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1. Preventing Pressure Injuries in Hospitals
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
   June 16, 2017 - Preventing Pressure Injuries in Hospitals Preventing Pressure Injuries in Hospitals ADD Name of Hospital … The incidence of pressure injuries increased by 80% from 1995 to 2008. … Most pressure injuries are preventable. … significant reductions in pressure injury rates. … How do you measure pressure injury rates and pressure injury prevention practices?

2. Module 5: How To Measure Pressure Injury Rates and Prevention Practices (doc file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
   January 01, 2016 - pressure injuries. … pressure injuries. … If you are not sure a skin lesion is a pressure injury, ask the Wound Care Team or Wound Care Nurse. … , · Number of injuries, · Location of injuries, and · Stage of the deepest injury. … Can you relate changes in pressure injury rates, including the rates of types of pressure injuries, to

3. Pressure Injury Prevention in Hospitals Training Program | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
   October 01, 2017 - injuries. … Risk Factors for Pressure Injuries: Going Beyond Validated Instruments —AHRQ Pressure Injury Prevention … Device-Related Pressure Injury —AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar … Putting the Nutrition Guidelines into Practice for Pressure Injury Prevention —AHRQ Pressure Injury Prevention … Wound Classification —AHRQ Pressure Injury Prevention Program Training Webinar. 

4. Fallpxtool3N (doc file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3n.docx
   January 01, 2008 - In addition, there may be late manifestations of head injury after 24 hours. … · Identify all visible injuries and initiate first aid; for example, cover wounds. · Assist patient … hydration). · Clean and dress any wounds … · Identify all visible injuries and initiate first aid; for example, cover wounds. … · Clean and dress any wounds. · Arrange medical review.

5. Tool 3N: Postfall Assessment, Clinical Review | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/postfall-assessment.html
   January 01, 2013 - Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Identify all visible injuries and initiate first aid; for example, cover wounds. … Clean and dress any wounds. Inform treating medical provider. … Identify all visible injuries and initiate first aid; for example, cover wounds. … Clean and dress any wounds. Arrange medical review.

6. Selected Best Practices and Suggestions for Improvement (pdf file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
   January 01, 2012 - o Wound edges. … - terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure- injury/ Staff … Washington, DC: National Pressure Ulcer 5 Tool D.4a http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … / http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … / http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury

7. Selected Best Practices and Suggestions for Improvement (pdf file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4p_combo_pdi02-pressureulcer-bestpractices.pdf
   January 01, 2012 - hospital mattress.7,8-11 o Consider the use of foam overlay to reduce occipital pressures in children … /national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in- terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure … / http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … / http://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury … Medical device related pressure ulcers in hospitalised patients. Int Wound J 2010;7:358-65. 7.

8. Data Submission Dashboard (xls file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/Pressure_Ulcer_Dashboard_Data_2023.xlsx
   January 01, 2023 - admission Stage/Category IV 1.0% 33 4,835 Documented within 24 hours of admission Suspected Deep Tissue Injury … assessment documented Stage/Category IV 0.0% 0 4,835 No risk assessment documented Suspected Deep Tissue Injury … ulcer Suspected Deep Tissue Injury 65.8% 25 4,835 Not on admission, but documented after discovery … admission, but documented before discovery or advancement of pressure ulcer Suspected Deep Tissue Injury … Category III 9.7% 134 4,835 Unknown Stage/Category IV 2.3% 32 4,835 Unknown Suspected Deep Tissue Injury

9. Fallpxtool3O (doc file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx
   January 01, 2008 - A separate tool (Tool 3N, ‘Postfall Assessment, Clinical Review) covers how to assess and follow injury … requires ice, dressing, cleaning of wound, elevating of limb, or medication) __Moderate (requires suturing … Describe injuries; check all that apply Injury Yes No Site of Injury Abrasion/bruise/laceration … Orthostatic blood pressure Blood Pressure (mm Hg) Heart Rate (beats per minute) Systolic blood pressure … blood pressure (standing) Need for orthostatic Systolic blood pressure (sitting)* Heart rate

10. Pressure Ulcer Prevention Toolkit (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
    August 31, 2017 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 3 Tools 3A: Pressure Ulcer … If a skin disruption is found, the type of skin injury will need to be identified. … Since there are many different etiologies of skin wounds and ulcers, differential diagnosis of the skin … For example is it a skin tear, a pressure ulcer, or moisture-associated skin damage or injury? … A wound/ostomy nurse consult revealed he has a slightly pink coccyx area (base of spinal column).

11. Chart Abstraction Form (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-2-tech-specs.pdf
    December 14, 2011 - ulcers and deep tissue injury in critically ill and injured children. … Wound assessment and decision making options. … These patients may be admitted with existing wounds and they may develop impaired skin integrity due … Describes the different types of injuries that critically ill children, including infants, experience … Wound Ostomy and Continence Nurses Society.

12. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - • Patient safety concerns such as falls, pressure injuries, and adverse medication events were reported … Pressure Injury Among the pressure injury events (n = 10; 3.3%), several records identified the development … of pressure injuries due to the interaction between patient pronation and poor patient mobility. … Four records identified the development of multiple pressure injuries to the lips, tongue, ears, and … The remaining pressure injuries were identified across multiple other contact points such as the coccyx

13. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03 (PSI-03) (reportable pressure … injuries) by 92% and save an estimated $350,000 in avoidable costs. … Implementation focused on MU Health Care’s 390-bed University Hospital, the only level I trauma center … injury rates and PSI-03 among Vizient peers to the top decile over the course of 2 years. … Injuries by 92%."

14. Challenge Competition on the Impact of AHRQ’s Patient Safety Tools | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/challenges/patient-safety-tools/index.html
    February 01, 2024 - injuries) by 92% and save an estimated $350,000 in avoidable costs. … Implementation focused on MU Health Care’s 390-bed University Hospital, the only level I trauma center … injury rates and PSI-03 among Vizient peers to the top decile over the course of 2 years. … Injuries by 92%.” … the Federal Government and its related entities, except in the case of willful misconduct, for any injury

15. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/talkingquality/translate/labels/describe.html
    January 01, 2023 - Massachusetts General Hospital (MGH) URL: https://www.massgeneral.org/quality-and-safety/patient-safety/pressure-injury-prevalence … (To view complete information, go to https://www.massgeneral.org/quality-and-safety/patient-safety/pressure-injury-prevalence … Overall, the rate of patients who have pressure ulcers at MGH is low. … that nurses have the necessary knowledge for skin assessment and intervention they attend a Phase I Wound … Bed surface is a key factor in preventing pressure ulcers.

16. Hospital Resources | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/about.html
    December 01, 2017 - Process Millions of patients visit hospital emergency departments (EDs) each year for a variety of injuries … Pressure Injury Prevention in Hospitals Training Program AHRQ developed the Pressure Injury Prevention … injury prevention program. … Preventing Pressure Ulcers in Hospitals Each year, more than 2.5 million people in the United States … develop pressure ulcers.

17. Fall Prevention Toolkit (doc file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
    January 01, 2012 - · Identify all visible injuries and initiate first aid; for example, cover wounds. · Assist patient … hydration). · Clean and dress any wounds … · Identify all visible injuries and initiate first aid; for example, cover wounds. … · Clean and dress any wounds. · Arrange medical review. … Describe injuries; check all that apply Injury Yes No Site of Injury Abrasion/bruise/laceration

18. Fall Prevention in Hospitals Training Program | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/index.html
    September 01, 2018 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Module 3 Tools ( MS Word , 268 KB) Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries … Network Webinars Related AHRQ Resources Preventing Falls in Hospitals Toolkit Pressure … Injury Prevention in Hospitals Training Program Page last reviewed September

19. Fall Prevention in Hospitals—Webinars | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinars/index.html
    September 01, 2017 - Resources CANDOR Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure … Injury Preventing Pressure Ulcers in Hospitals Re-Engineered Discharge Toolkit QI … Assessment Tools in Care Planning  (25 min) ( PDF of the Slides , 2.16 MB) Measuring Fall and Fall-Related Injury … Network Webinars Creating Control Charts To Interpret Fall Data (62 min) Critical Thinking for Fall Injury … Prevention Care Planning (61 min) Post-Fall Huddles: Reducing Preventable Falls and Fall-Related Injuries

20. Chapter 5a. Presentation Content | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html
    December 01, 2017 - Use Low Blood Pressure Precautions Slide 1. … Physical Restraints Physical restraints increase the likelihood of serious injury resulting from … Consequences of Falls Serious injury such as hip fracture Increased risk of death associated … Use Low Blood Pressure Precautions For residents with low blood pressure: Sit on edge of bed … https://www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/slides.html