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www.ahrq.gov/news/newsroom/case-studies/index.html?page=4
June 01, 2017 - Healthcare-Associated Infections (HAIs), Hospital Readmissions, Medical Errors, Medication: Safety, Patient Safety, Pressure … Ulcers, Quality of Care Geographic Location: Tennessee Country: United States of America Implementer … ): Blood Clots, Healthcare-Associated Infections (HAIs), Long-Term Care, Outcomes, Patient Safety, Pressure … Ulcers, Quality of Care, Patient Safety Organizations Geographic Location: National Country: United … Costs, Healthcare-Associated Infections (HAIs), Quality of Care, Hospital Readmissions, Patient Safety, Prevention
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/pstools/patient-safety-tools-flyer-2021update.pdf
April 01, 2021 - Web: ahrq.gov/vtguide
Preventing Pressure Ulcers in Hospitals: A
Toolkit for Improving Quality of Care … is a toolkit
that assists hospital staff in implementing effective
pressure ulcer prevention practices … the training of hospital staff on
how to implement AHRQ’s Preventing Pressure
Ulcers in Hospitals Toolkit … Ulcer Prevention is a team
training curriculum to help
nursing homes with electronic
medical records … reduce the
occurrence of pressure ulcers.
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - ulcers and falls. … measured with MPSMS, the AHRQ Patient Safety Indicators (PSIs), the Centers for Disease
Control and Prevention … Ulcer MPSMS Hospital-Acquired Pressure Ulcers
Surgical Site
Infection
NHSN SSIs for 17 procedures … Ulcer
MPSMS Hospital-Acquired Pressure Ulcers 643,230 21.62
Surgical
Site
Infection
NHSN SSIs … Ulcer
MPSMS Hospital-Acquired
Pressure Ulcers
0643,23 21.62 708,301 23.81 704,906 23.69
Surgical
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www.ahrq.gov/prevention/curriculum/diabnotebk/diabnotebk31.html
October 01, 2014 - SHARE:
More topics in this section
Prevention
Chronic Care
Clinical Guidelines and Recommendations … https://www.ahrq.gov/prevention/curriculum/diabnotebk/diabnotebk31.html
Back to Top
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
February 01, 2023 - Overall
Yes
18,922
20,115
18,052
19,228
No
28,131
18,583
22,752
19,363
Pressure … Ulcer
Yes
3,471
3,655
3,237
3,421
No
3,873
3,358
4,221
4,253
Injurious … Composite: ACSC Overall
19,083
19,110
16,427
19,636
23,560
27,103
21,664
20,810
Pressure … Ulcer
3,504
3,473
2,888
3,575
2,944
4,236
4,000
3,773
Injurious Falls
285
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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
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
April 01, 2022 - ulcers
Incontinence-associated dermatitis
Daily measurement of urine volume
Single 24-hour urine sample … Indications11-13
Acute urinary retention
Chronic urinary retention
Stage III or IV or unstageable pressure … ulcer
Urinary incontinence
Urine volume measurements
Random urine sample collection
Management … Guideline for prevention of catheter-associated urinary tract infections 2009. … Incontinence-associated dermatitis: consensus statements, evidence-based guidelines for prevention and
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - On-Time provides EMR reports for
improving clinical decisionmaking for pressure ulcer prevention, pressure … ulcer healing,
prevention of inappropriate hospitalizations, and falls prevention. … Ulcer
Vendor determined
or Wound
Assessment
Pressure ulcer Stage II,
III, IV, or unstageable. … IF wound assessment date ≤7 days of
report date AND at least one pressure
ulcer with ulcer stage = … then display X in Wound
• Infected wound or decubitus ulcer
• Jaundice
• Rash
10 Injury: Fall
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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
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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.
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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
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19e.html
March 01, 2023 - 6,924
7,208
Composite: ACSC Overall
20,218
17,976
20,084
17,046
19,215
17,075
Pressure … Ulcer
3,124
2,492
3,084
2,232
2,819
2,301
Injurious Falls
297
218
268
212 … 6,471
8,020
7,037
6,881
Composite: ACSC Overall
17,757
20,393
19,476
16,171
Pressure … Ulcer
2,658
2,731
2,846
2,191
Injurious Falls
239
247
236
260
Notes
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19d.html
March 01, 2023 - 3,685
2,830
Composite: ACSC Overall
6,401
5,144
6,083
4,903
6,049
4,408
Pressure … Ulcer
1,887
1,225
1,703
1,115
1,573
1,084
Injurious Falls
88
67
77
69
79 … 3,503
3,242
3,720
2,668
Composite: ACSC Overall
5,768
5,111
6,087
4,163
Pressure … Ulcer
1,543
1,223
1,589
999
Injurious Falls
77
67
77
63
Notes:
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19b.html
March 01, 2023 - 8,456
8,118
Composite: ACSC Overall
25,741
19,330
21,845
20,450
21,888
19,402
Pressure … Ulcer
4,659
3,573
4,127
3,570
4,133
3,186
Injurious Falls
476
335
399
346 … 8,162
8,798
8,469
8,012
Composite: ACSC Overall
20,856
22,154
22,042
18,402
Pressure … Ulcer
4,014
3,688
4,171
2,882
Injurious Falls
384
365
381
366
Notes
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19.html
March 01, 2023 - 7,387
7,164
Composite: ACSC Overall
23,095
17,584
19,743
18,467
19,802
17,363
Pressure … Ulcer
4,291
3,139
3,655
3,225
3,647
2,945
Injurious Falls
388
259
314
272 … 7,138
7,741
7,427
6,977
Composite: ACSC Overall
18,821
20,092
19,980
16,312
Pressure … Ulcer
3,501
3,452
3,695
2,655
Injurious Falls
301
291
297
299
Notes
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19c.html
March 01, 2023 - 4,435
3,912
Composite: ACSC Overall
14,847
12,685
13,750
12,591
14,039
10,413
Pressure … Ulcer
3,144
1,922
2,311
2,203
2,306
2,125
Injurious Falls
114
46
72
55
58 … 4,284
4,429
4,470
3,725
Composite: ACSC Overall
13,151
13,631
14,134
9,746
Pressure … Ulcer
2,071
2,713
2,345
1,945
Injurious Falls
68
59
59
92
Notes:
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab11.html
February 01, 2023 - Overall
Yes
14,177
28,212
18,788
9,372
No
19,380
19,211
19,521
20,716
Pressure … Ulcer
Yes
2,730
11,421
3,150
1,840
No
3,506
3,461
3,696
3,731
Injurious … Composite: ACSC Overall
50,783
40,549
9,972
20,001
18,997
10,923
20,108
19,218
Pressure … Ulcer
12,696
8,204
883
4,475
3,415
1,644
3,729
3,459
Injurious Falls
469
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19f.html
March 01, 2023 - 5,990
6,632
Composite: ACSC Overall
23,094
19,763
20,681
21,282
21,204
19,420
Pressure … Ulcer
6,082
4,303
4,919
4,872
4,765
5,535
Injurious Falls
173
119
141
130 … 5,861
6,673
6,037
6,455
Composite: ACSC Overall
20,343
22,153
21,427
18,076
Pressure … Ulcer
4,499
5,846
4,870
5,072
Injurious Falls
140
131
131
168
Notes