-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac_rates_2019.pdf
January 01, 2019 - Clostridioides
difficile
Infections
-37%
Falls
-5%
Obstetric
Adverse
Events
-5%
Pressure … Ulcers
6%
Surgical
Site
Infections
0%
Ventilator-
Associated
Pneumonias
-13%
Venous
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
January 01, 2019 - CLABSI+
-6%
Clostridioides
difficile
Infections
-37%
Falls
-5%
Obstetric
Adverse
Events
-3%
Pressure … Ulcers
Surgical
Site
Infections
Ventilator-
Associated
Pneumonias
-13%
Venous
Thrombo-
-
www.ahrq.gov/sops/about/patient-safety-culture.html
June 01, 2024 - include the following: Hospital units with more positive SOPS scores had: Fewer hospital-acquired pressure … ulcers and patient falls. 1 Lower surgical site infection rates. 2 Hospitals with more positive SOPS
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
January 01, 2006 - , 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:
Sepsis … In this example, we will examine the rates of Pressure Ulcers (PSI 03) for this particular hospital performed … Rates of Neonatal Blood Stream Infection Rate (NQI 3)
Per 1,000 Cases
Examining Observed Rates of Pressure … Ulcers (PSI 03)
Observed Rate 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 4.9136800000000001E
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13.html
December 01, 2012 - Composite: ACSC Overall
23,439
21,000
15,748
21,963
20,486
15,596
16,965
22,647
Pressure … Ulcer
4,010
3,925
2,853
4,175
3,854
2,547
2,961
4,271
Injurious Falls
396
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
December 01, 2012 - Composite: ACSC Overall
16,190
13,777
11,837
15,406
12,890
12,089
11,728
15,849
Pressure … Ulcer
3,031
3,001
1,416
3,073
2,914
1,211
1,591
3,369
Injurious Falls
122
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13d.html
December 01, 2012 - Composite: ACSC Overall
5,916
5,609
5,108
6,697
5,155
5,348
5,480
5,488
Pressure … Ulcer
1,490
1,499
1,251
1,746
1,431
1,216
1,326
1,488
Injurious Falls
98
66
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13f.html
December 01, 2012 - Composite: ACSC Overall
25,088
21,726
18,033
23,910
21,388
17,059
17,977
25,619
Pressure … Ulcer
6,180
6,029
3,239
5,537
6,191
3,067
3,636
6,965
Injurious Falls
198
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13g.html
December 01, 2012 - Composite: ACSC Overall
33,261
30,970
20,092
30,462
31,280
18,320
22,265
33,519
Pressure … Ulcer
4,497
4,649
3,696
5,077
4,632
2,818
3,647
5,097
Injurious Falls
708
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13b.html
December 01, 2012 - Composite: ACSC Overall
25,630
23,315
17,273
24,034
22,926
16,939
18,851
24,850
Pressure … Ulcer
4,306
4,221
3,413
4,523
4,155
3,058
3,454
4,564
Injurious Falls
479
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
December 01, 2012 - Composite: ACSC Overall
22,658
20,161
15,487
19,836
18,844
18,762
16,626
21,838
Pressure … Ulcer
3,490
2,892
2,126
3,314
2,623
2,679
2,298
3,287
Injurious Falls
340
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-interim-data-graphic-2014.pdf
January 01, 2014 - hospital-acquired conditions (HACs) such as adverse drug
events, healthcare-associated infections, and pressure … ulcers have been prevented in
hospital patients.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
June 02, 2025 - PSI 03 Pressure
Ulcer
1.2 1.3 7 $109,870 $ 769,087 N 6 7 7 Y Y Y Y Y
PSI 06 Iatrogenic … Y 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
Neonatal
Pediatric
AHRQ
-
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
-
www.ahrq.gov/data/infographics/hac-rates_2019.html
July 01, 2020 - Pressure ulcers: 6% increase. Surgical site infections: 8% increase.
-
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/npsd/data/dashboard/info.html
June 01, 2019 - Technology (HIT); Fall; Healthcare-Associated Infection; Medication or Other Substance; Perinatal; Pressure … Ulcer; Surgery or Anesthesia; and Venous Thromboembolism.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18c.html
December 01, 2012 - Composite: ACSC Overall
16,907
11,751
12,996
13,677
15,462
11,318
16,431
11,746
Pressure … Ulcer
3,451
1,762
2,142
2,427
2,827
1,758
3,323
1,746
Injurious Falls
123
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18.html
December 01, 2012 - Composite: ACSC Overall
24,317
16,815
18,770
19,809
22,527
15,998
23,953
16,701
Pressure … Ulcer
4,443
3,028
3,450
3,527
4,157
2,822
4,392
2,997
Injurious Falls
384
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18g.html
December 01, 2012 - Composite: ACSC Overall
34,260
22,892
23,868
30,208
32,733
20,783
35,263
22,285
Pressure … Ulcer
5,116
3,763
3,806
4,740
5,358
3,126
5,260
3,679
Injurious Falls
688