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161. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
     January 01, 2021 - Ulcers. … Pressure Ulcers, however, result in harm to the patient by their very nature. … Pressure Ulcers, however, result in harm to the patient by their very nature. … Pressure Ulcers, however, result in harm to the patient by their very nature. … Pressure ulcers, by their very nature, result in harm to the patient.

162. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
     November 01, 2016 - Training Overview of On-Time On-Time Pressure Ulcer Healing Facilitator Training Two-day training … Ulcer Prevention Pressure Ulcer Healing Reports in Development: Falls Prevention Prevention of Avoidable … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation November 2016 On-Time Overview … Ulcer Healing Reports: Pressure Ulcers at Risk for Delayed Healing Weekly Wound Rounds Report Weekly … Pressure Ulcer Treatment Summary Report Pressure Ulcer Counts by Month Report November 2016 On-Time

163. Section 8-A, Data Feasibility Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-8-a-data-feasibility.pdf
     June 02, 2025 - pressure ulcer risk assessment tool was documented within 24 hours of admission. … If not, do you use another standardized pressure ulcer risk assessment tool? … 3 How do you document the results of a standardized pressure ulcer risk assessment tool? … Measure 3 (Pressure Ulcer) Technical Feasibility Feasible. Can do today. n/a Feasible. … Feasibility Results - Pressure Ulcer (link to 8.A.1.).pdf elements and measure tabs

164. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/3.html
     December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications … Specifications for Each Pressure Ulcer Prevention Report (continued) 3.3. … Return to Functional Specifications Contents   Proceed to Next Section Return to Pressure Ulcer Prevention

165. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3b_combo_resultspresentation.pptx
     January 01, 2012 - However, Pressure Ulcers (PSI 03) occur at higher rates than the national average – this may be an area … ulcer and any secondary ICD-10-CM diagnosis codes for pressure ulcer stage III or IV (or unstageable … A PSI Example: Pressure Ulcer (PSI 03) Toolkit for Using the AHRQ Quality Indicators How to Improve … Examining Observed Rates of Pressure Ulcers (PSI 03) Observed Rate 2006 2007 2008 2009 2010 2011 2012 … Comparing Risk-Adjusted Rates of Pressure Ulcers (PSI 03) to National Average Rates Risk-Adjusted Rate

166. Table 16A: Outcome Indicators by County Socioeconomic Status | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16.html
     December 01, 2012 - Ulcer 3,322 4,088 3,865 3,029 3,557 3,496 Injurious Falls 256 436 294 308 … Ulcer 3,754 4,475 4,359 3,374 3,884 3,947 Injurious Falls 331 531 376 387 … Ulcer 2,118 2,834 2,481 1,988 2,480 2,233 Injurious Falls 48 127 63 70 110 … Ulcer 1,348 1,729 1,777 1,154 1,411 1,428 Injurious Falls 65 102 76 70 88 … Ulcer 2,614 3,022 2,987 2,392 2,628 2,719 Injurious Falls 212 363 233 258

167. AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises4.html
     December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional … a a a f e Return to Additional Exercises Contents Proceed to Next Section Return to Pressure … Ulcer Prevention Alternate Formats Additional Exercises [ - 948.29 KB]

168. Module 3: Best Practices in Pressure Injury Prevention (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
     June 02, 2025 - Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. … Ulcer Prevention — AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar · Putting … 3C: Pressure Ulcer Identification Pocket Pad · Tool 3D: The Braden Scale for Predicting Pressure Sore … Medical device related pressure ulcers in hospitalized patients. Int Wound J 2010;7:358-65. … Consider using Tool 3C: Pressure Ulcer Identification Pocket Pad (shown on the next slide) for communication

169. Section 8-A, EHR Data Feasibility Tool (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-8-a-ehr-data-feasibility-tool.pdf
     June 02, 2025 - time) >= 24 hours 3 Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 hours … of PICU Admission Occurrence of administration of a pressure ulcer risk assessment by standardized … pressure ulcer risk assessment tool was documented within 24 hours of admission. … If not, do you use another standardized pressure ulcer risk assessment tool? … 3 How do you document the results of a standardized pressure ulcer risk assessment tool?

170. Final Progress Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
     January 01, 2025 - To further focus the research effort, the problem of pressure ulcers was selected because of the broad … The preventable harm we selected is that of pressure ulcers because of its large adverse impact. … Pressure ulcers are an epidemic problem in the United States, affecting 2.5 million people; they are … ulcer.5 Thus, pressure ulcers represented a meaningful challenge area to demonstrate how rapid prototyping … The Financial Impact of Pressure Ulcers (White paper).

171. Describe How a Plan or Provider Can Influence a Quality Measure | Agency for Healthcare Research and Quality
     www.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

172. Initial Risk Assessment for Immobility-Related Pressure Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/initial-risk-assessment.html
     August 01, 2021 - Initial Risk Assessment for Immobility-Related Pressure Ulcer Within 24 Hours of Pediatric Intensive

173. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
     April 04, 2008 - For example, African American and Latino veterans are at higher risk of decubitus ulcers than whites … ulcers, in addition to continuing efforts to lower decubitus ulcer rates overall, it is important for … the VHA to eliminate racial disparities in pressure ulcer rates. … Pressure ulcers: More lethal than we thought? Adv Skin Wound Care 2005; 18: 367-372. 31. … Pressure ulcer risk assessment in patients with darkly pigmented skin.

174. Section 8, Data Feasibility Tool and Feasibility Testing Results (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-8-data-feasibility-tool-1.pdf
     June 02, 2025 - time) >= 24 hours 3 Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 hours … of PICU Admission Occurrence of administration of a pressure ulcer risk assessment by standardized … pressure ulcer risk assessment tool was documented within 24 hours of admission. … If not, do you use another standardized pressure ulcer risk assessment tool? … 3 How do you document the results of a standardized pressure ulcer risk assessment tool?

175. Table 14B: Outcome Indicators by State Supply of Health Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
     February 01, 2023 - Ulcer 3,799 3,199 3,745 3,230 Injurious Falls 334 265 324 272 Dually Eligible … Ulcer 4,200 3,634 4,114 3,703 Injurious Falls 415 344 410 347 Medicaid-Only … Ulcer 2,619 1,957 2,698 1,836 Injurious Falls 96 38 80 50 I/DD Subpopulation … Ulcer 5,536 4,402 5,759 4,127 Injurious Falls 189 96 161 116 HCBS Population … Ulcer 4,932 3,599 4,712 3,767 Injurious Falls 608 453 613 448 HCBS

176. Table 16B: Outcome Indicators by State Socioeconomic Status | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
     February 01, 2023 - Ulcer 3,050 4,160 3,514 3,406 Injurious Falls 252 369 291 315 Dually Eligible … Ulcer 3,478 4,542 4,009 3,629 Injurious Falls 327 453 373 390 Medicaid-Only … Ulcer 1,883 2,943 2,104 2,733 Injurious Falls 45 101 57 88 I/DD Subpopulation … Ulcer 1,206 1,720 1,560 1,136 Injurious Falls 61 90 75 68 SMI Subpopulation … Ulcer 3,775 4,848 4,198 4,163 Injurious Falls 436 657 486 644 HCBS

177. Table 15B: Outcome Indicators by State Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
     February 01, 2023 - Ulcer 3,481 3,488 3,458 3,512 Injurious Falls 365 245 338 259 Dually Eligible … Ulcer 3,912 3,899 3,818 3,992 Injurious Falls 448 321 423 333 Medicaid-Only … Ulcer 2,094 2,388 2,373 2,172 Injurious Falls 99 43 81 51 I/DD Subpopulation … Ulcer 1,283 1,527 1,280 1,578 Injurious Falls 91 53 84 57 SMI Subpopulation … Ulcer 4,594 3,884 4,481 3,940 Injurious Falls 644 430 625 433 HCBS

178. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
     www.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

179. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
     October 01, 2017 - An icon of a magnifying glass in front of open book refers to Tool 2G: Pieper Pressure Ulcer Knowledge … A screenshot shows the Pressure Ulcer Prevention Program Action Plan: June 2015 - January 2016.

180. Appendixes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-appendix.html
     November 01, 2017 - Ulcers (("Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "Bedsore" [tiab] OR "Bed Sores" [tiab … ] OR "Decubitus Ulcer" [tiab] OR "Pressure Sore" [MeSH] OR "Pressure Sore" [tiab] OR "Suspected Deep … Tissue Injury" [tiab] OR "Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "osteomyelitis" [MeSH] … Ulcer All hospitalized patients who are at risk to have pressure ulcer 0.018 c 2.42–5.06 3.26 … Marginal hospital cost of surgery-related hospital-acquired pressure ulcers.