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381. 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

382. 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

383. 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:  

384. 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:  

385. 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

386. 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

387. On-Time Preventable Hospital and ED Visits Functional Specs (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
     August 01, 2017 - On-Time provides EMR reports for improving clinical decisionmaking for pressure ulcer prevention, pressure … ulcer healing, prevention of inappropriate hospitalizations, and falls prevention. … Ulcer Vendor determined or Wound Assessment Pressure ulcer Stage II, III, IV, or unstageable. … IF wound assessment date ≤7 days of report date AND at least one pressure ulcer with ulcer stage = … then display X in Wound • Infected wound or decubitus ulcer • Jaundice • Rash 10 Injury: Fall

388. 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.

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42895/psn-pdf
     December 18, 2014 - Some events, such as pressure ulcers in surgical patients, actually increased despite considerable national … https://psnet.ahrq.gov/glossary-0#glossary-heading-term-73754 https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero

390. 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

391. Table 17F: HCBS Population Ages 18-64 Without Intellectual/Developmental Disabilities or Serious Mental Illness | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17f.html
     February 01, 2023 - 7,139 5,429 Composite: ACSC Overall 23,940 16,507 25,790 18,529 23,803 18,978 Pressure … Ulcer 5,875 3,508 6,077 4,338 6,250 4,022 Injurious Falls 147 123 175 119 … 6,119 6,072 7,171 5,539 Composite: ACSC Overall 21,607 19,235 23,468 19,546 Pressure … Ulcer 4,785 5,171 6,257 4,181 Injurious Falls 145 120 171 121 Notes

392. Table 17E: Serious Mental Illness Subpopulation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab17e.html
     February 01, 2023 - 8,838 5,914 Composite: ACSC Overall 20,734 15,368 19,563 17,756 23,009 16,087 Pressure … Ulcer 2,980 2,213 2,877 2,492 3,415 2,252 Injurious Falls 253 224 263 220 … 6,956 7,098 7,925 6,580 Composite: ACSC Overall 19,175 17,427 20,509 17,826 Pressure … Ulcer 2,820 2,361 3,195 2,436 Injurious Falls 251 221 300 217 Notes

393. Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
     February 01, 2023 - Composite: ACSC Overall Yes 22,422 20,395 25,160 No 18,138 19,018 17,666 Pressure … Ulcer Yes 5,006 4,208 4,833 No 2,960 3,348 3,127 Injurious Falls Yes 307 … 7,607 Composite: ACSC Overall 20,384 19,444 14,877 19,094 19,184 20,443 Pressure … Ulcer 4,195 4,249 2,476 3,395 3,286 3,764 Injurious Falls 388 259 218

394. 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

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46041/psn-pdf
     September 20, 2017 - retrospective-and This economic analysis estimated the impact of nurse-sensitive adverse events—including pressure … ulcers, falls, medication administration errors, pneumonia, and urinary tract infection—for the Canadian … more than 1300 excess hospital days per year, and they advocate for more resources for adverse event prevention

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47349/psn-pdf
     January 30, 2019 - networks on several patient safety outcomes, including medication errors, falls, and hospital-acquired pressure … ulcers, across 24 medical and surgical inpatient units at 3 hospitals. … //psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial

397. 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

398. 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

399. 115-Daily-Goals-Icu-Checklist (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
     October 01, 2024 - AHRQ Safety Program for MRSA Prevention Intensive Care Unit (ICU) Daily Goals Checklist ICU & Non-ICU … Insert text Insert text PATIENT CARE Methicillin-Resistant Staphylococcus aureus (MRSA) Prevention … : Yes No Insert text Central Line-Associated Bloodstream Infection (CLABSI) Prevention … ___ Line 2: type/site __________ Line 3: type/site __________ Line 4: type/site __________ CLABSI prevention … No. 25-0007 October 2024 ICU Daily Goals Checklist | 1 AHRQ Safety Program for MRSA Prevention

400. 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