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  1. monahrq.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.
  2. monahrq.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
  3. monahrq.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    August 01, 2022 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing PressureUlcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … Patients with Limited English Proficiency NICU Toolkit Preventing Falls in Hospitals Preventing PressureUlcers in Hospitals QI Toolkit for Hospitals RED (Re-Engineered Discharge) Toolkit Universal ICU
  4. monahrq.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 PressureUlcers Surgical Site Infections Ventilator- Associated Pneumonias 0% (Post-op) Venous
  5. Dailygoals (doc file)

    monahrq.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 …
  6. monahrq.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% PressureUlcers Surgical Site Infections Ventilator- Associated Pneumonias -13% Venous Thrombo-
  7. monahrq.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
    December 01, 2017 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing PressureUlcers 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 pressureulcers, the team would review the data from that time period. … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes
  8. monahrq.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 PressureUlcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical
  9. monahrq.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, PressureUlcers, Prevention, Primary Care, Quality of Care Geographic Location:
  10. monahrq.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - Non-ICU Patients With Devices Obstetrical adverse events: Toolkit for Improving Perinatal Safety Pressureulcers: Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care Surgical
  11. monahrq.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
  12. monahrq.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 PressureUlcer 0.0 0.2 0 $85,344 $ - N 6 6 6 Y Y Y Y Y Neonatal Pediatric AHRQ
  13. monahrq.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) PressureUlcers (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:
  14. monahrq.ahrq.gov/news/newsroom/case-studies/index.html?page=4
    June 01, 2017 - Ulcers in Hospitals Toolkit (1) Prevention TaskForce app (formerly Electronic Preventive Services … Labs (1) Patient Safety Organizations (3) Patient Self-Management (29) Policy (61) PressureUlcers (5) Prevention (66) Primary Care (13) Provider: Pharmacist (2) Quality Improvement … Ulcers, Quality of Care Geographic Location: Tennessee Country: United States of America Implementer … Ulcers, Quality of Care, Patient Safety Organizations Geographic Location: National Country: United
  15. monahrq.ahrq.gov/research/findings/studies/index.html?page=484
    January 01, 2024 - Ulcers (28) Prevention (794) Primary Care (718) Primary Care: Models of Care (86) Provider … ulcer prevention. … ulcer prevention program and integrating health information technology (HIT) tools into practice at … ulcer prevention. … Keywords: Health Information Technology (HIT), Nursing Homes, Pressure Ulcers, Prevention, Quality Improvement
  16. monahrq.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 PressureUlcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated
  17. monahrq.ahrq.gov/news/newsletters/e-newsletter/854.html
    March 01, 2023 - March 13, 2023 AHRQ Stats: Prevalence of Pressure Ulcers by Race In 2019, 7 percent of Black patients … American Native patients, 5.9 percent of Asian patients and 4.8 percent of Hispanic patients developed a pressureulcer, compared with just 4.3 percent of White patients.
  18. monahrq.ahrq.gov/practiceimprovement/index.html
    August 01, 2022 - On-Time Pressure Ulcer Prevention Tools to assist nursing homes that have electronic medical record
  19. monahrq.ahrq.gov/patient-safety/settings/hospital/candor/videos/planning.html
    August 01, 2022 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing PressureUlcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism
  20. monahrq.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - University of Missouri University of Missouri Health Care (MU Health Care) utilized AHRQ’s Preventing PressureUlcers in Hospitals: A Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03

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