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Showing results for "pressure ulcer prevention".
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  1. CMS's hospital-acquired condition lists link hospital payment, patient safety. | PSNet

    psnet.ahrq.gov/issue/cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety
    May 20, 2009 - September 29, 2017 Preventing in-facility pressure ulcers as a patient safety strategy … March 20, 2013 Inpatient fall prevention programs as a patient safety strategy: a systematic

  2. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet

    psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
    August 01, 2012 - ulcer or were put in physical restraints. … We looked at the outcomes on falls, pressure ulcers, and restraint use. … We didn't find it for pressure ulcers. … ulcers. … But they are mainly medical-based outcomes or process-based outcomes like pressure ulcers, use of restraints

  3. Discussion | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/pfp/haccost2017-discuss.html
    November 01, 2017 - 0.035–0.070) 0.055 OBAE $602 (-$578–$1,782) $3,271 0.005 (0.003–0.013) 0.0015 Pressure … Ulcers $14,506 (-$12,313–$41,326) $18,537 0.041 (0.013–0.093) 0.072 SSI $28,219 ($18,237 … In all other HACs, while we observed some increase (CAUTI) and some decrease (ADE, pressure ulcers) compared … At the same time that prevention efforts were ramping up, the CDC National Healthcare Safety Network … Second, prevention efforts may have been more effective at reducing the risk of developing these HACs

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40390/psn-pdf
    February 03, 2015 - billion, largely attributable to post-surgical complications, health care–associated infections, and pressure … ulcers.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47434/psn-pdf
    January 21, 2019 - https://psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms Pressure ulcers, surgical site

  6. Hospital progress in reducing error: the impact of external interventions. | PSNet

    psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interventions
    December 04, 2016 - June 8, 2016 Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers?

  7. Staff Presentation Template (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c3_combo_staffpresentation.pdf
    July 01, 2004 - 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: • … Tool C.3 DELETE THIS SLIDE BEFORE PRESENTATION – In this example, we will examine the rates of Pressure … Ulcers (PSI 03) for this particular hospital performed over time … Ulcers (PSI 03) for this particular hospital performed over time

  8. Indwelling Urinary Catheter Indications Facilitator Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
    April 01, 2022 - strict immobility post-procedure, and urinary incontinence contaminating open (stage 3 or stage 4) pressure … ulcers. … ulcers and weakness from less walking. … ulcers. … ulcers.

  9. Fact Sheet on Patient Safety Indicators (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
    October 01, 2015 - Each PSI in the the PSI 90 composite is amenable to prevention through system-level related structures … Year PSI 02 Death Rate in Low-Mortality Diagnosis- Related Groups (DRGs) 0.32 0347 2012 PSI 03 Pressure … Ulcer Rate 0.50 PSI 04 Death Rate Among Surgical Inpatients with Serious Treatable Complications

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46404/psn-pdf
    December 07, 2017 - Adverse events included medication errors and hospital-acquired conditions, such as pressure ulcers

  11. Factor structure and construct validity of a hospital survey on patient safety culture using exploratory factor analysis. | PSNet

    psnet.ahrq.gov/issue/factor-structure-and-construct-validity-hospital-survey-patient-safety-culture-using
    June 29, 2022 - June 29, 2022 Evaluation of clinical practice guidelines on fall prevention and management … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention … February 22, 2023 Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39777/psn-pdf
    November 04, 2012 - The most common preventable errors were pressure ulcers—considered a never event—and health care–associated

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44388/psn-pdf
    October 14, 2015 - The study looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated

  14. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)

    datatools.ahrq.gov/action-alliance/wp-content/uploads/sites/8/2025/09/qsrs-2021-2023-adverse-event-data-report.pdf
    January 01, 2025 - https://www.ahrq.gov/patient-safety/settings/index.html 2 Centers for Disease Control and Prevention … xx Office of Disease Prevention and Health Promotion, "National Action Plan for Adverse Drug Event Prevention

  15. Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. | PSNet

    psnet.ahrq.gov/issue/human-performance-breakdowns-are-rarely-accidents-they-are-usually-very-poor-choices
    September 12, 2016 - July 10, 2024 Are evidence-based practices associated with effective prevention of hospital-acquired … pressure ulcers in US academic medical centers?

  16. Patient- and family-centered care: error disclosure and investigation. | PSNet

    psnet.ahrq.gov/issue/patient-and-family-centered-care-error-disclosure-and-investigation
    July 15, 2009 - January 18, 2023 Barriers and facilitators to reporting medical device-related pressure … ulcers: a qualitative exploration of international practice. … teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention

  17. Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA. | PSNet

    psnet.ahrq.gov/issue/cost-effectiveness-quality-improvement-programme-reduce-central-line-associated-bloodstream
    January 02, 2017 - February 15, 2011 Are evidence-based practices associated with effective prevention of … hospital-acquired pressure ulcers in US academic medical centers? … , and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention

  18. Good Practice Guides on Medication Errors: Part 1 and Part 2. | PSNet

    psnet.ahrq.gov/issue/good-practice-guides-medication-errors-part-1-and-part-2
    August 03, 2016 - Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. … Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. … June 27, 2018 Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare … room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors?

  19. Archived: Final Research Plan: Aspirin to Prevent Cardiovascular Disease: Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Preventive Medication | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan-aspirin-to-prevent-cardiovascular-diseas/aspirin-to-prevent-cardiovascular-disease-and-cancer-april-2016
    October 07, 2013 - Included Excluded Aim Primary prevention of cardiovascular disease: MI, stroke, death from … MI or stroke, or all-cause mortality Secondary and tertiary prevention of MI, stroke, death from MI

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47760/psn-pdf
    February 06, 2019 - highlighted the clinical significance of HACs and described an incident involving a patient who developed a pressure … ulcer while in the hospital.
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