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221. Addressing Questions Asked by Staff: Wound Cleaning (pdf file)
     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 decubitus … ulcers. … 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.

222. Chronic Conditions | Agency for Healthcare Research and Quality
     www.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

223. Patient Safety Tools | Agency for Healthcare Research and Quality
     www.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

224. Table 16A: Outcome Indicators by County Socioeconomic Status | Agency for Healthcare Research and Quality
     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

225. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     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

226. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/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

227. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     www.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

228. American College of Physicians Uses AHRQ Research to Create Clinical Guidelines for Physicians | Agency for Healthcare Research and Quality
     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, Pressure … Ulcers, Prevention, Primary Care, Quality of Care Geographic Location:

229. Appendix | Agency for Healthcare Research and Quality
     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

230. Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact | Agency for Healthcare Research and Quality
     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

231. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
     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 Pressure … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical Site Infection

232. Appendix 1-B. Pre/Post-Test Questions and Answers for Module 1 | Agency for Healthcare Research and Quality
     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.

233. Patient Self-Management | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/patient-self-management.html
     planning, carrying out, and following up on a patient visit; planning patient visits that focus on prevention … AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia Engaging Patients and

234. Documentation and Coding for Patient Safety Indicators (pdf file)
     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

235. Appendix F. Hospital Practice Insights: Challenges and Solutions | Agency for Healthcare Research and Quality
     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 Pressure … Ulcer 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.

236. Appendix L. Intensive Care Unit Infographic Poster | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
     October 01, 2015 - Infographic Poster on CAUTI Prevention Appendix L. … "All immobile patients need a urinary catheter to prevent hospital-acquired pressure ulcers." … "CAUTI prevention isn't my responsibility." … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint), hospital-acquired pressure … ulcers, falls, and venous thromboembolism. 2 , 3 Not all critically ill, immobile patients need Foley

237. Enhancing Patient Safety Through Cognition and Communication (M-Safety Lab) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
     April 01, 2021 - Identify areas of skin at risk for developing pressure ulcers (recently renamed by expert organizations … of indwelling urinary catheters, central venous catheters, and pressure injuries (formerly called "pressure … ulcers"). … ulcers. … Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing

238. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
     September 01, 2015 - patients at “CAUTI “Incontinent patients need a urinary catheter to prevent hospital- acquired pressure … ulcers.” … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint"), hospital-acquired pressure … ulcers, falls, and venous thromboembolism.2,3 • Not all critically ill, immobile patients need Foley … CAUTI prevention isn’t my responsibility.”

239. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     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 prevention … Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … ulcer.

240. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
     December 01, 2014 - Ulcers 250,000 50% 50% 25% 62,500 $17,000 .072 $1,062,500,000 4,525 Surgical … 17.4% 1,040,500 NA NA $9,141,150,000 35,647 * Additional costs per HAC for Falls and Pressure … Ulcers were modified in 2012 from earlier higher projections. … been wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure … ulcer, rather than on the incremental cost due to the HAC.   18.