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201. B3A Combo Chartsforpresentations (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
     January 01, 2006 - Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest … Remove the "Pressure Ulcers" part of the title and revise it to reflect your PSI or IQI of interest

202. Best Practices in Pressure Injury Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
     June 02, 2025 - 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.

203. 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/guide4.html
     October 01, 2017 - Additional Related Training Resources Staff Roles and Training for Your Pressure Ulcer Prevention … Ulcer Knowledge Test and staff training needs. … Tool 2G: Pieper Pressure Ulcer Knowledge Test. … Ulcer Prevention Program. … Instructor’s Note: Tool 2H: Pressure Ulcer Baseline Assessment, which is a shorter knowledge test, is

204. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
     October 01, 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.

205. Table 17F: HCBS Population Ages 18-64 Without Intellectual/Developmental Disabilities or Serious Mental Illness | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17f.html
     February 01, 2023 - 7,139 5,429 Composite: ACSC Overall 23,940 16,507 25,790 18,529 23,803 18,978 Pressure … Ulcer 5,875 3,508 6,077 4,338 6,250 4,022 Injurious Falls 147 123 175 119 … 6,119 6,072 7,171 5,539 Composite: ACSC Overall 21,607 19,235 23,468 19,546 Pressure … Ulcer 4,785 5,171 6,257 4,181 Injurious Falls 145 120 171 121 Notes

206. Table 17B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
     February 01, 2023 - 10,530 7,005 Composite: ACSC Overall 24,760 16,334 23,622 19,729 26,330 18,086 Pressure … Ulcer 4,583 2,937 4,303 3,638 4,774 3,353 Injurious Falls 397 350 396 366 … 8,314 8,522 10,408 7,479 Composite: ACSC Overall 21,408 21,005 25,803 19,316 Pressure … Ulcer 4,098 3,440 4,727 3,530 Injurious Falls 384 363 466 342 Notes

207. Table 17G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
     February 01, 2023 - 13,941 8,615 Composite: ACSC Overall 31,820 19,437 32,312 23,141 34,235 21,902 Pressure … Ulcer 5,156 2,917 5,215 3,604 5,195 3,597 Injurious Falls 568 461 588 484 … 10,221 11,658 13,626 9,337 Composite: ACSC Overall 25,759 28,549 32,778 23,897 Pressure … Ulcer 4,379 3,646 4,962 3,857 Injurious Falls 504 573 687 457 Notes

208. Table 17E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17e.html
     February 01, 2023 - 8,838 5,914 Composite: ACSC Overall 20,734 15,368 19,563 17,756 23,009 16,087 Pressure … Ulcer 2,980 2,213 2,877 2,492 3,415 2,252 Injurious Falls 253 224 263 220 … 6,956 7,098 7,925 6,580 Composite: ACSC Overall 19,175 17,427 20,509 17,826 Pressure … Ulcer 2,820 2,361 3,195 2,436 Injurious Falls 251 221 300 217 Notes

209. Table 17D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
     February 01, 2023 - 3,815 3,120 Composite: ACSC Overall 6,079 4,558 5,662 5,312 6,245 5,000 Pressure … Ulcer 1,619 1,071 1,367 1,440 1,749 1,185 Injurious Falls 81 60 90 55 92 … 3,481 3,208 3,831 3,228 Composite: ACSC Overall 5,719 5,011 6,399 5,136 Pressure … Ulcer 1,498 1,217 1,890 1,213 Injurious Falls 80 57 88 68 Notes:  

210. Table 17C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
     February 01, 2023 - 5,049 3,932 Composite: ACSC Overall 15,281 10,642 14,988 12,306 15,447 12,117 Pressure … Ulcer 2,935 1,376 2,649 2,045 3,140 1,790 Injurious Falls 76 51 101 45 98 … 4,416 4,102 5,111 4,002 Composite: ACSC Overall 13,885 11,778 15,231 12,519 Pressure … Ulcer 2,200 2,447 3,298 1,833 Injurious Falls 66 63 119 44 Notes:  

211. Table 17A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
     February 01, 2023 - 9,215 6,184 Composite: ACSC Overall 22,374 14,832 21,534 17,751 23,720 16,492 Pressure … Ulcer 4,168 2,525 3,903 3,214 4,382 2,935 Injurious Falls 316 271 324 280 … 7,298 7,429 9,114 6,570 Composite: ACSC Overall 19,447 18,724 23,221 17,538 Pressure … Ulcer 3,603 3,194 4,378 3,086 Injurious Falls 301 289 382 264 Notes

212. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
     December 01, 2014 - Ulcers 250,000 50% 50% 25% 62,500 $17,000 .072 $1,062,500,000 4,525 Surgical … 17.4% 1,040,500 NA NA $9,141,150,000 35,647 * Additional costs per HAC for Falls and Pressure … Ulcers were modified in 2012 from earlier higher projections. … been wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure … ulcer, rather than on the incremental cost due to the HAC.   18.

213. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
     June 02, 2025 - ulcers, pressure ulcers that are not healing appropriately, falls, and preventable hospitalizations … For example:  Pressure Ulcer Prevention has been pilot tested in more than 50 nursing homes across … the country; several studies have shown significant reductions in pressure ulcer incidence rates … when On-Time pressure ulcer prevention reports were integrated into day-to-day workflow …  Pressure Ulcer Healing, Falls, and Avoidable Hospitalization reports and worksheets have been

214. Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
     February 01, 2023 - Composite: ACSC Overall Yes 22,422 20,395 25,160 No 18,138 19,018 17,666 Pressure … Ulcer Yes 5,006 4,208 4,833 No 2,960 3,348 3,127 Injurious Falls Yes 307 … 7,607 Composite: ACSC Overall 20,384 19,444 14,877 19,094 19,184 20,443 Pressure … Ulcer 4,195 4,249 2,476 3,395 3,286 3,764 Injurious Falls 388 259 218

215. Documentation and Coding for Patient Safety Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
     March 15, 2016 - ulcers). … PDI 02 Pressure Ulcer Rate (stage III, IV, Unstageable) Diagnosis and site of pressure ulcer must … PSI 03 Pressure Ulcer Encourage providers to document pressure ulcers as part of the admission H&P to … Provider must document the site of pressure ulcer; the stage of the ulcer can be documented and coded … PSI 03 Pressure Ulcer X “Unspecified stage” and “unstageable” are not interchangeable terms; the code

216. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
     April 01, 2025 - Pressure Ulcer Reduction 1. … Braden Scale for Predicting Pressure Sore Risk https://www.in.gov/health/files/Braden_Scale.pdf This … ulcers. … Use this tool to identify a) residents admitted the current month with pressure ulcers and b) others … who developed a pressure ulcer within the month. 4.

217. Board and Senior Leadership PowerPoint Presentations on the Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pdf
     October 01, 2015 - ulcer) • Denominator = population at risk (e.g., hospitalized patients) • Observed rate = numerator … ulcer in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the … • Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … An Example: Pressure Ulcer (PDI 02) http://www.qualityindicators.ahrq.gov/Downloads/Modules/PDI/V45/ … An Example: Pressure Ulcer (PDI 02)� How can the AHRQ PDIs be used in�quality assessment?

218. Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
     February 01, 2023 - Composite: ACSC Overall Yes 26,515 17,685 7,028 No 18,855 19,300 20,127 Pressure … Ulcer Yes 6,274 3,455 1,049 No 3,338 3,486 3,662 Injurious Falls Yes 369 … 7,404 Composite: ACSC Overall 6,233 33,102 8,819 20,714 16,992 19,479 Pressure … Ulcer 1,013 6,793 2,359 3,765 2,949 3,511 Injurious Falls 157 543 138

219. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
     December 01, 2016 - 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.

220. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - 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.