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ce.effectivehealthcare.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - Overall, the rate of patients who have pressure ulcers at MGH is low. … They are also supported in their work toward pressure ulcer prevention by their local Clinical Nurse … Bed surface is a key factor in preventing pressure ulcers. … The highest percentage of pressure ulcers occur in our intensive care areas where our patients have complex
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
August 31, 2017 - Ulcer Policies
Tool 2E: Assessing Screening for Pressure Ulcer Risk
Tool 2F: Assessing Pressure … Ulcer Care Planning
Alert the Implementation Team Leader to be ready to discuss and decide who … will oversee administering the Pieper Pressure Ulcer Knowledge Test to staff, and who will be in charge … Ulcer Policies (completed by the Implementation Team Leader)
Tool 2E: Assessing Screening for Pressure … Ulcer Risk (completed by the Implementation Team Leader or designee)
Tool 2F: Assessing Pressure Ulcer
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-workgroup.pdf
September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU
Patients (administrative claims)
3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within
24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients
(administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of
PICU Admission
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU
Patients (administrative claims)
3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within
24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients
(administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of
PICU Admission
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU
Patients (administrative claims)
3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within
24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients
(administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of
PICU Admission
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ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - Reducing the Incidence of Pressure Ulcers
For the hospitalized and home care patient, pressure ulcers … , or bed sores, can be a serious and chronic problem. … The VA viewed pressure ulcer development as an ideal indicator because they are common, required the … The rate of pressure ulcer development dropped from 11.5 percent to zero. … Overall, the VA has experienced a decline in the incidence of pressure ulcers from 4.9 percent in 1990
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
January 01, 2023 - About half (49.0%; 29,384 / 60,021) of Pressure ulcers were reported in Inpatient care areas. … Pressure Ulcers result in harm to the patient
by their very nature. … This is unexpected, as pressure ulcers result in harm
to the patient by their very nature. … Ulcer
• A pressure ulcer that, on admission, was at stage/category III or stage/category IV or was … Pressure Ulcers result in harm to the patient by their very nature.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/index.html
November 01, 2017 - Adverse Events
Pressure Ulcer Prevention .
Pressure Ulcer Healing .
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange_slides.pptx
November 20, 2014 - Relationships
Unit-Based Team
Staff on the unit who provide daily care to patients, including skin and pressure … ulcer assessment and care planning
Wound Care Team
Interdisciplinary group
of experts who provide … patient/family
Implementation Team
Interdisciplinary team charged with designing and implementing pressure … ulcer change project
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Assess Current Pressure Injury Processes
Understand current
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation.docx
August 31, 2017 - Ulcer Prevention Program – AHRQ Pressure Injury Prevention Program Training Webinar
Materials Checklist … Ulcer Knowledge Test and staff training needs.
· Alert the information technology (IT) representative … Ulcer Prevention Program. … Ulcer Knowledge Test is administered to staff to help determine their educational needs. … Instructor’s Note: Tool 2H: Pressure Ulcer Baseline Assessment, which is a shorter knowledge test, is
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - Remove the
"Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the
"Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the
"Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the
"Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the
"Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest
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ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013-appendix.html
October 01, 2015 - Ulcers
MPSMS (2013)
Hospital-Acquired Pressure Ulcers
1,060,000
32.5
Surgical Site Infections … Ulcers
1,320,000
1,060,000
260,000
20%
$4,420,000,000
18,824
Surgical Site Infections … Ulcers
250,000
50%
50%
25%
62,500
$17,000
Surgical Site Infections
110,000
35%
20% … *Additional costs per HAC for Falls and Pressure Ulcers were modified in 2012 from earlier higher projections … ulcer, rather than on the incremental cost due to the HAC.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2023.xlsx
January 01, 2023 - Anesthesia CFER-H V1.1 25,264 9.4% 2,617,691
Surgery or Anesthesia CFER-H V1.2 131,045 5.6% 2,617,691
Pressure … Ulcer CFER-H V1.1 16,374 6.1% 2,617,691
Pressure Ulcer CFER-H V1.2 110,664 4.7% 2,617,691
Device or
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - ulcers). … PDI 02 Pressure Ulcer Rate (stage
III, IV, Unstageable)
Diagnosis and site of pressure ulcer must … PSI 03 Pressure Ulcer Encourage providers to document pressure ulcers as part of the admission H&P to … Provider must document the site of pressure ulcer; the stage of
the ulcer can be documented and coded … PSI 03 Pressure Ulcer X “Unspecified stage” and “unstageable”
are not interchangeable terms; the code
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international
(Kandilov, … Zhan and Miller estimated that excess mortality
due to pressure ulcers was 72 deaths per 1,000 pressure … Mortality for patients with pressure ulcer was
compared to mortality among a matched set of patients … For example, pressure ulcers had a
high baseline prevalence, and excess mortality attributed to pressure … Ulcers
MPSMS (2013) Hospital-Acquired
Pressure Ulcers
1,060,000 32.5
Surgical Site
Infections
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
July 01, 2016 - Patient Safety PSI 03 Pressure Ulcer
PSI 06 Iatrogenic Pneumothorax
PSI 07 Central Venous Catheter-Related … Neonatal Blood Stream Infection Rate
Pediatric 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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - Hospitals Training Program to support the training of hospital staff on how to implement AHRQ’s Preventing Pressure … Ulcers in Hospitals Toolkit . … Preventing Pressure Ulcers in Hospitals
Each year, more than 2.5 million people in the United States … develop pressure ulcers. … The aim of this toolkit is to assist hospital staff in implementing effective pressure ulcer prevention
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ce.effectivehealthcare.ahrq.gov/challenges/patient-safety-tools/index.html
February 01, 2024 - Ulcers in Hospitals: A Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03 … Preventing Pressure Ulcers in Hospitals is a toolkit that assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … 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.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - About 40 percent of this reduction is from adverse drug events,
about 28 percent from pressure ulcers … Most of the deaths averted
occurred as a result of reductions in the rates of pressure ulcers and adverse … Ulcers
MPSMS
(2014)
Hospital-Acquired
Pressure Ulcers
1,010,000 30.9
7 2010 baseline data … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC.
13
Saving Lives and Saving Money: Hospital-Acquired
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - ulcers, and about 16 percent from catheter-
associated urinary tract infections (CAUTIs) (Exhibit 4) … Most of the deaths averted
occurred as a result of reductions in the rates of pressure ulcers and adverse … Ulcers
MPSMS
(2014)
Hospital-Acquired
Pressure Ulcers
1,010,000 30.9
Surgical Site
Infections … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC.