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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … PDF [327 KB] PSI05 Foreign Body PDF [133.68 KB] PSI06 Pneumothorax PDF [130.62 KB] PSI07 Central Venous … Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative Wound Dehiscence PDF [253.23 KB] PSI12 Central Venous
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - number (201) of CFER-H V1.2 Venous
Thromboembolism reports received was deemed insufficient for any … Data
received for the Healthcare-Associated Infection and Venous Thromboembolism modules were not … number (201) of
CFER-H V1.2 Venous Thromboembolism reports received was deemed insufficient for any … The Venous Thromboembolism
EVENT TYPE was added in CFER-H V1.2. … This was unexpected, as pressure ulcers,
like HAIs and venous thromboembolism (VTE), result in harm
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
January 01, 2009 - imaging available
· Risk of hypothermia – operation longer than 1 hour
· Warmer in place
· Risk of venous
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preventiveservices.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - or Institutionalized Elders
Sepsis Recognition
Surgery, Anesthesia, and Perioperative Medicine
Venous … Room Integration and Display Systems
(Not reviewed)
Summary of Evidence
(Not reviewed)
Venous … Patient Safety Practices
MHS I (2001)
MHS II (2013)
MHS III (2020)
Prevention of Venous
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preventiveservices.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Venous Thromboembolism.
Ventilator-Associated Pneumonia. … Pressure Ulcers
Surgical Site Infections
Ventilator Associated Pneumonia
Venous … Obstetric Adverse Events
Pressure Ulcers
Surgical Site Infections
Ventilator Associated Pneumonia
Venous … CLABSI)
Falls
Obstetric Adverse Events (OBAE)
Pressure Ulcers
Surgical Site Infections (SSI)
Venous … Venous Thromboembolism (VTE)
A deep vein thrombosis (DVT) or pulmonary embolism (PE) developing among
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apc.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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preventiveservices.ahrq.gov/patient-safety/resources/simulation/terms.html
June 01, 2022 - Some examples of this simulation work include inserting ultrasound-guided central venous catheters, diagnosing
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/893.html
December 01, 2023 - University of Chicago Medicine reduced venous thromboembolism incidence by 30 percent in the perioperative … across the institution over a 12-month period with the use of AHRQ’s Preventing Hospital-Associated Venous
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/qitool/pediatric.html
December 01, 2017 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Sepsis PDF [ - 112.29 KB] PDI11 Postoperative Wound Dehiscence PDF [ - 61.87 KB] PSI12 Central Venous
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preventiveservices.ahrq.gov/patient-safety/resources/simulation.html
January 01, 2023 - Some examples of this work include inserting ultrasound-guided central venous catheters, diagnosing skin
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/index.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
-
preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinars/index.html
September 01, 2017 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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preventiveservices.ahrq.gov/hai/tools/enhanced-recovery/index.html
June 01, 2023 - Comprehensive Unit-based Safety Program (CUSP) to prevent complications such as surgical site infections, venous
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
October 01, 2020 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/engage-tool.html
July 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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preventiveservices.ahrq.gov/npsd/data/dashboard/info.html
June 01, 2019 - Healthcare-Associated Infection; Medication or Other Substance; Perinatal; Pressure Ulcer; Surgery or Anesthesia; and Venous
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/surgecapacitytool.html
May 01, 2020 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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preventiveservices.ahrq.gov/hai/tools/abate/index.html
March 01, 2022 - Among non-ICU patients with specific medical devices (namely central venous catheters, midline catheters
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Surgical item or Unretrieved Device Fragment
PSI 06: Iatrogenic Pneumothorax *
PSI 07: Central Venous … Respiratory Failure
PDI 10: Postoperative Sepsis
PDI 11: Postoperative Wound Dehiscence
PDI 12: Central Venous … potentially preventable harm events
Slide 63
Harborview's Story
How did improving care for venous
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-checklist.docx
April 21, 2014 - Essential imaging available
· Risk of hypothermia if the operation is longer than 1 hour
· Risk of venous