-
psnet.ahrq.gov/node/43524/psn-pdf
October 29, 2014 - study found that diagnostic codes in administrative data for hospital-related complications
such as pressure … ulcers, falls, and adverse drug events accurately reflect the presence of these events in
the medical … validating-administrative-data-detection-adverse-events-older-hospitalized-patients
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
-
hcup-us.ahrq.gov/reports/methods/2011_05.pdf
January 01, 2011 - The
reduction in rates for five PSIs was statistically significant: decubitus ulcer, foreign body
left … Importantly,
when POA information was incorporated, most cases of decubitus ulcer, post-operative
hip … The study assessed rates of four PSIs – decubitus ulcer, infections due to
medical care, postoperative … Several ideas and tools are suggested to
assist providers in staging pressure ulcers including the use … Of
the last 16 reported patients with a pressure ulcer, only 25% were recorded with an ICD-
9-CM pressure
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
December 01, 2012 - Composite: ACSC Acute Conditions
6,913
2,846
Composite: ACSC Overall
17,971
7,139
Pressure … Ulcer
3,067
1,136
Injurious Falls
287
105
Source: Schultz, et al., 2012 (see
-
psnet.ahrq.gov/node/60028/psn-pdf
March 11, 2020 - were surveyed
about perceptions on safety culture, patient advocacy, patient experience, and fall and pressure … ulcer rates.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheet.pdf
June 02, 2025 - Neonatal Blood
Stream Infection Rate
Pediatric PDI 01 Accidental
Puncture or Laceration
Rate
PDI 02 Pressure … Ulcer
Rate
PDI 05 Iatrogenic
Pneumothorax Rate
PDI 06 RACHS-1
Pediatric Heart
Surgery Mortality
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
June 02, 2025 - PSI 03 Pressure Ulcer
PSI 06 Iatrogenic
Pneumothorax
PSI 07 Central Venous
Catheter-Related
Bloodstream … NQI 03 Neonatal Blood
Stream Infection Rate
PDI 01 Accidental
Puncture or Laceration
Rate
PDI 02 Pressure … Ulcer
Rate
PDI 05 Iatrogenic
Pneumothorax Rate
PDI 06 RACHS-1
Pediatric Heart Surgery
Mortality
-
psnet.ahrq.gov/node/44805/psn-pdf
January 27, 2016 - This report collection explores the
data collected on four types of health care–acquired conditions (pressure … ulcers, falls, catheter–associated
urinary tract infections, and venous thromboembolisms) in NHS patients … saving-lives-and-saving-money-hospital-acquired-conditions-update
https://psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers
-
psnet.ahrq.gov/node/43125/psn-pdf
December 12, 2014 - improvements to systems strategies,
including checklists, safety culture surveys, and prevention of pressure … ulcers and infections. … checklists
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
-
effectivehealthcare.ahrq.gov/sites/default/files/s50.pdf
October 01, 2007 - Practice-Based Evidence for Clinical Practice
Improvement in Long-term Care
The National Pressure Ulcer … ulcers. … No resident started with a pressure ulcer, but
29% of residents developed one by the end of the 12-week … ulcers decreased up to 65%. … The National Pressure Ulcer
Long-Term Care Study: pressure ulcer development in long-term care
residents
-
www.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
April 01, 2021 - Identify areas of skin at risk for developing pressure ulcers (recently renamed by expert organizations … of indwelling urinary catheters, central venous catheters, and pressure injuries (formerly called "pressure … ulcers"). … detect and report important patient motions, such as no motion, a sign that the patient is at-risk for pressure … ulcers.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap1b.html
October 01, 2014 - He has a pressure ulcer that developed weeks ago and measurements are about the same as last week. … He has a pressure ulcer that developed weeks ago and measurements are about the same as last week.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - Trauma in
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 Site
Infection
-
psnet.ahrq.gov/node/38625/psn-pdf
November 19, 2009 - implementation of a patient safety program focused on evidence-based guidelines
to reduce the incidence of pressure … ulcers, falls, and urinary tract infections. … making-health-care-safer-critical-analysis-patient-safety-practices
https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
-
psnet.ahrq.gov/node/33675/psn-pdf
October 01, 2008 - myocardial infarct, stroke, and pulmonary
embolism (kappa>0.8) than on the timing of renal failure, decubitus … ulcers in addition to stage 3 or 4 ulcers acquired after admission. … However, only 25% of the last
16 reported patients had an ICD-9-CM secondary diagnosis code of a pressure … ulcer (codes
707.00–707.09). … Our
administrative system has a limitation of 15 diagnoses, and it is possible that the decubitus ulcer
-
psnet.ahrq.gov/node/42669/psn-pdf
September 27, 2017 - The study demonstrated that patients who reported pressure ulcers, medication errors,
hospital-acquired … patient-reported-safety-and-quality-care-outpatient-oncology
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheet.xlsx
June 02, 2025 - Neonatal Blood Stream Infection Rate
Pediatric PDI 01 Accidental Puncture or Laceration Rate
PDI 02 Pressure … Ulcer Rate
PDI 05 Iatrogenic Pneumothorax Rate
PDI 06 RACHS-1 Pediatric Heart Surgery Mortality
-
psnet.ahrq.gov/issue/dissecting-leapfrog-how-well-do-leapfrog-safe-practices-scores-correlate-hospital-compare
September 19, 2012 - with Hospital Compare data on hospital-acquired conditions like health care–associated infections , pressure … ulcers , or falls . … October 29, 2017
Success in hospital-acquired pressure ulcer prevention: a tale in two
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
June 02, 2025 - Patient Safety PSI 03 Pressure Ulcer 1.2 1.3 7 $109,870 $ 769,087 N 6 7 7 Y Y Y Y Y
PSI 06 Iatrogenic … Y N
Pediatric PDI 01 Accidental Puncture 0.3 0.6 1 $41,204 $ 41,204 N 9 9 9 Y Y Y Y Y
PDI 02 Pressure … Ulcer 0.0 0.2 0 $85,344 $ - 0 N 6 6 6 Y Y Y Y Y
PDI 05 Iatrogenic Pneumothorax Rate 0.0 0.1 0
-
psnet.ahrq.gov/node/46910/psn-pdf
January 23, 2019 - 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, with … //psnet.ahrq.gov/primer/measurement-patient-safety
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - On-Time provides EMR reports for
improving clinical decisionmaking for pressure ulcer prevention, pressure … Ulcer
Vendor determined
or Wound
Assessment
Pressure ulcer Stage II,
III, IV, or unstageable. … IF wound assessment date ≤7 days of
report date AND at least one pressure
ulcer with ulcer stage = … II, III, OR IV
OR unstageable, then Stage II or >
Pressure Ulcer is true and display X.
29 Fall Risk … then display X in Wound
• Infected wound or decubitus ulcer
• Jaundice
• Rash
10 Injury: Fall