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  1. www.ahrq.gov/pqmp/measures/index.html?page=0
    Measurement (CEPQM) NQF Endorsement Number: 3136 Initial Risk Assessment for Immobility-Related PressureUlcer Within 24 Hours of Pediatric Intensive Care Unit (PICU) Admission Measure Subdomain: Management
  2. 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  Pressureulcer  Peripheral vascular disease  Respiratory, other nonpneumonia  Renal disease  Seizure
  3. 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  Pressureulcer  Peripheral vascular disease  Respiratory, other nonpneumonia  Renal disease  Seizure
  4. 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
  5. www.ahrq.gov/npsd/data/chartbook/index.html
    February 01, 2025 - falls, devices and medical/surgical supply, medication and other substances, perinatal incidents, and pressureulcers.
  6. www.ahrq.gov/hai/pfp/interimhac2013-ap2.html
    December 01, 2014 - Adverse Events (2012 data used in lieu of 2013) 82,000 77,000 5,000 6% $15,000,000 7 PressureUlcers 1,320,000 1,060,000 260,000 20% $4,420,000,000 18,824 Surgical Site Infections
  7. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
    January 01, 2022 - example, maternal-related AE can only be evaluated in a subset of all the sampled claims, while fall and pressureulcer can be evaluated from all claims.
  8. www.ahrq.gov/news/newsroom/case-studies/201521.html
    July 01, 2015 - decrease in central line-associated bloodstream infections and a 50 percent decrease in hospital-acquired pressureulcers since 2011.
  9. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form_Word_doc_for_html_only.doc
    June 02, 2025 - MEDICAL CARE REFERRAL FORM USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY BE SUSPECTED, AND IS BEING REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPITAL. To: _______________________________________________ Phone: ________________ Fax: ______________…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1a_pdi_pdifactsheet.pdf
    October 01, 2015 - Infection Rate 25.18 0478 2013 PDI 01 Accidental Puncture or Laceration Rate 0.46 0344 2012 PDI 02 PressureUlcer Rate 0.27 0337 2015 PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count N/A*
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
    October 01, 2015 - Infection Rate 25.18 0478 2013 PDI 01 Accidental Puncture or Laceration Rate 0.46 0344 2012 PDI 02 PressureUlcer Rate 0.27 0337 2015 PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count N/A*
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
    June 01, 2017 - status change |___| Mental disorder/psychosis |___| Neoplasm |___| Pneumonia |___| Pressureulcer |___| Peripheral vascular disease |___| Respiratory, other nonpneumonia |___| Renal
  13. www.ahrq.gov/hai/pfp/interimhacrate2014.html
    January 01, 2018 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse
  14. www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti-transcript.html
    November 01, 2015 - Again, this is a good visual of we're not talking about just a little stage 1 or stage 2 pressure ulcer … The catheter itself can actually cause pressure ulcers just as much as incontinence can.
  15. www.ahrq.gov/hai/cauti-tools/archived-webinars/no-more-cauti-transcript.html
    December 01, 2017 - Again, this is a good visual of we're not talking about just a little stage 1 or stage 2 pressure ulcer … The catheter itself can actually cause pressure ulcers just as much as incontinence can.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
    May 05, 2015 - Again, this is a good visual of we're not talking about just a little stage 1 or stage 2 pressure ulcer … The catheter itself can actually cause pressure ulcers just as much as incontinence can.
  17. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
    May 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality MEDICAL CARE REFERRAL FORM USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY BE SUSPECTED, AND IS BEING REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPIT…
  18. www.ahrq.gov/news/newsroom/case-studies/202504.html
    June 01, 2025 - The latter two areas are primarily concerned with PSIs for pressure ulcers and falls.
  19. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Intensive Care Unit (ICU) Daily Goals Checklist ICU & Non-ICU Problem statement: Clear communication among healthcare providers is essential. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communic…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
    January 29, 2008 - ulcer (bed sores); or postoperative sepsis (blood infection). … Decubitus ulcer 5. Failure to rescue 6. Foreign body left during procedure 7. … • Monitoring errors, such as bedsores, failure to rescue, and patient falls. … ulcer monitoring error • Increased checking of inpatients for decubitus ulcers • Monitoring … forms or behavioral checklists • Decubitus ulcer incidence rate feedback • Supervisor praise

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