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www.ahrq.gov/topics/prevention.html
Preventive Services to People with Disabilities
AHRQ Research Findings Support Effort to Reduce Pressure … Ulcers in Virginia
Celebrating the 40th Anniversary of the U.S.
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www.ahrq.gov/topics/long-term-care.html
AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia
AHRQ’s Safety Program
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www.ahrq.gov/action-alliance/resources/type-harm.html
July 01, 2025 - Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety Pressure … Ulcers 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
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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 Pressure … Ulcer 0.0 0.2 0 $85,344 $ - N 6 6 6 Y Y Y Y Y
PDI 05 Iatrogenic
Pneumothorax
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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.
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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
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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 Pressure … Ulcer 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
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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 Pressure … Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated
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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
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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
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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
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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 pressure … ulcers, falls, and venous thromboembolism. 2 , 3
Not all critically ill, immobile patients need Foley
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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
Pressure … Ulcers
MPSMS (2013)
Hospital-Acquired Pressure Ulcers
1,060,000
32.5
Surgical Site Infections
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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 Pressure … Ulcer. … 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
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www.ahrq.gov/topics/p.html
June 12, 2025 - Policy Population Health Practice Improvement Practice-Based Research Network (PBRN) Pregnancy Pressure … Ulcers Prevención y bienestar Prevention Primary Care Provider Performance Provider: Clinician
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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 pressure … ulcers.” … Clostridium difficile infection, immobility (Foley is considered a "one-point
restraint"), hospital-acquired pressure … ulcers, falls, and venous
thromboembolism.2,3
• Not all critically ill, immobile patients need Foley
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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
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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 Pressure … Ulcers in Hospitals: A Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03
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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
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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