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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apf.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apd.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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teamstepps.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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teamstepps.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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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/index.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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teamstepps.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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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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teamstepps.ahrq.gov/news/blog/ahrqviews/womens-health-week-2023.html
May 01, 2023 - rising rates of severe maternal morbidity, eclampsia/preeclampsia, severe postpartum hemorrhage, and venous
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
June 29, 2016 - Iatrogenic
Pneumothorax
0.5 0.6 1 $36,576 $ 36,576 N 2 1 1 Y Y Y Y Y
PSI 7 Central Venous … Dehiscence
Rate
0.0 1.1 0 $76,737 $ - N 5 5 5 Y Y Y Y Y
PDI 12 Central
Venous
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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - 2016, the four measures with the most improvement overall are:
• Hospital admissions with central venous … thromboembolic events
• Bloodstream infection in adult patients receiving central venous catheter … Catheters for Dialysis
• Importance: In hemodialysis patients, central venous catheters (CVCs) are … Hemodialysis patients age 18 years and over who had
central venous catheters used for vascular access … Hemodialysis patients age 18 years and over who had
central venous catheters used for vascular access
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teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - Xiao identified frequent errors that occurred during the placement of central lines or central venous
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teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-tips/index.html
February 01, 2021 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/index.html
September 01, 2018 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html
February 01, 2024 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
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teamstepps.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
October 01, 2017 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous