-
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
-
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,
-
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
-
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
-
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
-
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?
-
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.”
-
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.
-
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
-
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…
-
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
-
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
-
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
-
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
-
www.ahrq.gov/topics/long-term-care.html
AHRQ Research Findings Support Effort to Reduce Pressure Ulcers in Virginia
AHRQ’s Safety Program … for Nursing Homes: On-Time Prevention
Antibiotic Stewardship Toolkits
Bringing Human Factors
-
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
-
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
-
effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1306.pdf
June 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…
-
psnet.ahrq.gov/issue/implementation-science-approach-promote-optimal-implementation-adoption-use-and-spread
July 13, 2010 - June 4, 2008
Fall prevention in acute care hospitals: a randomized trial. … November 14, 2018
Organisational strategies to implement hospital pressure ulcer prevention
-
psnet.ahrq.gov/node/43304/psn-pdf
July 02, 2014 - to prevent patient
harm and estimates that nearly 267,000 preventable patient safety events such as pressure … ulcers and
catheter-related bloodstream infections occurred during this period. … issue/finding-and-preventing-patient-safety-incidents
https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review