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341. Table 19B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19b.html
     March 01, 2023 - 8,456 8,118 Composite: ACSC Overall 25,741 19,330 21,845 20,450 21,888 19,402 Pressure … Ulcer 4,659 3,573 4,127 3,570 4,133 3,186 Injurious Falls 476 335 399 346 … 8,162 8,798 8,469 8,012 Composite: ACSC Overall 20,856 22,154 22,042 18,402 Pressure … Ulcer 4,014 3,688 4,171 2,882 Injurious Falls 384 365 381 366 Notes

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45533/psn-pdf
     November 02, 2016 - improvement project in the United Kingdom to address four patient safety issues: venous thromboembolism, pressure … ulcers, catheter–associated urinary tract infections, and falls. … preventability-hospital-acquired-venous-thromboembolism https://psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72478/psn-pdf
     November 18, 2020 - examined the effect of unit-level nursing functional flexibility on the incidence of hospital-acquired pressure … ulcers. … Results indicate that higher use of functionally flexible nurses was associated with a higher number of pressure … ulcers, but this effect was moderated when coworker support within the unit was high. … nurse-working-conditions-and-patient-safety-outcomes https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

344. Statistical Brief #96: Potentially Preventable Hospitalizations among Medicare-Medicaid Dual Eligibles, 2008 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
     September 01, 2010 - ■ Among the nine selected potentially preventable hospitalizations, stays for pressure ulcers had … Data are also presented on injurious falls and pressure ulcers, two conditions that are highly relevant … Stays principally for pressure ulcers were relatively rare among other Medicare beneficiaries (49 stays … ulcers (32 percent of all dual eligible pressure ulcer stays), asthma (30 percent of all dual eligible … Data are also presented on pressure ulcers and injurious falls, two conditions that are not from the

345. FAQs (Staff): Wound Cleaning (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.docx
     March 01, 2022 - CHG in clinical trials with the explicit instructions to clean superficial wounds and stage 1 and 2 decubitus … ulcers. … CHG can be applied to any superficial wound, including stage 1 and 2 decubitus ulcers, friable skin/rashes

346. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - Adverse Events PSI OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) Pressure … Ulcers MPSMS Hospital-Acquired Pressure Ulcers Surgical Site Infections NHSN SSIs combined … Ulcers Hospital-Acquired Pressure Ulcers 53.03 62.45 0.85 VAP Ventilator-Associated … Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,300 32,750,000 2.513 Pressure … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,317,211 32,750,000 40.220 Surgical Site

347. Data Submission Dashboard (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2024.xlsx
     January 01, 2024 - 10.5% Surgery or Anesthesia CFER-H V1.1 25,264 9.4% Surgery or Anesthesia CFER-H V1.2 132,724 5.2% Pressure … Ulcer CFER-H V1.1 16,374 6.1% Pressure Ulcer CFER-H V1.2 124,964 4.9% Device or Medical/Surgical Supply

348. Small and Rural Critical Access Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
     October 01, 2014 - Walking Through the Process Eliminate Hospital-Acquired Stage 3/4 Pressure Ulcers on the Unit  … meeting; educate on science of safety, data, goals Research the evidence-based practices that eliminate pressure … ulcers Return to Contents   Slide 13. … unit Implement teamwork tools Provide feedback, investigate each case Eliminate Stage 3, 4 Pressure … Ulcers Comprehensive skin assessment Standardized pressure ulcer risk assessment Care planning

349. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - ulcers, and about 16 percent from catheter-associated urinary tract infections (CAUTIs) ( Exhibit 4 … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Ulcers MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 Surgical Site Infections … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC. 1 AHRQ Partnership for Patients Web page

350. Injuries and Wounds | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/injuries-and-wounds.html
     Topic: Injuries and Wounds AHRQ wound research centers on pressure ulcers.

351. Lessons Learned, Successes, and Barriers | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/lessons-learned-successes-and
     January 01, 2023 - This review pertains to a project that standardized pressure ulcer data elements and electronic documentation

352. The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. | PSNet
     psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
     September 15, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … See More About The Topic Long-Term Care Quality and Safety Professionals Geriatrics Pressure … Ulcers Patient Falls View More

353. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
     December 01, 2012 - All but two of the indicators (Pressure Ulcer and Injurious Falls) build on existing AHRQ Prevention … Pressure Ulcer. Injurious Falls.

354. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
     September 01, 2014 - Obstetric Adverse Events PSI OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) Pressure … Ulcers MPSMS Hospital-Acquired Pressure Ulcers Surgical Site Infections NHSN SSIs combined for 17 procedures … Ulcers Hospital-Acquired Pressure Ulcers 53.03 62.45 0.85 VAP Ventilator-Associated Pneumonia … Discharges (HCUP) 2010 PFP Measured HACs per 1,000 Discharges Pressure Ulcer MPSMS Hospital-Acquired … Pressure Ulcers 1,317,211 32,750,000 40.220 Surgical Site Infection NHSN SSIs for 17 procedures in

355. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pptx
     October 01, 2015 - Ulcer Rate PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count PDI 05 Iatrogenic Pneumothorax … ulcer) Denominator = population at risk (e.g., hospitalized patients) Observed rate = numerator/denominator … ulcer in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the … Several exclusions (e.g., length of stay <5 days, principal diagnosis of pressure ulcer). … An Example: Pressure Ulcer (PDI 02) Tool A.2 Slide ‹#› Pediatric Toolkit for Using the AHRQ Quality

356. Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare. | PSNet
     psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
     August 24, 2022 - Download Citation Related Resources From the Same Author(s) Accuracy of pressure … ulcer events in US nursing home ratings. … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings.

357. Addressing Questions Asked by Staff: Wound Cleaning (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.pdf
     March 01, 2022 - CHG in clinical trials with the explicit instructions to clean superficial wounds and stage 1 and 2 decubitus … ulcers. … CHG can be applied to any superficial wound, including stage 1 and 2 decubitus ulcers, friable skin/

358. AHRQ National Scorecard on Hospital-Acquired Conditions: Updated Baseline Rates and Preliminary Results 2014-2016 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
     January 01, 2016 - ulcers and falls. … ulcers increased from 2014 to 2016. … Ulcer MPSMS Hospital-Acquired Pressure Ulcers Surgical Site Infection NHSN SSIs for 17 procedures … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 643,230 21.62 Surgical Site Infection NHSN SSIs … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 0643,23 21.62 708,301 23.81 704,906 23.69 Surgical

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45202/psn-pdf
     October 08, 2016 - psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury- policy Pressure … ulcers are never events that continue to occur, despite potential repercussions on reimbursement. … towards-international-consensus-patient-harm-perspectives-pressure-injury-policy https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

360. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - ulcers/pressure injuries and falls. … ulcers/pressure injuries increased from 2014 to 2015 and then decreased somewhat from 2015 to 2016 … Ulcers/ Pressure Injuries 21.7 23.5 22.7 23.0 6% Surgical Site Infections 2.5 2.5 2.5 2.7 8% … Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs … Ulcer MPSMS Hospital- Acquired Pressure 647,096 21.75 699,790 23.52 676,834 22.75 682,984 22.96