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21. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. | PSNet
    psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired
    June 16, 2021 - ulcers . … In hospital and long-term care settings, pressure ulcers are considered preventable complications, but … August 14, 2019 Medical device-related pressure ulcers: a systematic review and meta-analysis … October 8, 2016 Wound-care teams for preventing and treating pressure ulcers. … November 12, 2014 Preventing in-facility pressure ulcers as a patient safety strategy

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49633/psn-pdf
    September 01, 2011 - At the hospital, a full examination revealed a very deep pressure ulcer in her sacrum (stage IV full … For example, the rate of pressure ulcers in nursing homes has been shown to range between 2.2% to 23.9% … Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. … Reston, VA: National Pressure Ulcer Advisory Panel; 2001. 6. … RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42113/psn-pdf
    March 20, 2013 - Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. … Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. … https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review … Pressure ulcers are considered a never event, but their incidence has been increasing despite effective … , and regular audit and feedback of pressure ulcer rates in ensuring intervention success.

24. The Safety and Quality of Long Term Care | PSNet
    psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
    January 01, 2016 - At the hospital, a full examination revealed a very deep pressure ulcer in her sacrum (stage IV full … For example, the rate of pressure ulcers in nursing homes has been shown to range between 2.2% to 23.9% … Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. … Reston, VA: National Pressure Ulcer Advisory Panel; 2001. 6. … RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46524/psn-pdf
    October 18, 2017 - https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program Pressure ulcers are … designed to help hospitals implement practice and process improvements to reduce the occurrence of pressure … ulcers. … pressure-injury-prevention-hospitals-training-program https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review … safety-and-quality-long-term-care https://psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings

26. Towards international consensus on patient harm: perspectives on pressure injury policy. | PSNet
    psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
    September 27, 2016 - Pressure ulcers are never events that continue to occur, despite potential repercussions on reimbursement … December 8, 2021 Medical device-related pressure ulcers: a systematic review and meta-analysis … March 6, 2019 Success in hospital-acquired pressure ulcer prevention: a tale in two data … February 3, 2015 Preventing in-facility pressure ulcers as a patient safety strategy: … Ulcers View More

27. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48134/psn-pdf
    August 14, 2019 - effective method to utilize root cause analysis results to determine latent weaknesses that facilitate pressure … ulcer development. … root-cause-analysis-hospital-acquired-pressure-injury https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47338/psn-pdf
    September 19, 2018 - in nursing homes such as poor staffing and communication with families that contribute to unmanaged pressure … ulcers and sepsis that result in hospital admissions and death. … A WebM&M commentary discussed a case involving a patient who had a pressure ulcer and sepsis in long … psnet.ahrq.gov/primer/long-term-care-and-patient-safety https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

29. Early identification and evaluation of severe pressure injuries. | PSNet
    psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
    October 10, 2018 - summarizes recommended actions to assist health care teams in mitigating harmful healthcare-acquired pressure … ulcers including recognition of conditional risks and educational strategies . … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings. … See More About The Topic Hospitals Long-Term Care Geriatrics Nurse Care Pressure … Ulcers View More

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60758/psn-pdf
    August 05, 2020 - Decubitus ulcers were the most common diagnosis in claims involving ICU nurses and compared to nurses … lessons-learned-medical-malpractice-claims-involving-critical-care-nurses https://psnet.ahrq.gov/issue/crico https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44525/psn-pdf
    October 21, 2015 - Wound-care teams for preventing and treating pressure ulcers. … Wound-care teams for preventing and treating pressure ulcers. … https://psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers Pressure ulcers … https://psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers https://psnet.ahrq.gov … /issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review https://psnet.ahrq.gov

32. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47788/psn-pdf
    March 06, 2019 - Medical device-related pressure ulcers: a systematic review and meta-analysis. … Medical device-related pressure ulcers: A systematic review and meta-analysis. … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis … Hospital-acquired pressure ulcers are considered never events and represent a significant source of … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis

33. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46926/psn-pdf
    March 07, 2018 - A comprehensive program to reduce rates of hospital- acquired pressure ulcers in a system of community … A Comprehensive Program to Reduce Rates of Hospital- Acquired Pressure Ulcers in a System of Community … https://psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers- system-community … This implementation study sought to reduce incidence of pressure ulcers in hospitalized patients using … https://psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers-system-community

34. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. | PSNet
    psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
    August 09, 2023 - reporting patterns for two measures of nursing home care quality ( falls with major injury and pressure … ulcers ). … August 9, 2023 Accuracy of pressure ulcer events in US nursing home ratings. … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings.

35. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37270/psn-pdf
    January 02, 2017 - Preventing pressure ulcers: the goal is zero. January 2, 2017 Duncan KD. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero This article discusses the background … and motivation behind the 5 Million Lives Campaign goal to prevent and eliminate pressure ulcers. … https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero https://psnet.ahrq.gov/issue/5-million-lives-campaign

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45147/psn-pdf
    May 25, 2016 - Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … ulcers are considered a never event, and they result in loss of payment for the hospitalization according … ulcers in academic medical centers. … cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/850159/psn-pdf
    June 07, 2023 - and reporting patterns for two measures of nursing home care quality (falls with major injury and pressure … ulcers). … assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare https://psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings

38. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44098/psn-pdf
    April 29, 2015 - ulcers: a systematic review and documentary analysis. … ulcers: a systematic review and documentary analysis. … ulcers. … In hospital and long-term care settings, pressure ulcers are considered preventable complications, but … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854638/psn-pdf
    October 18, 2023 - summarizes recommended actions to assist health care teams in mitigating harmful healthcare-acquired pressure … ulcers including recognition of conditional risks and educational strategies. … early-identification-and-evaluation-severe-pressure-injuries https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis … https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

40. Pressure Injury Prevention in Hospitals Training Program. | PSNet
    psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
    May 01, 2017 - Pressure ulcers are a common hospital-acquired condition that can lead to patient harm . … designed to help hospitals implement practice and process improvements to reduce the occurrence of pressure … ulcers. … September 6, 2013 Preventing in-facility pressure ulcers as a patient safety strategy … Ulcers Epidemiology of Errors and Adverse Events View More