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  1. www.ahrq.gov/topics/prevention.html
    Preventive Services to People with Disabilities AHRQ Research Findings Support Effort to Reduce PressureUlcers in Virginia Celebrating the 40th Anniversary of the U.S.
  2. www.ahrq.gov/topics/long-term-care.html
    AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia AHRQ’s Safety Program
  3. www.ahrq.gov/action-alliance/resources/type-harm.html
    July 01, 2025 - Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety PressureUlcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety … Back to Contents Pressure Ulcers AHRQ Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving … Quality of Care This resource assists hospital staff in implementing effective pressure ulcer prevention
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.pdf
    June 02, 2025 - N PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y PDI 02 PressureUlcer 0.0 0.2 0 $85,344 $ - N 6 6 6 Y Y Y Y Y PDI 05 Iatrogenic Pneumothorax
  5. www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
    January 01, 2024 - Being underweight increased the odds of experiencing a fall, fall with injury, or pressure ulcer but … ulcers/ injuries and UTIs. … Association of overweight and obesity with the prevalence and incidence of pressure ulcers: A systematic … The paradox of obesity in pressure ulcers of critically ill patients. … Obesity and pressure ulcers among nursing home residents. Medical Care. 2013;51(6):478-86. 44.
  6. www.ahrq.gov/practiceimprovement/index.html
    June 01, 2025 - On-Time Pressure Ulcer Prevention Tools to assist nursing homes that have electronic medical record systems
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.xlsx
    June 02, 2025 - Y N Pediatric PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y PDI 02 PressureUlcer 0.0 0.2 0 $85,344 $ - 0 N 6 6 6 Y Y Y Y Y PDI 05 Iatrogenic Pneumothorax Rate 0.0 0.1 0
  8. www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
    February 01, 2024 - Avoidable Costs University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing PressureUlcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.docx
    April 01, 2022 - · Comfort care · Urological/perineal procedure · Stage 3 or greater pressure ulcer in perineal area with
  10. www.ahrq.gov/sites/default/files/2024-02/stone-benner-report.pdf
    January 01, 2024 - ulcers, restraints, pain, staff stability, and quality improvement. … There are four clinical areas that have long plagued nursing homes; 1) presence of pressure ulcers in … ulcers , n=18, and dementia, n=3). … Ulcers: Best Practices • Quality Improvement: Maintaining and Sustaining Success • Resident Centered … Ulcers: Best Practices X 3.5 9 2008 Local Area Networks for Excellence (LANE) Conference: Final
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
    June 02, 2025 - Tool 4C 34 Staff Knowledge Assessment Tool 2G: Pieper Pressure Ulcer Knowledge Test 35 Staff
  12. www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
    October 01, 2015 - "All immobile patients need a urinary catheter to prevent hospital-acquired pressure ulcers." … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint), hospital-acquired pressureulcers, falls, and venous thromboembolism. 2 , 3 Not all critically ill, immobile patients need Foley
  13. www.ahrq.gov/hai/pfp/interimhac2013-ap1.html
    December 01, 2014 - OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 77,000 2.4 PressureUlcers MPSMS (2013) Hospital-Acquired Pressure Ulcers 1,060,000 32.5 Surgical Site Infections
  14. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
    December 01, 2012 - higher rates on all measures other than Short-Term Complications of Diabetes, Bacterial Pneumonia, and PressureUlcer. … The exceptions are Pressure Ulcer, which is effectively equal in urban and nonurban areas, and Infection … Rates for women in the Medicaid-only population are always higher than for men except in Pressure Ulcer … The main exception to the county-level age pattern is the Pressure Ulcer measure, for which rates are
  15. www.ahrq.gov/topics/p.html
    June 12, 2025 - Policy Population Health Practice Improvement Practice-Based Research Network (PBRN) Pregnancy PressureUlcers Prevención y bienestar Prevention Primary Care Provider Performance Provider: Clinician
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
    September 01, 2015 - patients at “CAUTI “Incontinent patients need a urinary catheter to prevent hospital- acquired pressureulcers.” … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint"), hospital-acquired pressureulcers, falls, and venous thromboembolism.2,3 • Not all critically ill, immobile patients need Foley
  17. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.pdf
    April 01, 2022 - � Comfort care � Urological/perineal procedure � Stage 3 or greater pressure ulcer in perineal area
  18. www.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - University of Missouri University of Missouri Health Care (MU Health Care) utilized AHRQ’s Preventing PressureUlcers in Hospitals: A Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.docx
    March 01, 2022 - Be especially thorough if there are any nearby wounds, pressure ulcers, or breaks in the skin. … Using the CHG cloths on superficial wounds/stage 1 and 2 decubitus ulcers How should we dispose of the
  20. www.ahrq.gov/patient-safety/about/areas.html
    February 01, 2018 - Our areas of research and tools cover: Healthcare Infections Team Training Falls Pressure Ulcers

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