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241. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - Pressure Ulcers Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health . … Improvement report on reduction of nosocomial pressure ulcers, University of Minnesota Medical Center … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit

242. Long-term Care Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
     November 01, 2021 - Toolkit To Improve Antibiotic Use in Long-Term Care AHRQ’s Safety Program for Nursing Homes: On-Time Prevention … Injury Long-Term Care Facilities Multiple Chronic Conditions Omissions of Care in Nursing Homes Pressure … Ulcers Quality of Life TeamSTEPPS Nursing Home Antimicrobial Stewardship Guide … and Other HAIs in Long-Term Care Facilities Affiliated Centers, Portfolios & Initiatives Prevention

243. Dailygoals (doc file)
     www.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

244. Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
     January 01, 2024 - Being underweight increased the odds of experiencing a fall, fall with injury, or pressure ulcer but … ulcers/ injuries and UTIs. … Association of overweight and obesity with the prevalence and incidence of pressure ulcers: A systematic … The paradox of obesity in pressure ulcers of critically ill patients. … Obesity and pressure ulcers among nursing home residents. Medical Care. 2013;51(6):478-86. 44.

245. FAQs (Staff): CHG for Bathing (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.docx
     March 01, 2022 - Do not wipe the CHG off as this will reduce its infection prevention abilities. … Be especially thorough if there are any nearby wounds, pressure ulcers, or breaks in the skin. … Using the CHG cloths on superficial wounds/stage 1 and 2 decubitus ulcers How should we dispose of the

246. Final Progress Report: 2008 Local Area Networks for Excellence (LANE) Conference (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/stone-benner-report.pdf
     January 01, 2024 - ulcers, restraints, pain, staff stability, and quality improvement. … Association (AHQA), Association of Health Facility Survey Agencies (AHFSA), Centers for Disease Control and Prevention … There are four clinical areas that have long plagued nursing homes; 1) presence of pressure ulcers in … ulcers , n=18, and dementia, n=3). … Ulcers: Best Practices X 3.5 9 2008 Local Area Networks for Excellence (LANE) Conference: Final

247. Daily Goals Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
     December 01, 2012 - thrombosis: __   Heparin every 8 hours/every 12 hours/continuous drip __   Peptic ulcer disease prevention

248. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
     January 01, 2006 - Indicators (IQIs), Pediatric Quality Indicators (PDIs) QIs represent events likely to be amenable to prevention … , with specific information tailored to the example indicator: The indicator that we have chosen, Pressure … Ulcers (PSI 03), is important to our patients because improvement on this indicator may reduce: Sepsis … In this example, we will examine the rates of Pressure Ulcers (PSI 03) for this particular hospital performed … Ulcers (PSI 03) Observed Rate 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 4.9136800000000001E

249. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
     February 07, 2014 - Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient … ulcers Immobility Aims 9 Understand the CUSP framework for initiating culture change … Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient

250. Table 17B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
     February 01, 2023 - 10,530 7,005 Composite: ACSC Overall 24,760 16,334 23,622 19,729 26,330 18,086 Pressure … Ulcer 4,583 2,937 4,303 3,638 4,774 3,353 Injurious Falls 397 350 396 366 … 8,314 8,522 10,408 7,479 Composite: ACSC Overall 21,408 21,005 25,803 19,316 Pressure … Ulcer 4,098 3,440 4,727 3,530 Injurious Falls 384 363 466 342 Notes

251. Table 17G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
     February 01, 2023 - 13,941 8,615 Composite: ACSC Overall 31,820 19,437 32,312 23,141 34,235 21,902 Pressure … Ulcer 5,156 2,917 5,215 3,604 5,195 3,597 Injurious Falls 568 461 588 484 … 10,221 11,658 13,626 9,337 Composite: ACSC Overall 25,759 28,549 32,778 23,897 Pressure … Ulcer 4,379 3,646 4,962 3,857 Injurious Falls 504 573 687 457 Notes

252. Table 17D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
     February 01, 2023 - 3,815 3,120 Composite: ACSC Overall 6,079 4,558 5,662 5,312 6,245 5,000 Pressure … Ulcer 1,619 1,071 1,367 1,440 1,749 1,185 Injurious Falls 81 60 90 55 92 … 3,481 3,208 3,831 3,228 Composite: ACSC Overall 5,719 5,011 6,399 5,136 Pressure … Ulcer 1,498 1,217 1,890 1,213 Injurious Falls 80 57 88 68 Notes:  

253. Table 17C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
     February 01, 2023 - 5,049 3,932 Composite: ACSC Overall 15,281 10,642 14,988 12,306 15,447 12,117 Pressure … Ulcer 2,935 1,376 2,649 2,045 3,140 1,790 Injurious Falls 76 51 101 45 98 … 4,416 4,102 5,111 4,002 Composite: ACSC Overall 13,885 11,778 15,231 12,519 Pressure … Ulcer 2,200 2,447 3,298 1,833 Injurious Falls 66 63 119 44 Notes:  

254. Table 17A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
     February 01, 2023 - 9,215 6,184 Composite: ACSC Overall 22,374 14,832 21,534 17,751 23,720 16,492 Pressure … Ulcer 4,168 2,525 3,903 3,214 4,382 2,935 Injurious Falls 316 271 324 280 … 7,298 7,429 9,114 6,570 Composite: ACSC Overall 19,447 18,724 23,221 17,538 Pressure … Ulcer 3,603 3,194 4,378 3,086 Injurious Falls 301 289 382 264 Notes

255. Indwelling Urinary Catheter Indications
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
     April 01, 2022 - -5 2009 HICPAC Guidelines American Nurses Association’s Streamlined Evidence-Based RN Tool: CAUTI Prevention … Closed pressure ulcers: stage I, deep tissue injury No No, unless has chronic ISC needs Yes, if the patient … Open pressure ulcers: stage II Uncertain Yes Yes, if the patient is unable to toilet using other means … , bedpan, bedside commode, bathroom All† Open pressure ulcers: stages III-IV, unstageable Yes Yes, … Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009.

256. 115-Daily-Goals-Icu-Checklist (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Intensive Care Unit (ICU) Daily Goals Checklist ICU & Non-ICU … Insert text Insert text PATIENT CARE Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention … : Yes No Insert text Central Line-Associated Bloodstream Infection (CLABSI) Prevention … ___ Line 2: type/site __________ Line 3: type/site __________ Line 4: type/site __________ CLABSI prevention … No. 25-0007 October 2024 ICU Daily Goals Checklist | 1 AHRQ Safety Program for MRSA Prevention

257. Table 17F: HCBS Population Ages 18-64 Without Intellectual/Developmental Disabilities or Serious Mental Illness | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17f.html
     February 01, 2023 - 7,139 5,429 Composite: ACSC Overall 23,940 16,507 25,790 18,529 23,803 18,978 Pressure … Ulcer 5,875 3,508 6,077 4,338 6,250 4,022 Injurious Falls 147 123 175 119 … 6,119 6,072 7,171 5,539 Composite: ACSC Overall 21,607 19,235 23,468 19,546 Pressure … Ulcer 4,785 5,171 6,257 4,181 Injurious Falls 145 120 171 121 Notes

258. Table 17E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17e.html
     February 01, 2023 - 8,838 5,914 Composite: ACSC Overall 20,734 15,368 19,563 17,756 23,009 16,087 Pressure … Ulcer 2,980 2,213 2,877 2,492 3,415 2,252 Injurious Falls 253 224 263 220 … 6,956 7,098 7,925 6,580 Composite: ACSC Overall 19,175 17,427 20,509 17,826 Pressure … Ulcer 2,820 2,361 3,195 2,436 Injurious Falls 251 221 300 217 Notes

259. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
     December 01, 2017 - 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

260. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
     August 01, 2025 - Ulcer Prevention in Nursing Homes 2015–2018 $1,783,070 Purpose: 1) Disseminate the On-Time Pressure … effective pressure ulcer prevention practices. … Key Findings/Impact: A final report was not available; however, the Preventing Pressure Ulcers in Hospitals … : Implement and evaluate the effectiveness of a pressure ulcer module, “On-Time Quality Improvement … rates, in reducing the rate of pressure ulcers among nursing home residents.