-
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
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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/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
-
www.ahrq.gov/npsd/data/chartbook/index.html
February 01, 2025 - falls, devices and medical/surgical supply, medication and other substances, perinatal incidents, and pressure … ulcers.
-
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
Pressure … Ulcers
1,320,000
1,060,000
260,000
20%
$4,420,000,000
18,824
Surgical Site Infections
-
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 pressure … ulcer can be evaluated from all claims.
-
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 pressure … ulcers since 2011.
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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: ______________…
-
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 Pressure … Ulcer Rate 0.27 0337 2015
PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count N/A*
-
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 Pressure … Ulcer Rate 0.27 0337 2015
PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count N/A*
-
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
|___| Pressure … ulcer
|___| Peripheral vascular disease
|___| Respiratory, other nonpneumonia
|___| Renal
-
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
-
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.
-
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.
-
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.
-
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…
-
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.
-
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…
-
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