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341. Managing medication errors—a qualitative study. | PSNet
     psnet.ahrq.gov/issue/managing-medication-errors-qualitative-study
     December 06, 2023 - December 18, 2017 Organisational strategies to implement hospital pressure ulcer prevention

342. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/challenge-competition.html
     February 01, 2024 - University of Missouri University of Missouri Health Care (MU Health Care) utilized AHRQ’s Preventing Pressure … Ulcers in Hospitals: A Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03 … Initially focused on two medical-telemetry units and eventually expanding to include additional units, fall prevention

343. P | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/p.html
     June 12, 2025 - Policy Population Health Practice Improvement Practice-Based Research Network (PBRN) Pregnancy Pressure … Ulcers Prevención y bienestar Prevention Primary Care Provider Performance Provider: Clinician

344. Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. | PSNet
     psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
     October 30, 2024 - Overall, HAC rates declined over the 2 years following implementation of the program, with only rates of pressure … ulcers increasing. … October 9, 2024 Are evidence-based practices associated with effective prevention of … hospital-acquired pressure ulcers in US academic medical centers? … December 21, 2017 Complexity bias in the prevention of iatrogenic injury: why specific

345. Screening for Skin Cancer (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/cLuJZx55Z6ApzYv836rkSp
     Screening for Skin Cancer ASPIRIN FOR THE PREVENTION OF CARDIOVASCULAR DISEASE CLINICAL SUMMARY … prevented) outweighs potential harm of GI hemorrhage Do not encourage aspirin use for MI prevention … Do not encourage aspirin use for stroke prevention No Recommendation Recommendation

346. Private Sector Efforts in Value-Based Purchasing and Quality Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
     June 01, 2018 - Pressure Ulcers in Adults: Prediction and Prevention . … Treatment of Pressure Ulcers . … Evaluating and Improving Pressure Ulcer Care: The VA Experience with Administrative Data. … Implementation of a comprehensive skin care program across care settings using the AHCPR pressure ulcer … prevention and treatment guidelines.

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44845/psn-pdf
     July 01, 2016 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … Falls, pressure ulcers, and Clostridium difficile infections increased in the older patients' ward after

348. University of Missouri Health Care Decreases Pressure Injuries and Saves in Avoidable Costs | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
     February 01, 2024 - Avoidable Costs University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure … Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated … The project spanned two phases: the first focused on general HAPI prevention (February 2019 - July 2020 … into the root causes of identified pressure injuries, along with an assessment of best practices for prevention

349. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/haccost2017-results.html
     November 01, 2017 - Pressure Ulcers Based on three studies reporting cost data, we estimated the additional cost for hospital-acquired … pressure ulcers to be $14,506 (95% CI: -$12,313 to $41,326), whereas excess mortality, based on three … ulcer cases, there are 41 excess deaths). … ulcers. … (Goudie 2015) and estimated the additional cost for hospital-acquired pressure ulcers among adult inpatients

350. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/areas.html
     February 01, 2018 - Our areas of research and tools cover: Healthcare Infections Team Training Falls Pressure Ulcers … Diagnostic Safety Blood Clot Prevention and Treatment Adverse Drug Events AHRQ Quality Indicators

351. Documentation and Coding for the AHRQ Pediatric Quality Indicators (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
     March 15, 2016 - ulcers). … ulcers or CLABSI, deaths, oncology patients). … PDI 02 Pressure Ulcer Rate (stage III, IV, Unstageable) Diagnosis and site of pressure ulcer must … PDI 02 Pressure Ulcer X If the ulcer progresses from one stage to another higher stage during the encounter … Provider must document the site of pressure ulcer; the stage of the ulcer can be documented and coded

352. Long-term Care Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/index.html
     November 01, 2021 - Toolkit To Improve Antibiotic Use in Long-Term Care AHRQ’s Safety Program for Nursing Homes: On-Time Prevention … Injury Long-Term Care Facilities Multiple Chronic Conditions Omissions of Care in Nursing Homes Pressure … Ulcers Quality of Life TeamSTEPPS Nursing Home Antimicrobial Stewardship Guide … and Other HAIs in Long-Term Care Facilities Affiliated Centers, Portfolios & Initiatives Prevention

353. PEPTIC ULCER #11 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/11_peptic_ulcer_potential_high_impact_2012-12-111.pdf
     January 01, 2012 - 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…

354. Microsoft Word - POA Methods 11_01.doc (pdf file)
     hcup-us.ahrq.gov/reports/methods/2011_05.pdf
     January 01, 2011 - The reduction in rates for five PSIs was statistically significant: decubitus ulcer, foreign body left … Importantly, when POA information was incorporated, most cases of decubitus ulcer, post-operative hip … The study assessed rates of four PSIs – decubitus ulcer, infections due to medical care, postoperative … Of the last 16 reported patients with a pressure ulcer, only 25% were recorded with an ICD- 9-CM pressure … New opportunities to improve pressure ulcer prevention and treatment: implications of the CMS inpatient

355. Table 14A: Outcome Indicators by County Supply of Health Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.html
     February 01, 2023 - Ulcer 3,690 3,126 3,660 3,435 3,626 3,404 Injurious Falls 279 344 376 263 … Ulcer 4,133 3,523 3,912 3,945 4,035 3,846 Injurious Falls 355 435 467 339 … Ulcer 2,435 1,929 2,922 1,971 2,477 2,094 Injurious Falls 63 72 107 46 76 … Ulcer 1,524 1,248 1,380 1,455 1,569 1,307 Injurious Falls 74 70 93 59 82 … Ulcer 2,744 2,615 2,612 2,762 2,893 2,560 Injurious Falls 228 282 305 207

356. Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. | PSNet
     psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
     August 09, 2023 - reporting patterns for two measures of nursing home care quality ( falls with major injury and pressure … ulcers ). … August 9, 2023 Accuracy of pressure ulcer events in US nursing home ratings. … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings.

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73604/psn-pdf
     August 18, 2021 - effect-providing-staff-training-and-enhanced-support-care-homes-care- processes-safety-climate Hospital admissions and preventable adverse events, such as falls and pressure … ulcers, are common in long-term care. … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced.

358. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - Pressure Ulcers Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health . … Improvement report on reduction of nosocomial pressure ulcers, University of Minnesota Medical Center … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit

359. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ref.html
     December 01, 2014 - Pressure Ulcers Agency for Healthcare Research and Quality. … Eliminating facility-acquired pressure ulcers at Ascension Health . … Improvement report on reduction of nosocomial pressure ulcers, University of Minnesota Medical Center … Preventing pressure ulcers in hospitals: a toolkit for improving quality of care. … http://www.ahrq.gov/professionals/systems/long-term-care/resources/pressure-ulcers/pressureulcertoolkit

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44805/psn-pdf
     January 27, 2016 - This report collection explores the data collected on four types of health care–acquired conditions (pressure … ulcers, falls, catheter–associated urinary tract infections, and venous thromboembolisms) in NHS patients … saving-lives-and-saving-money-hospital-acquired-conditions-update https://psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers