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241. Table 15B: Outcome Indicators by State Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
     February 01, 2023 - Ulcer 3,481 3,488 3,458 3,512 Injurious Falls 365 245 338 259 Dually Eligible … Ulcer 3,912 3,899 3,818 3,992 Injurious Falls 448 321 423 333 Medicaid-Only … Ulcer 2,094 2,388 2,373 2,172 Injurious Falls 99 43 81 51 I/DD Subpopulation … Ulcer 1,283 1,527 1,280 1,578 Injurious Falls 91 53 84 57 SMI Subpopulation … Ulcer 4,594 3,884 4,481 3,940 Injurious Falls 644 430 625 433 HCBS

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47788/psn-pdf
     March 06, 2019 - Medical device-related pressure ulcers: a systematic review and meta-analysis. … Medical device-related pressure ulcers: A systematic review and meta-analysis. … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis … Hospital-acquired pressure ulcers are considered never events and represent a significant source of … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis

243. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality
     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

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46926/psn-pdf
     March 07, 2018 - A comprehensive program to reduce rates of hospital- acquired pressure ulcers in a system of community … A Comprehensive Program to Reduce Rates of Hospital- Acquired Pressure Ulcers in a System of Community … https://psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers- system-community … This implementation study sought to reduce incidence of pressure ulcers in hospitalized patients using … https://psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers-system-community

245. Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
     October 01, 2017 - An icon of a magnifying glass in front of open book refers to Tool 2G: Pieper Pressure Ulcer Knowledge … A screenshot shows the Pressure Ulcer Prevention Program Action Plan: June 2015 - January 2016.

246. Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhacrate2013.html
     November 01, 2015 - 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

247. Toolkit for Using the AHRQ Quality Indicators - A “How to” Guide for Improving Hospital Quality and Safety | Agency for Healthcare Research and Quality
     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

248. Home and Community-Based Services Quality Indicators: (pdf file)
     qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1A_Details_of_literature_review.pdf
     January 01, 2012 - Pressure Ulcers 20 Pressure Ulcers We sought information on pressure ulcers in key HCBS populations … Evidence for prevention of pressure ulcers in HCBS populations Prevention of Pressure Ulcer Development … Prevention of Pressure Ulcer Progression • Pressure ulcers in vulnerable populations should be assessed … Pressure Ulcer Pressure Ulcers 23 • One study found that pressure ulcers were associated with … Frequency of Admissions for Pressure Ulcer • Pressure ulcers are associated with an average length

249. Pressure Injury Prevention in Hospitals Training Program. | PSNet
     psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
     May 01, 2017 - Pressure ulcers are a common hospital-acquired condition that can lead to patient harm . … designed to help hospitals implement practice and process improvements to reduce the occurrence of pressure … ulcers. … September 6, 2013 Preventing in-facility pressure ulcers as a patient safety strategy … Ulcers Epidemiology of Errors and Adverse Events View More

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37270/psn-pdf
     January 02, 2017 - Preventing pressure ulcers: the goal is zero. January 2, 2017 Duncan KD. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero This article discusses the background … and motivation behind the 5 Million Lives Campaign goal to prevent and eliminate pressure ulcers. … https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero https://psnet.ahrq.gov/issue/5-million-lives-campaign

251. Appendixes | Agency for Healthcare Research and Quality
     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.

252. Board and Senior Leadership PowerPoint Presentations on the AHRQ Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
     October 01, 2015 - ulcer and any secondary ICD-10-CM diagnosis codes for pressure ulcer stage III or IV (or unstageable … • Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … • Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … A PSI Example: Pressure Ulcer (PSI 03)� What are the Inpatient Quality Indicators (IQIs)? … An Example: Pressure Ulcer (PDI 02)� How can the AHRQ QIs be used in quality assessment?

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45147/psn-pdf
     May 25, 2016 - Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … ulcers are considered a never event, and they result in loss of payment for the hospitalization according … ulcers in academic medical centers. … cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

254. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. | PSNet
     psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
     August 09, 2023 - reporting patterns for two measures of nursing home care quality ( falls with major injury and pressure … ulcers ). … August 9, 2023 Accuracy of pressure ulcer events in US nursing home ratings. … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings.

255. Get Ready | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
     October 01, 2017 - organization’s readiness to launch AHRQ’s Pressure Injury Prevention Program, review Section 1 of AHRQ’s Pressure … Ulcer Prevention Toolkit . … more about measurement, see the supplementary training webinars Wound Classification and Measuring Pressure … Ulcer Rates and Prevention Practices and the Learning Network webinar Measurement .)  

256. Pressure Injury Prevention Program Phases | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
     September 01, 2017 - To learn more about the Implementation Team, see Chapter 2 of AHRQ’s Pressure Ulcer Prevention Toolkit … Ulcer Policies, Tool 2D Assessing Screening for Pressure Ulcer Risk, Tool 2E Assessing Pressure … Ulcer Prevention Toolkit . … Ulcer Rates and Prevention Practices and the Learning Network webinar Measurement . … To learn more about sustainment, see the supplementary training webinar Sustaining Pressure Ulcer Prevention

257. lessons learned, successes, and barriers for the ‘Real-Time’ and QIO ‘ON-Time’ projects (pdf file)
     digital.ahrq.gov/sites/default/files/docs/resource/Real_Time_and_On_Time_Lessons_Learned_9_6_06.pdf
     June 16, 2021 - NPULS (National Pressure Ulcer Long Term Care Study) research results helped to focus improvement initiative … By taking an overall systems approach, in addition to incorporating National Pressure Ulcer Long-term … Redesigned clinical workflow to incorporate evidence-based best practices for pressure ulcer prevention … In addition, providing data showing the team’s impact on pressure ulcer rates and operational efficiencies … (Note: in the dissemination initiative ‘On-Time Pressure Ulcer Prevention: Partnership with QIOs’ the

258. PEPTIC ULCER #11 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/11_peptic_ulcer_potential_high_impact_2012-12-111.pdf
     January 01, 2012 - 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…

259. Table 14A: Outcome Indicators by County Supply of Health Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.html
     February 01, 2023 - Ulcer 3,690 3,126 3,660 3,435 3,626 3,404 Injurious Falls 279 344 376 263 … Ulcer 4,133 3,523 3,912 3,945 4,035 3,846 Injurious Falls 355 435 467 339 … Ulcer 2,435 1,929 2,922 1,971 2,477 2,094 Injurious Falls 63 72 107 46 76 … Ulcer 1,524 1,248 1,380 1,455 1,569 1,307 Injurious Falls 74 70 93 59 82 … Ulcer 2,744 2,615 2,612 2,762 2,893 2,560 Injurious Falls 228 282 305 207

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44098/psn-pdf
     April 29, 2015 - ulcers: a systematic review and documentary analysis. … ulcers: a systematic review and documentary analysis. … ulcers. … In hospital and long-term care settings, pressure ulcers are considered preventable complications, but … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review