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121. Clinical Practice Guidelines Archive | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/prevention/guidelines/archive.html
     July 01, 2018 - Pressure Ulcer Prevention Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish … Pressure Ulcer Treatment Clinical Guide / Quick Reference Guide Consumer Version: English / Spanish

122. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
     June 01, 2014 - Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51 77,000 2.36 Pressure … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical Site Infection

123. Small and Rural Critical Access Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
     October 01, 2014 - Walking Through the Process Eliminate Hospital-Acquired Stage 3/4 Pressure Ulcers on the Unit  … meeting; educate on science of safety, data, goals Research the evidence-based practices that eliminate pressure … ulcers Return to Contents   Slide 13. … adopt unit Implement teamwork tools Provide feedback, investigate each case Eliminate Stage 3, 4 Pressure … Ulcers Comprehensive skin assessment Standardized pressure ulcer risk assessment Care planning

124. C1 Prioritization Worksheet (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
     June 29, 2016 - PSI 03 Pressure Ulcer PSI 06 Iatrogenic Pneumothorax PSI 07 Central Venous Catheter-Related Bloodstream … NQI 03 Neonatal Blood Stream Infection Rate PDI 01 Accidental Puncture or Laceration Rate PDI 02 Pressure … Ulcer Rate PDI 05 Iatrogenic Pneumothorax Rate PDI 06 RACHS-1 Pediatric Heart Surgery Mortality

125. C1 Prioritization Matrix (xls file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
     July 01, 2016 - Patient Safety PSI 03 Pressure Ulcer   1.2 1.3 7 $109,870 $ 769,087 N 6 7 7 Y Y Y Y Y PSI 06 Iatrogenic … Y N Pediatric PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y PDI 02 Pressure … Ulcer 0.0 0.2 0 $85,344 $ - 0 N 6 6 6 Y Y Y Y Y PDI 05 Iatrogenic Pneumothorax Rate 0.0 0.1 0

126. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
     March 01, 2017 - Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … detailed information on best practices for selected indicators Introduction PDF [248.26 KB] PSI03 Pressure … Ulcer PDF [327 KB] PSI05 Foreign Body PDF [133.68 KB] PSI06 Pneumothorax PDF [130.62 KB] PSI07 Central … PDF [61.6 KB] IQI: Mortality Review PDF [115.84 KB] PDI01 Accidental Puncture PDF [61.67 KB] PDI02 Pressure … Ulcer PDF [109.9 KB] PDI03 Foreign Body PDF [95.97 KB] PDI05/NQI01 Iatrogenic Pneumothorax PDF [79.9

127. Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=474
     January 01, 2024 - ulcer prevention program: a facilitator-assisted clinical decision support intervention for nursing … ulcers among nursing home residents. … They found that On-Time implementation is associated with sizable reductions in pressure ulcer incidence … Evaluation of AHRQ's on-time pressure ulcer prevention program: a facilitator-assisted clinical decision … Keywords: Clinical Decision Support (CDS), Long-Term Care, Nursing Homes, Pressure Ulcers, Prevention

128. On-Time Preventable Hospital and ED Visits Functional Specs (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
     August 01, 2017 - On-Time provides EMR reports for improving clinical decisionmaking for pressure ulcer prevention, pressure … Ulcer Vendor determined or Wound Assessment Pressure ulcer Stage II, III, IV, or unstageable. … IF wound assessment date ≤7 days of report date AND at least one pressure ulcer with ulcer stage = … II, III, OR IV OR unstageable, then Stage II or > Pressure Ulcer is true and display X. 29 Fall Risk … then display X in Wound • Infected wound or decubitus ulcer • Jaundice • Rash 10 Injury: Fall

129. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/index.html
     September 01, 2021 - Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention is a team training curriculum to … help nursing homes with electronic medical records reduce the occurrence of pressure ulcers.

130. Chartbook on Patient Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
     January 01, 2020 - There are no detailed sections for the Perinatal, Pressure Ulcer, or Surgery or Anesthesia EVENT TYPES … No harm was reported for more than one-quarter (18,632 / 73,155; 25.5%) of Pressure Ulcer Incidents … This was unexpected, as pressure ulcers, like HAIs and venous thromboembolism (VTE), result in harm … Ulcer A pressure ulcer that, on admission, was at stage/category III or stage/category IV or was … /category I or stage/category II A pressure ulcer whose most advanced stage is unknown A mucosal

131. CAUTI Learning From Defects Tool (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.docx
     April 01, 2022 - · Comfort care · Urological/perineal procedure · Stage 3 or greater pressure ulcer in perineal area with

132. Enhancing Patient Safety Through Cognition and Communication (M-Safety Lab) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
     April 01, 2021 - Identify areas of skin at risk for developing pressure ulcers (recently renamed by expert organizations … of indwelling urinary catheters, central venous catheters, and pressure injuries (formerly called "pressure … ulcers"). … detect and report important patient motions, such as no motion, a sign that the patient is at-risk for pressure … ulcers.

133. How To Implement the Pressure Injury Prevention Program in Your Organization
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
     November 20, 2014 - Tool 4C 34 Staff Knowledge Assessment Tool 2G: Pieper Pressure Ulcer Knowledge Test 35 Staff

134. Hospitals and Health Systems | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/index.html
     August 01, 2022 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … Patients with Limited English Proficiency NICU Toolkit Preventing Falls in Hospitals Preventing Pressure … Ulcers in Hospitals QI Toolkit for Hospitals RED (Re-Engineered Discharge) Toolkit Universal ICU

135. Resources and Tools on Patient and Healthcare Workforce Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/action-alliance/resources/index.html
     April 01, 2024 - Safety Falls Hospital-Acquired Infections Maternal Safety Medication Safety Opioid Safety Pressure … Ulcers Readmissions Surgical Safety Transitions Venous Thromboembolism Select for Additional … Pressure Ulcers Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care … This resource assists hospital staff in implementing effective pressure ulcer prevention practices through

136. Declines in Hospital Acquired Conditions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
     June 04, 2018 - Infections +CLABSI - Central Line-Associated Bloodstream Infection Falls Obstetric Adverse Events Pressure … Ulcers Surgical Site Infections Ventilator- Associated Pneumonias 0% (Post-op) Venous

137. Dailygoals (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
     January 01, 2003 - Daily Goals Checklist Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …

138. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
     September 01, 2015 - patients at “CAUTI “Incontinent patients need a urinary catheter to prevent hospital- acquired pressure … ulcers.” … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint"), hospital-acquired pressure … ulcers, falls, and venous thromboembolism.2,3 • Not all critically ill, immobile patients need Foley

139. Declines in Hospital-Acquired Conditions (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
     January 01, 2019 - CLABSI+ -6% Clostridioides difficile Infections -37% Falls -5% Obstetric Adverse Events -3% Pressure … Ulcers Surgical Site Infections Ventilator- Associated Pneumonias -13% Venous Thrombo-

140. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/search.html?page=19
     May 01, 2013 - Comparative Effectiveness Reviews Affiliation: Johns Hopkins University Report Status: Final Pressure … Ulcer Treatment Strategies: Comparative Effectiveness Date: May 2013 Report Type: Comparative Effectiveness … Affiliation: Pacific Northwest EPC—Oregon Health & Science University Report Status: Final Pressure … Ulcer Risk Assessment and Prevention: Comparative Effectiveness Date: May 2013 Report Type: Comparative