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421. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
     August 01, 2025 - ulcers, urinary tract infections (UTIs), and pneumonia, all of which are generally preventable but … ulcers at 68%, and infections at even lower rates (UTIs: 19–29%, pneumonia: 66–71%). … ulcer rates than Black residents, and facilities with higher proportions of White residents showed … better reporting for falls but worse for pressure ulcers. … ulcers, skin tears, and falls with injury representing the most common types of events in this category

422. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
     March 10, 2008 - countries: (1) cardiac care, (2) diabetes mellitus, (3) mental health, (4) patient safety, and (5) prevention … ulcer Yes All medical and surgical discharges age ≥18 years, length of stay >4 days MDC 9 (skin … For decubitus ulcer (PSI 3), a major exclusion group covers hemiplegias and other neurologic problems … Although there are specific codes for decubitus ulcer (PSI 3) in both ICD-9-CM and ICD-10-WHO, the ICD … -10-WHO code L89 (decubitus ulcer) does not specify the site of the ulcer, while M70 codes describe

423. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
     January 01, 2004 - Nursing-related patient safety events include hip fractures and decubitus ulcers (the remaining 2 of

424. Appendix E | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
     April 01, 2018 - Delirium 2 427  -- Nosocomial Infections 3 450  -- Patient Falls 11 428  -- Pressure … Ulcers 5 430  -- Venous Thrombosis and Thromboembolism 0 414 Medication Safety

425. 2021 National Healthcare Quality and Disparities Report Appendixes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2021qdr-appendixes.pdf
     December 01, 2021 - Health Plan Survey Database • National Patient Safety Database (NPSD) Centers for Disease Control and Prevention … ulcer MDS 2018 Low-risk, and left in long-stay nursing the bladder home residents with a catheter … ulcers that are new or MDS 2018 Adults who reported a home health care provider talking about how … ulcer MDS 2018 Low-risk, and left in long-stay nursing the bladder home residents with a catheter … ulcers that are new or MDS 2018 Adults who reported a home health care provider talking about how

426. Applying the AHRQ Quality Indicators to Hospital Data (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b1_combo_applyingqis.pdf
     March 01, 2016 - quality—Inpatient Quality Indicators (IQIs), Patient Safety Indicators (PSIs), Pediatric Indicators (PDIs), and Prevention … In this example, two hypothetical hospitals (A and B) are assessing their performance on PSI 03, Pressure … Ulcers. … signifies better performance because fewer adverse events have occurred, in this case fewer patients with pressure … ulcers.) 4.

427. Multiple Chronic Conditions Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
     April 01, 2014 - Multiple Chronic Conditions Chartbook Multiple Chronic Conditions Chartbook 2010 MEDICAL EXPENDITURE PANEL SURVEY DATA ALL OF THE INFORMATION INCLUDED IN THIS CHARTBOOK IS FREELY AVAILABLE FOR REPRODUCTION. PERMISSION FROM THE AUTHORS FOR THE USE THE CHARTS OR GRAPHICS CONTAINED IN THIS REPORT IS NOT NECESSA…

428. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
     June 02, 2025 - of the Council * Welcome Video to welcome new patients to the hospital C- Diff flyer Brochure on Pressure … Ulcers Noise Reduction Sleep Time Sign Nurse Residency Program- Testimonials Food and Quality Improvements

429. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
     June 01, 2025 - Operating Room Patient Safety Practices MHS I (2001) MHS II (2013) MHS III (2020) MHS IV (2023-24) Prevention … of Pressure Ulcers in Older Patients Summary of Evidence Summary of Evidence (all patients) (Not reviewed … ) (Not reviewed) Prevention of Delirium in Older Hospitalized Patients Summary of Evidence (Also listed … Central Vein Catheterization Summary of Evidence Summary of Evidence (Not reviewed) (Not reviewed) Prevention … Thromboembolism Patient Safety Practices MHS I (2001) MHS II (2013) MHS III (2020) MHS IV (2023-24) Prevention

430. Manage-Resident-Rti-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/manage-resident-RTI-facilitator-guide.docx
     June 01, 2021 - In fact, in 2017, the Centers for Disease Control and Prevention reported that 96 percent of Strep pneumo … He has dementia and is bedbound due to a prior stroke and had several infected sacral decubitus ulcers

431. Improving Patient Safety in Long-Term Care Facilities, Module 1 (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ltcmodule1.pdf
     June 01, 2012 - Module 2 focuses on communicating changes in a resident’s condition, and Module 3 covers falls prevention … Reddened or darkened skin near a pressure point, or skin breakdown in those areas, can lead to a full pressure … ulcer (bed sore) if not responded to promptly.

432. Patient and Family-Centered Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/patient-family-centered-care-slides.html
     December 01, 2017 - the Council Welcome Video to welcome new patients to the hospital C- Diff flyer Brochure on Pressure … Ulcers Noise Reduction Sleep Time Sign Nurse Residency Program- Testimonials Food and Quality

433. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
     September 01, 2015 - associated with many infectious and noninfectious complications including immobility (with potential pressure … ulcers and increased risk for thromboembolism), trauma, and debility. … Infection prevention plays a consulting and facilitating role to support the effort. … Guidelines for the Prevention of intravascular catheter-related infections. … Guideline for prevention of catheter‐associated urinary tract infections 2009.

434. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
     September 01, 2015 - associated with many infectious and noninfectious complications including immobility (with potential pressure … ulcers and increased risk for thromboembolism), trauma, and debility. … Infection prevention plays a consulting and facilitating role to support the effort. … Guidelines for the Prevention of intravascular catheter-related infections. … Guideline for prevention of catheter‐associated urinary tract infections 2009.

435. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
     September 01, 2015 - associated with many infectious and noninfectious complications including immobility (with potential pressure … ulcers and increased risk for thromboembolism), trauma, and debility. … Infection prevention plays a consulting and facilitating role to support the effort. … Guidelines for the Prevention of intravascular catheter-related infections. … Guideline for prevention of catheter‐associated urinary tract infections 2009.

436. CAHPS® Moving Forward: Innovations in Tools and Research Webcast (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
     March 01, 2010 - • More positive patient experiences associated with fewer inpatient care complications, especially pressure … ulcers, post-operative respiratory failure, and pulmonary embolism or deep venous thrombosis • Better

437. 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/handouts.html
     September 01, 2017 - But that’s not prevention. Facilitator: Who is at the morning meeting? … But, same as Mary said, that’s not about prevention. … Weekly Wound Review Meetings Multidisciplinary team weekly review of residents with stage 2 or above pressure … ulcers at risk for infection who potentially require hospitalization/ED visit. … Reports provide information about current and changing risks for pressure ulcer healing and can aid root

438. Preventing-Cauti-Engaging-Clinicians-Transcript (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-transcript.doc
     May 14, 2013 - And, therefore, perhaps even leading to other hospital required conditions, such as pressure sore and … says quite a bit about how that hospital deals with other similar endemic problems, such as falls, pressure … sores, delirium, contrast induced nephropathy; all the types of things that our patients get, but would … or VAT prevention. … It'll prevent pressure ulcers.

439. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-slides.pptx
     January 01, 2017 - ABCDEFs of Prevention and Safety. … A systematic review of implementation strategies for assessment, prevention, and management of ICU delirium … ABCDEs, delirium monitoring and management, hospital-acquired infections, falls, deep vein thromboses, pressure … ulcers, medication errors Physiological Support for failing organs (e.g., mechanical ventilation, vasopressors … ABCDEFs of Prevention and Safety.

440. Appendix E. Training and Educational Materials | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-ape.html
     September 01, 2013 - CHG can be applied to any superficial wound, including stage 1 and stage 2 decubitus ulcers, friable