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401. 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

402. 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

403. 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

404. 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

405. 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.

406. 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

407. 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

408. Table 9: Outcome Indicators by Selected Home and Community-Based Services Medicaid State Plan Services Offered, 2005 | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab9.html
     February 01, 2023 - Overall Yes 18,922 20,115 18,052 19,228 No 28,131 18,583 22,752 19,363 Pressure … Ulcer Yes 3,471 3,655 3,237 3,421 No 3,873 3,358 4,221 4,253 Injurious … Composite: ACSC Overall 19,083 19,110 16,427 19,636 23,560 27,103 21,664 20,810 Pressure … Ulcer 3,504 3,473 2,888 3,575 2,944 4,236 4,000 3,773 Injurious Falls 285

409. 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

410. 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.

411. 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

412. 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.

413. 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.

414. Venous-Ulcers-Treatment-Future Research (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/pdf/venous-ulcers-treatment-future_research.pdf
     January 01, 2014 - The other varieties of common cutaneous ulcers such as diabetic, atherosclerotic, neuropathic and pressure … ulcers have multiple underlying confounding comorbidities. … Becaplermin is approved for use on diabetic foot ulcers and full thickness pressure ulcers only.

415. Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
     January 01, 2024 - Being underweight increased the odds of experiencing a fall, fall with injury, or pressure ulcer but … ulcers/ injuries and UTIs. … Association of overweight and obesity with the prevalence and incidence of pressure ulcers: A systematic … The paradox of obesity in pressure ulcers of critically ill patients. … Obesity and pressure ulcers among nursing home residents. Medical Care. 2013;51(6):478-86. 44.

416. 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

417. 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.

418. 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

419. Psi90 Factsheet Faq (pdf file)
     qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
     August 31, 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 an

420. 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) 