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241. Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. | PSNet
     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

242. AHRQ Patient Safety Tools and Resources (pdf file)
     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.

243. Psn-Pdf (pdf file)
     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

244. | Agency for Healthcare Research and Quality
     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

245. Section 6-B, Expert Workgroup Roster and Materials (pdf file)
     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

246. Section 6-B, PMCoE PICU Expert Workgroup and Leadership Team Roster (pdf file)
     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

247. PMCoE PICU Expert Work Group and Leadership Team Roster (pdf file)
     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

248. Statistical Brief #96: Potentially Preventable Hospitalizations among Medicare-Medicaid Dual Eligibles, 2008 (pdf file)
     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

249. Psn-Pdf (pdf file)
     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.

250. Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/prevention.html
     Topic: Prevention Preventing disease and helping patients maximize health and function over the life … AHRQ’s Prevention/Care Management Portfolio works to improve the delivery of primary care services to … Achievements in Prevention AHRQ Highlights Urgent Need for Research to Improve Delivery of Preventive … Services to People with Disabilities AHRQ Research Findings Support Effort to Reduce Pressure … Ulcers in Virginia Celebrating the 40th Anniversary of the U.S.

251. Slide 1 (ppt file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
     January 01, 2011 - Flook, RN, MPH, CIC Director, Workforce Development & Infection Prevention Lorna Martin, RN Patient … ulcers The CUSP/Improvement Intervention Alt text CUSP 1. … Provide feedback, investigate each case Eliminate Stage 3, 4 Pressure Ulcers 1. … Standardized pressure ulcer risk assessment 3. … Flook, RN, MPH,CIC Director, Workforce Development/Infection Prevention 770-249-4518 dflook@gha.org.

252. Avoidable sepsis infections send thousands of seniors to gruesome deaths. | PSNet
     psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
     March 27, 2019 - nursing homes such as poor staffing and communication with families that contribute to unmanaged pressure … ulcers and sepsis that result in hospital admissions and death. … A WebM&M commentary discussed a case involving a patient who had a pressure ulcer and sepsis in long-term … March 24, 2021 Infection prevention in long-term care: re-evaluating the system using

253. Interim Update on 2013 Annual Hospital-Acquired Condition Rate (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014finalhacreport-cx.pdf
     December 01, 2016 - Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … 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.

254. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … 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.

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44525/psn-pdf
     October 21, 2015 - Wound-care teams for preventing and treating pressure ulcers. … Wound-care teams for preventing and treating pressure ulcers. … https://psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers Pressure ulcers … https://psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers https://psnet.ahrq.gov … /issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review https://psnet.ahrq.gov

256. Connecticut Hospital Reduces Pressure Injuries Using AHRQ Toolkit | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/201802.html
     August 01, 2018 - Preventing Pressure Ulcers in Hospitals: A Toolkit for Improving Quality of Care was central to the … hospital’s effort to prevent an estimated 114 pressure ulcers and avoid nearly $2 million in excess hospital … Saint Francis, pressure injuries identified as Stage 2 (characterized by partial loss of skin at the bedsore … Saint Francis implemented the toolkit as part of an AHRQ-sponsored Hospital Pressure Ulcer Training Program … Safety, Pressure Ulcers, Quality of Care Geographic Location: Connecticut

257. Saving Lives and Saving Money: Hospital-Acquired Conditions Update - Interim Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
     November 19, 2015 - About 40 percent of this reduction is from adverse drug events, about 28 percent from pressure ulcers … Most of the deaths averted occurred as a result of reductions in the rates of pressure ulcers and adverse … Prevention of approximately 87,000 deaths in the 2011 to 2014 period as a result of the decline in HACs … Ulcers MPSMS (2014) Hospital-Acquired Pressure Ulcers 1,010,000 30.9 7 2010 baseline data … ulcer, rather than on the incremental cost due to the HAC. 13 Saving Lives and Saving Money: Hospital-Acquired

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37270/psn-pdf
     January 02, 2017 - Preventing pressure ulcers: the goal is zero. January 2, 2017 Duncan KD. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero This article discusses the background … and motivation behind the 5 Million Lives Campaign goal to prevent and eliminate pressure ulcers. … https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero https://psnet.ahrq.gov/issue/5-million-lives-campaign

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38625/psn-pdf
     November 19, 2009 - randomised trial on the development and testing of an evidence based inpatient safety program for the prevention … randomised trial on the development and testing of an evidence based inpatient safety program for the prevention … implementation of a patient safety program focused on evidence-based guidelines to reduce the incidence of pressure … ulcers, falls, and urinary tract infections. … making-health-care-safer-critical-analysis-patient-safety-practices https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero

260. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
     December 01, 2012 - All but two of the indicators (Pressure Ulcer and Injurious Falls) build on existing AHRQ Prevention … Pressure Ulcer. Injurious Falls.