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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
    November 01, 2017 - Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … Ulcers ( (“Pressure Ulcer” [MeSH] OR “Pressure Ulcer” [tiab] OR “Bedsore” [tiab] OR “Bed Sores” [tiab … ] OR “Decubitus Ulcer” [tiab] OR “Pressure Sore” [MeSH] OR “Pressure Sore” [tiab] OR “Suspected Deep … Tissue Injury” [tiab] OR “Pressure Ulcer” [MeSH] OR “Pressure Ulcer” [tiab] OR “osteomyelitis” [MeSH … Ulcer All hospitalized patients who are at risk to have pressure ulcer 0.018c 2.42–5.06 3.26
  2. www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
    October 01, 2014 - Flook, RN, MPH, CIC Director, Workforce Development & Infection Prevention Lorna Martin, RN Patient … Walking Through the Process Eliminate Hospital-Acquired Stage 3/4 Pressure Ulcers on the Unit  … ulcers Return to Contents   Slide 13. … Ulcers Comprehensive skin assessment Standardized pressure ulcer risk assessment Care planning … Flook, RN, MPH,CIC Director, Workforce Development/Infection Prevention 770-249-4518 dflook@gha.org
  3. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
    December 01, 2012 - All but two of the indicators (Pressure Ulcer and Injurious Falls) build on existing AHRQ PreventionPressure Ulcer. Injurious Falls.
  4. www.ahrq.gov/patient-safety/reports/engage/appc.html
    March 01, 2017 - disinfection [ti] OR wash [ti]))) OR (Accidental Falls [mh] OR (fall* [ti] AND (preventing [ab] OR prevention … [ab] OR reducing [ab] OR reduction [ab] OR aged [mh] OR elderly OR geriatric)) OR Decubitus Ulcer [mh
  5. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.docx
    March 01, 2022 - CHG in clinical trials with the explicit instructions to clean superficial wounds and stage 1 and 2 decubitusulcers. … CHG can be applied to any superficial wound, including stage 1 and 2 decubitus ulcers, friable skin/rashes … Do not wipe off the CHG as this will reduce its infection prevention abilities. AHRQ Pub.
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
    February 01, 2023 - Ulcer 3,341 3,555 3,254 3,604 Injurious Falls 429 263 406 260 Dually Eligible … Ulcer 3,678 4,011 3,589 4,072 Injurious Falls 520 339 493 336 Medicaid-Only … Ulcer 4,049 4,237 4,031 4,256 Injurious Falls 778 456 729 451 HCBS … Ulcer 3,678 4,011 3,589 4,072 Injurious Falls 520 339 493 336 Medicaid-Only … Ulcer 4,049 4,237 4,031 4,256 Injurious Falls 778 456 729 451 Notes
  7. www.ahrq.gov/practiceimprovement/index.html
    June 01, 2025 - Improving Quality  Tools Toolkit Training Prevention Task Force Application to help primary care clinicians … On-Time Pressure Ulcer Prevention Tools to assist nursing homes that have electronic medical record systems
  8. www.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - Centers for Disease Control and Prevention. … Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51 77,000 2.36 PressureUlcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical
  9. www.ahrq.gov/topics/injuries-and-wounds.html
    Topic: Injuries and Wounds AHRQ wound research centers on pressure ulcers. … AHRQ’s Safety Program for Nursing Homes: On-Time Prevention We Must Not Underestimate the Impacts
  10. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.pdf
    March 01, 2022 - CHG in clinical trials with the explicit instructions to clean superficial wounds and stage 1 and 2 decubitusulcers. … CHG can be applied to any superficial wound, including stage 1 and 2 decubitus ulcers, friable skin/ … Do not wipe off the CHG as this will reduce its infection prevention abilities. AHRQ Pub.
  11. www.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Pressure Ulcers. Surgical Site Infections. Venous Thromboembolism. … Ulcers          Surgical Site Infections          Ventilator Associated Pneumonia          Venous … Comparison to 2010 AHRQ estimates Summary Despite advancements in infection control and injury preventionPressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … ulcer.
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16.html
    December 01, 2012 - Ulcer 3,322 4,088 3,865 3,029 3,557 3,496 Injurious Falls 256 436 294 308 … Ulcer 3,754 4,475 4,359 3,374 3,884 3,947 Injurious Falls 331 531 376 387 … Ulcer 2,118 2,834 2,481 1,988 2,480 2,233 Injurious Falls 48 127 63 70 110 … Ulcer 1,348 1,729 1,777 1,154 1,411 1,428 Injurious Falls 65 102 76 70 88 … Ulcer 2,614 3,022 2,987 2,392 2,628 2,719 Injurious Falls 212 363 233 258
  13. www.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 PressureUlcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical Site Infection
  14. www.ahrq.gov/news/newsroom/case-studies/202203.html
    April 01, 2022 - Other previous topics based on AHRQ research include depression, diabetes, kidney disease, pressure ulcers … Depression, Diabetes, Kidney Disease and Health, Outcomes, Patient Safety, PressureUlcers, Prevention, Primary Care, Quality of Care Geographic Location:
  15. www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap1b.html
    October 01, 2014 - Falls Prevention Appendix 1-A. Suggested Slides for Module 1 Appendix 1-B. … He has a pressure ulcer that developed weeks ago and measurements are about the same as last week. … He has a pressure ulcer that developed weeks ago and measurements are about the same as last week.
  16. www.ahrq.gov/action-alliance/resources/type-harm.html
    September 01, 2025 - Falls Healthcare-Associated Infections Maternal Safety Medication Safety Never Events Opioid Safety PressureUlcers Readmissions Sepsis Surgical Safety Transitions in Care Venous Thromboembolism Diagnostic Safety … Organizations can use this report to understand fall prevention strategies. … Back to Contents Pressure Ulcers AHRQ Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving … Quality of Care This resource assists hospital staff in implementing effective pressure ulcer prevention
  17. www.ahrq.gov/hai/pfp/interimhac2014-ap1.html
    November 01, 2015 - Ulcers MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 Surgical Site Infections … Ulcers 250,000 50% 50% 25% 62,500 $17,000 Surgical Site Infections 110,000 35% … * Additional costs per HAC for Falls and Pressure Ulcers were modified in 2012 from earlier higher … ulcer, rather than on the incremental cost due to the HAC. … Ulcers .072 $1,062,500,000 4,525 Surgical Site Infections .028 $161,700,000 217
  18. www.ahrq.gov/hai/pfp/hacrate2013-appendix.html
    October 01, 2015 - Ulcers MPSMS (2013) Hospital-Acquired Pressure Ulcers 1,060,000 32.5 Surgical Site Infections … Ulcers 250,000 50% 50% 25% 62,500 $17,000 Surgical Site Infections 110,000 35% … *Additional costs per HAC for Falls and Pressure Ulcers were modified in 2012 from earlier higher projections … ulcer, rather than on the incremental cost due to the HAC. … Ulcers .072 $1,062,500,000 4,525 Surgical Site Infections .028 $161,700,000 217
  19. www.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
  20. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
    October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix F. … notable increase in correct answers after the training: The pretest average score on Tool 2G: Pieper PressureUlcer Knowledge Test was 69 percent; the average score on the posttest was 94 percent. … What You Can Do: Use Tool 2G: Pieper Pressure Ulcer Knowledge Test to assess staff knowledge regarding … Solution: Provide pressure injury prevention education.

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