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effectivehealthcare.ahrq.gov/sites/default/files/pdf/skin-substitute_0.pdf
October 03, 2019 - Chronic wounds include pressure ulcers,
diabetic foot ulcers, and venous leg ulcers. … dressing’ OR ‘UBM lyophilized wound dressing’ OR ‘xcm
biologic tissue matrix’
S5 Chronic Wounds bedsore … Criterion
Inclusion Criteria Exclusion Criteria
Population Human subjects in whom a chronic wound
(pressure … ulcer, diabetic foot ulcer, venous leg
ulcer, or arterial leg ulcer) lasting more than 30
days without
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www.ahrq.gov/topics/prevention.html
Preventive Services to People with Disabilities
AHRQ Research Findings Support Effort to Reduce Pressure … Ulcers in Virginia
Celebrating the 40th Anniversary of the U.S.
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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
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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
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www.ahrq.gov/topics/long-term-care.html
AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia
AHRQ’s Safety Program
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psnet.ahrq.gov/node/849317/psn-pdf
May 24, 2023 - root-cause-analysis-identify-contributing-factors-development-hospital-acquired-pressure
https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.pdf
June 02, 2025 - N
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 $ - N 6 6 6 Y Y Y Y Y
PDI 05 Iatrogenic
Pneumothorax
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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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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/practiceimprovement/index.html
June 01, 2025 - On-Time Pressure Ulcer Prevention Tools to assist nursing homes that have electronic medical record systems
-
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/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
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - There are no detailed sections
for the Perinatal, Pressure Ulcer, or Surgery or Anesthesia EVENT TYPES … No harm was reported for more than one-quarter (18,632 / 73,155; 25.5%) of Pressure Ulcer
Incidents … This was unexpected, as pressure ulcers,
like HAIs and venous thromboembolism (VTE), result in harm … Ulcer
A pressure ulcer that, on admission, was at stage/category III or stage/category IV or was … /category I or stage/category II
A pressure ulcer whose most advanced stage is unknown
A mucosal
-
psnet.ahrq.gov/node/33651/psn-pdf
June 01, 2007 - In certain categories, particularly with something like pressure
ulcers, there is almost certainly underreporting … Are pressure ulcers not being discovered, or are they not
being correctly staged so that people know … ulcers and other errors. … One was a facility
that had a high number of pressure ulcers. … As a result of that really
concerted effort to identify pressure ulcers, they have identified many ulcers
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/venous-ulcers-treatment_research-protocol.pdf
September 13, 2012 - high relevance to morphologically similar ulcers found in patients
with diabetes, arterial disease, pressure … ulcers, postsurgical chronic wound ulcers, and ulcers
consequent to internal diseases. … ankle brachial index less than 0.6
or a toe brachial index less than 0.5 or other clinical criteria), pressure … ulcers, postsurgical
ulcers, and neuropathic ulcers … ulcers, post-surgical
ulcers, and neuropathic ulcers.
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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…
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015359-bryant-final-report-2008.pdf
January 01, 2008 - ulcers each year. … Cost to treat a pressure ulcer, a common chronic wound, is estimated to range from
$4,000 to $40,000 … Study patients
included inpatients and outpatients with pressure ulcers of stage II, III, or IV, plus … Agostini, JV, Baker, D., and Bogardus, S.T.;
“Prevention of Pressure Ulcers in Older Patients,”
from … “Osteomelitis related to pressure ulcers: the cost of
neglect,” Adv Skin Wound Care. 2000 Jan-Feb: 12
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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - In certain categories, particularly with something like pressure ulcers, there is almost certainly underreporting … Are pressure ulcers not being discovered, or are they not being correctly staged so that people know … ulcers and other errors. … One was a facility that had a high number of pressure ulcers. … As a result of that really concerted effort to identify pressure ulcers, they have identified many ulcers
-
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