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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.pdf
April 01, 2022 - � Comfort care
� Urological/perineal procedure
� Stage 3 or greater pressure ulcer in perineal area
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
January 01, 2006 - , with specific information tailored to the example indicator:
The indicator that we have chosen, Pressure … Ulcers (PSI 03), is important to our patients because improvement on this indicator may reduce:
Sepsis … In this example, we will examine the rates of Pressure Ulcers (PSI 03) for this particular hospital performed … Rates of Neonatal Blood Stream Infection Rate (NQI 3)
Per 1,000 Cases
Examining Observed Rates of Pressure … Ulcers (PSI 03)
Observed Rate 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 4.9136800000000001E
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism … problem, such as higher than expected cases of accidental punctures or lacerations during procedures or pressure … ulcers, the team would review the data from that time period. … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes
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ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - 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
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/202203.html
April 01, 2022 - Other previous topics based on AHRQ research include depression, diabetes, kidney disease, pressure ulcers … Depression,
Diabetes,
Kidney Disease and Health,
Outcomes,
Patient Safety,
Pressure … Ulcers,
Prevention,
Primary Care,
Quality of Care
Geographic Location:
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ce.effectivehealthcare.ahrq.gov/hai/hac/tools.html
March 01, 2024 - Non-ICU Patients With Devices
Obstetrical adverse events: Toolkit for Improving Perinatal Safety
Pressure … ulcers: Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care
Surgical
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ce.effectivehealthcare.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - The strategies can help prevent harmful events such as medication errors, bed sores, and healthcare-associated … The Preventing Pressure Ulcers in Hospitals Toolkit assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … The toolkit draws on literature on best practices in pressure ulcer prevention and includes both validated
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
June 01, 2021 - Patients with cellulitis associated with longstanding diabetic foot ulcers or pressure ulcers may require
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - ab] OR prevention [ab] OR reducing [ab] OR reduction [ab] OR aged [mh] OR elderly OR geriatric)) OR Decubitus … Ulcer [mh] OR ((pressure [ti] OR decubitus [ti]) AND ulcer* [ti]) OR decubiti [ti])) AND ((((Randomised
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
June 29, 2016 - 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
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 $ - N 6 6 6 Y Y Y Y Y
Neonatal
Pediatric
AHRQ
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/index.html?page=7
January 01, 2016 - Ulcers in Hospitals Toolkit
(1)
Prevention TaskForce app (formerly Electronic Preventive Services … Labs
(1)
Patient Safety Organizations
(3)
Patient Self-Management
(29)
Policy
(61)
Pressure … Ulcers
(5)
Prevention
(66)
Primary Care
(13)
Provider: Pharmacist
(2)
Quality Improvement … Ulcers in Virginia Impact Case Study Identifier: 2015-32 AHRQ Product(s): Research Topic(s): Prevention … , Long-Term Care, Pressure Ulcers, Patient Self-Management, Chronic Conditions Geographic Location:
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient … ulcers
Immobility
Aims
9
Understand the CUSP framework for initiating culture change … Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pdf
July 01, 2004 - with specific information tailored to the example
indicator:
The indicator that we have chosen, Pressure … Ulcers (PSI 03), is important to our patients
because improvement on this indicator may reduce:
• … Tool C.3
DELETE THIS SLIDE BEFORE PRESENTATION
– In this example, we will examine the rates of
Pressure … Ulcers (PSI 03) for this particular
hospital performed over time … Ulcers (PSI 03) for this particular hospital performed over time
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - 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 (13,101 / 47,110; 27.8%) 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
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201702.html
March 01, 2017 - Pressure ulcers.
Surgical site infections.
Venous thromboembolism (VTE). … Improvements in 2014 resulted in an estimated 45 percent reduction in pressure ulcers, 24 percent reduction
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
April 01, 2022 - Alternatives ׀ 5
5
Indications for Use of External Catheters3,6
Stage III or IV or unstageable pressure … ulcers
Incontinence-associated dermatitis
Daily measurement of urine volume
Single 24-hour urine sample … Indications11-13
Acute urinary retention
Chronic urinary retention
Stage III or IV or unstageable pressure … ulcer
Urinary incontinence
Urine volume measurements
Random urine sample collection
Management
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ce.effectivehealthcare.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - Avoidable Costs
University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure … Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
April 01, 2022 - strict immobility post-procedure, and urinary incontinence contaminating open (stage 3 or stage 4) pressure … ulcers. … ulcers and weakness from less walking. … ulcers. … ulcers.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/qitool/pediatric.html
December 01, 2017 - Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism … Introduction PDF [ - 38.47 KB] PDI01 Accidental Puncture or Laceration PDF [ - 62.74 KB] PDI02 Pressure … Ulcer PDF [ - 110.08 KB] PDI03 Foreign Body PDF [ -96.96 KB] PDI05/NQI01 Iatrogenic Pneumothorax
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
April 01, 2022 - Closed pressure ulcers: stage I, deep tissue injury No No, unless has chronic ISC needs Yes, if the patient … Open pressure ulcers: stage II Uncertain Yes Yes, if the patient is unable to toilet using other means … , bedpan, bedside commode, bathroom All†
Open pressure ulcers: stages III-IV, unstageable Yes Yes,