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261. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
     December 01, 2012 - All but two of the indicators (Pressure Ulcer and Injurious Falls) build on existing AHRQ Prevention … Pressure Ulcer. Injurious Falls.

262. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2022.xlsx
     January 01, 2022 - Anesthesia CFER-H V1.1 25,264 9.3% 2,563,698 Surgery or Anesthesia CFER-H V1.2 127,722 5.6% 2,563,698 Pressure … Ulcer CFER-H V1.1 16,374 6.0% 2,563,698 Pressure Ulcer CFER-H V1.2 109,908 4.8% 2,563,698 Device or

263. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2021.xlsx
     January 01, 2021 - 20.7% 2,081,587 Fall CFER-H V1.1 20,445 7.5% 2,081,587 Fall CFER-H V1.2 182,352 10.1% 2,081,587 Pressure … Ulcer CFER-H V1.1 25,446 9.3% 2,081,587 Pressure Ulcer CFER-H V1.2 104,481 5.8% 2,081,587 Surgery

264. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2023.xlsx
     January 01, 2023 - Anesthesia CFER-H V1.1 25,264 9.4% 2,617,691 Surgery or Anesthesia CFER-H V1.2 131,045 5.6% 2,617,691 Pressure … Ulcer CFER-H V1.1 16,374 6.1% 2,617,691 Pressure Ulcer CFER-H V1.2 110,664 4.7% 2,617,691 Device or

265. FAQs (Staff): Wound Cleaning (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.docx
     March 01, 2022 - CHG in clinical trials with the explicit instructions to clean superficial wounds and stage 1 and 2 decubitus … ulcers. … CHG can be applied to any superficial wound, including stage 1 and 2 decubitus ulcers, friable skin/rashes

266. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
     October 01, 2015 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international (Kandilov, … 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 … Ulcers MPSMS (2013) Hospital-Acquired Pressure Ulcers 1,060,000 32.5 Surgical Site Infections

267. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/index.html
     February 01, 2025 - Preventing Pressure Ulcers in Hospitals is a toolkit that assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … Hospitals Training Program supports the training of hospital staff on how to implement AHRQ's Preventing Pressure … Ulcers in Hospitals Toolkit.

268. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=428
     January 01, 2024 - ulcer rates. … The effect size analysis identified five effective interventions that each reduced pressure ulcer rates … : leadership initiatives, visual tools, pressure ulcer staging, skin care, and patient nutrition. … Comparative effectiveness of quality improvement interventions for pressure ulcer prevention in academic … Ulcers, Prevention, Quality Improvement Poonawalla IB , Lairson DR , Chan W Cost-effectiveness

269. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
     November 19, 2015 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … 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 7 2010 baseline data … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC. 13 Saving Lives and Saving Money: Hospital-Acquired

270. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
     November 19, 2015 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … 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 7 2010 baseline data … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC. 13 Saving Lives and Saving Money: Hospital-Acquired

271. Injuries and Wounds | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/injuries-and-wounds.html
     Topic: Injuries and Wounds AHRQ wound research centers on pressure ulcers.

272. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
     January 01, 2011 - Ulcers on the Unit Develop a team -- Include staff nurses Gather baseline data Have first team meeting … ; educate on science of safety, data, goals Research the evidence-based practices that eliminate pressure … ulcers The CUSP/Improvement Intervention Alt text CUSP 1. … Provide feedback, investigate each case Eliminate Stage 3, 4 Pressure Ulcers 1. … Standardized pressure ulcer risk assessment 3.

273. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pptx
     October 01, 2015 - Ulcer Rate PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count PDI 05 Iatrogenic Pneumothorax … ulcer) Denominator = population at risk (e.g., hospitalized patients) Observed rate = numerator/denominator … 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) Tool A.2 Slide ‹#› Pediatric Toolkit for Using the AHRQ Quality

274. AHRQ Patient Safety Tools and Resources (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
     January 01, 2024 - Web: ahrq.gov/goinghomeguide/ Pressure Ulcers Preventing Pressure Ulcers: A Toolkit for Improving … Quality of Care in Hospitals assists hospital staff in implementing effective pressure ulcer prevention … Ulcers in Hospitals Toolkit. … Web: ahrq.gov/pressureinjuryprevtraining Safety Program for Nursing Homes: On-Time Pressure Ulcer … ulcers.

275. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/2015-interim.html
     December 01, 2016 - About 42 percent of this reduction is from adverse drug events, about 23 percent from pressure ulcers … Ulcers MPSMS (2015) Hospital-Acquired Pressure Ulcers 1,190,000 36.3 Surgical Site Infections … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC. … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.

276. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appc.html
     March 01, 2017 - ab] OR prevention [ab] OR reducing [ab] OR reduction [ab] OR aged [mh] OR elderly OR geriatric)) OR Decubitus … Ulcer [mh] OR ((pressure [ti] OR decubitus [ti]) AND ulcer* [ti]) OR decubiti [ti])) AND ((((Randomised

277. Small and Rural Critical Access Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
     October 01, 2014 - Walking Through the Process Eliminate Hospital-Acquired Stage 3/4 Pressure Ulcers on the Unit  … meeting; educate on science of safety, data, goals Research the evidence-based practices that eliminate pressure … ulcers Return to Contents   Slide 13. … unit Implement teamwork tools Provide feedback, investigate each case Eliminate Stage 3, 4 Pressure … Ulcers Comprehensive skin assessment Standardized pressure ulcer risk assessment Care planning

278. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - Adverse Events PSI OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) Pressure … Ulcers MPSMS Hospital-Acquired Pressure Ulcers Surgical Site Infections NHSN SSIs combined … Ulcers Hospital-Acquired Pressure Ulcers 53.03 62.45 0.85 VAP Ventilator-Associated … Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,300 32,750,000 2.513 Pressure … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,317,211 32,750,000 40.220 Surgical Site

279. Ø 1L TOOL: Assessing Resource Needs | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/patient-safety-resources/cdiff-toolkit/cdiffl2tools1l.html
     September 01, 2012 - Source: Developed by AHRQ Pressure Ulcer Prevention Toolkit project team.

280. Table A: Indicator Rates for the HCBS and Full Medicaid Populations (Rates of Admission per 100,000 Persons) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
     December 01, 2012 - Composite: ACSC Acute Conditions 6,913 2,846 Composite: ACSC Overall 17,971 7,139 Pressure … Ulcer 3,067 1,136 Injurious Falls 287 105 Source: Schultz, et al., 2012 (see