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pcmh.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - Prevention Quality Indicators identify hospital admissions in geographic areas that evidence suggests … The strategies can help prevent harmful events such as medication errors, bed sores, and healthcare-associated … The Preventing Pressure Ulcers in Hospitals Toolkit assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … The toolkit draws on literature on best practices in pressure ulcer prevention and includes both validated
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pcmh.ahrq.gov/topics/chronic-conditions.html
Achievements in Prevention
AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia … Care
Maine Groups Improve Care for Patients with Intellectual/Developmental Disabilities
Prevention
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention … Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism
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pcmh.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - 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.
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pcmh.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
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pcmh.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - University of Missouri
University of Missouri Health Care (MU Health Care) utilized AHRQ’s Preventing Pressure … Ulcers in Hospitals: A Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03 … Initially focused on two medical-telemetry units and eventually expanding to include additional units, fall prevention
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/orthostatic-vital-sign.html
January 01, 2013 - in Hospitals Training Program
Fall Prevention Program Implementation Guide
Fall Prevention … Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism … Which fall prevention practices do you want to use?
4. … How do you sustain an effective fall prevention program?
7.
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pcmh.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
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pcmh.ahrq.gov/patient-safety/about/areas.html
February 01, 2018 - Our areas of research and tools cover:
Healthcare Infections
Team Training
Falls
Pressure Ulcers … Diagnostic Safety
Blood Clot Prevention and Treatment
Adverse Drug Events
AHRQ Quality Indicators
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apd.html
February 01, 2017 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention … Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apf.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention … Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism
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pcmh.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention … Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … 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
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention … Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism
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pcmh.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - Avoidable Costs
University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure … Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated … The project spanned two phases: the first focused on general HAPI prevention (February 2019 - July 2020 … into the root causes of identified pressure injuries, along with an assessment of best practices for prevention
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/index.html
September 01, 2018 - in Hospitals Training Program
Fall Prevention Program Implementation Guide
Fall Prevention … Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism … improvement efforts related to fall prevention in hospital settings. … Program Implementation Sharing Webinar
Patient-Centered Fall Prevention Care Planning —AHRQ Fall Prevention
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention … Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apd.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention … Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/ape.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention … Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism
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pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/safe-clinical-pathway.html
January 01, 2013 - in Hospitals Training Program
Fall Prevention Program Implementation Guide
Fall Prevention … Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury
Preventing Pressure … Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous Thromboembolism … Which fall prevention practices do you want to use?
4. … How do you sustain an effective fall prevention program?
7.
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pcmh.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