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401. Preventablehospitalandedvisits-Implmatl (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
     June 03, 2025 - status   Oxygen dependency   Confusion/mental status change   Any full thickness wound (e.g., pressure … ulcers [Stage II or greater], surgical wound, stasis ulcer)   Polypharmacy (15 or more medications … Chronic pressure ulcers Yes  No  L. Recurrent UTI Yes  No  M. Anemia Yes  No  N.

402. Final Progress Report: Effects of Patient Turnover on Nursing Care and Patient Outcomes in Acute Care Hospital Settings (pdf file)
     www.ahrq.gov/sites/default/files/2024-09/park-report.pdf
     January 01, 2024 - NDNQI Unit-acquired pressure injury Unit Number of patients who acquired a pressure ulcer after arrival … to the unit/total number of patients assessed in the pressure ulcer survey.

403. Improving the Value of Patient Safety Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
     June 12, 2008 - taxonomies include mistakes (e.g., prescribing errors) and the outcome of mistakes (e.g., p falls, decubitus … ulcers) as event types. … However, falls and decubitus ulcers are visible ha (outcomes) that might have resulted from failure to … the proportion of incidents in the ICUSRS with harm identified, it is not surprising that falls and decubitus … ulcers were among the highest.

404. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
     January 01, 2017 - Estimated Additional Costs of Healthcare-Acquired Conditions (HACs) Series 1 VAPs SSIs CLABSI Other HACs Pressure … Ulcers Post-op DVTs Falls Adverse Drug Events Obstetric Adverse Events CAUTI 21001 21000 17000 17000 … Sheet1 Series 1 VAPs $ 21,001 SSIs $ 21,000 CLABSI $ 17,000 Other HACs $ 17,000 Pressure … Ulcers $ 17,000 Post-op DVTs $ 8,000 Falls $ 7,234 Adverse Drug Events $ 5,000 Obstetric

405. Preventing Device-Associated Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
     October 01, 2015 - associated with many infectious and noninfectious complications including immobility (with potential pressure … ulcers and increased risk for thromboembolism), trauma, and debility.

406. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=3
     January 01, 2024 - Grant Number: R01 HS 22903 Topic(s): Pressure Ulcers Publication Date: June 2020 Occult Uterine

407. Session 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
     October 01, 2014 - Reddened or darkened skin near a pressure point, or skin breakdown in those areas, can lead to a full pressure … ulcer (bed sore) if not responded to promptly.

408. Appendix E | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
     April 01, 2018 - Delirium 2 427  -- Nosocomial Infections 3 450  -- Patient Falls 11 428  -- Pressure … Ulcers 5 430  -- Venous Thrombosis and Thromboembolism 0 414 Medication Safety

409. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
     May 06, 2008 - have also been instrumental in the development of programs for falls risk assessment and mitigation, pressure … ulcer risk assessment and mitigation, and a suicide risk assessment, all of which have been hard-wired … assessments, implemented in 14 organizations, require every nurse to assess each patient’s risk for falls, pressure … ulcers, and suicide consistently across all 14 organizations. … There has been a 36 percent reduction in the pressure ulcer rate since July 2006.

410. Prevehosp-Reports-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
     November 30, 2013 - ulcer  Peripheral vascular disease  Respiratory, other nonpneumonia  Renal disease  Seizure … ulcer, fall risk, late-loss ADL index score greater than or equal to 12 [based on RUG-III], cognitive … ulcer, and two medical conditions (cellulitis and hypertension) would trigger Rule 2. … ulcer. … If there is a pressure ulcer stage 2, 3, 4, or unstageable recorded as present within 7 days of the

411. Supportive and Palliative Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/supportive.html
     June 01, 2018 - Weight loss also may lead to muscle wasting, infections, and increased risk of pressure ulcers.

412. Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
     June 02, 2025 - five PSIs that have been identified as priorities at HMC based on the volume of cases: • PSI 03 Pressure … Ulcer Rate • PSI 07 Central Venous Catheter-Related Blood Stream Infection Rate • PSI 11 Postoperative

413. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
     March 10, 2008 - puerperium) No No PSI 2: Death in low- mortality No, because it heavily relies on DRG PSI 3: Decubitus … ulcer Yes All medical and surgical discharges age ≥18 years, length of stay >4 days MDC 9 (skin … For decubitus ulcer (PSI 3), a major exclusion group covers hemiplegias and other neurologic problems … Although there are specific codes for decubitus ulcer (PSI 3) in both ICD-9-CM and ICD-10-WHO, the ICD … -10-WHO code L89 (decubitus ulcer) does not specify the site of the ulcer, while M70 codes describe

414. Part Two: Removing the Obstacles to Practice Change | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
     October 01, 2020 - While a catheter may prove useful in advanced-stage pressure ulcers, there are many other products that

415. AHRQ Views: Celebrating the 40th Anniversary of the U.S. Preventive Services Task Force | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/920.html
     July 01, 2024 - 36 states from AHRQ’s Healthcare Cost and Utilization Project focusing on adverse outcomes such as pressure … ulcers and mortality rates for conditions like heart failure and hip fracture.

416. Appendix E. Training and Educational Materials | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape.html
     September 01, 2013 - CHG can be applied to any superficial wound, including stage 1 and stage 2 decubitus ulcers, friable

417. Appendix E. Training and Educational Materials | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-ape.html
     September 01, 2013 - CHG can be applied to any superficial wound, including stage 1 and stage 2 decubitus ulcers, friable

418. 2021 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
     December 01, 2021 - neonate per 1,000 selected live births HCUP 2018 High-risk, long-stay nursing home patients with pressure … ulcer MDS 2018 Low-risk, and left in long-stay nursing the bladder home residents with a catheter … ulcers that are new or MDS 2018 Adults who reported a home health care provider talking about how … ulcer MDS 2018 Low-risk, and left in long-stay nursing the bladder home residents with a catheter … ulcers that are new or MDS 2018 Adults who reported a home health care provider talking about how

419. Appendix F. CAUTI Prevention in Long-Term Care: Frequently Asked Questions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.html
     March 01, 2017 - Assistance in healing of open pressure ulcers, skin grafts, and stage III or IV perineal and sacral wounds

420. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
     March 01, 2017 - . · Assistance in healing of open pressure ulcers, skin grafts, and stage III or IV perineal and sacral