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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - About half (49.0%; 29,384 / 60,021) of Pressure ulcers were reported in Inpatient care areas. … Pressure Ulcers result in harm to the patient
by their very nature. … This is unexpected, as pressure ulcers result in harm
to the patient by their very nature. … Ulcer
• A pressure ulcer that, on admission, was at stage/category III or stage/category IV or was … Pressure Ulcers result in harm to the patient by their very nature.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
September 01, 2017 - Slide 6: On-Time Reports for Four Adverse Events
Four Reports:
Pressure Ulcer Prevention. … Pressure Ulcer Healing.
Falls Prevention.
Preventable Hospital and ED Visits. … Large decline in pressure ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation. … Prevention Programs: Reviews information on existing prevention programs.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
April 04, 2008 - ulcers, in addition to
continuing efforts to lower decubitus ulcer rates overall, it is important for … the VHA to eliminate
racial disparities in pressure ulcer rates. … Pressure ulcers:
More lethal than we thought? Adv Skin Wound Care
2005; 18: 367-372.
31. … Pressure ulcer
prevention in black and white nursing home residents:
A QI initiative of enhanced ability … Pressure ulcer risk assessment in
patients with darkly pigmented skin.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
October 01, 2015 - ulcer and any secondary ICD-10-CM
diagnosis codes for pressure ulcer stage III or IV (or
unstageable … • Several exclusions (e.g., length of stay <5 days,
principal diagnosis of pressure ulcer). … • Several exclusions (e.g., length of stay <5 days,
principal diagnosis of pressure ulcer). … A PSI Example: Pressure Ulcer (PSI 03)�
What are the Inpatient Quality Indicators (IQIs)? … An Example: Pressure Ulcer (PDI 02)�
How can the AHRQ QIs be used in quality assessment?
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www.ahrq.gov/patient-safety/settings/hospital/index.html
February 01, 2025 - Fall TIPS: A Patient-Centered Fall Prevention Toolkit consists of a formal risk assessment and tailored … Preventing Pressure Ulcers in Hospitals is a toolkit that assists hospital staff in implementing effective … pressure ulcer prevention practices through an interdisciplinary approach to care. … Pressure Injury Prevention in Hospitals Training Program supports the training of hospital staff on … how to implement AHRQ's Preventing Pressure Ulcers in Hospitals Toolkit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/ontime-preventablehospitaledvisits-overview.pptx
May 01, 2017 - May 2017
On-Time Overview
5
5
On-Time Reports for Four
Adverse Events
Four Reports
Pressure Ulcer … Prevention
Pressure Ulcer Healing
Falls Prevention
Preventable Hospital and ED Visits
May 2017
On-Time … leading clinicians
Reports tested in clinical settings for feasibility and ease of use
Large decline in pressure … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation
May 2017
On-Time Overview … Programs: Reviews information on existing prevention programs
Communication: Reviews existing team
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www.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - 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.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
January 01, 2024 - Web: ahrq.gov/goinghomeguide/
Pressure Ulcers
Preventing Pressure Ulcers: A Toolkit for Improving … Quality of Care in Hospitals assists hospital staff
in implementing effective pressure ulcer prevention … the training of hospital staff on how
to implement AHRQ’s Preventing Pressure Ulcers in
Hospitals … Web: ahrq.gov/pressureinjuryprevtraining
Safety Program for Nursing
Homes: On-Time Pressure
Ulcer … the
occurrence of pressure ulcers.
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psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical
August 09, 2023 - accurate data capture interventions to improve rates of the composite PSI-90 and three individual PSIs ( pressure … ulcers , postoperative PE/DVT, and postoperative sepsis). … Postoperative PE/DVT, postoperative sepsis, and composite PSI-90 all decreased, while pressure ulcer … Related Resources From the Same Author(s)
Assessment of a wearable fall prevention … Ulcers
View More
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psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis
March 10, 2021 - Review
Classic
Medical device-related pressure ulcers: … Medical device-related pressure ulcers: A systematic review and meta-analysis. … Hospital-acquired pressure ulcers are considered never events and represent a significant source of … Medical device-related pressure ulcers: A systematic review and meta-analysis.
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pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
July 01, 2016 - ulcer
• Progression of stage II pressure ulcer on buttocks to a stage IV pressure ulcer
• Progression … ulcers
• Multiple, stage I pressure ulcers on sacrum, coccyx and buttocks
• Stage I pressure ulcer … on buttocks
• Stage I pressure ulcer on heel
• Stage I/II pressure ulcer on leg due to poor-fitting … prosthesis
Page 4 of 4
• Progression of Stage I pressure ulcer on heel to Stage II
• Stage II pressure … ulcer on buttocks
• Stage I pressure ulcer on heels
• Stage II pressure ulcer at coccyx
• Stage I pressure
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psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers-qualitative
April 07, 2019 - Study
Barriers and facilitators to reporting medical device-related pressure ulcers … Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration … Hospital-acquired pressure ulcers, categorized as a never event, are underreported , particularly when … Interviews with experts in hospital-acquired pressure ulcers revealed four domains related to reporting … Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration
-
www.ahrq.gov/es/tools/index.html?page=3
June 01, 2016 - Keyword or Topic
Topics
- Any - Featured Clinicians & Providers Hospitals & Health Systems Prevention … Date Published: August 2016
Setting of Care: Hospital
Preventing Pressure Ulcers … in Hospitals
These materials assist hospital staff in implementing effective pressure ulcer prevention
-
psnet.ahrq.gov/node/45202/psn-pdf
October 08, 2016 - psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-
policy
Pressure … ulcers are never events that continue to occur, despite potential repercussions on reimbursement. … towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review … impact-hospital-acquired-conditions-medicare-program-payments
https://psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-203-section-6-b-workgroup.pdf
September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU
Patients (administrative claims)
3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within
24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients
(administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of
PICU Admission
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-199-section-6-b-pmcoe-picu-expert-workgroup.pdf
September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU
Patients (administrative claims)
3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within
24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients
(administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of
PICU Admission
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-200-section-6-b-expert-workgroup.pdf
September 18, 2014 - Incidence of Hospital Acquired Serious Pressure Ulcers in PICU
Patients (administrative claims)
3. … Initial Risk Assessment for Immobility-related Pressure Ulcer within
24 Hours of PICU Admission (eMeasure … Measure #2: Incidence of Hospital Acquired Serious Pressure Ulcers in PICU Patients
(administrative … • Staging of Pressure ulcers would need to be done by a wound care expert vs. the PICU staff nurse … Measure #3: Initial Risk Assessment for Immobility-related Pressure Ulcer within 24 Hours of
PICU Admission
-
hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
September 01, 2010 - ■ Among the nine selected potentially
preventable hospitalizations, stays for
pressure ulcers had … Data are also presented on
injurious falls and pressure ulcers, two conditions that are highly relevant … Stays principally for pressure ulcers were relatively rare among other Medicare beneficiaries (49 stays … ulcers (32 percent of all dual eligible pressure ulcer stays), asthma (30
percent of all dual eligible … Data are also presented on pressure ulcers and injurious falls, two conditions that are not from the
-
www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - The estimated cost per pressure ulcer was based on a report for CMS by RTI international
(Kandilov, … Zhan and Miller estimated that excess mortality
due to pressure ulcers was 72 deaths per 1,000 pressure … Mortality for patients with pressure ulcer was
compared to mortality among a matched set of patients … For example, pressure ulcers had a
high baseline prevalence, and excess mortality attributed to pressure … Ulcers
MPSMS (2013) Hospital-Acquired
Pressure Ulcers
1,060,000 32.5
Surgical Site
Infections
-
psnet.ahrq.gov/node/42113/psn-pdf
March 20, 2013 - Preventing in-facility pressure ulcers as a patient safety
strategy: a systematic review. … Preventing in-facility pressure ulcers as a patient safety strategy: a systematic
review. … https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review … Pressure ulcers are considered a never event, but their incidence has been increasing despite effective … , and regular audit and feedback of pressure ulcer
rates in ensuring intervention success.