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41. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
    December 01, 2016 - Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … Ulcers MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 Surgical Site Infections … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC.

42. How To Implement the Pressure Injury Prevention Program in Your Organization
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/module4_pu-implementation_slides.pptx
    November 20, 2014 - How To Implement the Pressure Injury Prevention Program in Your Organization How To Implement the Pressure … Injury Prevention Program in Your Organization ADD Hospital Name here Module 4 What We Have Done Thus … How should prevention work be organized at the unit level? … Planning care for risk prevention. … Tool 4C 34 Staff Knowledge Assessment Tool 2G: Pieper Pressure Ulcer Knowledge Test 35 Staff

43. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/pfp/2015-interim.html
    December 01, 2016 - About 42 percent of this reduction is from adverse drug events, about 23 percent from pressure ulcers … Ulcers MPSMS (2015) Hospital-Acquired Pressure Ulcers 1,190,000 36.3 Surgical Site Infections … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC. … [7] The AHRQ-developed pressure ulcer toolkit and falls toolkit are online.

44. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Ulcers MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 Surgical Site Infections … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC. 1 AHRQ Partnership for Patients Web page

45. NPSD Dashboards | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/npsd/data/dashboard/index.html
    October 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Pressure Ulcer Dashboard Details the documentation of increased risk for pressure ulcer following a … risk assessment; and the timing of the first risk assessment for reported pressure ulcers or sDTIs.

46. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - ulcer o Most advanced stage of pressure ulcer o Stage on admission o Admission skin inspection documented … o Pressure ulcer prevention intervention in place o Secondary patient morbidity • Surgery or anesthesia … Some of these explanatory statements were related to fall and pressure ulcer events, while others were … Pressure Ulcer Event Very busy environment due to COVID-19 crisis and less time and attention paid to … Pressure Ulcer Event Patient is critically ill, intubated, COVID-19 positive, in multisystem organ

47. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … Patients with Limited English Proficiency NICU Toolkit Preventing Falls in Hospitals Preventing Pressure … Ulcers in Hospitals QI Toolkit for Hospitals RED (Re-Engineered Discharge) Toolkit Universal ICU

48. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/long-term-care/index.html
    September 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention is a team training curriculum to … help nursing homes with electronic medical records reduce the occurrence of pressure ulcers.

49. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - Centers for Disease Control and Prevention. … Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51 77,000 2.36 Pressure … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical Site Infection

50. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Ulcers MPSMS Hospital-Acquired Pressure Ulcers Surgical Site Infections NHSN SSIs combined … Ulcers Hospital-Acquired Pressure Ulcers 53.03 62.45 0.85 VAP Ventilator-Associated Pneumonia … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,317,211 32,750,000 40.220 Surgical Site

51. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Universal and Targeted Tools Ambulatory Surgery Centers Toolkit CLABSI and CAUTI Prevention … Non-ICU Patients With Devices Obstetrical adverse events: Toolkit for Improving Perinatal Safety Pressure … ulcers: Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care Surgical

52. Documentation and Coding for Patient Safety Indicators (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
    March 15, 2016 - ulcers). … PDI 02 Pressure Ulcer Rate (stage III, IV, Unstageable) Diagnosis and site of pressure ulcer must … PSI 03 Pressure Ulcer Encourage providers to document pressure ulcers as part of the admission H&P to … Provider must document the site of pressure ulcer; the stage of the ulcer can be documented and coded … PSI 03 Pressure Ulcer X “Unspecified stage” and “unstageable” are not interchangeable terms; the code

53. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Pressure Ulcers. Surgical Site Infections. Venous Thromboembolism. … Ulcers          Surgical Site Infections          Ventilator Associated Pneumonia          Venous … Ulcers Surgical Site Infections (SSI) Venous Thromboembolism (VTE) Ventilator-Associated Pneumonia … Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … ulcer.

54. Toolkit for Using the AHRQ Quality Indicators | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
    March 01, 2017 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … Ulcer PDF [327 KB] PSI05 Foreign Body PDF [133.68 KB] PSI06 Pneumothorax PDF [130.62 KB] PSI07 Central … Ulcer PDF [109.9 KB] PDI03 Foreign Body PDF [95.97 KB] PDI05/NQI01 Iatrogenic Pneumothorax PDF [79.9

55. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
    July 01, 2020 - ulcers/pressure injuries and falls. … Comparing these data with other sources of information, such as the Centers for Disease Control and Prevention … measured with MPSMS, the AHRQ Patient Safety Indicators (PSIs), the Centers for Disease Control and Prevention … Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs … Ulcer MPSMS Hospital- Acquired Pressure 647,096 21.75 699,790 23.52 676,834 22.75 682,984 22.96

56. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/news/newsroom/case-studies/index.html?page=7
    January 01, 2016 - Ulcers in Hospitals Toolkit (1) Prevention TaskForce app (formerly Electronic Preventive Services … Labs (1) Patient Safety Organizations (3) Patient Self-Management (29) Policy (61) Pressure … Ulcers (5) Prevention (66) Primary Care (13) Provider: Pharmacist (2) Quality Improvement … Ulcers in Virginia Impact Case Study Identifier: 2015-32 AHRQ Product(s): Research Topic(s): Prevention … , Long-Term Care, Pressure Ulcers, Patient Self-Management, Chronic Conditions Geographic Location:

57. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
    December 01, 2017 - Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … 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

58. AHRQ Impact Case Studies | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/news/newsroom/case-studies/index.html?page=4
    June 01, 2017 - Ulcers in Hospitals Toolkit (1) Prevention TaskForce app (formerly Electronic Preventive Services … Labs (1) Patient Safety Organizations (3) Patient Self-Management (29) Policy (61) Pressure … Ulcers (5) Prevention (66) Primary Care (13) Provider: Pharmacist (2) Quality Improvement … Ulcers, Quality of Care Geographic Location: Tennessee Country: United States of America Implementer … Ulcers, Quality of Care, Patient Safety Organizations Geographic Location: National Country: United

59. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Centers for Disease Control and Prevention. … in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51 77,000 2.36 Pressure … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical

60. Dailygoals (doc file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
    January 01, 2003 - vein thrombosis: |_| Heparin every 8 hours/every 12 hours/continuous drip |_| Peptic ulcer disease prevention