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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837728/psn-pdf
    July 27, 2022 - adverse drug events, hospital-acquired infections, postoperative adverse events, hospital-acquired pressureulcers, falls) over time among patients hospitalized for four common conditions – acute myocardial
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60846/psn-pdf
    January 01, 2021 - injuries from falls and catheter use, and that environmental safety was associated with lower rates of pressureulcers, major injuries from falls, and catheter use.
  3. www.ahrq.gov/funding/training-grants/disgrants.html
    October 01, 2014 - University of Illinois at Chicago Using an Electronic Health Record to Examine Nurse Continuity and PressureUlcers 8/31/2015 Van Parys, Jessica R36 HS23504-01 Columbia University Health Sciences
  4. psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
    September 23, 2020 - Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressureulcers: a systematic review and documentary analysis.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851555/psn-pdf
    July 31, 2023 - Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation July 31, 2023 Flynn S, Barnes DK. Bandemia as a Harbinger of Stercoral Colitis and Impending Perforation. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation The Case A 56-year-…
  6. hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_2_4.jsp
    January 01, 2005 - Exhibit 2.4 Average Length of Stay and Average Charges Exhibit 2.4 Average Length of Stay and Average Charges Inpatient Hospital Stays for Principal Diagnosis: Number of Discharges, Average Length of Stay and Average Charges, Ordered by Average Length of Stay, 2005 Principal Diagnosis CCS Conditio…
  7. psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient
    December 21, 2016 - Investigators compared a global measure of safety, which included pressure ulcers , venous thromboembolism
  8. psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd-10-cm
    September 23, 2020 - For example, the PSI for pressure ulcers demonstrated a high false-negative rate , meaning that ICD-
  9. psnet.ahrq.gov/issue/one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
    July 01, 2016 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressureulcers or medication errors?
  10. www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs2.html
    October 01, 2015 - restrained daily can become weak, lose their ability to go to the bathroom by themselves, and develop pressureulcers or other medical conditions.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60616/psn-pdf
    June 24, 2020 - central-line-associated blood stream infections, catheter-associated urinary tract infections, hospital-acquired pressureulcers, and ventilator-associated events).
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45879/psn-pdf
    July 02, 2017 - This study aimed to use modeling, a strategy to detect safety hazards, to characterize the risk of pressureulcers and catheter-associated infections.
  13. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
    August 01, 2025 - Ulcer Prevention in Nursing Homes 2015–2018 $1,783,070 Purpose: 1) Disseminate the On-Time Pressure … effective pressure ulcer prevention practices. … Key Findings/Impact: A final report was not available; however, the Preventing Pressure Ulcers in Hospitals … : Implement and evaluate the effectiveness of a pressure ulcer module, “On-Time Quality Improvement … rates, in reducing the rate of pressure ulcers among nursing home residents.
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-trache.pdf
    June 02, 2025 - NICU Family Information Packet, Appendix B, Tracheostomies Tracheostomies Tracheostomy Basics ■ Indications: upper airway obstruction, long term ventilation, ease of pulmonary toilet, to protect the airway. ■ Tube selection based on: – Indication for tracheostomy. – Tracheal width/length/shape. – Upper a…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
    January 29, 2008 - ulcer (bed sores); or postoperative sepsis (blood infection). … Decubitus ulcer 5. Failure to rescue 6. Foreign body left during procedure 7. … • Monitoring errors, such as bedsores, failure to rescue, and patient falls. … ulcer monitoring error • Increased checking of inpatients for decubitus ulcers • Monitoring … forms or behavioral checklists • Decubitus ulcer incidence rate feedback • Supervisor praise
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46041/psn-pdf
    September 20, 2017 - retrospective-and This economic analysis estimated the impact of nurse-sensitive adverse events—including pressureulcers, falls, medication administration errors, pneumonia, and urinary tract infection—for the Canadian
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47349/psn-pdf
    January 30, 2019 - networks on several patient safety outcomes, including medication errors, falls, and hospital-acquired pressureulcers, across 24 medical and surgical inpatient units at 3 hospitals.
  18. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
    March 04, 2016 -  Among the most frequent HACs, between 2010 and 2014, the rate of pressure ulcers decreased the …  Nursing home residents who have pressure ulcers. … Pressure Ulcers Low-risk short-stay and high-risk long-stay nursing home residents who have pressure …  Overall Percentage: In 2013, the percentage of low-risk short-stay residents with pressure ulcers … was 1.3% and the percentage of high-risk long-stay residents with pressure ulcers was 7.7%
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60856/psn-pdf
    August 26, 2020 - Prolonged hospital bedrest leads to loss of muscle and bone mass and increases the risk of pressureulcers, venous thromboembolism and hospital acquired-infection.8 Pneumonia leading to sepsis and organ … Pressure Ulcer Prevention in the Hospital Setting Using Silicone Foam Dressings. 
  20. digital.ahrq.gov/sites/default/files/docs/lesson/08-0087-ef-lt-care.pdf
    October 01, 2009 - ulcers, urinary and bowel incontinence, infections, delirium, and medication errors (due in part to … ulcer development. … ulcer risk factors. … PPROJECT RESULTS:Ro R TS  Reduction in pressure ulcer rates in participating nursing homes  PFQ Grant … ulcers care and other LTC quality improvement (QI) areas.

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