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  1. 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
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Facilitator Training—Additional … above All of the above Residents who display on the Nutrition Report: High Risk must have a pressureulcer. … ulcer rates ≥10%. … Return to Additional Exercises Contents Proceed to Next Section Return to Pressure Ulcer Prevention
  3. 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
  4. 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
  5. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-8-a-ehr-data-feasibility-tool.pdf
    November 20, 2017 - 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?
  6. 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
  7. 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
  8. 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
  9. 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).
  10. www.ahrq.gov/news/chartbook-patient-safety.html
    February 01, 2021 - resource that shows recent gains in safety include declining rates of urinary tract infections and pressureulcers in nursing homes. … example, high-risk Black patients in long-stay nursing homes were more likely than Whites to have a pressureulcer (7.2 percent vs. 4.3 percent).
  11. www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-8-data-feasibility-tool-1.pdf
    November 28, 2017 - 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?
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
    October 01, 2015 - ulcer and any secondary ICD-10-CM diagnosis codes for pressure ulcer stage III or IV (or unstageable … • Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … • Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … A PSI Example: Pressure Ulcer (PSI 03)� What are the Inpatient Quality Indicators (IQIs)? … An Example: Pressure Ulcer (PDI 02)� How can the AHRQ QIs be used in quality assessment?
  13. 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.
  14. www.ahrq.gov/hai/pfp/hacrate2013.html
    January 01, 2018 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international (Kandilov, et … ulcers and matched patients without hospital-acquired Stage III and IV pressure ulcers, based on bivariate … Zhan and Miller estimated that excess mortality due to pressure ulcers was 72 deaths per 1,000 pressure … Mortality for patients with pressure ulcer was compared to mortality among a matched set of patients, … For example, pressure ulcers had a high baseline prevalence, and excess mortality attributed to pressure
  15. www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
    December 01, 2017 - The number of hospitalizations involving pressure ulcers increased by about 80% between 1993 and 2006 … Acute care hospitals treat about 2.5 million pressure ulcers each year, and as many as 15% of hospital … patients may have pressure ulcers at any one time. … Include in the medical record complete documentation of any pressure ulcer found. … Pressure Ulcer Risk Assessment at Admission and Daily: Evaluate all patients for pressure ulcers and
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
    June 12, 2018 - 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
  17. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
    October 01, 2017 - organization’s readiness to launch AHRQ’s Pressure Injury Prevention Program, review Section 1 of AHRQ’s PressureUlcer Prevention Toolkit . … more about measurement, see the supplementary training webinars Wound Classification and Measuring PressureUlcer Rates and Prevention Practices and the Learning Network webinar Measurement .)  
  18. www.ahrq.gov/data/monahrq/myqi/nursing.html
    November 01, 2020 - Ulcers Each year, more than 2.5 million people in the United States develop pressure ulcers. ii Prevention … AHRQ toolkit to prevent pressure ulcers in hospitals   Preventing and Managing Pressure Ulcers from … the Evidence-Based Handbook for Nurses iii Pressure Ulcer Training from the National Database of … Agency for Healthcare Research and Quality, Rockville, MD. ii Preventing Pressure Ulcers in Hospitals … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit
  19. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
    September 01, 2017 - To learn more about the Implementation Team, see Chapter 2 of AHRQ’s Pressure Ulcer Prevention Toolkit … Ulcer Policies, Tool 2D Assessing Screening for Pressure Ulcer Risk, Tool 2E Assessing PressureUlcer Prevention Toolkit . … Ulcer Rates and Prevention Practices and the Learning Network webinar Measurement . … To learn more about sustainment, see the supplementary training webinar Sustaining Pressure Ulcer Prevention
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.html
    February 01, 2023 - Ulcer 3,690 3,126 3,660 3,435 3,626 3,404 Injurious Falls 279 344 376 263 … Ulcer 4,133 3,523 3,912 3,945 4,035 3,846 Injurious Falls 355 435 467 339 … Ulcer 2,435 1,929 2,922 1,971 2,477 2,094 Injurious Falls 63 72 107 46 76 … Ulcer 1,524 1,248 1,380 1,455 1,569 1,307 Injurious Falls 74 70 93 59 82 … Ulcer 2,744 2,615 2,612 2,762 2,893 2,560 Injurious Falls 228 282 305 207

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