American Hospital Association
Health Research & Educational Trust

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Never Events

Published:

Topic: Pressure Ulcers | Resource type: Report

The term "Never Event" was first introduced in 2001 by Ken Kizer, MD, former CEO of the National Quality Forum (NQF), in reference to particularly shocking medical errors (such as wrong-site... read more

How-to Guide: Prevent Pressure Ulcers

Published:

Topic: Pressure Ulcers | Resource type: Guides

This How-to Guide describes key evidence-based care components for preventing pressure ulcers, describes how to implement these interventions, and recommends measures to gauge improvement. View Resource

Wake Forest ICU Mobility Protocol

Published: by Society of Critical Care Medicine

Topic: Airway Safety, Catheter-Associated Urinary Tract Infection (CAUTI), Central Line-Associated Bloodstream Infection (CLABSI), Falls, Iatrogenic Delirium, Pressure Ulcers, Readmissions, Venous Thromboembolism (VTE) | Resource type: Policy/Protocol

Objective: Immobilization and subsequent weakness are consequences of critical illness. Despite the theoretical advantages of physical therapy to address this problem,... read more