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341. Table 18B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     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

342. Table 18D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     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

343. Table 18E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18e.html
     December 01, 2012 - Composite: ACSC Overall 22,679 16,659 18,685 18,628 20,804 15,817 22,039 16,556 Pressure … Ulcer 3,464 2,296 2,799 2,580 3,066 2,178 3,313 2,292 Injurious Falls 300

344. Table 18C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     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

345. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
     January 01, 2019 - There are no detailed sections for the Perinatal, Pressure Ulcer, or Surgery or Anesthesia EVENT TYPES … No harm was reported for more than one-quarter (13,101 / 47,110; 27.8%) of Pressure Ulcer Incidents … This was unexpected, as pressure ulcers, like HAIs and venous thromboembolism (VTE), result in harm … Ulcer A pressure ulcer that, on admission, was at stage/category III or stage/category IV or was … /category I or stage/category II A pressure ulcer whose most advanced stage is unknown A mucosal

346. Long-term Care Resources | Agency for Healthcare Research and Quality
     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

347. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
     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

348. Declines in Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/infographics/hac-rates_2019.html
     July 01, 2020 - Pressure ulcers: 6% increase. Surgical site infections: 8% increase.

349. Slide 1
     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

350. Dailygoals (doc file)
     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 …

351. Background for AHRQ Quality Indicators
     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

352. Resources and Tools on Patient and Healthcare Workforce Safety | Agency for Healthcare Research and Quality
     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

353. Hospitals and Health Systems | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/index.html
     February 01, 2025 - Improving Patient Safety Systems for Patients with Limited English Proficiency NICU Toolkit Preventing Pressure … Ulcers in Hospitals QI Toolkit for Hospitals RED (Re-Engineered Discharge) Toolkit Universal ICU Decolonization

354. One-Pager-Cellulitis (doc file)
     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

355. Staff Presentation Template (pdf file)
     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

356. Central Venous Catheter Indications and Alternatives
     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

357. Daily Goals Checklist | Agency for Healthcare Research and Quality
     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…

358. PS Grantee | Agency for Healthcare Research and Quality
     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

359. Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 | Agency for Healthcare Research and Quality
     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

360. Final Progress Report: Accountability and Health Safety – A Statewide Approach (pdf file)
     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.