-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18g.html
December 01, 2012 - Composite: ACSC Overall
34,260
22,892
23,868
30,208
32,733
20,783
35,263
22,285
Pressure … Ulcer
5,116
3,763
3,806
4,740
5,358
3,126
5,260
3,679
Injurious Falls
688
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18f.html
December 01, 2012 - Composite: ACSC Overall
26,478
18,157
19,684
22,783
25,447
17,116
26,216
17,993
Pressure … Ulcer
6,748
4,003
4,586
5,403
6,035
3,967
6,763
3,893
Injurious Falls
185
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18e.html
December 01, 2012 - Composite: ACSC Overall
22,679
16,659
18,685
18,628
20,804
15,817
22,039
16,556
Pressure … Ulcer
3,464
2,296
2,799
2,580
3,066
2,178
3,313
2,292
Injurious Falls
300
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18d.html
December 01, 2012 - Composite: ACSC Overall
6,335
5,055
5,848
5,211
5,930
4,908
6,161
5,048
Pressure … Ulcer
1,757
1,227
1,653
1,218
1,537
1,233
1,672
1,232
Injurious Falls
88
65
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab18b.html
December 01, 2012 - Composite: ACSC Overall
26,640
18,645
20,791
21,894
24,849
17,695
26,372
18,479
Pressure … Ulcer
4,754
3,486
3,908
3,901
4,595
3,208
4,736
3,445
Injurious Falls
466
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13b.html
December 01, 2012 - Composite: ACSC Overall
25,630
23,315
17,273
24,034
22,926
16,939
18,851
24,850
Pressure … Ulcer
4,306
4,221
3,413
4,523
4,155
3,058
3,454
4,564
Injurious Falls
479
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab13e.html
December 01, 2012 - Composite: ACSC Overall
22,658
20,161
15,487
19,836
18,844
18,762
16,626
21,838
Pressure … Ulcer
3,490
2,892
2,126
3,314
2,623
2,679
2,298
3,287
Injurious Falls
340
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-slides.html
September 01, 2017 - showing 15 active medications during the report week, active high-risk diagnosis of UTI, stage III pressure … ulcer, and two medical conditions: cellulitis and hypertension. … DNR,DNH, MOLST, or POLST Order in Place
Oxygen Therapy
Catheter or Ostomy Present
Stage II or > Pressure … Ulcer
Fall Risk
Late-Loss ADL Score ≥12
Cognitive Impairment
Medical Conditions **
High-Risk … Enables clinicians to track patterns, follow up on areas of decline, and monitor progress of new prevention
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
January 01, 2022 - challenge, in 2001, CMS created the
MPSMS in coordination with AHRQ, the Centers for Disease Control and Prevention … example, maternal-related AE can only be evaluated in a subset of all the
sampled claims, while fall and pressure … ulcer can be evaluated from all claims.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
January 01, 2022 - challenge, in 2001, CMS created the
MPSMS in coordination with AHRQ, the Centers for Disease Control and Prevention … example, maternal-related AE can only be evaluated in a subset of all the
sampled claims, while fall and pressure … ulcer can be evaluated from all claims.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/clinical-faqs.docx
March 01, 2017 - CAUTI Prevention
1. What are the clinical indications for a urinary catheter? … .
· Assistance in healing of open pressure ulcers, skin grafts, and stage III or IV perineal and sacral … Guideline for prevention of catheter-associated urinary tract infections 2009. … Are there specific prevention strategies for a resident with a neurogenic bladder?
No. … An update on prevention and treatment of catheter-associated urinary tract infections.
-
www.ahrq.gov/news/newsletters/e-newsletter/920.html
July 01, 2024 - The Task Force—an independent, volunteer panel of 16 prevention and primary care experts—issues recommendations … 36 states from AHRQ’s Healthcare Cost and Utilization Project focusing on adverse outcomes such as pressure … ulcers and mortality rates for conditions like heart failure and hip fracture.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
June 02, 2025 - 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
-
www.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - CHG is also safe for superficial wounds, including stage 1
and stage 2 decubitus ulcers.
12. … 36
CHG can be applied to any superficial wound, including stage 1 and stage 2 decubitus ulcers … • Use over superficial wounds, including stages 1 and 2 decubitus ulcers. … Y N N/A Uses CHG on superficial wounds, rash, and stage 1 & 2 decubitus ulcers. … Are you comfortable applying CHG to stage 1 & 2 decubitus ulcers?
-
www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
September 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of
urinary incontinence despite wound care … Incontinence without a sacral or perineal pressure sore—Urinary catheters should not
be routinely placed … ulcers), and deep
venous thrombosis. … ulcer, or similarly severe wounds of other
types, that cannot be kept clear of urinary incontinence … ulcers or similarly severe wounds of other
types that cannot be kept clear of urinary incontinence
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - ulcers or similarly severe wounds that cannot be kept clear of
urinary incontinence despite wound care … Incontinence without a sacral or perineal pressure sore—Urinary catheters should not
be routinely placed … ulcers), and deep
venous thrombosis. … ulcer, or similarly severe wounds of other
types, that cannot be kept clear of urinary incontinence … ulcers or similarly severe wounds of other
types that cannot be kept clear of urinary incontinence
-
www.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
October 01, 2020 - While a catheter may prove useful in advanced-stage pressure ulcers, there are many other products that … Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009 . … Retrieved from the Centers for Disease Control and Prevention. website: CAUTI Guidelines. … Slide 102
Do you have an effective ED nurse champion for your CAUTI prevention activities? … Slide 103
Do you have an effective ED nurse champion for your CAUTI prevention activities?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
November 30, 2013 - ulcer, fall risk, late-loss ADL index score
greater than or equal to 12 [based on RUG-III], cognitive … ulcer, and two medical conditions
(cellulitis and hypertension) would trigger Rule 2. … ulcer. … If there
is a pressure ulcer stage 2, 3, 4, or unstageable recorded
as present within 7 days of the … can use the report to track
patterns, follow up on areas of decline, and monitor progress of
new prevention
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
November 30, 2013 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
ED … Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention … status
Oxygen dependency
Confusion/mental status change
Any full thickness wound (e.g., pressure … ulcers [Stage II or greater], surgical
wound, stasis ulcer)
Polypharmacy (15 or more medications … Chronic pressure ulcers Yes No
L. Recurrent UTI Yes No
M. Anemia Yes No
N.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
November 30, 2013 - Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
ED … Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention … status
Oxygen dependency
Confusion/mental status change
Any full thickness wound (e.g., pressure … ulcers [Stage II or greater], surgical
wound, stasis ulcer)
Polypharmacy (15 or more medications … Chronic pressure ulcers Yes No
L. Recurrent UTI Yes No
M. Anemia Yes No
N.