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psnet.ahrq.gov/node/44845/psn-pdf
July 01, 2016 - room hospital accommodation associated with
differences in healthcare-associated infection, falls,
pressure … ulcers or medication errors? … room hospital accommodation associated with differences in
healthcare-associated infection, falls, pressure … ulcers or medication errors? … Falls,
pressure ulcers, and Clostridium difficile infections increased in the older patients' ward after
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - Ulcers in Hospitals Toolkit training. … Preventing in-facility pressure ulcers. … Ulcers in Hospitals Toolkit. … Preventing in-facility pressure ulcers. … Preventing in-facility pressure ulcers.
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psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
December 01, 2011 - surveyed about perceptions on safety culture , patient advocacy, patient experience, and fall and pressure … ulcer rates. … About The Topic
Hospitals
Operating Room
Nurse Managers
Medical/Surgical Nursing
Pressure … Ulcers
View More
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www.ahrq.gov/es/tools/index.html?page=3
June 01, 2016 - Date Published: August 2016
Setting of Care: Hospital
Preventing Pressure Ulcers … in Hospitals
These materials assist hospital staff in implementing effective pressure ulcer prevention
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www.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
82,000
2.51
77,000
2.36
Pressure … Ulcer
MPSMS
Hospital-Acquired Pressure Ulcers
1,320,000
40.41
1,300,000
39.43
Surgical
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-foot-ulcer-amputation-economics_research.pdf
January 01, 2011 - Economic burden of diabetic foot ulcers and amputations
Data Points #3Diabetic Foot Ulcers
Beneficiaries with a diabetic foot
ulcer are seen by their outpatient
health care provider about 14 times
per year and are hospitalized about
1.5 times per year. The cost of care
for these beneficiaries is substantial,
at…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
September 01, 2017 - Slide 6: On-Time Reports for Four Adverse Events
Four Reports:
Pressure Ulcer Prevention. … Pressure Ulcer Healing.
Falls Prevention.
Preventable Hospital and ED Visits. … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
October 01, 2017 - Slide 6: On-Time Reports for Four Adverse Events
Four Reports
Pressure Ulcer Prevention
Pressure … Ulcer Healing
Falls Prevention
Preventable Hospital and ED Visits
Slide 7: Common Elements … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - On-Time Overview
5
October 2017
5
On-Time Reports for Four Adverse Events
Four Reports
Pressure Ulcer … Prevention
Pressure Ulcer Healing
Falls Prevention
Preventable Hospital and ED Visits
On-Time Overview … leading clinicians
Reports tested in clinical settings for feasibility and ease of use
Large decline in pressure … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation
October 2017
On-Time Overview
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pressureinjury-msmt_slides.pptx
June 02, 2025 - Care plan addressing every deficit on pressure ulcer risk factor assessment has been developed and is … 46
Next Steps
Over the next several weeks, we will meet weekly to refine your Action Plan for the Pressure … Ulcer Prevention Program.
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psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure
November 02, 2016 - measurement program in the United Kingdom, the NHS Safety Thermometer, which measured incidence of pressure … ulcers , harm from falls , catheter-associated urinary tract infection , and venous thromboembolism … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … Ulcers
View More
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digital.ahrq.gov/document-type/project-sunset-review
January 01, 2023 - This review pertains to a project that standardized pressure ulcer data elements and electronic documentation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - ulcers). … ulcers or CLABSI, deaths, oncology patients). … PDI 02 Pressure Ulcer Rate (stage
III, IV, Unstageable)
Diagnosis and site of pressure ulcer must … PDI 02 Pressure Ulcer X If the ulcer progresses from one stage
to another higher stage during the
encounter … Provider must document the site of
pressure ulcer; the stage of the ulcer
can be documented and coded
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 02, 2025 - Best practices forms exist for the following 14 PSIs:
• PSI 03 Pressure Ulcer Rate
• PSI 05 Retained … 03 Neonatal Blood Stream Infection Rate
• PDI 01 Accidental Puncture or Laceration Rate
• PDI 02 Pressure … Ulcer Rate
• PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count
• PDI 05 Iatrogenic
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psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
January 12, 2022 - found that enhanced accreditation procedures in the United Kingdom did not improve rates of either pressure … ulcers or falls. … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … Ulcers
View More
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www.ahrq.gov/patient-safety/reports/engage/appc.html
March 01, 2017 - ab] OR prevention [ab] OR reducing [ab] OR reduction [ab] OR aged [mh] OR elderly OR geriatric)) OR Decubitus … Ulcer [mh] OR ((pressure [ti] OR decubitus [ti]) AND ulcer* [ti]) OR decubiti [ti])) AND ((((Randomised
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www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Pressure Ulcers.
Surgical Site Infections.
Venous Thromboembolism. … Ulcers
Surgical Site Infections
Ventilator Associated Pneumonia
Venous … Ulcers
Surgical Site Infections (SSI)
Venous Thromboembolism (VTE)
Ventilator-Associated Pneumonia … Pressure Ulcers
A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … ulcer.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
May 01, 2017 - May 2017
On-Time Overview
5
5
On-Time Reports for Four
Adverse Events
Four Reports
Pressure Ulcer … Prevention
Pressure Ulcer Healing
Falls Prevention
Preventable Hospital and ED Visits
May 2017
On-Time … leading clinicians
Reports tested in clinical settings for feasibility and ease of use
Large decline in pressure … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation
May 2017
On-Time Overview
-
www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - Pressure Ulcers
Based on three studies reporting cost data, we estimated the additional cost for hospital-acquired … pressure ulcers to be $14,506 (95% CI: -$12,313 to $41,326), whereas excess mortality, based on three … ulcer cases, there are 41 excess deaths). … ulcers. … (Goudie 2015) and estimated the additional cost for hospital-acquired pressure ulcers among adult inpatients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - 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% 17.4
Surgical Site
Infections
2.5 2.5 2.5 … 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