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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18d.html
December 01, 2012 - Composite: ACSC Overall
6,335
5,055
5,848
5,211
5,930
4,908
6,161
5,048
Pressure … Ulcer
1,757
1,227
1,653
1,218
1,537
1,233
1,672
1,232
Injurious Falls
88
65
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18b.html
December 01, 2012 - Composite: ACSC Overall
26,640
18,645
20,791
21,894
24,849
17,695
26,372
18,479
Pressure … Ulcer
4,754
3,486
3,908
3,901
4,595
3,208
4,736
3,445
Injurious Falls
466
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
November 01, 2021 - Injury
Long-Term Care Facilities
Multiple Chronic Conditions
Omissions of Care in Nursing Homes
Pressure … Ulcers
Quality of Life
TeamSTEPPS
Nursing Home Antimicrobial Stewardship Guide
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - problem, such as higher than expected cases of accidental punctures or lacerations during procedures or pressure … ulcers, the team would review the data from that time period. … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - Daily Goals Checklist
Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient … ulcers
Immobility
Aims
9
Understand the CUSP framework for initiating culture change … Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient
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www.ahrq.gov/action-alliance/resources/index.html
March 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 Interested in
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_staffpresentation.pptx
January 01, 2006 - Rate
NQI 03 Neonatal Blood Stream Infection Rate
PDI 01 Accidental Puncture or Laceration Rate
PDI 02 Pressure … Ulcer Rate
PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count
PDI 05 Iatrogenic Pneumothorax … example, with specific information tailored to the example indicator:
The indicator that we have chosen, Pressure … Ulcers (PDI 02), is important to our patients because improvement on this indicator may reduce:
Sepsis
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
June 01, 2021 - Patients with cellulitis associated with longstanding diabetic foot ulcers or pressure ulcers may require
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pdf
July 01, 2004 - with specific information tailored to the example
indicator:
The indicator that we have chosen, Pressure … Ulcers (PSI 03), is important to our patients
because improvement on this indicator may reduce:
• … Tool C.3
DELETE THIS SLIDE BEFORE PRESENTATION
– In this example, we will examine the rates of
Pressure … Ulcers (PSI 03) for this particular
hospital performed over time … Ulcers (PSI 03) for this particular hospital performed over time
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www.ahrq.gov/sites/default/files/2024-12/thorpe-rask-report.pdf
January 01, 2024 - ulcers
ii. 17 selected a collaborative HFMEA focusing on patient flow
iii. 20 opted for an Independent … Hospital Acquired Pressure Ulcers Self-Assessment:
• Improvement Plan Documentation Form
• Reassessment … ulcers, develop an improvement plan,
and evaluate actions completed. … Ulcer Self-Assessment
• Diabetes Survey
• DVT Policy and Procedure Survey
• Failure Mode Effects … Ulcer Self-Assessment, Diabetes
Survey, and DVT Policy and Procedure Survey.
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www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - Daily Goals Checklist
CUSP Toolkit
Effective communication is particularly important in the unit if complicated care plans are to be effectively managed by the care team
Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased l…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
April 01, 2022 - Alternatives ׀ 5
5
Indications for Use of External Catheters3,6
Stage III or IV or unstageable pressure … ulcers
Incontinence-associated dermatitis
Daily measurement of urine volume
Single 24-hour urine sample … Indications11-13
Acute urinary retention
Chronic urinary retention
Stage III or IV or unstageable pressure … ulcer
Urinary incontinence
Urine volume measurements
Random urine sample collection
Management
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www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
April 01, 2013 - What is your fall rate or your pressure ulcer rate or whatever? … Let’s think about how you can eliminate hospital-acquired Stage 3 and 4 pressure ulcers. … We want to eliminate preventable Stage 3 and 4 pressure ulcers. … Standardize the pressure ulcer risk assessment. … Your CUSP piece of that, for instance with pressure ulcers under daily goals, when you’re looking at
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
December 01, 2012 - 5,672
13,799
7,174
Max
38,852
29,161
10,824
48,675
50,219
49,623
36,143
Pressure … Ulcer
3,905
2,269
1,404
2,683
4,903
4,190
3,485
Min
1,699
551
314
557
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - notable increase in correct answers after the training: The pretest average score on Tool 2G: Pieper Pressure … Ulcer Knowledge Test was 69 percent; the average score on the posttest was 94 percent. … What You Can Do:
Use Tool 2G: Pieper Pressure Ulcer Knowledge Test to assess staff knowledge regarding
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
September 01, 2017 - Current clinical conditions contributing to transfer risk: use of oxygen, catheter or ostomy, any pressure … ulcer other than stage I, fall risk, late-loss activities of daily living (ADL) score greater than or … Presence of stage II or greater pressure ulcer.
Fall risk or previous fall in last 90 days. … active medications during the report week, active high-risk diagnosis of UTI, presence of Stage III pressure … ulcer, and two medical conditions, cellulitis and hypertension, would trigger Rule 2.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.pdf
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
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www.ahrq.gov/hai/pfp/haccost2017-ref.html
May 01, 2023 - Costs of venous thromboembolism, catheter-associated urinary tract infection, and pressure ulcer. … Pressure ulcers in the United States' inpatient population from 2008 to 2012: results of a retrospective … Marginal hospital cost of surgery-related hospital-acquired pressure ulcers.
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www.ahrq.gov/research/findings/final-reports/index.html?page=8
January 01, 2024 - Publication Date: March 2015
Using an Electronic Health Record To Examine Nurse Continuity and Pressure … Ulcers ( application/pdf 844258 ) Principal Investigators: Stifter, et al. … Coordination, Health Information Technology and Health Information Exchange, Human and Environmental Factors, Pressure … Ulcers Publication Date: December 2014
The Value of Hospital-Related Patient-Safety Interventions