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301. Documentation and Coding for Patient Safety Indicators (pdf file)
     www.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

302. Appendix F. Hospital Practice Insights: Challenges and Solutions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
     October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix F. … notable increase in correct answers after the training: The pretest average score on Tool 2G: Pieper Pressure … Ulcer Knowledge Test was 69 percent; the average score on the posttest was 94 percent. … What You Can Do: Use Tool 2G: Pieper Pressure Ulcer Knowledge Test to assess staff knowledge regarding … Solution: Provide pressure injury prevention education.

303. Archived: Aspirin for the Prevention of Cardiovascular Disease: Preventive Medication | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/recommendation/aspirin-for-the-prevention-of-cardiovascular-disease-preventive-medication-2009
     March 15, 2009 - Do not encourage aspirin use for MI prevention. … Do not encourage aspirin use for stroke prevention. … Do not encourage aspirin use for MI prevention. … Do not encourage aspirin use for stroke prevention. … Aspirin for the prevention of cardiovascular disease: recommendation statement.

304. Inter- and intra-disciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: a cross-sectional study. | PSNet
     psnet.ahrq.gov/issue/inter-and-intra-disciplinary-collaboration-and-patient-safety-outcomes-us-acute-care-hospital
     August 07, 2024 - found hospital units that nurses rated as more collaborative had lower rates of both hospital-acquired pressure … ulcers and falls. … process across modalities of an evidence-based fall prevention toolkit: an implementation science study … See More About The Topic Hospitals Nurses Nurse Managers Medical/Surgical Nursing Pressure … Ulcers View More

305. Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. | PSNet
     psnet.ahrq.gov/issue/single-room-hospital-accommodation-associated-differences-healthcare-associated-infection
     June 21, 2016 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … ulcers or medication errors? … Falls , pressure ulcers, and Clostridium difficile infections increased in the older patients' ward … ulcers or medication errors?

306. Appendix L. Intensive Care Unit Infographic Poster | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
     October 01, 2015 - Infographic Poster on CAUTI Prevention Appendix L. … "All immobile patients need a urinary catheter to prevent hospital-acquired pressure ulcers." … "CAUTI prevention isn't my responsibility." … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint), hospital-acquired pressure … ulcers, falls, and venous thromboembolism. 2 , 3 Not all critically ill, immobile patients need Foley

307. Nursing Home IT: Optimal Medication and Care Delivery (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdf
     January 01, 2008 - Key Words: pressure ulcer prevention, nursing home quality improvement, nursing home HIT The authors … ulcers. … High-risk pressure ulcer quality measures AHRQ HIT Facilities (12 facilities combined) High Risk Pressure … Included was information about the original National Pressure Ulcer Long-Term Care Study followed by … Siobhan Sharkey participated in a panel titled Pressure Ulcer Prevention and Treatment- Tried, True,

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72478/psn-pdf
     November 18, 2020 - examined the effect of unit-level nursing functional flexibility on the incidence of hospital-acquired pressure … ulcers. … Results indicate that higher use of functionally flexible nurses was associated with a higher number of pressure … ulcers, but this effect was moderated when coworker support within the unit was high. … nurse-working-conditions-and-patient-safety-outcomes https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47093/psn-pdf
     July 02, 2019 - effective for managing blood glucose and blood transfusions and for preventing venous thromboembolism, pressure … ulcers, acute kidney injury, and incipient clinical deterioration. … preventability-hospital-acquired-venous-thromboembolism https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program

310. Enhancing Patient Safety Through Cognition and Communication (M-Safety Lab) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
     April 01, 2021 - Identify areas of skin at risk for developing pressure ulcers (recently renamed by expert organizations … of indwelling urinary catheters, central venous catheters, and pressure injuries (formerly called "pressure … ulcers"). … ulcers. … Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing

311. Patient Self-Management | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/patient-self-management.html
     planning, carrying out, and following up on a patient visit; planning patient visits that focus on prevention … AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia Engaging Patients and

312. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
     September 01, 2015 - patients at “CAUTI “Incontinent patients need a urinary catheter to prevent hospital- acquired pressure … ulcers.” … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint"), hospital-acquired pressure … ulcers, falls, and venous thromboembolism.2,3 • Not all critically ill, immobile patients need Foley … CAUTI prevention isn’t my responsibility.”

313. PEPTIC ULCER #11 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1312.pdf
     December 01, 2013 - PEPTIC ULCER #11 AHRQ Healthcare Horizon Scanning System – Potential High-Impact Interventions Report Priority Area 11: Peptic Ulcer Disease and Dyspepsia Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 ww…

314. The nurse's experience of decision-making processes in missed nursing care: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care-qualitative-study
     May 11, 2022 - July 11, 2018 Nurses' harm prevention practices during admission of an older person to … August 10, 2022 Barriers and enablers to nurses' use of harm prevention strategies for … Innovations Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … September 27, 2017 Organisational strategies to implement hospital pressure ulcer prevention

315. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
     December 01, 2014 - Ulcers 250,000 50% 50% 25% 62,500 $17,000 .072 $1,062,500,000 4,525 Surgical … 17.4% 1,040,500 NA NA $9,141,150,000 35,647 * Additional costs per HAC for Falls and Pressure … Ulcers were modified in 2012 from earlier higher projections. … been wrongly based on the full cost of a hospital stay that included a fall or a hospital-acquired pressure … ulcer, rather than on the incremental cost due to the HAC.   18.

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46892/psn-pdf
     June 13, 2018 - HAC reduction efforts resulted in an 8% decrease in events, $2.9 billion dollars in savings, and the prevention … While infections and adverse drug events decreased, pressure ulcers increased and represent an opportunity … interim-data-national-efforts https://psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure

317. Table 14B: Outcome Indicators by State Supply of Health Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
     February 01, 2023 - Ulcer 3,799 3,199 3,745 3,230 Injurious Falls 334 265 324 272 Dually Eligible … Ulcer 4,200 3,634 4,114 3,703 Injurious Falls 415 344 410 347 Medicaid-Only … Ulcer 2,619 1,957 2,698 1,836 Injurious Falls 96 38 80 50 I/DD Subpopulation … Ulcer 5,536 4,402 5,759 4,127 Injurious Falls 189 96 161 116 HCBS Population … Ulcer 4,932 3,599 4,712 3,767 Injurious Falls 608 453 613 448 HCBS

318. Table 16B: Outcome Indicators by State Socioeconomic Status | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
     February 01, 2023 - Ulcer 3,050 4,160 3,514 3,406 Injurious Falls 252 369 291 315 Dually Eligible … Ulcer 3,478 4,542 4,009 3,629 Injurious Falls 327 453 373 390 Medicaid-Only … Ulcer 1,883 2,943 2,104 2,733 Injurious Falls 45 101 57 88 I/DD Subpopulation … Ulcer 1,206 1,720 1,560 1,136 Injurious Falls 61 90 75 68 SMI Subpopulation … Ulcer 3,775 4,848 4,198 4,163 Injurious Falls 436 657 486 644 HCBS

319. Table 15B: Outcome Indicators by State Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
     February 01, 2023 - Ulcer 3,481 3,488 3,458 3,512 Injurious Falls 365 245 338 259 Dually Eligible … Ulcer 3,912 3,899 3,818 3,992 Injurious Falls 448 321 423 333 Medicaid-Only … Ulcer 2,094 2,388 2,373 2,172 Injurious Falls 99 43 81 51 I/DD Subpopulation … Ulcer 1,283 1,527 1,280 1,578 Injurious Falls 91 53 84 57 SMI Subpopulation … Ulcer 4,594 3,884 4,481 3,940 Injurious Falls 644 430 625 433 HCBS

320. AHRQ National Scorecard on Hospital-Acquired Conditions: Final Results for 2014 Through 2017 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
     July 01, 2020 - ulcers/pressure injuries and falls. … Comparing these data with other sources of information, such as the Centers for Disease Control and Prevention … measured with MPSMS, the AHRQ Patient Safety Indicators (PSIs), the Centers for Disease Control and Prevention … Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries Surgical Site Infection NHSN SSIs … Ulcer MPSMS Hospital- Acquired Pressure 647,096 21.75 699,790 23.52 676,834 22.75 682,984 22.96