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341. How To Implement the Pressure Injury Prevention Program in Your Organization
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
     November 20, 2014 - Tool 4C 34 Staff Knowledge Assessment Tool 2G: Pieper Pressure Ulcer Knowledge Test 35 Staff

342. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
     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

343. C2 Prioritization Worksheet Example (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.xlsx
     May 25, 2016 - 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

344. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=477
     January 01, 2024 - ulcer prevention program: a facilitator-assisted clinical decision support intervention for nursing … ulcers among nursing home residents. … They found that On-Time implementation is associated with sizable reductions in pressure ulcer incidence … Evaluation of AHRQ's on-time pressure ulcer prevention program: a facilitator-assisted clinical decision … Keywords: Clinical Decision Support (CDS), Long-Term Care, Nursing Homes, Pressure Ulcers, Prevention

345. University of Missouri Health Care Decreases Pressure Injuries and Saves in Avoidable Costs | Agency for Healthcare Research and Quality
     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

346. Appendix | Agency for Healthcare Research and Quality
     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

347. Patient Safety Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - The strategies can help prevent harmful events such as medication errors, bed sores, and healthcare-associated … The Preventing Pressure Ulcers in Hospitals Toolkit assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … The toolkit draws on literature on best practices in pressure ulcer prevention and includes both validated

348. Resources by Safety Topic | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/resources/type-harm.html
     March 01, 2025 - Preparedness Falls Hospital-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

349. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/index.html?page=7
     January 01, 2016 - University of Texas Southwestern Date: January 2016 AHRQ Research Findings Support Effort to Reduce Pressure … Ulcers in Virginia Impact Case Study Identifier: 2015-32 AHRQ Product(s): Research Topic(s): Prevention … , Long-Term Care, Pressure Ulcers, Patient Self-Management, Chronic Conditions Geographic Location:

350. Appendix L. Intensive Care Unit Infographic Poster | Agency for Healthcare Research and Quality
     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

351. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
     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

352. Declines in Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
     June 04, 2018 - Infections +CLABSI - Central Line-Associated Bloodstream Infection Falls Obstetric Adverse Events Pressure … Ulcers Surgical Site Infections Ventilator- Associated Pneumonias 0% (Post-op) Venous

353. 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 …

354. Final Progress Report: 2008 Local Area Networks for Excellence (LANE) Conference (pdf file)
     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

355. Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.pdf
     April 01, 2022 - � Comfort care � Urological/perineal procedure � Stage 3 or greater pressure ulcer in perineal area

356. Learn From Defects Tool Worksheet: Catheter-Associated Urinary Tract Infection (CAUTI) (pdf file)
     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

357. Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes (pdf file)
     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.

358. Declines in Hospital-Acquired Conditions (pdf file)
     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-

359. Declines in Hospital-Acquired Conditions (pdf file)
     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-

360. Declines in Hospital-Acquired Conditions (pdf file)
     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