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381. 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

382. Accuracy of infection reporting in US nursing home ratings. | PSNet
     psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
     August 24, 2022 - Download Citation Related Resources From the Same Author(s) Accuracy of pressure … ulcer events in US nursing home ratings. … COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention

383. 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

384. 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

385. Patient Safety and Adverse Events, 2011 and 2014 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb237-Patient-Safety-Adverse-Events-2011-2014.pdf
     January 01, 2014 - The PSIs focus on adverse events during the hospital stay (such as pressure ulcers), complications associated … ulcers (23.1 percent decrease). … These problems are likely amenable to prevention by changes at the system or provider levels. … The AHRQ QI modules include Prevention Quality Indicators, Inpatient Quality Indicators, Patient Safety … The 10 risk-adjusted rates contributing to PSI 90 are as follows:  Pressure Ulcer Rate (PSI 03) 

386. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
     December 01, 2017 - problem, such as higher than expected cases of accidental punctures or lacerations during procedures or pressure … ulcers, the team would review the data from that time period. … The Healthcare-Acquired Pressure Ulcers and Falls Prevention task forces have achieved similar successes

387. 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

388. AHRQ-Funded Patient Safety Project Highlights (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-harms.pdf
     August 01, 2025 - Ulcer Prevention in Nursing Homes 2015–2018 $1,783,070 Purpose: 1) Disseminate the On-Time Pressure … effective pressure ulcer prevention practices. … Key Findings/Impact: A final report was not available; however, the Preventing Pressure Ulcers in Hospitals … : Implement and evaluate the effectiveness of a pressure ulcer module, “On-Time Quality Improvement … rates, in reducing the rate of pressure ulcers among nursing home residents.

389. 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

390. Themes from HCBS Expert Call Discussions (pdf file)
     qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
     January 01, 2012 - Pressure Ulcer  A number of experts agreed that the pressure ulcer indicator was more tightly linked … They felt that HCBS support staff clearly should be helping to mitigate pressure ulcers. … Pressure Ulcers  A number of experts agreed that the pressure ulcer indicator was more tightly linked … They felt that HCBS support staff clearly should be helping to mitigate pressure ulcers. …  One panelist worried about inconsistency in classification of pressure ulcers.

391. A human right-based approach to dealing with adverse events in residential care facilities. | PSNet
     psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities
     May 27, 2011 - July 1, 2016 Tune-in and time-out: toward surgeon-led prevention of "never" events. … June 7, 2023 Accuracy of pressure ulcer events in US nursing home ratings.

392. Let's Talk About It: Starting Aspirin to Prevent Heart Disease and Stroke (pdf file)
     www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/lets-talk-about-it-aspirin-cvd-prevention-guide.pdf
     April 26, 2022 -  At this age, the harm of starting daily aspirin— bleeding—can be more likely than the possible prevention … Recommendation* The USPSTF recommends that the decision to initiate low-dose aspirin use for the primary prevention … (USPSTF Grade: C) The USPSTF recommends against initiating low-dose aspirin use for the primary prevention … recommendation issued in 2022 is an update of a 2016 recommendation, which previously included colorectal cancer prevention … The USPSTF no longer includes aspirin use for prevention of colorectal cancer as part of the assessment

393. Central Venous Catheter Indications and Alternatives
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
     April 01, 2022 - ulcers Incontinence-associated dermatitis Daily measurement of urine volume Single 24-hour urine sample … Indications11-13 Acute urinary retention Chronic urinary retention Stage III or IV or unstageable pressure … ulcer Urinary incontinence Urine volume measurements Random urine sample collection Management … Guideline for prevention of catheter-associated urinary tract infections 2009. … Incontinence-associated dermatitis: consensus statements, evidence-based guidelines for prevention and

394. 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

395. 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

396. Hospitalizations for Circulatory System Disorders, 2004 (pdf file)
     hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.pdf
     July 01, 2011 - ulcers 8,959,419 615 2.6 6.9 Air embolism 8,959,419 45 0.2 0.5 Blood incompatibility 8,959,419 36 0.2 … ulcers (66 percent). … ulcer and 18 percent had manifestations of poor glycemic control CMS HACs. … ulcer, 13 percent of falls and trauma, and 16 percent of the catheter- associated urinary tract infection … Ulcers are: • 707.23, pressure ulcer, stage III • 707.24, pressure ulcer, stage IV The ICD-9-CM

397. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impmaterials.html
     June 01, 2017 - Section 1: Screening for Hospital Transfer Risk Section 2: Preventable Hospital and ED Visits - Prevention … |___| Confusion/mental status change |___| |___| Any full thickness wound (e.g., pressure … ulcers [Stage II or greater], surgical wound, stasis ulcer) |___| |___| Polypharmacy (15 or … Chronic pressure ulcers Yes |___| No |___| L. … Meeting Hospital/ED Transfer Prevention Discussed (Yes/No) Meeting Chair/Leader Name and Discipline

398. Psi90 Factsheet Faq V2 (pdf file)
     qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
     October 05, 2016 - This “modified version” of PSI 90 component indicator includes the following:  PSI 03 Pressure Ulcer … Ulcer Rate 0.033006 0.059841 81.3% PSI 06 Iatrogenic Pneumothorax Rate 0.075069 0.053497 -28.7% … ulcer treatment Debridement of a pressure ulcer and/or surgical skin flap procedure during the hospitalization … when the pressure ulcer developed, due to tissue damage. … PSI 03 180-day hospital readmission for a pressure ulcer related complication Readmission to

399. Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
     February 01, 2023 - Composite: ACSC Overall Yes 26,515 17,685 7,028 No 18,855 19,300 20,127 Pressure … Ulcer Yes 6,274 3,455 1,049 No 3,338 3,486 3,662 Injurious Falls Yes 369 … 7,404 Composite: ACSC Overall 6,233 33,102 8,819 20,714 16,992 19,479 Pressure … Ulcer 1,013 6,793 2,359 3,765 2,949 3,511 Injurious Falls 157 543 138

400. Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention to new settings. | PSNet
     psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-outside-intensive-care-unit-expanding
     January 18, 2023 - Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention … Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention … Preventing catheter-related bloodstream infections outside the intensive care unit: expanding prevention … August 21, 2018 Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.