-
pbrn.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 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.
1 AHRQ Partnership for Patients Web page
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
November 20, 2014 - documentation forms
Lacking ways to empower staff to report abnormal skin findings:
Consider using Tool 3C: Pressure … Ulcer Identification Pocket Pad.
11
ID Pocket Pad
Tool 3C
12
Practice Insight
Or note location … 27
Practice Insight
EHR Care Plans Triggered Based on Risk Assessment
Braden Scale for Predicting Pressure … Sore Risk
SENSORY PERCEPTION 1.
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pbrn.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
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
Pressure … Ulcers MPSMS Hospital-Acquired Pressure Ulcers
Surgical Site Infections NHSN SSIs combined for 17 procedures … Ulcers
Hospital-Acquired Pressure
Ulcers
53.03 62.45 0.85
VAP Ventilator-Associated
Pneumonia … Discharges
(HCUP)
2010 PFP
Measured
HACs per
1,000
Discharges
Pressure Ulcer MPSMS Hospital-Acquired … Pressure Ulcers 1,317,211 32,750,000 40.220
Surgical Site
Infection
NHSN SSIs for 17 procedures in
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
July 02, 2008 - Care plan addressing every deficit on pressure ulcer risk factor assessment has been developed and is … 46
Next Steps
Over the next several weeks, we will meet weekly to refine your Action Plan for the Pressure … Ulcer Prevention Program.
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - ulcers/pressure injuries and falls. … ulcers/pressure injuries
increased from 2014 to 2015 and then decreased somewhat from 2015 to 2016 … Ulcers/
Pressure Injuries
21.7 23.5 22.7 23.0 6%
Surgical Site Infections 2.5 2.5 2.5 2.7 8% … Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries
Surgical Site
Infection
NHSN SSIs … Ulcer
MPSMS Hospital-
Acquired
Pressure
647,096 21.75 699,790 23.52 676,834 22.75 682,984 22.96
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - ulcers and falls. … ulcers increased from 2014 to 2016. … Ulcer MPSMS Hospital-Acquired Pressure Ulcers
Surgical Site
Infection
NHSN SSIs for 17 procedures … Ulcer
MPSMS Hospital-Acquired Pressure Ulcers 643,230 21.62
Surgical
Site
Infection
NHSN SSIs … Ulcer
MPSMS Hospital-Acquired
Pressure Ulcers
0643,23 21.62 708,301 23.81 704,906 23.69
Surgical
-
pbrn.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
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - Ulcers in Hospitals Toolkit training. … Preventing in-facility pressure ulcers. … Ulcers in Hospitals Toolkit. … Preventing in-facility pressure ulcers. … Preventing in-facility pressure ulcers.
-
pbrn.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
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 05, 2016 - Best practices forms exist for the following 14 PSIs:
• PSI 03 Pressure Ulcer Rate
• PSI 05 Retained … 03 Neonatal Blood Stream Infection Rate
• PDI 01 Accidental Puncture or Laceration Rate
• PDI 02 Pressure … Ulcer Rate
• PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count
• PDI 05 Iatrogenic
-
pbrn.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:
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - ulcers/pressure injuries and falls. … ulcers/pressure injuries increased from 2014 to 2015 and then decreased somewhat from
2015 to 2016 … Ulcers/
Pressure Injuries
21.7 23.5 22.7 23.0 6% 17.4
Surgical Site
Infections
2.5 2.5 2.5 … Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries
Surgical Site
Infection
NHSN SSIs … Ulcer
MPSMS Hospital-
Acquired
Pressure
647,096 21.75 699,790 23.52 676,834 22.75 682,984 22.96
-
pbrn.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 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 … 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 … Ulcer PDF [109.9 KB] PDI03 Foreign Body PDF [95.97 KB] PDI05/NQI01 Iatrogenic Pneumothorax PDF [79.9
-
pbrn.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
-
pbrn.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
-
pbrn.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
-
pbrn.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
-
pbrn.ahrq.gov/patient-safety/settings/hospital/candor/videos/notification.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
-
pbrn.ahrq.gov/patient-safety/settings/hospital/candor/videos/inapp-disclosure.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