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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/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/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/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/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/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,
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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
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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
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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.
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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
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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
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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
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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/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
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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/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