-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017837-feldman-final-report-2012.pdf
January 01, 2012 - 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.
-
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
-
digital.ahrq.gov/sites/default/files/docs/page/sustainability-partnerships-and-teamwork-in-health-it-implementation.pdf
December 01, 2012 - through the “‘On-Time’
Quality Prevention Program for Long-Term Care” and found it helped reduce
pressure … ulcers. … id=1174&type=seg),
❍❍ “Preventing Bed Sores,” featuring Dr. … through
the “‘On-Time’ Quality Prevention Program for Long-Term Care” and
found it helped reduce pressure … ulcers.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/gerd_executive.pdf
September 01, 2011 - Layout 1
Background
Gastroesophageal reflux disease (GERD) is
one of the most common health conditions
affecting Americans. A study of an
employed population in the United States
estimated that more than 11,000 of 267,000
employees (4 percent) suffered from
GERD, contributing an average
incremental cost to the emplo…
-
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…
-
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
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/T6Tquunynv3tWM65BFash2
October 01, 2015 - Behavioral and Pharmacotherapy Interventions for Tobacco Smoking
Cessation in Adults, Including Pregnant Women: U.S. Preventive
Services Task Force Recommendation Statement
Albert L. Siu, MD, MSPH, for the U.S. Preventive Services Task Force*
Description: Update of the 2009 U.S. Preventive Services Task
Force (USPSTF)…
-
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.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/cultural-competence_research-protocol.pdf
July 09, 2014 - secondary to the disability such as urinary tract infections, asthma, obesity,
hypertension, and pressure … ulcers.5
As the overlapping circles in Figure1 suggest, there are also interventions
encompassed
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/rapid-reviews-end-user_white-paper.pdf
April 01, 2016 - considered to be of general interest, we selected 4 topics: venous
thromboembolism, fecal DNA testing, pressure … ulcers, and methicillin-resistant staphylococcus
aureus.
-
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.
-
www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
January 01, 2025 - measures failure to diagnose.
4
Although, for each of these AHRQ 20 “sentinel complications” (e.g., decubitus … ulcer, iatrogenic
pneumothorax, post-op septicemia, accidental puncture/laceration), timely diagnosis
-
effectivehealthcare.ahrq.gov/sites/default/files/depression-horizon-scan-high-impact-1412.pdf
December 01, 2014 - #05 DEPRESSION
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 05: Depression and Other Mental Health
Disorders
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD…
-
effectivehealthcare.ahrq.gov/sites/default/files/depression-horizon-scan-high-impact-1406.pdf
June 01, 2014 - #05 DEPRESSION
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 05: Depression and Other Mental Health
Disorders
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/surveillance-report-3-nonopioid-pharm-chronic-pain.pdf
July 01, 2022 - Systematic Review on Nonopioid Pharmacologic Treatments for Chronic Pain: Surveillance Report 3
Systematic Review on Nonopioid
Pharmacologic Treatments for Chronic
Pain: Surveillance Report 3
Literature Update Period: January 2022 through April 1, 2022
Background and Purpose
This is the third surveillance repor…
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - Healthcare-associated Infection
Patients with one or more falls during stay Fall
Stays with one or more pressure … ulcer adverse events Pressure Ulcer
Venous thromboembolism/pulmonary embolism (VTE/PE)
not related
-
www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
March 01, 2016 - in hospitals, as well as related component
measures, such as an A1c value less than 8 percent, and pressure … ulcer rate, for primary
care clinicians and hospitals, respectively
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - Healthcare-associated Infection (HAI)
Patients with one or more falls during stay Fall
Stays with one or more pressure … ulcer adverse events Pressure Ulcer
Venous thromboembolism/pulmonary embolism
(VTE/PE) not related
-
effectivehealthcare.ahrq.gov/health-topics/drug-reactions
-
www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
January 01, 2024 - they were deemed to be not relevant for this population (PSI #2:
Death in low-mortality DRGs, PSI #3: Decubitus … ulcer, PSI #4: Failure to rescue, PSI #6: Iatrogenic
pneumothorax, PSI #7: Selected infections due