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321. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_staffpresentation.pptx
     January 01, 2006 - Rate NQI 03 Neonatal Blood Stream Infection Rate PDI 01 Accidental Puncture or Laceration Rate PDI 02 Pressure … Ulcer Rate PDI 03 Retained Surgical Item or Unretrieved Device Fragment Count PDI 05 Iatrogenic Pneumothorax … example, with specific information tailored to the example indicator: The indicator that we have chosen, Pressure … Ulcers (PDI 02), is important to our patients because improvement on this indicator may reduce: Sepsis

322. PS Grantee | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/index.html?page=8
     January 01, 2024 - Publication Date: March 2015 Using an Electronic Health Record To Examine Nurse Continuity and Pressure … Ulcers ( application/pdf 844258 ) Principal Investigators: Stifter, et al. … Coordination, Health Information Technology and Health Information Exchange, Human and Environmental Factors, Pressure … Ulcers Publication Date: December 2014 The Value of Hospital-Related Patient-Safety Interventions

323. NICU Family Information Packet, Appendix B, Tracheostomies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-trache.pdf
     June 02, 2025 - NICU Family Information Packet, Appendix B, Tracheostomies Tracheostomies Tracheostomy Basics ■ Indications: upper airway obstruction, long term ventilation, ease of pulmonary toilet, to protect the airway. ■ Tube selection based on: – Indication for tracheostomy. – Tracheal width/length/shape. – Upper a…

324. Outcomes by HCBS Participant Characteristics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find5.html
     December 01, 2012 - higher rates on all measures other than Short-Term Complications of Diabetes, Bacterial Pneumonia, and Pressure … Ulcer. … The exceptions are Pressure Ulcer, which is effectively equal in urban and nonurban areas, and Infection … Rates for women in the Medicaid-only population are always higher than for men except in Pressure Ulcer … The main exception to the county-level age pattern is the Pressure Ulcer measure, for which rates are

325. Preventing Device-Associated Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
     October 01, 2015 - The appropriate indications are based on Centers for Disease Control and Prevention and Healthcare Infection … associated with many infectious and noninfectious complications including immobility (with potential pressure … ulcers and increased risk for thromboembolism), trauma, and debility.

326. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/intro.html
     June 01, 2017 - Table 1 lists reports and implementation materials for pressure ulcer healing. Table 1.

327. 2019 National Healthcare Quality and Disparities Report Quality Trends (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
     January 01, 2019 - nursing home residents with a urinary tract infection (MDS) 4.9% in 2013 2.2% in 2017 -18.2 0.003 Pressure … Ulcers Short-stay nursing home patients with new or worsening pressure ulcers (MDS) 0.7% in 2013 … residents with a catheter inserted and left in the bladder (MDS) 3.4% in 2013 2.8% in 2017 -5.4 0.008 Pressure … Ulcers High-risk, long-stay nursing home patients with pressure ulcer (MDS) 5.3% in 2013 4.8% in … Measure Title (Data Source) Baseline Rate and Year Current Rate and Year AAPC P Value CVD - Prevention

328. Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
     January 01, 2010 - Smith (2) Because of his immobility, he develops a pressure ulcer on his sacrum. … would protect the skin in the incontinent patient, and a catheter may prove useful in advanced stage pressure … ulcers, but to protect intact skin, there are many other products that can create a barrier. … In prevention of CAUTI, this communication is vital. Discuss the indications.

329. Improving the Value of Patient Safety Reporting Systems (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
     June 12, 2008 - taxonomies include mistakes (e.g., prescribing errors) and the outcome of mistakes (e.g., p falls, decubitus … ulcers) as event types. … However, falls and decubitus ulcers are visible ha (outcomes) that might have resulted from failure to … ulcers were among the highest. … Prevention of intravascular catheter-related infections. Ann Intern Med 2000; 132: 391-402. 33.

330. Many Pediatric Pneumonia Patients Receive Antibiotics Outside of Guidelines | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/967.html
     July 01, 2025 - The latter two areas are primarily concerned with PSIs for pressure ulcers and falls, while the bulk

331. Table 13C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13c.html
     December 01, 2012 - Composite: ACSC Overall 16,190 13,777 11,837 15,406 12,890 12,089 11,728 15,849 Pressure … Ulcer 3,031 3,001 1,416 3,073 2,914 1,211 1,591 3,369 Injurious Falls 122

332. Table 13F: HCBS Population Ages 18-64 Without I/DD or SMI | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13f.html
     December 01, 2012 - Composite: ACSC Overall 25,088 21,726 18,033 23,910 21,388 17,059 17,977 25,619 Pressure … Ulcer 6,180 6,029 3,239 5,537 6,191 3,067 3,636 6,965 Injurious Falls 198

333. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
     January 01, 2017 - Estimating the attributable mortality of ventilator-associated pneumonia from randomized prevention studies … Estimated Additional Costs of Healthcare-Acquired Conditions (HACs) Series 1 VAPs SSIs CLABSI Other HACs Pressure … Ulcers Post-op DVTs Falls Adverse Drug Events Obstetric Adverse Events CAUTI 21001 21000 17000 17000 … Sheet1 Series 1 VAPs $ 21,001 SSIs $ 21,000 CLABSI $ 17,000 Other HACs $ 17,000 Pressure … Ulcers $ 17,000 Post-op DVTs $ 8,000 Falls $ 7,234 Adverse Drug Events $ 5,000 Obstetric

334. Harborview Medical Center Uses AHRQ’s Quality Indicators To Improve Patient Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/202504.html
     June 01, 2025 - The latter two areas are primarily concerned with PSIs for pressure ulcers and falls.

335. 4 Tk2 T1-Medical Care Referral Form (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form.pdf
     May 01, 2014 - Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality MEDICAL CARE REFERRAL FORM USE IN ALL SITUATIONS WHEN A RESIDENT HAS A NEW PROBLEM AND INFECTION MAY BE SUSPECTED, AND IS BEING REFERRED TO A MEDICAL CARE PROVIDER, INCLUDING TRANSFER TO AN EMERGENCY DEPARTMENT OR HOSPIT…

336. Table 18C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18c.html
     December 01, 2012 - Composite: ACSC Overall 16,907 11,751 12,996 13,677 15,462 11,318 16,431 11,746 Pressure … Ulcer 3,451 1,762 2,142 2,427 2,827 1,758 3,323 1,746 Injurious Falls 123

337. Table 18A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18.html
     December 01, 2012 - Composite: ACSC Overall 24,317 16,815 18,770 19,809 22,527 15,998 23,953 16,701 Pressure … Ulcer 4,443 3,028 3,450 3,527 4,157 2,822 4,392 2,997 Injurious Falls 384

338. Table 13A: National Home and Community-Based Services Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13.html
     December 01, 2012 - Composite: ACSC Overall 23,439 21,000 15,748 21,963 20,486 15,596 16,965 22,647 Pressure … Ulcer 4,010 3,925 2,853 4,175 3,854 2,547 2,961 4,271 Injurious Falls 396

339. Table 13D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13d.html
     December 01, 2012 - Composite: ACSC Overall 5,916 5,609 5,108 6,697 5,155 5,348 5,480 5,488 Pressure … Ulcer 1,490 1,499 1,251 1,746 1,431 1,216 1,326 1,488 Injurious Falls 98 66

340. Table 13G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13g.html
     December 01, 2012 - Composite: ACSC Overall 33,261 30,970 20,092 30,462 31,280 18,320 22,265 33,519 Pressure … Ulcer 4,497 4,649 3,696 5,077 4,632 2,818 3,647 5,097 Injurious Falls 708