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361. The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. | PSNet
     psnet.ahrq.gov/issue/effect-providing-staff-training-and-enhanced-support-care-homes-care-processes-safety-climate
     September 15, 2021 - Hospital admissions and preventable adverse events, such as falls and pressure ulcers, are common in … After 24 months, the safety climate had improved, and both falls and pressure ulcers were reduced. … See More About The Topic Long-Term Care Quality and Safety Professionals Geriatrics Pressure … Ulcers Patient Falls View More

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33587/psn-pdf
     June 15, 2024 - include delayed or omitted medications or treatments; complications such as atelectasis, deconditioning, pressure … ulcers, falls, ventilator-associated pneumonia, or other nosocomial infections; increased length of … significant impacts were demonstrated on medication errors, patient falls, nosocomial infections, pressure … ulcers, mortality, and patient satisfaction. … Prevention https://psnet.ahrq.gov/web-mm/nurse-staffing-ratios-crucible-money-policy-research-and-patient-care

363. FAQs (Staff): CHG for Bathing (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.docx
     March 01, 2022 - Do not wipe the CHG off as this will reduce its infection prevention abilities. … Be especially thorough if there are any nearby wounds, pressure ulcers, or breaks in the skin. … Using the CHG cloths on superficial wounds/stage 1 and 2 decubitus ulcers How should we dispose of the

364. PEPTIC ULCER #11 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/11_pepticulcer_potential_high_impact_june_2012.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…

365. Final Progress Report: 2008 Local Area Networks for Excellence (LANE) Conference (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/stone-benner-report.pdf
     January 01, 2024 - ulcers, restraints, pain, staff stability, and quality improvement. … Association (AHQA), Association of Health Facility Survey Agencies (AHFSA), Centers for Disease Control and Prevention … There are four clinical areas that have long plagued nursing homes; 1) presence of pressure ulcers in … ulcers , n=18, and dementia, n=3). … Ulcers: Best Practices X 3.5 9 2008 Local Area Networks for Excellence (LANE) Conference: Final

366. More than 1 million potential second victims: how many could nursing education prevent? | PSNet
     psnet.ahrq.gov/issue/more-1-million-potential-second-victims-how-many-could-nursing-education-prevent
     May 30, 2018 - December 21, 2017 Organisational strategies to implement hospital pressure ulcer prevention

367. Daily Goals Checklist | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
     December 01, 2012 - thrombosis: __   Heparin every 8 hours/every 12 hours/continuous drip __   Peptic ulcer disease prevention

368. Using Aspirin for the Primary Prevention of Cardiovascular Disease (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/4fdC2JLwP_um_yZe4WZRaa
     April 01, 2009 - Using Aspirin for the Primary Prevention of Cardiovascular Disease How do I determine benefit? … The US Preventive Services Task Force (USPSTF) recommends the use of aspirin for the primary prevention … The USPSTF recommends AGAINST the use of aspirin for the primary prevention of MI in men less than age … Primary prevention studies of aspirin have found the following: Clinician Fact Sheet Aspirin use in … Aspirin for the Prevention of Cardiovascular Disease: Recommendation Statement.

369. Telewound Care Network (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015359-bryant-final-report-2008.pdf
     January 01, 2008 - ulcers each year. … Cost to treat a pressure ulcer, a common chronic wound, is estimated to range from $4,000 to $40,000 … Study patients included inpatients and outpatients with pressure ulcers of stage II, III, or IV, plus … Agostini, JV, Baker, D., and Bogardus, S.T.; “Prevention of Pressure Ulcers in Older Patients,” from … “Osteomelitis related to pressure ulcers: the cost of neglect,” Adv Skin Wound Care. 2000 Jan-Feb: 12

370. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet
     psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
     October 01, 2008 - ulcers in addition to stage 3 or 4 ulcers acquired after admission. … ulcer (codes 707.00–707.09). … Our administrative system has a limitation of 15 diagnoses, and it is possible that the decubitus ulcer … ulcers—that's too much for any human brain to handle. … ulcers, or most falls.

371. Background for AHRQ Quality Indicators
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pptx
     January 01, 2006 - Indicators (IQIs), Pediatric Quality Indicators (PDIs) QIs represent events likely to be amenable to prevention … , with specific information tailored to the example indicator: The indicator that we have chosen, Pressure … Ulcers (PSI 03), is important to our patients because improvement on this indicator may reduce: Sepsis … In this example, we will examine the rates of Pressure Ulcers (PSI 03) for this particular hospital performed … Ulcers (PSI 03) Observed Rate 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 4.9136800000000001E

372. Slide 1
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-051314.pptx
     February 07, 2014 - Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient … ulcers Immobility Aims 9 Understand the CUSP framework for initiating culture change … Now immobile and developed pressure ulcers worsened by diarrhea. … They also immobilize patients—increasing the likelihood of pressure ulcers, falls and prolonged inpatient

373. Potential costs and consequences associated with medication error at hospital discharge: an expert judgement study. | PSNet
     psnet.ahrq.gov/issue/potential-costs-and-consequences-associated-medication-error-hospital-discharge-expert
     September 05, 2018 - July 24, 2019 Success in hospital-acquired pressure ulcer prevention: a tale in two data

374. Table 17B: Dually Eligible HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17b.html
     February 01, 2023 - 10,530 7,005 Composite: ACSC Overall 24,760 16,334 23,622 19,729 26,330 18,086 Pressure … Ulcer 4,583 2,937 4,303 3,638 4,774 3,353 Injurious Falls 397 350 396 366 … 8,314 8,522 10,408 7,479 Composite: ACSC Overall 21,408 21,005 25,803 19,316 Pressure … Ulcer 4,098 3,440 4,727 3,530 Injurious Falls 384 363 466 342 Notes

375. Table 17G: HCBS Population Age 65 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17g.html
     February 01, 2023 - 13,941 8,615 Composite: ACSC Overall 31,820 19,437 32,312 23,141 34,235 21,902 Pressure … Ulcer 5,156 2,917 5,215 3,604 5,195 3,597 Injurious Falls 568 461 588 484 … 10,221 11,658 13,626 9,337 Composite: ACSC Overall 25,759 28,549 32,778 23,897 Pressure … Ulcer 4,379 3,646 4,962 3,857 Injurious Falls 504 573 687 457 Notes

376. Table 17D: Intellectual/Developmental Disabilities Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17d.html
     February 01, 2023 - 3,815 3,120 Composite: ACSC Overall 6,079 4,558 5,662 5,312 6,245 5,000 Pressure … Ulcer 1,619 1,071 1,367 1,440 1,749 1,185 Injurious Falls 81 60 90 55 92 … 3,481 3,208 3,831 3,228 Composite: ACSC Overall 5,719 5,011 6,399 5,136 Pressure … Ulcer 1,498 1,217 1,890 1,213 Injurious Falls 80 57 88 68 Notes:  

377. Table 17C: Medicaid-Only HCBS Participants | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17c.html
     February 01, 2023 - 5,049 3,932 Composite: ACSC Overall 15,281 10,642 14,988 12,306 15,447 12,117 Pressure … Ulcer 2,935 1,376 2,649 2,045 3,140 1,790 Injurious Falls 76 51 101 45 98 … 4,416 4,102 5,111 4,002 Composite: ACSC Overall 13,885 11,778 15,231 12,519 Pressure … Ulcer 2,200 2,447 3,298 1,833 Injurious Falls 66 63 119 44 Notes:  

378. Table 17A: National HCBS Population | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17.html
     February 01, 2023 - 9,215 6,184 Composite: ACSC Overall 22,374 14,832 21,534 17,751 23,720 16,492 Pressure … Ulcer 4,168 2,525 3,903 3,214 4,382 2,935 Injurious Falls 316 271 324 280 … 7,298 7,429 9,114 6,570 Composite: ACSC Overall 19,447 18,724 23,221 17,538 Pressure … Ulcer 3,603 3,194 4,378 3,086 Injurious Falls 301 289 382 264 Notes

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60758/psn-pdf
     August 05, 2020 - Decubitus ulcers were the most common diagnosis in claims involving ICU nurses and compared to nurses … lessons-learned-medical-malpractice-claims-involving-critical-care-nurses https://psnet.ahrq.gov/issue/crico https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

380. Indwelling Urinary Catheter Indications
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
     April 01, 2022 - -5 2009 HICPAC Guidelines American Nurses Association’s Streamlined Evidence-Based RN Tool: CAUTI Prevention … Closed pressure ulcers: stage I, deep tissue injury No No, unless has chronic ISC needs Yes, if the patient … Open pressure ulcers: stage II Uncertain Yes Yes, if the patient is unable to toilet using other means … , bedpan, bedside commode, bathroom All† Open pressure ulcers: stages III-IV, unstageable Yes Yes, … Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009.