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www.ahrq.gov/news/newsletters/e-newsletter/854.html
March 01, 2023 - March 13, 2023
AHRQ Stats: Prevalence of Pressure Ulcers by Race
In 2019, 7 percent of Black patients … American Native patients, 5.9 percent of Asian patients and 4.8 percent of Hispanic patients developed a pressure … ulcer, compared with just 4.3 percent of White patients.
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www.ahrq.gov/news/newsletters/e-newsletter/750.html
February 01, 2021 - resource that shows recent gains in safety include declining rates of urinary tract infections and pressure … ulcers in nursing homes. … example, high-risk Black patients in long-stay nursing homes were more likely than Whites to have a pressure … ulcer (7.2 percent vs. 4.3 percent).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/pstools/patient-safety-tools-flyer.pdf
March 01, 2019 - Web: ahrq.gov/vtguide
Preventing Pressure Ulcers: A Toolkit for Improving
Quality of Care in Hospitals … is a toolkit that assists
hospital staff in implementing effective pressure ulcer
prevention practices … Ulcers in Hospitals Toolkit. … Ulcer Prevention is a team
training curriculum to help
nursing homes with electronic
medical records … reduce the
occurrence of pressure ulcers.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - patients at
“CAUTI
“Incontinent 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
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www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_v3_MeasureList.xls
June 16, 2012 - DRGs Dying in the hospital while getting care for a condition that rarely results in death Y 1.0
PSI3 Pressure … Ulcer Developing a bed sore in the hospital N 1.1
PSI4 Death in surgical inpatients Dying in the hospital
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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
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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
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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
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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
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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
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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
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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
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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.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
December 01, 2012 - higher rates on all measures other than Short-Term Complications of Diabetes, Bacterial Pneumonia, and Pressure … Ulcer. … The exceptions are Pressure Ulcer, which is effectively equal in urban and nonurban areas, and Infection … Rates for women in the Medicaid-only population are always higher than for men except in Pressure Ulcer … The main exception to the county-level age pattern is the Pressure Ulcer measure, for which rates are
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www.ahrq.gov/research/findings/studies/index.html?page=424
January 01, 2024 - Screening, Imaging, Women
Alexander GL Nurse assistant communication strategies about pressure … ulcers in nursing homes. … The author explored strategies nursing assistants use to communicate pressure ulcer prevention practices … Nurse assistant communication strategies about pressure ulcers in nursing homes. … Keywords: Communication, Health Information Technology (HIT), Nursing Homes, Pressure Ulcers, Prevention
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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
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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
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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…
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www.ahrq.gov/data/infographics/hac-rates_2019.html
July 01, 2020 - Pressure ulcers: 6% increase. Surgical site infections: 8% increase.
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www.ahrq.gov/pcor/ahrq-dissemination-and-implementation-initiative/pcor-findings-nominated-for-consideration.html
March 01, 2021 - Using Clinical Data to Predict High-Cost Performance Coding Issues Associated with Hospital-Acquired Pressure … Ulcers: A Multilevel Cohort Analysis.