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41. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Ulcers MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 Surgical Site Infections … Ulcers were modified in 2012 from earlier higher projections. … ulcer, rather than on the incremental cost due to the HAC. 1 AHRQ Partnership for Patients Web page

42. NPSD Dashboards | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/npsd/data/dashboard/index.html
    October 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Pressure Ulcer Dashboard Details the documentation of increased risk for pressure ulcer following a … risk assessment; and the timing of the first risk assessment for reported pressure ulcers or sDTIs.

43. Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
    February 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 6,721 Composite: ACSC Overall Yes 22,422 20,395 25,160 No 18,138 19,018 17,666 Pressure … Ulcer Yes 5,006 4,208 4,833 No 2,960 3,348 3,127 Injurious Falls Yes 307 411 … Ulcer 4,195 4,249 2,476 3,395 3,286 3,764 Injurious Falls 388 259 218 286 308

44. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
    November 01, 2021 - ulcer o Most advanced stage of pressure ulcer o Stage on admission o Admission skin inspection documented … o Pressure ulcer prevention intervention in place o Secondary patient morbidity • Surgery or anesthesia … Some of these explanatory statements were related to fall and pressure ulcer events, while others were … Pressure Ulcer Event Very busy environment due to COVID-19 crisis and less time and attention paid to … Pressure Ulcer Event Patient is critically ill, intubated, COVID-19 positive, in multisystem organ

45. Table 17D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
    February 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 3,252 3,815 3,120 Composite: ACSC Overall 6,079 4,558 5,662 5,312 6,245 5,000 Pressure … Ulcer 1,619 1,071 1,367 1,440 1,749 1,185 Injurious Falls 81 60 90 55 92 60 … Ulcer 1,498 1,217 1,890 1,213 Injurious Falls 80 57 88 68 Notes:   ACSC =

46. Table 17A: National HCBS Population | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
    February 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 6,749 9,215 6,184 Composite: ACSC Overall 22,374 14,832 21,534 17,751 23,720 16,492 Pressure … Ulcer 4,168 2,525 3,903 3,214 4,382 2,935 Injurious Falls 316 271 324 280 375 … Ulcer 3,603 3,194 4,378 3,086 Injurious Falls 301 289 382 264 Notes:   ACSC

47. Table 17B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
    February 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 10,530 7,005 Composite: ACSC Overall 24,760 16,334 23,622 19,729 26,330 18,086 Pressure … Ulcer 4,583 2,937 4,303 3,638 4,774 3,353 Injurious Falls 397 350 396 366 462 … Ulcer 4,098 3,440 4,727 3,530 Injurious Falls 384 363 466 342 Notes:   ACSC

48. Table 17E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17e.html
    February 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 6,781 8,838 5,914 Composite: ACSC Overall 20,734 15,368 19,563 17,756 23,009 16,087 Pressure … Ulcer 2,980 2,213 2,877 2,492 3,415 2,252 Injurious Falls 253 224 263 220 323 … Ulcer 2,820 2,361 3,195 2,436 Injurious Falls 251 221 300 217 Notes:   ACSC

49. Table 17G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
    February 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 13,941 8,615 Composite: ACSC Overall 31,820 19,437 32,312 23,141 34,235 21,902 Pressure … Ulcer 5,156 2,917 5,215 3,604 5,195 3,597 Injurious Falls 568 461 588 484 677 … Ulcer 4,379 3,646 4,962 3,857 Injurious Falls 504 573 687 457 Notes:   ACSC

50. Table 17F: HCBS Population Ages 18-64 Without Intellectual/Developmental Disabilities or Serious Mental Illness | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17f.html
    February 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 5,449 7,139 5,429 Composite: ACSC Overall 23,940 16,507 25,790 18,529 23,803 18,978 Pressure … Ulcer 5,875 3,508 6,077 4,338 6,250 4,022 Injurious Falls 147 123 175 119 170 … Ulcer 4,785 5,171 6,257 4,181 Injurious Falls 145 120 171 121 Notes:   ACSC

51. Table 17C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
    February 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 4,111 5,049 3,932 Composite: ACSC Overall 15,281 10,642 14,988 12,306 15,447 12,117 Pressure … Ulcer 2,935 1,376 2,649 2,045 3,140 1,790 Injurious Falls 76 51 101 45 98 … Ulcer 2,200 2,447 3,298 1,833 Injurious Falls 66 63 119 44 Notes:   ACSC =

52. Hospitals and Health Systems | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/index.html
    August 01, 2022 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Family-Centered Rounds Toolkit MATCH Toolkit NICU Toolkit Pressure Injury Preventing Pressure … Ulcers in Hospitals Re-Engineered Discharge Toolkit QI Toolkit Venous Thromboembolism … Patients with Limited English Proficiency NICU Toolkit Preventing Falls in Hospitals Preventing Pressure … Ulcers in Hospitals QI Toolkit for Hospitals RED (Re-Engineered Discharge) Toolkit Universal ICU

53. AHRQ's Quality & Patient Safety Programs by Setting: Long-Term Care | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/index.html
    September 01, 2021 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention is a team training curriculum to … help nursing homes with electronic medical records reduce the occurrence of pressure ulcers.

54. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - Centers for Disease Control and Prevention. … Trauma in Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51 77,000 2.36 Pressure … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical Site Infection

55. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Ulcers MPSMS Hospital-Acquired Pressure Ulcers Surgical Site Infections NHSN SSIs combined … Ulcers Hospital-Acquired Pressure Ulcers 53.03 62.45 0.85 VAP Ventilator-Associated Pneumonia … Ulcer MPSMS Hospital-Acquired Pressure Ulcers 1,317,211 32,750,000 40.220 Surgical Site

56. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Universal and Targeted Tools Ambulatory Surgery Centers Toolkit CLABSI and CAUTI Prevention … Non-ICU Patients With Devices Obstetrical adverse events: Toolkit for Improving Perinatal Safety Pressure … ulcers: Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care Surgical

57. Documentation and Coding for Patient Safety Indicators (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
    March 15, 2016 - ulcers). … PDI 02 Pressure Ulcer Rate (stage III, IV, Unstageable) Diagnosis and site of pressure ulcer must … PSI 03 Pressure Ulcer Encourage providers to document pressure ulcers as part of the admission H&P to … Provider must document the site of pressure ulcer; the stage of the ulcer can be documented and coded … PSI 03 Pressure Ulcer X “Unspecified stage” and “unstageable” are not interchangeable terms; the code

58. Table 19G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19g.html
    March 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … Ulcer 4,845 3,916 4,034 4,473 4,279 3,822 Injurious Falls 694 450 520 525 493 … 9,860 12,380 10,227 12,540 Composite: ACSC Overall 24,470 31,390 25,983 29,126 Pressure … Ulcer 4,169 4,242 4,328 3,449 Injurious Falls 498 580 497 653 Notes:   ACSC

59. Table 19D: I/DD Subpopulation | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19d.html
    March 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 3,092 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 61 … Ulcer 1,543 1,223 1,589 999 Injurious Falls 77 67 77 63 Notes:   ACSC = ambulatory

60. Table 19E: SMI Subpopulation | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab19e.html
    March 01, 2023 - Data & Measures Digital Healthcare Research Education & Training Hospitals & Health Systems Prevention … Tools Featured Clinicians & Providers Hospitals & Health Systems Prevention … 6,325 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 297 218 268 212 233 … Ulcer 2,658 2,731 2,846 2,191 Injurious Falls 239 247 236 260 Notes:   ACSC