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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
June 02, 2025 - Ulcers in Hospitals Toolkit in this hospital’s Pressure Injury Prevention Program. … Ulcer Prevention — AHRQ Pressure Injury Prevention Program Implementation Sharing Webinar
· Putting … 3C: Pressure Ulcer Identification Pocket Pad
· Tool 3D: The Braden Scale for Predicting Pressure Sore … Medical device related pressure ulcers in hospitalized patients. Int Wound J 2010;7:358-65. … Consider using Tool 3C: Pressure Ulcer Identification Pocket Pad (shown on the next slide) for communication
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3b_combo_resultspresentation.pptx
January 01, 2012 - However, Pressure Ulcers (PSI 03) occur at higher rates than the national average – this may be an area … ulcer and any secondary ICD-10-CM diagnosis codes for pressure ulcer stage III or IV (or unstageable … A PSI Example: Pressure Ulcer (PSI 03)
Toolkit for Using the AHRQ Quality Indicators
How to Improve … Examining Observed Rates of Pressure Ulcers (PSI 03)
Observed Rate 2006 2007 2008 2009 2010 2011 2012 … Comparing Risk-Adjusted Rates of Pressure Ulcers (PSI 03) to National Average Rates
Risk-Adjusted Rate
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psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
September 27, 2016 - Pressure ulcers are never events that continue to occur, despite potential repercussions on reimbursement … December 8, 2021
Medical device-related pressure ulcers: a systematic review and meta-analysis … March 6, 2019
Success in hospital-acquired pressure ulcer prevention: a tale in two data … February 3, 2015
Preventing in-facility pressure ulcers as a patient safety strategy: … Ulcers
View More
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/exercises4.html
December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Facilitator Training—Additional … a
a
a
f
e
Return to Additional Exercises Contents
Proceed to Next Section
Return to Pressure … Ulcer Prevention
Alternate Formats
Additional Exercises [ - 948.29 KB]
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www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
January 01, 2025 - To further focus the research effort, the problem of pressure ulcers was selected because of the
broad … The preventable harm we selected
is that of pressure ulcers because of its large adverse impact. … Pressure ulcers are an epidemic
problem in the United States, affecting 2.5 million people; they are … ulcer.5 Thus, pressure
ulcers represented a meaningful challenge area to demonstrate how rapid prototyping … The Financial Impact of Pressure Ulcers (White paper).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
April 04, 2008 - For example, African American and Latino veterans are at higher risk of decubitus ulcers than
whites … ulcers, in addition to
continuing efforts to lower decubitus ulcer rates overall, it is important for … the VHA to eliminate
racial disparities in pressure ulcer rates. … Pressure ulcers:
More lethal than we thought? Adv Skin Wound Care
2005; 18: 367-372.
31. … Pressure ulcer risk assessment in
patients with darkly pigmented skin.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16.html
December 01, 2012 - Ulcer
3,322
4,088
3,865
3,029
3,557
3,496
Injurious Falls
256
436
294
308 … Ulcer
3,754
4,475
4,359
3,374
3,884
3,947
Injurious Falls
331
531
376
387 … Ulcer
2,118
2,834
2,481
1,988
2,480
2,233
Injurious Falls
48
127
63
70
110 … Ulcer
1,348
1,729
1,777
1,154
1,411
1,428
Injurious Falls
65
102
76
70
88 … Ulcer
2,614
3,022
2,987
2,392
2,628
2,719
Injurious Falls
212
363
233
258
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www.ahrq.gov/hai/pfp/haccost2017-appendix.html
November 01, 2017 - Ulcers
(("Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "Bedsore" [tiab] OR "Bed Sores" [tiab … ] OR "Decubitus Ulcer" [tiab] OR "Pressure Sore" [MeSH] OR "Pressure Sore" [tiab] OR "Suspected Deep … Tissue Injury" [tiab] OR "Pressure Ulcer" [MeSH] OR "Pressure Ulcer" [tiab] OR "osteomyelitis" [MeSH] … Ulcer
All hospitalized patients who are at risk to have pressure ulcer
0.018 c
2.42–5.06
3.26 … Marginal hospital cost of surgery-related hospital-acquired pressure ulcers.
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psnet.ahrq.gov/node/48134/psn-pdf
August 14, 2019 - effective method to utilize root
cause analysis results to determine latent weaknesses that facilitate pressure … ulcer development. … root-cause-analysis-hospital-acquired-pressure-injury
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
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effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1306.pdf
June 01, 2013 - PEPTIC ULCER #11
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 11: Peptic Ulcer Disease and Dyspepsia
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
ww…
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www.ahrq.gov/talkingquality/translate/labels/describe.html
January 01, 2023 - Overall, the rate of patients who have pressure ulcers at MGH is low. … They are also supported in their work toward pressure ulcer prevention by their local Clinical Nurse … Bed surface is a key factor in preventing pressure ulcers. … The highest percentage of pressure ulcers occur in our intensive care areas where our patients have complex
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-8-a-ehr-data-feasibility-tool.pdf
June 02, 2025 - time) >= 24 hours
3 Initial Risk Assessment for
Immobility-related Pressure
Ulcer within 24 hours … of PICU
Admission
Occurrence of
administration of a pressure
ulcer risk assessment by
standardized … pressure
ulcer risk assessment tool was documented within
24 hours of admission. … If not, do you use another
standardized pressure ulcer risk assessment tool? … 3 How do you document the results of a standardized pressure ulcer risk
assessment tool?
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psnet.ahrq.gov/node/60758/psn-pdf
August 05, 2020 - Decubitus ulcers were the most common diagnosis in
claims involving ICU nurses and compared to nurses … lessons-learned-medical-malpractice-claims-involving-critical-care-nurses
https://psnet.ahrq.gov/issue/crico
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
October 10, 2018 - summarizes recommended actions to assist health care teams in mitigating harmful healthcare-acquired pressure … ulcers including recognition of conditional risks and educational strategies . … September 14, 2022
Accuracy of pressure ulcer events in US nursing home ratings. … See More About The Topic
Hospitals
Long-Term Care
Geriatrics
Nurse Care
Pressure … Ulcers
View More
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effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1312.pdf
December 01, 2013 - PEPTIC ULCER #11
AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Priority Area 11: Peptic Ulcer Disease and Dyspepsia
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
ww…
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www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - Reducing the Incidence of Pressure Ulcers
For the hospitalized and home care patient, pressure ulcers … , or bed sores, can be a serious and chronic problem. … The VA viewed pressure ulcer development as an ideal indicator because they are common, required the … The rate of pressure ulcer development dropped from 11.5 percent to zero. … Overall, the VA has experienced a decline in the incidence of pressure ulcers from 4.9 percent in 1990
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www.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international (Kandilov, et … ulcers and matched patients without hospital-acquired Stage III and IV pressure ulcers, based on bivariate … Zhan and Miller estimated that excess mortality due to pressure ulcers was 72 deaths per 1,000 pressure … Mortality for patients with pressure ulcer was compared to mortality among a matched set of patients, … For example, pressure ulcers had a high baseline prevalence, and excess mortality attributed to pressure
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-8-data-feasibility-tool-1.pdf
June 02, 2025 - time) >= 24 hours
3 Initial Risk Assessment for
Immobility-related Pressure
Ulcer within 24 hours … of PICU
Admission
Occurrence of
administration of a pressure
ulcer risk assessment by
standardized … pressure
ulcer risk assessment tool was documented within
24 hours of admission. … If not, do you use another
standardized pressure ulcer risk assessment tool? … 3 How do you document the results of a standardized pressure ulcer risk
assessment tool?
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - The number of hospitalizations involving pressure ulcers increased by about 80% between 1993 and 2006 … Acute care hospitals treat about 2.5 million pressure ulcers each year, and as many as 15% of hospital … patients may have pressure ulcers at any one time. … Include in the medical record complete documentation of any pressure ulcer found. … Pressure Ulcer Risk Assessment at Admission and Daily: Evaluate all patients for pressure ulcers and
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psnet.ahrq.gov/node/47338/psn-pdf
September 19, 2018 - in nursing homes such as poor staffing and communication with families that
contribute to unmanaged pressure … ulcers and sepsis that result in hospital admissions and death. … A
WebM&M commentary discussed a case involving a patient who had a pressure ulcer and sepsis in long … psnet.ahrq.gov/primer/long-term-care-and-patient-safety
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review