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Showing results for "pressure ulcer".
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1. Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
   July 01, 2016 - ulcer • Progression of stage II pressure ulcer on buttocks to a stage IV pressure ulcer • Progression … ulcers • Multiple, stage I pressure ulcers on sacrum, coccyx and buttocks • Stage I pressure ulcer … on buttocks • Stage I pressure ulcer on heel • Stage I/II pressure ulcer on leg due to poor-fitting … prosthesis Page 4 of 4 • Progression of Stage I pressure ulcer on heel to Stage II • Stage II pressure … ulcer on buttocks • Stage I pressure ulcer on heels • Stage II pressure ulcer at coccyx • Stage I pressure

2. Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
   January 01, 2019 - ulcers • New sacrococcygeal pressure ulcer that progressed to stage 4 during LTCH stay • Pressure ulcer … ulcers • Stage 2 nasal pressure ulcer associated with face mask • Deep tissue injuries related to ace … • Sacral pressure ulcer • Stage 1 coccygeal pressure ulcer • Stage 1 facial pressure ulcer associated … with BiPAP mask • Stage 1 pressure ulcer heel • Stage 1 pressure ulcer on sacrum • Stage 1 sacral pressure … ulcer Page 9 of 9 • Stage 2 pressure ulcer of sacrum • Stage 2 pressure ulcer of sacrum • Suspected

3. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
   December 21, 2021 - Institutionalized Older People Summary of Evidence Update (all patients) (Not reviewed) Prevention of Pressure … Ulcers in Older Patients Summary of Evidence Update (all patients) (Not reviewed) Prevention of Delirium