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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.
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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.
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psnet.ahrq.gov/node/41367/psn-pdf
May 09, 2012 - psnet.ahrq.gov/issue/harm-free-care
This initiative seeks to reduce four key sources of harm in hospitals: pressure … ulcers, falls, catheter-
associated urinary tract infections, and vascular thrombotic events.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13.html
December 01, 2012 - Composite: ACSC Overall
23,439
21,000
15,748
21,963
20,486
15,596
16,965
22,647
Pressure … Ulcer
4,010
3,925
2,853
4,175
3,854
2,547
2,961
4,271
Injurious Falls
396
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
December 01, 2012 - Composite: ACSC Overall
16,190
13,777
11,837
15,406
12,890
12,089
11,728
15,849
Pressure … Ulcer
3,031
3,001
1,416
3,073
2,914
1,211
1,591
3,369
Injurious Falls
122
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13d.html
December 01, 2012 - Composite: ACSC Overall
5,916
5,609
5,108
6,697
5,155
5,348
5,480
5,488
Pressure … Ulcer
1,490
1,499
1,251
1,746
1,431
1,216
1,326
1,488
Injurious Falls
98
66
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13f.html
December 01, 2012 - Composite: ACSC Overall
25,088
21,726
18,033
23,910
21,388
17,059
17,977
25,619
Pressure … Ulcer
6,180
6,029
3,239
5,537
6,191
3,067
3,636
6,965
Injurious Falls
198
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psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and-rape-dont-dock-five
December 22, 2021 - March 29, 2023
Accuracy of pressure ulcer events in US nursing home ratings.
-
psnet.ahrq.gov/node/46892/psn-pdf
June 13, 2018 - While infections and adverse drug events decreased, pressure ulcers increased and
represent an opportunity
-
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
-
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/front-line-defense-role-nurses-preventing-sentinel-events-third-edition
November 27, 2018 - December 15, 2017
Organisational strategies to implement hospital pressure ulcer prevention
-
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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
February 07, 2014 - Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient … ulcers
Immobility
Aims
9
Understand the CUSP framework for initiating culture change … Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient
-
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.
-
www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - problem, such as higher than expected cases of accidental punctures or lacerations during procedures or pressure … ulcers, the team would review the data from that time period. … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes
-
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/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - Daily Goals Checklist
Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/venous-ulcers-treatment_disposition-comments.pdf
January 27, 2014 - Disposition of Comments Report for Chronic Venous Ulcers: A Comparative Effectiveness Review of Treatment Modalities
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Chronic Venous Ulcers: A Comparative Effectiveness Review of
Treatment Modalities
Draft review av…
-
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