healthcare Quality and Disparities Report Data Sources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
      October 01, 2019 - ulcers. … events associated with the hospital stay and not present on hospital admission (in-hospital falls and pressure … ulcers). … After Cardiac Surgery Postoperative Cardiac Event After Non-cardiac Surgery Hospital-Acquired Pressure … Ulcer General 2004-2007 and 2009-2016 Adverse Events Associated With Femoral Artery Puncture for

1163. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
      April 01, 2018 - reasonably” preventable hospital-acquired conditions—such as hospital-acquired urinary tract infections and pressure … ulcers—that qualify for reduced reimbursement (CMS, 2007). … : "Naloxone administration," “Health care- associated infections: positive C. difficile test,” and "Pressure … ulcer documentation."

1164. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
      December 01, 2017 - We've expanded to better chucks, putting in chucks that wick, because we also work with the pressure … ulcer department, our walk nurses to reduce those, and make sure that that wasn't going to affect them

1165. Engaging-Nurse-Physician-Patient-Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
      June 02, 2025 - We've expanded to better chucks, putting in chucks that wick, because we also work with the pressure … ulcer department, our walk nurses to reduce those, and make sure that that wasn't going to affect them

1166. Atrial-Fibrillation-Ablation Surveillance (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation-ablation_surveillance.pdf
      May 16, 2013 - Source: www.effectivehealthcare.ahrq.gov Published online: May 16, 2013   CER # 15: Effectiveness of Radiofrequency Catheter Ablation for Atrial Fibrillation Original release date July 6, 2009 Surveillance Report (1st Assessment/cycle 1) November, 2011 Surveillance Report (2nd Assessment/cycle 2)…

1167. 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

1168. mHealth for Diabetes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/tnd-0855-170515.pdf
      April 28, 2017 - mHealth for Diabetes i Results of Topic Selection Process & Next Steps The nominator, a managed care pharmacist, is interested in a new systematic review evaluating the effectiveness of mobile health (mHealth) technologies for diabetes. This topic met the Effective Health Care Program selection crit…

1169. mHealth for Diabetes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0855-170515.pdf
      April 28, 2017 - mHealth for Diabetes i Results of Topic Selection Process & Next Steps The nominator, a managed care pharmacist, is interested in a new systematic review evaluating the effectiveness of mobile health (mHealth) technologies for diabetes. This topic met the Effective Health Care Program selection crit…

1170. Horizon Scanning_Rapid Cost Analyses of Selected Potential High-Impact Intervention Reports (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/horizon-scan_research-2015.pdf
      January 01, 2015 - pose a risk of falls for elderly patients, narrow and thin mattresses increase the risk of developing pressure … ulcers, fluorescent lights and a lack of windows foster disorientation in cognitively impaired older

1171. 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

1172. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
      psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
      August 01, 2012 - SPOTLIGHT CASE The Risks of a Malpositioned Gastrostomy Tube and Poor Communication Citation Text: Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…

1173. 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

1174. 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

1175. 2019NHQDRMethodsReport (pdf file)
      hcup-us.ahrq.gov/reports/methods/2020-04.pdf
      January 01, 2020 - PSI03 Admissions with pressure ulcers per 1,000 medical and surgical discharges of length 3 or more … days,a,b age18 and over a The AHRQ PSI software requires that the pressure ulcers be reported as … the AHRQ PSI software, the following cases are excluded: admissions with a principal diagnosis of pressure … ulcer stage III or IV or unstageable; admissions involving severe burns or exfoliative disorders; obstetric

1176. ___APS-Def_Public.book (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/APS-Def_Public_v24.pdf
      March 01, 2008 - ___APS-Def_Public.book 4 0 0 C a p i t a l B o u l e v a r d • R o c k y H i l l , C T 0 6 0 6 7 • 1 - 8 0 0 - 9 9 9 - 3 7 4 7 D e f i n i t i o n s M a n u a l PUB 3.3.2008 APS-DRGs® ALL-PAYER SEVERITY-ADJUSTED DRG (APS-DRGS®) ASSIGNMENT FOR PUBLIC USE VERSION 24 COPYRIGHT PAGE Copyright © 2008 I…

1177. Pc2015
      hcup-us.ahrq.gov/toolssoftware/procedure/pc2015.csv
      January 01, 2012 - 1=minor diagnostic / 2=minor therapeutic / 3=major diagnostic / 4=major therapeutic NOTE: New codes are introduced in October and old codes are phased out in September. 'ICD-9-CM CODE' 'ICD-9-CM CODE DESCRIPTION' 'CATEGORY ASSIGNMENT' '0001' THERAP ULTRASOUND OF HEAD AN (Begin 2002) 2 '0002' THERAPEUTIC ULTRASOUND …

1178. 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

1179. In Conversation with...Patrick Tighe about Artificial Intelligence | PSNet
      psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
      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.

1180. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet
      psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
      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.