-
psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review
March 13, 2013 - January 6, 2018
Preventing in-facility pressure ulcers as a patient safety strategy: … May 1, 2016
Preventing in-facility pressure ulcers as a patient safety strategy: a systematic
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - patients at
“CAUTI
“Incontinent 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
-
psnet.ahrq.gov/node/41882/psn-pdf
November 28, 2012 - commentary describes the design and initial test of a large-scale initiative to track incidents involving
pressure … ulcers, falls, urinary infections in patients with catheters, and venous thromboembolism in the
National
-
psnet.ahrq.gov/issue/implementing-electronic-root-cause-analysis-reporting-system-decrease-hospital-acquired
December 22, 2021 - See More About The Topic
Hospitals
Quality and Safety Professionals
Nurse Care
Pressure … Ulcers
Latent Errors
View More
-
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.
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac_rates_2019.pdf
January 01, 2019 - Clostridioides
difficile
Infections
-37%
Falls
-5%
Obstetric
Adverse
Events
-5%
Pressure … Ulcers
6%
Surgical
Site
Infections
0%
Ventilator-
Associated
Pneumonias
-13%
Venous
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
January 01, 2019 - CLABSI+
-6%
Clostridioides
difficile
Infections
-37%
Falls
-5%
Obstetric
Adverse
Events
-3%
Pressure … Ulcers
Surgical
Site
Infections
Ventilator-
Associated
Pneumonias
-13%
Venous
Thrombo-
-
psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize
August 24, 2011 - February 5, 2020
Accuracy of pressure ulcer events in US nursing home ratings.
-
psnet.ahrq.gov/issue/nursing-care-quality-nqf
September 06, 2011 - View More
Related Resources
Organisational strategies to implement hospital pressure … ulcer prevention programmes: findings from a national survey.
-
psnet.ahrq.gov/issue/rates-adverse-events-hospitalized-patients-after-summer-time-resident-changeover-united
June 22, 2022 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … Hospitals
Medicine
Medication Errors/Preventable Adverse Drug Events
Nosocomial Infections
Pressure … Ulcers
View More
-
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
-
psnet.ahrq.gov/node/46892/psn-pdf
June 13, 2018 - While infections and adverse drug events decreased, pressure ulcers increased and
represent an opportunity
-
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,
-
www.ahrq.gov/sops/about/patient-safety-culture.html
June 01, 2024 - include the following: Hospital units with more positive SOPS scores had: Fewer hospital-acquired pressure … ulcers and patient falls. 1 Lower surgical site infection rates. 2 Hospitals with more positive SOPS
-
psnet.ahrq.gov/node/43492/psn-pdf
September 03, 2014 - from harm, this magazine article highlights risks related to their use—such
as increased rates of pressure … ulcers and delirium—and advocates for a more patient-sensitive approach
to ensure the safety of both
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
January 01, 2006 - , with specific information tailored to the example indicator:
The indicator that we have chosen, Pressure … Ulcers (PSI 03), is important to our patients because improvement on this indicator may reduce:
Sepsis … In this example, we will examine the rates of Pressure Ulcers (PSI 03) for this particular hospital performed … Rates of Neonatal Blood Stream Infection Rate (NQI 3)
Per 1,000 Cases
Examining Observed Rates of Pressure … Ulcers (PSI 03)
Observed Rate 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 4.9136800000000001E
-
psnet.ahrq.gov/node/35088/psn-pdf
January 01, 2025 - hospital-acquired infections, medication errors, inpatient
suicide, and specific clinical harms such as falls and pressure … ulcers.
-
www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-interim-data-graphic-2014.pdf
January 01, 2014 - hospital-acquired conditions (HACs) such as adverse drug
events, healthcare-associated infections, and pressure … ulcers have been prevented in
hospital patients.
-
psnet.ahrq.gov/issue/front-line-defense-role-nurses-preventing-sentinel-events-third-edition
November 27, 2018 - December 15, 2017
Organisational strategies to implement hospital pressure ulcer prevention
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
November 01, 2021 - Injury
Long-Term Care Facilities
Multiple Chronic Conditions
Omissions of Care in Nursing Homes
Pressure … Ulcers
Quality of Life
TeamSTEPPS
Nursing Home Antimicrobial Stewardship Guide