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  1. psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx Spotlight Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation Source and Credits • This presentation is based on the March 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/…
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
    May 06, 2008 - have also been instrumental in the development of programs for falls risk assessment and mitigation, pressureulcer risk assessment and mitigation, and a suicide risk assessment, all of which have been hard-wired … assessments, implemented in 14 organizations, require every nurse to assess each patient’s risk for falls, pressureulcers, and suicide consistently across all 14 organizations. … There has been a 36 percent reduction in the pressure ulcer rate since July 2006.
  3. hcup-us.ahrq.gov/db/tools/Dx_Pr_Grps_Formats.TXT
    December 28, 2023 - SKN002 : Other specified inflammatory condition of skin' 'SKN003 ' = 'SKN003 : Pressureulcer of skin' 'SKN004 ' = 'SKN004 : Non-pressure ulcer of skin' 'SKN005
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
    March 01, 2017 - . · Assistance in healing of open pressure ulcers, skin grafts, and stage III or IV perineal and sacral
  5. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
    March 01, 2017 - Assistance in healing of open pressure ulcers, skin grafts, and stage III or IV perineal and sacral wounds
  6. hcup-us.ahrq.gov/reports/methods/2011_06.pdf
    January 01, 2011 - ulcers – Stage III or IV – per 1,000 discharges of length 5 or more daysa (excluding neonates; transfers … ulcers – Stage III or IV – per 1,000 discharges of length 5 or more days (excluding transfers; patients … ulcers, such as cases from earlier admissions or from other hospitals. … Ulcer  PSI 8 – Post-operative hip fractures  PSI 9 – Post-operative hemorrhage or hematoma … Ulcer  PDI 5 Pediatric: Iatrogenic Pneumothorax  PDI 8 Pediatric: Postoperative Hemorrhage or
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b1_pdi_applyingpdis.pdf
    March 01, 2016 - In this example, two hypothetical hospitals (A and B) are assessing their performance on PDI 02, PressureUlcers. … signifies better performance because fewer adverse events have occurred, in this case fewer patients with pressureulcers.) 4.
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
    March 01, 2016 - In this example, two hypothetical hospitals (A and B) are assessing their performance on PSI 03, PressureUlcers. … signifies better performance because fewer adverse events have occurred, in this case fewer patients with pressureulcers.) 4.
  9. www.uspreventiveservicestaskforce.org/home/getfilebytoken/aD-Br2oTJ67FeNdHHkLtPA
    A. WHO - ASSIST V3.0 IIIINTERVIEWER NTERVIEWER NTERVIEWER NTERVIEWER IDIDIDID CCCCOUNTRYOUNTRYOUNTRYOUNTRY CCCCLINICLINICLINICLINIC PPPPATIENT ATIENT ATIENT ATIENT IDIDIDID DDDDATEATEATEATE IIIINTRODUCTION NTRODUCTION NTRODUCTION N…
  10. effectivehealthcare.ahrq.gov/sites/default/files/related_files/osteoarthritis-pain-2006_appendixes.pdf
    January 01, 2006 - Comparative Effectiveness Review 118 Appendix A. Pharmacokinetics, Indications and Dosing of Included Drugs Drug and Trade Name (Trade names provided only for drugs under patent.) Half-life or other relevant pharmacokinetic feature Labeled indications Dosing (oral doses) Dose adjustments fo…
  11. www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-slides.html
    December 01, 2017 - the Council Welcome Video to welcome new patients to the hospital C- Diff flyer Brochure on PressureUlcers Noise Reduction Sleep Time Sign Nurse Residency Program- Testimonials Food and Quality
  12. psnet.ahrq.gov/curated-article-libraries
    March 18, 2025 - Complications (4) Nosocomial Infections (4) Patient Falls (1) PressureUlcers (1) Medication Safety (6) Medication Errors/Preventable Adverse
  13. psnet.ahrq.gov/perspective/update-patient-engagement-safety
    January 01, 2017 - While this intervention did not reduce safety incidents like pressure ulcers or falls , it did identify
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
    January 01, 2004 - Nursing-related patient safety events include hip fractures and decubitus ulcers (the remaining 2 of
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50701/psn-pdf
    November 26, 2019 - is that there are four risk factors that underlie many of our hospital acquired conditions, (i.e., pressureulcers and catheter associated infections, falls, and delirium).
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
    November 30, 2013 - ulcer  Peripheral vascular disease  Respiratory, other nonpneumonia  Renal disease  Seizure … ulcer, fall risk, late-loss ADL index score greater than or equal to 12 [based on RUG-III], cognitive … ulcer, and two medical conditions (cellulitis and hypertension) would trigger Rule 2. … ulcer. … If there is a pressure ulcer stage 2, 3, 4, or unstageable recorded as present within 7 days of the
  17. www.uspreventiveservicestaskforce.org/home/getfilebytoken/by8VJVre6h6BmadrGxaFMM
    April 01, 2016 - Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: USPSTF Recommendation Statement Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: U.S. Preventive Services Task Force Recommendation Statement Kirsten Bibbins-Domingo, PhD, MD, MAS, on behalf …
  18. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
    October 01, 2014 - Reddened or darkened skin near a pressure point, or skin breakdown in those areas, can lead to a full pressureulcer (bed sore) if not responded to promptly.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73642/psn-pdf
    August 25, 2021 - Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected August 25, 2021 Wieck M. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect- unexpected …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33645/psn-pdf
    February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? February 1, 2007 Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common Perspectiv…