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201. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/index.html
     September 01, 2021 - 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.

202. Ø 1L TOOL: Assessing Resource Needs | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/patient-safety-resources/cdiff-toolkit/cdiffl2tools1l.html
     September 01, 2012 - Source: Developed by AHRQ Pressure Ulcer Prevention Toolkit project team.

203. Connecticut Hospital Reduces Pressure Injuries Using AHRQ Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201802.html
     August 01, 2018 - Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care was central to the … hospital’s effort to prevent an estimated 114 pressure ulcers and avoid nearly $2 million in excess hospital … Saint Francis, pressure injuries identified as Stage 2 (characterized by partial loss of skin at the bedsore … Saint Francis implemented the toolkit as part of an AHRQ-sponsored Hospital Pressure Ulcer Training Program … Safety, Pressure Ulcers, Quality of Care Geographic Location: Connecticut

204. How To Implement the Pressure Injury Prevention Program in Your Organization
     www.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

205. Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/prevention.html
     Topic: Prevention Preventing disease and helping patients maximize health and function over the life … AHRQ’s Prevention/Care Management Portfolio works to improve the delivery of primary care services to … meet the needs of the American population for high quality, safe, effective, and efficient clinical prevention … 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

206. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
     April 04, 2008 - ulcers, in addition to continuing efforts to lower decubitus ulcer rates overall, it is important for … the VHA to eliminate racial disparities in pressure ulcer rates. … Pressure ulcers: More lethal than we thought? Adv Skin Wound Care 2005; 18: 367-372. 31. … Pressure ulcer prevention in black and white nursing home residents: A QI initiative of enhanced ability … Pressure ulcer risk assessment in patients with darkly pigmented skin.

207. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
     January 01, 2023 - About half (49.0%; 29,384 / 60,021) of Pressure ulcers were reported in Inpatient care areas. … Pressure Ulcers result in harm to the patient by their very nature. … This is unexpected, as pressure ulcers result in harm to the patient by their very nature. … Ulcer • A pressure ulcer that, on admission, was at stage/category III or stage/category IV or was … Pressure Ulcers result in harm to the patient by their very nature.

208. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
     May 01, 2017 - May 2017 On-Time Overview 5 5 On-Time Reports for Four Adverse Events Four Reports Pressure Ulcer … Prevention Pressure Ulcer Healing Falls Prevention Preventable Hospital and ED Visits May 2017 On-Time … leading clinicians Reports tested in clinical settings for feasibility and ease of use Large decline in pressure … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation May 2017 On-Time Overview … Programs: Reviews information on existing prevention programs Communication: Reviews existing team

209. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
     October 01, 2015 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international (Kandilov, … Zhan and Miller estimated that excess mortality due to pressure ulcers was 72 deaths per 1,000 pressure … Mortality for patients with pressure ulcer was compared to mortality among a matched set of patients … For example, pressure ulcers had a high baseline prevalence, and excess mortality attributed to pressure … Ulcers MPSMS (2013) Hospital-Acquired Pressure Ulcers 1,060,000 32.5 Surgical Site Infections

210. Agency for Healthcare Research and Quality
     www.ahrq.gov/tools/index.html?page=3
     September 01, 2012 - Keyword or Topic Topics - Any - Featured Clinicians & Providers Hospitals & Health Systems Prevention … 5 6 next › ›› last » Last » Preventing Pressure … Ulcers in Hospitals These materials assist hospital staff in implementing effective pressure ulcer … prevention practices through an interdisciplinary approach to care. … Toolkit for Decolonization of non-ICU Patients With Devices This toolkit can help hospital infection prevention

211. New York Nursing Facility Sees 56 Percent Drop in Pressure Ulcers with AHRQ-Funded Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cdom1201.html
     October 01, 2014 - New York Nursing Facility Sees 56 Percent Drop in Pressure Ulcers with AHRQ-Funded Program Search … ulcers. … ulcers decreased by 56 percent, from 4.2 percent prior to implementation to 1.8 percent in the year … ulcer development. … ulcers.

212. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
     January 01, 2011 - Flook, RN, MPH, CIC Director, Workforce Development & Infection Prevention Lorna Martin, RN Patient … ulcers The CUSP/Improvement Intervention Alt text CUSP 1. … Provide feedback, investigate each case Eliminate Stage 3, 4 Pressure Ulcers 1. … Standardized pressure ulcer risk assessment 3. … Flook, RN, MPH,CIC Director, Workforce Development/Infection Prevention 770-249-4518 dflook@gha.org.

213. Platelet-Rich Plasma for Wound Care: Technology Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
     September 17, 2020 - Pressure ulcers One RCT29 and one comparative observational study33 evaluated PRP in pressure ulcer. … Mean duration of pressure ulcers was 72.80 days. … Pressure Ulcers Two current guidelines supported use of PRP in advanced pressure ulcers or ulcers that … Haesler E, ed Prevention and Treatment of Pressure Ulcers/Injuries. … EPUAP/NPIAP/PPPIA: European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel

214. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.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.

215. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.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.

216. FAQs (Staff): Wound Cleaning (doc file)
     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 decubitus … ulcers. … 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.

217. Table 15A: Outcome Indicators by County Demographics | Agency for Healthcare Research and Quality
     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

218. Injuries and Wounds | Agency for Healthcare Research and Quality
     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

219. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
     November 19, 2015 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … 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 7 2010 baseline data … ulcer, rather than on the incremental cost due to the HAC. 13 Saving Lives and Saving Money: Hospital-Acquired

220. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
     November 19, 2015 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … 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 7 2010 baseline data … ulcer, rather than on the incremental cost due to the HAC. 13 Saving Lives and Saving Money: Hospital-Acquired