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21. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47788/psn-pdf
    March 06, 2019 - Medical device-related pressure ulcers: a systematic review and meta-analysis. … Medical device-related pressure ulcers: A systematic review and meta-analysis. … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis … Hospital-acquired pressure ulcers are considered never events and represent a significant source of … https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis

22. 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

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44525/psn-pdf
    October 21, 2015 - Wound-care teams for preventing and treating pressure ulcers. … Wound-care teams for preventing and treating pressure ulcers. … https://psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers Pressure ulcers … https://psnet.ahrq.gov/issue/wound-care-teams-preventing-and-treating-pressure-ulcers https://psnet.ahrq.gov … /issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review https://psnet.ahrq.gov

24. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
    September 01, 2011 - Unfortunately, likely secondary to an infection of the pressure ulcer, she developed septic shock and … Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. … Reston, VA: National Pressure Ulcer Advisory Panel; 2001. … RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse … Organizations can monitor their rates of falls, pressure ulcers, infections, unplanned hospitalizations

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46926/psn-pdf
    March 07, 2018 - A comprehensive program to reduce rates of hospital- acquired pressure ulcers in a system of community … A Comprehensive Program to Reduce Rates of Hospital- Acquired Pressure Ulcers in a System of Community … https://psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers- system-community … This implementation study sought to reduce incidence of pressure ulcers in hospitalized patients using … https://psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers-system-community

26. Pressure Injury Prevention in Hospitals Training Program. | PSNet
    psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program
    May 01, 2017 - Pressure ulcers are a common hospital-acquired condition that can lead to patient harm . … designed to help hospitals implement practice and process improvements to reduce the occurrence of pressure … ulcers. … September 6, 2013 Preventing in-facility pressure ulcers as a patient safety strategy … Ulcers Epidemiology of Errors and Adverse Events View More

27. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37270/psn-pdf
    January 02, 2017 - Preventing pressure ulcers: the goal is zero. January 2, 2017 Duncan KD. … Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. … https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero This article discusses the background … and motivation behind the 5 Million Lives Campaign goal to prevent and eliminate pressure ulcers. … https://psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero https://psnet.ahrq.gov/issue/5-million-lives-campaign

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45147/psn-pdf
    May 25, 2016 - Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers … Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Pressure Ulcers … ulcers are considered a never event, and they result in loss of payment for the hospitalization according … ulcers in academic medical centers. … cmss-hospital-acquired-condition-lists-link-hospital-payment-patient-safety https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854638/psn-pdf
    October 18, 2023 - summarizes recommended actions to assist health care teams in mitigating harmful healthcare-acquired pressure … ulcers including recognition of conditional risks and educational strategies. … early-identification-and-evaluation-severe-pressure-injuries https://psnet.ahrq.gov/issue/medical-device-related-pressure-ulcers-systematic-review-and-meta-analysis … https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44098/psn-pdf
    April 29, 2015 - ulcers: a systematic review and documentary analysis. … ulcers: a systematic review and documentary analysis. … ulcers. … In hospital and long-term care settings, pressure ulcers are considered preventable complications, but … https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

31. Root cause analysis for hospital-acquired pressure injury. | PSNet
    psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
    July 07, 2021 - ulcer development. … July 14, 2021 Accuracy of pressure ulcer events in US nursing home ratings. … June 9, 2021 Medical device-related pressure ulcers: a systematic review and meta-analysis … October 24, 2018 Organisational strategies to implement hospital pressure ulcer prevention … ulcers: a systematic review and documentary analysis.

32. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47338/psn-pdf
    September 19, 2018 - in nursing homes such as poor staffing and communication with families that contribute to unmanaged pressure … ulcers and sepsis that result in hospital admissions and death. … A WebM&M commentary discussed a case involving a patient who had a pressure ulcer and sepsis in long … psnet.ahrq.gov/primer/long-term-care-and-patient-safety https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

33. Early identification and evaluation of severe pressure injuries. | PSNet
    psnet.ahrq.gov/issue/early-identification-and-evaluation-severe-pressure-injuries
    October 10, 2018 - summarizes recommended actions to assist health care teams in mitigating harmful healthcare-acquired pressure … ulcers including recognition of conditional risks and educational strategies . … September 14, 2022 Accuracy of pressure ulcer events in US nursing home ratings. … See More About The Topic Hospitals Long-Term Care Geriatrics Nurse Care Pressure … Ulcers View More

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43711/psn-pdf
    November 26, 2014 - evaluated costs related to the index hospitalization and 90 days following discharge of six HACs—severe pressure … ulcers, fractures, catheter-associated urinary tract infections, venous catheter- related infections … Severe pressure ulcers and orthopedic surgical site infections resulted in an average increase in payments … psnet.ahrq.gov/primer/health-care-associated-infections https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review … https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

35. Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. | PSNet
    psnet.ahrq.gov/issue/single-room-hospital-accommodation-associated-differences-healthcare-associated-infection
    June 21, 2016 - room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure … ulcers or medication errors? … ulcers or medication errors? … Falls , pressure ulcers, and Clostridium difficile infections increased in the older patients' ward … ulcers or medication errors?

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49633/psn-pdf
    September 01, 2011 - At the hospital, a full examination revealed a very deep pressure ulcer in her sacrum (stage IV full … For example, the rate of pressure ulcers in nursing homes has been shown to range between 2.2% to 23.9% … Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. … Reston, VA: National Pressure Ulcer Advisory Panel; 2001. 6. … RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72478/psn-pdf
    November 18, 2020 - examined the effect of unit-level nursing functional flexibility on the incidence of hospital-acquired pressure … ulcers. … Results indicate that higher use of functionally flexible nurses was associated with a higher number of pressure … ulcers, but this effect was moderated when coworker support within the unit was high. … nurse-working-conditions-and-patient-safety-outcomes https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

38. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866161/psn-pdf
    June 19, 2024 - accurate data capture interventions to improve rates of the composite PSI-90 and three individual PSIs (pressure … ulcers, postoperative PE/DVT, and postoperative sepsis). … Postoperative PE/DVT, postoperative sepsis, and composite PSI-90 all decreased, while pressure ulcer … psnet.ahrq.gov/primer/patient-safety-indicators https://psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets

39. The Safety and Quality of Long Term Care | PSNet
    psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care
    January 01, 2016 - At the hospital, a full examination revealed a very deep pressure ulcer in her sacrum (stage IV full … For example, the rate of pressure ulcers in nursing homes has been shown to range between 2.2% to 23.9% … Pressure Ulcers in America: Prevalence, Incidence, and Implications for the Future. … Reston, VA: National Pressure Ulcer Advisory Panel; 2001. 6. … RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48134/psn-pdf
    August 14, 2019 - effective method to utilize root cause analysis results to determine latent weaknesses that facilitate pressure … ulcer development. … root-cause-analysis-hospital-acquired-pressure-injury https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review