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psnet.ahrq.gov/issue/inter-and-intra-disciplinary-collaboration-and-patient-safety-outcomes-us-acute-care-hospital
August 07, 2024 - found hospital units that nurses rated as more collaborative had lower rates of both hospital-acquired pressure … ulcers and falls. … See More About The Topic
Hospitals
Nurses
Nurse Managers
Medical/Surgical Nursing
Pressure … Ulcers
View More
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www.ahrq.gov/practiceimprovement/index.html
June 01, 2025 - On-Time Pressure Ulcer Prevention Tools to assist nursing homes that have electronic medical record systems
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hcup-us.ahrq.gov/reports/factsandfigures/facts_figures_2005.jsp
January 01, 2005 - During the 12 year period since 1993, there was a 76 percent increase in pressure sore hospitalizations … sore ICD-9-CM codes:
707.0 Decubitus ulcer
707.00 Decubitus ulcer, unspecified site … 707.01 Decubitus ulcer, elbow
707.02 Decubitus ulcer, upper back
707.03 Decubitus … ulcer, lower back
707.04 Decubitus ulcer, hip
707.05 Decubitus ulcer, buttock
707.06 … Decubitus ulcer, ankle
707.07 Decubitus ulcer, heel
707.09 Decubitus ulcer, other
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.xlsx
June 02, 2025 - 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
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psnet.ahrq.gov/node/47760/psn-pdf
February 06, 2019 - highlighted the clinical significance of HACs and described an
incident involving a patient who developed a pressure … ulcer while in the hospital.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.docx
April 01, 2022 - · Comfort care
· Urological/perineal procedure
· Stage 3 or greater pressure ulcer in perineal area with
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdf
January 01, 2008 - Key Words: pressure ulcer prevention, nursing home quality improvement, nursing home HIT
The authors … ulcers. … High-risk pressure ulcer quality measures
AHRQ HIT Facilities (12 facilities combined)
High Risk Pressure … Included
was information about the original National Pressure Ulcer
Long-Term Care Study followed by … Siobhan Sharkey participated in a panel titled Pressure
Ulcer Prevention and Treatment- Tried, True,
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www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - Avoidable Costs
University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure … Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
June 02, 2025 - Tool 4C
34
Staff Knowledge Assessment
Tool 2G: Pieper Pressure Ulcer Knowledge Test
35
Staff
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www.ahrq.gov/sites/default/files/2024-02/stone-benner-report.pdf
January 01, 2024 - ulcers, restraints, pain,
staff stability, and quality improvement. … There are four clinical areas that have long plagued nursing homes; 1)
presence of pressure ulcers in … ulcers , n=18, and dementia,
n=3). … Ulcers: Best Practices
• Quality Improvement: Maintaining and Sustaining Success
• Resident Centered … Ulcers: Best Practices X 3.5
9
2008 Local Area Networks for Excellence (LANE) Conference: Final
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digital.ahrq.gov/sites/default/files/docs/resource/C3_Patient_Enrollment_Form_Blue.pdf
June 16, 2021 - shoe or on floor
e) Burn
Onset of wound (approx. date)____________ f) Infection
g) Pressure … ulcer from laying or sitting
2.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/venous-ulcers-treatment_executive.pdf
January 01, 2014 - 1
Comparative Effectiveness Review
Number 127
Chronic Venous Ulcers: A Comparative
Effectiveness Review of Treatment Modalities
Executive Summary
Background
Venous leg ulcers are extremely common
in the United States. They affect between
500,000 and 2 million people annually, and
are responsible for over 50 pe…
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
October 01, 2015 - "All immobile patients need a urinary catheter to prevent hospital-acquired pressure ulcers." … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint), hospital-acquired pressure … ulcers, falls, and venous thromboembolism. 2 , 3
Not all critically ill, immobile patients need Foley
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www.ahrq.gov/hai/pfp/interimhac2013-ap1.html
December 01, 2014 - OB Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19)
77,000
2.4
Pressure … Ulcers
MPSMS (2013)
Hospital-Acquired Pressure Ulcers
1,060,000
32.5
Surgical Site Infections
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psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
October 30, 2024 - Overall, HAC rates declined over the 2 years following implementation of the program, with only rates of pressure … ulcers increasing. … Are evidence-based practices associated with effective prevention of hospital-acquired pressure … ulcers in US academic medical centers?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
December 01, 2012 - higher rates on all measures other than Short-Term Complications of Diabetes, Bacterial Pneumonia, and Pressure … Ulcer. … The exceptions are Pressure Ulcer, which is effectively equal in urban and nonurban areas, and Infection … Rates for women in the Medicaid-only population are always higher than for men except in Pressure Ulcer … The main exception to the county-level age pattern is the Pressure Ulcer measure, for which rates are
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digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery/annual-summary/2008
January 01, 2008 - participating nursing homes (NHs) and evaluate impact on care processes; resident health outcomes, including pressure … ulcers (PrUs); and staff efficiency and satisfaction. … Stage 2 pressure ulcer healing in nursing homes. J Am Geriatr Soc 2008 Jul;56(7):1252-8.
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - ulcers—that's too much for any human brain to handle. … ulcers, or most falls. … ulcers in addition to stage 3 or 4 ulcers acquired after admission. … ulcer (codes 707.00–707.09). … Our administrative system has a limitation of 15 diagnoses, and it is possible that the decubitus ulcer
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psnet.ahrq.gov/node/47093/psn-pdf
July 02, 2019 - effective for managing blood glucose and blood transfusions
and for preventing venous thromboembolism, pressure … ulcers, acute kidney injury, and incipient clinical
deterioration.
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psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-medicare-program-payments
November 18, 2016 - evaluated costs related to the index hospitalization and 90 days following discharge of six HACs—severe pressure … ulcers, fractures, catheter-associated urinary tract infections, venous catheter-related infections, … Severe pressure ulcers and orthopedic surgical site infections resulted in an average increase in payments