-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
April 01, 2022 - strict immobility post-procedure, and urinary incontinence contaminating open (stage 3 or stage 4) pressure … ulcers. … ulcers and weakness from less walking. … ulcers. … ulcers.
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www.ahrq.gov/hai/pfp/interimhac2013-ref.html
December 01, 2014 - Pressure Ulcers
Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health . … Improvement report on reduction of nosocomial pressure ulcers, University of Minnesota Medical Center … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit
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www.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - Pressure Ulcers
Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health . … Improvement report on reduction of nosocomial pressure ulcers, University of Minnesota Medical Center … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
April 01, 2022 - Closed pressure ulcers: stage I, deep tissue injury No No, unless has chronic ISC needs Yes, if the patient … Open pressure ulcers: stage II Uncertain Yes Yes, if the patient is unable to toilet using other means … , bedpan, bedside commode, bathroom All†
Open pressure ulcers: stages III-IV, unstageable Yes Yes,
-
www.ahrq.gov/research/publications/ahrq-info-quality-gdlns-update.html
June 01, 2018 - that give easy-to-understand guidance on how to implement quality improvements, such as Preventing Pressure … Ulcers in Hospitals: A Toolkit for Improving the Quality of Care and the AHRQ Health Literacy Universal
-
www.ahrq.gov/talkingquality/measures/setting/long-term-care/nursing-home/examples.html
April 01, 2019 - Patient Safety Measures:
Percentage of low-risk, long-stay residents with pressure ulcers.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
March 01, 2016 - Rate 0 0 - 0.0006572
PDI1 PDI #1 Accidental Puncture or Laceration Rate 0 0 - 0.00053522
PDI2 PDI #2 Pressure … Ulcer Rate 0 0 - 0.00013297
PDI3 PDI #3 Retained Surgical Item/Unretrieved Device Fragment Count 0 … Count 0 - - -
PSI2 PSI #2 Death Rate in Low-Mortality DRGs 8 132 0.06060606 0.00028197
PSI3 PSI #3 Pressure … Ulcer Rate 0 47 0 0.00040548
PSI4 PSI #4 DeathRateSurgInpatientswSeriousTreatableComplications 0 0 … Ulcer Rate 0 47 0 0.000832 0 0.000405 0 0.000379
PSI #4 Death Rate among Surgical
Inpatients with
-
www.ahrq.gov/pqmp/measures/index.html
June 09, 2025 - Measurement (CEPQM) NQF Endorsement Number: 3136
Initial Risk Assessment for Immobility-Related Pressure … Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure Subdomain: Management
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/intro.html
June 01, 2017 - Table 1 lists reports and implementation materials for pressure ulcer healing.
Table 1.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
June 02, 2025 - 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
-
www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndapb.html
December 01, 2012 - 4.5,2
0010
Postoperative wound dehiscence (PDI 11) (AHRQ)
6,3
5,3.75
0005
Pressure … ulcer rate (PDI 2) (AHRQ)
7,3
6.5,3.75
0004
Accidental puncture or laceration (PDI 1
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
June 01, 2017 - |___|
Confusion/mental status change
|___|
|___|
Any full thickness wound (e.g., pressure … ulcers [Stage II or greater], surgical wound, stasis ulcer)
|___|
|___|
Polypharmacy (15 or … Chronic pressure ulcers
Yes |___|
No |___|
L.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-nh_webcast-castle.pdf
January 01, 2006 - Hospitals
►Moving, Transferring, or Lifting Residents
►Medication errors
►Falls
►Pressure ulcers
►Sanitation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2b_pdi_ratesgenbywin.pdf
March 01, 2016 - - 2.46621024
PDI 1 PDI #1 Accidental Puncture or Laceration Rate 1 2 0.5 0.05664000
PDI 2 PDI #2 Pressure … Ulcer Rate 0 1 0 0.15210459
PDI 3 PDI #3 Retained Surgical Item or Unretrieved Device Fragment 0 0 … Infection
0 0.117371
PDI #1 Accidental Puncture or
Laceration
1 2 0.5 0.05664000
PDI #2 Pressure … Ulcer Rate 0 1 0 0.000251 0 0.15210459 0 0.000436
PDI #3 Retained Surgical Item or
Unretrieved Device
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - Kidney infection
Medication reaction
Mental status change
Mental disorder/psychosis
Neoplasm
Pneumonia
Pressure … ulcer
Peripheral vascular disease
Respiratory, other nonpneumonia
Renal disease
Seizure
Sepsis/urosepsis … showing 15 active medications during the report week, active high-risk diagnosis of UTI, stage III pressure … ulcer, and two medical conditions: cellulitis and hypertension
Rules for Determining High Risk
Rule … Ulcer Fall Risk Late-Loss ADL Score ≥12 Cognitive Impairment Medical Conditions** High-Risk Medications
-
www.ahrq.gov/pqmp/measures/index.html?page=0
Measurement (CEPQM) NQF Endorsement Number: 3136
Initial Risk Assessment for Immobility-Related Pressure … Ulcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure Subdomain: Management
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
June 02, 2025 - Medication reaction
Mental status change
Mental disorder/psychosis
Neoplasm
Pneumonia
Pressure … ulcer
Peripheral vascular disease
Respiratory, other nonpneumonia
Renal disease
Seizure
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 02, 2025 - Medication reaction
Mental status change
Mental disorder/psychosis
Neoplasm
Pneumonia
Pressure … ulcer
Peripheral vascular disease
Respiratory, other nonpneumonia
Renal disease
Seizure
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
January 01, 2023 - Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022
PATIENT
SAFETY
Adverse Events
Among Medicare
Hospitalizations in
2021–2023
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…
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www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of urinary incontinence despite wound care … Incontinence without a sacral or perineal pressure sore —Urinary catheters should not be routinely placed … ulcers), and deep venous thrombosis. … ulcer, or similarly severe wounds of other types, that cannot be kept clear of urinary incontinence … ulcers or similarly severe wounds of other types that cannot be kept clear of urinary incontinence despite