-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
March 25, 2008 - For instance, if an injury-based metric identifies a falsely high rate of
decubitus ulcers at a hospital
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - We've expanded to better chucks, putting in chucks that wick, because we also work with the pressure … ulcer department, our walk nurses to reduce those, and make sure that that wasn't going to affect them
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
September 25, 2015 - We've expanded to better chucks, putting in chucks that wick, because we also work with the pressure … ulcer department, our walk nurses to reduce those, and make sure that that wasn't going to affect them
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
January 01, 2020 - ordered (e.g., subcutaneous heparin, sequential compression device)
• Diarrhea – present or absent
• Pressure … ulcer risk – As assessed by the Braden score; includes whether any pressure ulcers
are present
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - reasonably” preventable hospital-acquired conditions—such as
hospital-acquired urinary tract infections and pressure … ulcers—that qualify for reduced
reimbursement (CMS, 2007). … : "Naloxone administration," “Health care-
associated infections: positive C. difficile test,” and "Pressure … ulcer documentation."
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
October 01, 2019 - ulcers. … events associated with the hospital stay and not present on hospital admission
(in-hospital falls and pressure … ulcers). … After Cardiac
Surgery
Postoperative Cardiac Event After Non-cardiac
Surgery
Hospital-Acquired Pressure … Ulcer General 2004-2007 and 2009-2016
Adverse Events Associated With Femoral Artery
Puncture for
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
February 20, 2008 - rapid response teams, ICU, ER, etc
Module 11 Breakout session Chronic care settings: palliative care, pressure … ulcers, falls, etc
Module 12 Breakout session Interventional care settings: surgical care; infection
-
www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
January 01, 2025 - that a significantly higher number of patients in the MRSA group had an
indwelling device (p<0.001), pressure … ulcer (p=0.028), or diabetes mellitus (p=0.007), there were
no differences in the primary infection
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
October 25, 2022 - injury to neonate per 1,000 live births HCUP 2019
High-risk, long-stay nursing home patients with pressure … ulcer MDS 2019
Low-risk, long-stay nursing home residents with a catheter inserted
and left in the … ulcers that are new
or worsened MDS 2018
Adults who reported a home health care provider talking with … ulcer MDS 2019
Low-risk, long-stay nursing home residents with a catheter inserted
and left in the … ulcers that are new or
worsened MDS 2018
Adults who reported a home health care provider talking with
-
www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
January 01, 2024 - Stage 3 or 4 pressure ulcers acquired after admission to a healthcare facility 0.0
G. … perioperative
bleed, deep vein thrombosis, fall, nerve injury, organ injury, pneumonia, pneumothorax, pressure … sore,
sepsis, shock, urinary tract infection, postoperative wound infection, and other.
-
www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
January 01, 2025 - Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL)
Title of Project: Failure to Rescue-Patient Safety Learning Lab (FTR-PSLL)
Principal Investigator and Team Members:
Dartmouth-Hitchcock: George Blike, MD, MHCDS, PI; Susan McGrath, PhD, CoI; Todd McKenzie, PhD;
Irina Pearrard, PhD…
-
www.ahrq.gov/sites/default/files/2024-01/feldman-report.pdf
January 01, 2024 - medication management module was not mandatory, and other more urgent clinical situations
(e.g., a worsened pressure … ulcer) with their associated modules may well have taken
precedence.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - Healthcare-associated Infection
Patients with one or more falls during stay Fall
Stays with one or more pressure … ulcer adverse events Pressure Ulcer
Venous thromboembolism/pulmonary embolism (VTE/PE)
not related
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2017qdrslides110718.pptx
January 01, 2018 - Measures include healthcare-associated infections, pressure ulcers in nursing homes, inappropriate prescription
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-datasources.pdf
December 31, 2021 - infections; seven types of adverse events associated with surgery;
patient falls; and hospital-acquired pressure … ulcers. … events associated with the hospital stay and not present on hospital admission (in
patient falls and pressure … ulcers)
MPSMS also collects and examines patient risk factors, such as demographics and comorbid
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr16/2016nhqdr.pptx
June 28, 2017 - Measures include hospital-acquired infections, pressure ulcers in nursing homes, inappropriate prescription
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - infections; seven types of adverse events associated with surgery;
patient falls; and hospital-acquired pressure … ulcers. … events associated with the hospital stay and not present on hospital admission
(inpatient falls and pressure … ulcers).
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/lepguide/lepguide.pdf
September 01, 2012 - admissions and/or discharge.68
• Greater risk of line infections, surgical infections, falls, and pressure … ulcers due to LEP patients’ longer
hospital stays compared to English-speaking patients with the same … • LEP patients are at greater risk of line infections, surgical infections, falls, and pressure ulcers
-
www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - admissions and/or discharge.68
• Greater risk of line infections, surgical infections, falls, and pressure … ulcers due to LEP patients’ longer
hospital stays compared to English-speaking patients with the same … • LEP patients are at greater risk of line infections, surgical infections, falls, and pressure ulcers
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - Healthcare-associated Infection (HAI)
Patients with one or more falls during stay Fall
Stays with one or more pressure … ulcer adverse events Pressure Ulcer
Venous thromboembolism/pulmonary embolism
(VTE/PE) not related