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361. 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

362. Table 18G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     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

363. Table 18F: 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/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

364. Table 18E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     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

365. Table 18D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     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

366. Table 18B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     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

367. Table 13B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     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

368. Table 13E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     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

369. 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

370. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.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.

371. 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.

372. Introduction to the Pediatric Best Practices Tool (pdf file)
     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

373. 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

374. AHRQ Views: Celebrating the 40th Anniversary of the U.S. Preventive Services Task Force | Agency for Healthcare Research and Quality
     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.

375. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Training | Agency for Healthcare Research and Quality
     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

376. 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.

377. BLADDER SCAN – POLICY #2202 12/11/06 (doc file)
     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.

378. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     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.

379. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
     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.

380. Part Two: Removing the Obstacles to Practice Change | Agency for Healthcare Research and Quality
     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?