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  1. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
    October 01, 2017 - organization’s readiness to launch AHRQ’s Pressure Injury Prevention Program, review Section 1 of AHRQ’s PressureUlcer Prevention Toolkit . … more about measurement, see the supplementary training webinars Wound Classification and Measuring PressureUlcer Rates and Prevention Practices and the Learning Network webinar Measurement .)  
  2. www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
    October 01, 2015 - "All immobile patients need a urinary catheter to prevent hospital-acquired pressure ulcers." … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint), hospital-acquired pressureulcers, falls, and venous thromboembolism. 2 , 3 Not all critically ill, immobile patients need Foley
  3. www.ahrq.gov/topics/p.html
    June 12, 2025 - Policy Population Health Practice Improvement Practice-Based Research Network (PBRN) Pregnancy PressureUlcers Prevención y bienestar Prevention Primary Care Provider Performance Provider: Clinician
  4. www.ahrq.gov/sites/default/files/2024-02/stone-benner-report.pdf
    January 01, 2024 - ulcers, restraints, pain, staff stability, and quality improvement. … 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 • Quality Improvement: Maintaining and Sustaining Success • Resident Centered … Ulcers: Best Practices X 3.5 9 2008 Local Area Networks for Excellence (LANE) Conference: Final
  5. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
    February 01, 2023 - Ulcer 3,799 3,199 3,745 3,230 Injurious Falls 334 265 324 272 Dually Eligible … Ulcer 4,200 3,634 4,114 3,703 Injurious Falls 415 344 410 347 Medicaid-Only … Ulcer 2,619 1,957 2,698 1,836 Injurious Falls 96 38 80 50 I/DD Subpopulation … Ulcer 5,536 4,402 5,759 4,127 Injurious Falls 189 96 161 116 HCBS Population … Ulcer 4,932 3,599 4,712 3,767 Injurious Falls 608 453 613 448 HCBS
  6. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
    February 01, 2023 - Ulcer 3,050 4,160 3,514 3,406 Injurious Falls 252 369 291 315 Dually Eligible … Ulcer 3,478 4,542 4,009 3,629 Injurious Falls 327 453 373 390 Medicaid-Only … Ulcer 1,883 2,943 2,104 2,733 Injurious Falls 45 101 57 88 I/DD Subpopulation … Ulcer 1,206 1,720 1,560 1,136 Injurious Falls 61 90 75 68 SMI Subpopulation … Ulcer 3,775 4,848 4,198 4,163 Injurious Falls 436 657 486 644 HCBS
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
    February 01, 2023 - Ulcer 3,481 3,488 3,458 3,512 Injurious Falls 365 245 338 259 Dually Eligible … Ulcer 3,912 3,899 3,818 3,992 Injurious Falls 448 321 423 333 Medicaid-Only … Ulcer 2,094 2,388 2,373 2,172 Injurious Falls 99 43 81 51 I/DD Subpopulation … Ulcer 1,283 1,527 1,280 1,578 Injurious Falls 91 53 84 57 SMI Subpopulation … Ulcer 4,594 3,884 4,481 3,940 Injurious Falls 644 430 625 433 HCBS
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices_slides.pptx
    June 02, 2025 - documentation forms Lacking ways to empower staff to report abnormal skin findings: Consider using Tool 3C: PressureUlcer Identification Pocket Pad. 11 ID Pocket Pad Tool 3C 12 Practice Insight Or note location … 27 Practice Insight EHR Care Plans Triggered Based on Risk Assessment Braden Scale for Predicting PressureSore Risk SENSORY PERCEPTION 1.
  9. www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-decline.pdf
    June 02, 2025 - Infections +CLABSI - Central Line-Associated Bloodstream Infection Falls Obstetric Adverse Events PressureUlcers Surgical Site Infections Ventilator- Associated Pneumonias 0% (Post-op) Venous
  10. www.ahrq.gov/es/tools/index.html?page=3
    June 01, 2016 - Date Published: August 2016 Setting of Care: Hospital Preventing Pressure Ulcers … in Hospitals These materials assist hospital staff in implementing effective pressure ulcer prevention
  11. www.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - Vaginal Delivery With (PSI 18) and Without Instrument (PSI 19) 82,000 2.51 77,000 2.36 PressureUlcer MPSMS Hospital-Acquired Pressure Ulcers 1,320,000 40.41 1,300,000 39.43 Surgical
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/factraining_slides.pptx
    December 01, 2014 - PowerPoint Presentation AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention … Facilitator Training Overview of On-Time On-Time Pressure Ulcer Prevention Facilitator Training 2-day … Ulcer Prevention Pressure Ulcer Healing Falls Prevention Prevention of Avoidable Hospitalizations December … ulcer incidence rate seen in Pressure Ulcer Prevention Program Evaluation December 2014 On-Time Overview … Ulcer Prevention Reports: Nutrition Risk Report Risk criteria Meal consumption Weight loss Trigger
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
    March 15, 2016 - ulcers). … PDI 02 Pressure Ulcer Rate (stage III, IV, Unstageable) Diagnosis and site of pressure ulcer must … PSI 03 Pressure Ulcer Encourage providers to document pressure ulcers as part of the admission H&P to … Provider must document the site of pressure ulcer; the stage of the ulcer can be documented and coded … PSI 03 Pressure Ulcer X “Unspecified stage” and “unstageable” are not interchangeable terms; the code
  14. www.ahrq.gov/sops/about/patient-safety-culture.html
    June 01, 2024 - include the following: Hospital units with more positive SOPS scores had:  Fewer hospital-acquired pressureulcers and patient falls. 1 Lower surgical site infection rates. 2 Hospitals with more positive SOPS
  15. www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
    February 01, 2024 - Avoidable Costs University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing PressureUlcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated
  16. www.ahrq.gov/patient-safety/about/areas.html
    February 01, 2018 - Our areas of research and tools cover: Healthcare Infections Team Training Falls Pressure Ulcers
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
    September 01, 2015 - patients at “CAUTI “Incontinent patients need a urinary catheter to prevent hospital- acquired pressureulcers.” … Clostridium difficile infection, immobility (Foley is considered a "one-point restraint"), hospital-acquired pressureulcers, falls, and venous thromboembolism.2,3 • Not all critically ill, immobile patients need Foley
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
    June 02, 2025 - Ulcer Policies Tool 2E: Assessing Screening for Pressure Ulcer Risk Tool 2F: Assessing PressureUlcer Care Planning Alert the Implementation Team Leader to be ready to discuss and decide who … will oversee administering the Pieper Pressure Ulcer Knowledge Test to staff, and who will be in charge … Ulcer Policies (completed by the Implementation Team Leader) Tool 2E: Assessing Screening for PressureUlcer Risk (completed by the Implementation Team Leader or designee) Tool 2F: Assessing Pressure Ulcer
  19. www.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - University of Missouri University of Missouri Health Care (MU Health Care) utilized AHRQ’s Preventing PressureUlcers in Hospitals: A Toolkit for Improving Quality of Care to decrease Patient Safety Indicator 03
  20. www.ahrq.gov/hai/pfp/haccost2017.html
    November 01, 2017 - Pressure Ulcers. Surgical Site Infections. Venous Thromboembolism. … Ulcers          Surgical Site Infections          Ventilator Associated Pneumonia          Venous … Ulcers Surgical Site Infections (SSI) Venous Thromboembolism (VTE) Ventilator-Associated Pneumonia … Pressure Ulcers A new pressure ulcer developed during a stay, or Stage 1 or 2 pressure ulcer(s) present … ulcer.

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