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261. 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

262. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appc.html
     March 01, 2017 - disinfection [ti] OR wash [ti]))) OR (Accidental Falls [mh] OR (fall* [ti] AND (preventing [ab] OR prevention … [ab] OR reducing [ab] OR reduction [ab] OR aged [mh] OR elderly OR geriatric)) OR Decubitus Ulcer [mh

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43524/psn-pdf
     October 29, 2014 - study found that diagnostic codes in administrative data for hospital-related complications such as pressure … ulcers, falls, and adverse drug events accurately reflect the presence of these events in the medical … validating-administrative-data-detection-adverse-events-older-hospitalized-patients https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review … https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial https://psnet.ahrq.gov

264. Dissecting Leapfrog: how well do Leapfrog Safe Practices Scores correlate with Hospital Compare ratings and penalties, and how much do they matter? | PSNet
     psnet.ahrq.gov/issue/dissecting-leapfrog-how-well-do-leapfrog-safe-practices-scores-correlate-hospital-compare
     September 19, 2012 - with Hospital Compare data on hospital-acquired conditions like health care–associated infections , pressure … ulcers , or falls . … October 29, 2017 Success in hospital-acquired pressure ulcer prevention: a tale in two … September 23, 2020 Comparing catheter-associated urinary tract infection prevention programs

265. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
     November 01, 2017 - Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … Ulcers ( (“Pressure Ulcer” [MeSH] OR “Pressure Ulcer” [tiab] OR “Bedsore” [tiab] OR “Bed Sores” [tiab … ] OR “Decubitus Ulcer” [tiab] OR “Pressure Sore” [MeSH] OR “Pressure Sore” [tiab] OR “Suspected Deep … Tissue Injury” [tiab] OR “Pressure Ulcer” [MeSH] OR “Pressure Ulcer” [tiab] OR “osteomyelitis” [MeSH … Ulcer All hospitalized patients who are at risk to have pressure ulcer 0.018c 2.42–5.06 3.26

266. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
     November 01, 2017 - Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … Ulcers ( (“Pressure Ulcer” [MeSH] OR “Pressure Ulcer” [tiab] OR “Bedsore” [tiab] OR “Bed Sores” [tiab … ] OR “Decubitus Ulcer” [tiab] OR “Pressure Sore” [MeSH] OR “Pressure Sore” [tiab] OR “Suspected Deep … Tissue Injury” [tiab] OR “Pressure Ulcer” [MeSH] OR “Pressure Ulcer” [tiab] OR “osteomyelitis” [MeSH … Ulcer All hospitalized patients who are at risk to have pressure ulcer 0.018c 2.42–5.06 3.26

267. Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration of international practice. | PSNet
     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

268. FAQs (Staff): Wound Cleaning (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.docx
     March 01, 2022 - CHG in clinical trials with the explicit instructions to clean superficial wounds and stage 1 and 2 decubitus … ulcers. … CHG can be applied to any superficial wound, including stage 1 and 2 decubitus ulcers, friable skin/rashes … Do not wipe off the CHG as this will reduce its infection prevention abilities. AHRQ Pub.

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43125/psn-pdf
     December 12, 2014 - authors attribute improvements to systems strategies, including checklists, safety culture surveys, and prevention … of pressure ulcers and infections. … checklists https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

270. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
     September 01, 2011 - Unfortunately, likely secondary to an infection of the pressure ulcer, she developed septic shock and … Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. … Reston, VA: National Pressure Ulcer Advisory Panel; 2001. … RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse … Organizations can monitor their rates of falls, pressure ulcers, infections, unplanned hospitalizations

271. Table 15A: Outcome Indicators by County Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
     February 01, 2023 - Ulcer 3,341 3,555 3,254 3,604 Injurious Falls 429 263 406 260 Dually Eligible … Ulcer 3,678 4,011 3,589 4,072 Injurious Falls 520 339 493 336 Medicaid-Only … Ulcer 4,049 4,237 4,031 4,256 Injurious Falls 778 456 729 451 HCBS … Ulcer 3,678 4,011 3,589 4,072 Injurious Falls 520 339 493 336 Medicaid-Only … Ulcer 4,049 4,237 4,031 4,256 Injurious Falls 778 456 729 451 Notes

272. Practice Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/index.html
     June 01, 2025 - Improving Quality  Tools Toolkit Training Prevention Task Force Application to help primary care clinicians … On-Time Pressure Ulcer Prevention Tools to assist nursing homes that have electronic medical record systems

273. Injuries and Wounds | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/injuries-and-wounds.html
     Topic: Injuries and Wounds AHRQ wound research centers on pressure ulcers. … AHRQ’s Safety Program for Nursing Homes: On-Time Prevention We Must Not Underestimate the Impacts

274. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2011-12.html
     January 01, 2018 - Centers for Disease Control and Prevention. … 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

275. Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition. | PSNet
     psnet.ahrq.gov/issue/front-line-defense-role-nurses-preventing-sentinel-events-third-edition
     November 27, 2018 - provides strategies for nurses to identify and help prevent sentinel events, with each chapter discussing prevention … December 15, 2017 Organisational strategies to implement hospital pressure ulcer prevention … December 16, 2015 ANA CAUTI Prevention Tool. … November 16, 2015 Infection Prevention.

276. Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes. | PSNet
     psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
     December 01, 2011 - surveyed about perceptions on safety culture , patient advocacy, patient experience, and fall and pressure … ulcer rates. … June 16, 2021 Fall prevention implementation strategies in use at 60 United States hospitals … About The Topic Hospitals Operating Room Nurse Managers Medical/Surgical Nursing Pressure … Ulcers View More

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47788/psn-pdf
     March 06, 2019 - Medical device-related pressure ulcers: a systematic review and meta-analysis. … Medical device-related pressure ulcers: A systematic review and meta-analysis. … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis … Hospital-acquired pressure ulcers are considered never events and represent a significant source of … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis

278. Nursing Care Quality at NQF. | PSNet
     psnet.ahrq.gov/issue/nursing-care-quality-nqf
     September 06, 2011 - View More Related Resources Organisational strategies to implement hospital pressure … ulcer prevention programmes: findings from a national survey. … September 22, 2017 ANA CAUTI Prevention Tool. … November 16, 2015 Fall prevention in hospitals: an integrative review.

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44098/psn-pdf
     April 29, 2015 - ulcers: a systematic review and documentary analysis. … ulcers: a systematic review and documentary analysis. … ulcers. … In hospital and long-term care settings, pressure ulcers are considered preventable complications, but … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42083/psn-pdf
     March 13, 2013 - Progress in patient safety improvement has been hindered by a lack of high-quality research on error prevention … health care–associated infections and surgical complications, bundled interventions to reduce falls and pressure … ulcers, and interventions to decrease medication errors and improve hand hygiene—are all considered … surgical-safety-checklist-reduce-morbidity-and-mortality-global-population https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review … https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events